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E Intubation of the difficult airway

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 On rare situations, when a horse has signs of distress due to of airway obstruction it may be necessary to perform a tracheostomy and insert an ET tube prior to sedation.

 In the majority of these cases, the passage of an orotracheal tube can be greatly facilitated by using a narrow‐bore tube (e.g. stomach tube) as a guide.

 A suitably sized stomach tube is inserted into the ET tube and advanced forward into the trachea. The ET tube is then passed into the trachea using the stomach tube as a guide, and the stomach tube is then removed.The stomach tube should be of sufficient diameter and wall thickness that it will not kink as the ET tube is advanced as this will entrap the ET tube and hinder its PASSAGE.

Manual of Equine Anesthesia and Analgesia

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