Intravenous Catheterization and Intubation PDF

Intravenous Catheterization and Intubation VET 2210  Patient Prep It is often the job of the veterinary technician to prep our patient for surgery. This often includes things like: ▶ Preparing Pre-Medications ▶ Collecting Pre-Anesthetic Blood Work ▶ Placing An IV Catheter ▶ Inducing Th...

Intravenous Catheterization and Intubation VET 2210  Patient Prep It is often the job of the veterinary technician to prep our patient for surgery. This often includes things like: ▶ Preparing Pre-Medications ▶ Collecting Pre-Anesthetic Blood Work ▶ Placing An IV Catheter ▶ Inducing The Patient ▶ Placing ET Tube ▶ Shaving & Scrubbing Surgical Site Patient Prep Intravenous catheter ▶ Administer IV Medications ▶ Administer Fluids ▶ Have quick venous access in case of an emergency Patient Prep Endotracheal tube ▶ Protects Airway ▶ Prevents Aspiration Pneumonia ▶ Assists With Resuscitation ▶ Helps With The Passage Of Oxygen & Inhalant Anesthesia Intravenous Catheterizatio n  Peripheral Catheterization Peripheral catheter locations ▶ Canine ▶ Cephalic ▶ Lateral Saphenous Veins ▶ Feline ▶ Cephalic ▶ Medial Saphenous Veins  Supplies ▶ Choosing an IV catheter Patient Size Vein Type Gauge Length Canine Patient 80 Saphenous/ Over the needle 18 1-2 Cephalic Feline Patient 5 Femoral/ Cephalic Over the needle 22 1  Supplies ▶ Injection cap ▶ T-port ▶ Tape ▶ Bandage materials  Supplies ▶ #40 clipper blade ▶ Scrub solutions ▶ Saline flush ▶ Fluid lines  How an IV How to place a catheter works peripheral catheter  Central Venous Catheter (central line) Jugular Catheter ▶ Through needle catheter ▶ Sterile procedure ▶ More maintenance ▶ Video Intubation  Endotracheal Tube Tube components ▶ (A) Hose connector ▶ (B) Body ▶ (C) Cuff indicator ▶ (D) Cuff ▶ (E) Murphy eye  Endotracheal Tube Measure ▶ Width ▶ Nasal Septum ▶ Length ▶ Thoracic Inlet  Endotracheal Tube Sizing ▶ Grab 3 tubes ▶ The one you believe is correct ▶ The size above an below Endotracheal Tube Additional supplies ▶ Gauze square ▶ Laryngoscope ▶ Roll gauze tie ▶ Cuff syringe Anatomy  Intubation 1. Restrainer Holds Patient In Sternal Recumbency 2. Restrainer Opens Mouth By Holding The Maxilla In One Hand & The Mandible In Other Hand. a. Dog = Maxilla should be held caudal to the canine teeth. b. Cat = Maxilla held just caudal to the ear pinna so that the skull is in the palm of the restrainer’s hand. 3. The hand holding the mandible grasps the tongue and fully extends it over the mandibular incisors 4. Restrainer lifts the head and extends the neck to aid the intubator’s visualization. 5. Using the laryngoscope, the intubator illuminates the larynx for proper visualization 6. The intubator visualizes the glottis and passes the tube between the vocal folds into the glottis 7. The intubator advances the tube to the predetermined depth as indicated by the preplaced gauze tie. 8. Secure tube to the patient. a. Dog = Tie gauze in a bow on the muzzle. b. Cat & Brachycephalic Dogs = Tie gauze in a bow caudal to the ears at the base of the skull. Intubation  Tube Placement Ways to confirm proper tube placement ▶ Cough ▶ Fogging in the tube ▶ Blowing of gauze or hair ▶ Air movement ▶ Palpation ▶ Capnography