Endotracheal Intubation

Evidence 

https://www.sciencedirect.com/science/article/pii/S1875957221001753 

Fai Saisamorn, Chanoknan Sriwiset, Ratree Sirisomboon, Bosco Paes, Ratchada Kitsommart 

Endotracheal intubation is an essential procedure during resuscitation and respiratory support. Complications during intubation are well known in all age groups, particularly in neonates due to their size, weight, anatomy, and physiological vulnerability. Adverse events include hypoxemia, bradycardia, hypertension, and intracranial haemorrhage. Successful intubation requires adequate preparation, monitoring and experienced operators.  

Education 

When babies are very small or sick, they may need extra help to breathe. One way that the healthcare team can provide this help is through a process called endotracheal intubation. While the words may sound complicated, it’s a common and safe procedure that helps babies get the breathing assistance that they need. 

What is Endotracheal Intubation? 

Endotracheal intubation is when a narrow, soft tube is placed into your baby’s windpipe (trachea). This tube is connected to a machine (ventilator) that provides breaths (mechanical ventilation) for your baby and gives them extra oxygen. The tube can also help deliver medicine or remove fluid from the lungs if needed. 

This procedure is done carefully by trained doctors, often in an emergency or when a baby is born very early or sick. Your baby is kept comfortable and the team ensures the process is as smooth and gentle as possible. 

Why Does My Baby Need Intubation? 

Some babies need help breathing because their lungs are not fully developed or because they are very ill. Breathing is vital to bring oxygen and remove carbon dioxide from their body. For premature babies, the intubation tube may stay in place for a while as their lungs grow stronger. For others, it might be a temporary measure during their illness or surgery.  

What to Expect 

When your baby has an intubation tube, you will see the small tube taped securely to their face. It may look a little overwhelming at first, but it’s there to help them. The healthcare team monitors your baby constantly to ensure the tube is working correctly and that your baby is comfortable. 

Even with the tube, you can still be close to your baby. You can talk to them, gently touch them, or sing to let them know you are there. Your voice and presence can be very comforting to your baby. 

Empowerment 

It’s normal to feel worried when your baby needs medical support like intubation and mechanical ventilation. Knowing why it’s being used and how it helps can make the situation feel less scary. Don’t hesitate to ask the doctors and nurses questions. They are there to support both you and your baby. 

You are also an important part of your baby’s care. Even small things like being by their side or participating in their care can make a big difference. Taking care of yourself is just as important. Rest when you can, eat well, and ask for help if you need it. 

Useful Links 

Raising Children 

https://raisingchildren.net.au/newborns/premature-babies-sick-babies/neonatal-intensive-care/nicu-what-to-expect 

Panda - Perinatal Mental Health  

https://panda.org.au/  

COPE – Centre of Perinatal Excellence  

http://www.cope.org.au/new-parents/first-weeks/coping-following-a-premature-birth/ 

For When – Perinatal mental health and wellbeing 

https://forwhenhelpline.org.au/