Intubation in Respiratory Therapy: Key Equipment, Communication, and Documentation

Intubation is one of the most crucial procedures a respiratory therapist may be involved in, particularly in emergency situations. It is a life-saving intervention that requires precision, attention to detail, and clear communication. The goal is to secure the airway, ensuring proper oxygenation and ventilation for the patient. Here’s an overview of the key equipment, communication practices, and documentation steps involved in intubation.

Intubation Equipment:

• Endotracheal Tube (ETT)

• Stylet

• 10cc Syringe

• End-Tidal CO2 Monitor

• Ambu Bag

• Suction

• Tape/Holder

• Blade

• Stethoscope

Communication during intubation is vital. Whether you’re performing the procedure or assisting, you need to communicate effectively with the team. If you’re asked to only set up the ventilator and attach the equipment, your role is still crucial. Being an extra set of eyes can help catch potential mistakes and ensure everything runs smoothly. It’s also important to verify your role in the procedure—clarifying what tasks you are responsible for will avoid confusion and help the team function cohesively.

Documentation:

• Who intubated

• ETT size

• ETCO2 confirmation

• Breath sounds

• Chest X-ray (note if done)

• Ventilator settings

• Post-intubation blood gas