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HomeProceduresEndotracheal Tube (ET Tube) Intubation

Endotracheal Tube (ET Tube) Intubation

Care Before the Procedure

  • NPO (nothing by mouth) for several hours before elective intubation.
  • Inform the healthcare team about allergies, medical conditions, and medications.
  • Consent should be obtained for elective procedures.
  • Ensure monitoring equipment is ready (oxygen, vital signs).

Care During the Procedure

  • Position the patient properly (head tilt or sniffing position).
  • Sedation and muscle relaxants may be administered if required.
  • A tube is inserted through the mouth or nose into the trachea.
  • Placement confirmed via chest movement, breath sounds, or capnography.
  • The tube is secured to prevent displacement.

Care After the Procedure

  • Monitor vital signs, oxygen levels, and tube position continuously.
  • Ensure humidified oxygen and suctioning to keep the airway clear.
  • Watch for complications like infection, bleeding, or airway trauma.
  • Tube removal (extubation) is done when the patient can breathe independently.
  • Provide patient support and monitoring post-extubation.

Eligibility

  • Patients with respiratory failure or severe breathing difficulty.
  • Individuals undergoing general anesthesia for surgery.
  • Patients needing mechanical ventilation in ICU.
  • During cardiac arrest or airway obstruction.
  • Patients with neurological compromise affecting breathing.
  • NPO (nothing by mouth) for several hours before elective intubation.
  • Inform the healthcare team about allergies, medical conditions, and medications.
  • Consent should be obtained for elective procedures.
  • Ensure monitoring equipment is ready (oxygen, vital signs).
  • Position the patient properly (head tilt or sniffing position).
  • Sedation and muscle relaxants may be administered if required.
  • A tube is inserted through the mouth or nose into the trachea.
  • Placement confirmed via chest movement, breath sounds, or capnography.
  • The tube is secured to prevent displacement.
  • Monitor vital signs, oxygen levels, and tube position continuously.
  • Ensure humidified oxygen and suctioning to keep the airway clear.
  • Watch for complications like infection, bleeding, or airway trauma.
  • Tube removal (extubation) is done when the patient can breathe independently.
  • Provide patient support and monitoring post-extubation.
  • Patients with respiratory failure or severe breathing difficulty.
  • Individuals undergoing general anesthesia for surgery.
  • Patients needing mechanical ventilation in ICU.
  • During cardiac arrest or airway obstruction.
  • Patients with neurological compromise affecting breathing.

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Our Internal Medicine service offers both primary and specialist consultative care for adults with acute illnesses, chronic conditions and complex multisystem problems. With physicians who manage long-term diseases such as diabetes, heart disease, hypertension and respiratory conditions, while also treating infections, injuries and musculoskeletal concerns. We offer consultant-led inpatient care through a dedicated hospitalist service and an Acute Medicine Unit with 24-hour doctor and nurse coverage, supported by round-the-clock diagnostics (radiology, pathology and microbiology). Advanced treatments include non-invasive ventilation, high-flow nasal oxygen, plasmapheresis and coordinated plasma therapies, together with integrated physiotherapy and rehabilitation. Our team works closely with surgical and speciality colleagues for complex cases, and we provide home-care, adult immunisation, preventive & executive health checks, and visa medicals for international patients.

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