4.8 • 678 Ratings
🗓️ 4 May 2022
⏱️ 16 minutes
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0:00.0 | Hello and welcome to the Zero to Finals podcast. My name is Tom and in this episode |
0:10.7 | I'm going to be talking to you about common procedures in anesthetics. And you can find written |
0:16.6 | notes on this topic at zero definals.com procedures or in the anaesthetics and ICU section of the |
0:24.6 | zero to finals surgery book. So let's get straight into it. Let's start by talking about the basic |
0:31.2 | anatomy of the upper airway. If you were to travel from the nostrils down to the trachea or the airway, |
0:38.9 | you'd first travel through the nasal cavity, |
0:42.0 | then across the top of the palate to the pharynx or the throat, |
0:47.3 | past the epiglottis, which protects food from going into the airway, |
0:52.2 | then you'd reach the opening of the larynx, go through the vocal |
0:56.4 | chords and down into the larynx and the trachea. If you were to go through the mouth, you'd first |
1:02.6 | come across the lips, then the teeth, then pass the tongue into the pharynx, past the epiglottis, |
1:09.9 | and again to the opening of the larynx, vocal cords, and then the larynx, past the epiglottis, and again to the opening of the larynx vocal cords, |
1:12.9 | and then the larynx and trachea. Beside the opening of the larynx is the esophagus, which leads down |
1:19.4 | to the stomach. When something enters through the nose or the mouth and into the pharynx, |
1:25.6 | it can either go into the esophagus down to the stomach |
1:28.4 | or into the larynx past the vocal cords and into the trachea down to the lungs. |
1:35.4 | Next let's talk about endotracheal intubation. |
1:39.7 | An endotracheal tube or an ETT is a flexible plastic tube with an inflatable cuff or a balloon at one end |
1:48.2 | and a connector at the other. The tip of the endotracheal tube is inserted through the mouth, |
1:55.6 | through the throat or the pharynx, through the larynx and the vocal cords, and into the trachea. Endotracheal tubes come in |
2:04.3 | different sizes so that they match the size of the patient, with their diameter written in millimeters. |
2:10.7 | So, for example, a diameter of 7 to 7.5 millimeters may be used for women, and 8 to 8.5 millimeters for men. |
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