The Role Of Doctors, Anesthesiologist, Nurses, Respiratory Therapists And X-Ray Technicians In Case Of Endotracheal Intubation For A Patient In The Er

Abstract

Endotracheal intubation (ETI) is a crucial intervention frequently performed in emergency departments for patients with compromised airways. This paper discusses the roles of doctors, anesthesiologists, nurses, respiratory therapists, and X-ray technicians in the ETI process, emphasizing the importance of multidisciplinary collaboration. Doctors assess the need for intubation, select appropriate methods and pharmacological agents, and lead the airway management team. Anesthesiologists handle complex cases, guide medication selection, and address adverse events. Nurses prepare equipment, monitor vital signs, administer medications, and provide post-intubation care. Respiratory therapists optimize preoxygenation, confirm tube placement, and adjust ventilator settings. X-ray technicians perform imaging to verify tube positioning and identify complications. Recent advancements include the use of video laryngoscopy, which improves first-pass success rates, and point-of-care ultrasound for confirming tube placement. The choice of induction agents, such as ketamine or etomidate, and paralytics, like succinylcholine or rocuronium, should be individualized based on patient factors. Adequate post-intubation sedation is crucial to prevent awareness during paralysis. Physiological factors, including hypoxia, right ventricular failure, and metabolic acidosis, increase the risk of peri-intubation adverse events. Preoxygenation and apneic oxygenation techniques extend safe apnea time. The coordinated efforts of the multidisciplinary team, combined with evidence-based practices and technological advancements, are essential for maximizing first-pass success rates, minimizing complications, and improving patient outcomes during ETI in the emergency room setting.