Endotracheal anaesthesia. No. 5.

  • Film

About this work

Description

The difficulties of blockage during anaesthesia of the larynx. Intubation is shown either orally or nasally depending on where the operation is to be performed. The first section regards Apparatus required; equipment, plaster etc. The preparation of the tubing is demonstrated. Care of endotracheal tubes; an operation finishes. The tube is cleaned by a nurse for re-use. The tube is placed in a hot sterilising unit and it is demonstrated that the metal nasal piece must be removed to prevent permanent enlargement. Preparation of tubes for intubation; the sterilised tubes are removed and lubricated. Preparation of a patient. The anaesthetist sprays the patient s throat with a local anaesthetic prior to intubation. A pillow is placed under the patient s head to get the correct position, which is when the patient looks as though he is sniffing the air . Drawings illustrate this further. Oral intubation; the jaw has to be relaxed and the laryngoscope inserted. Diagrams illustrate its transit. View down the larynx. The tube is inserted into the trachea and then fixed with an adhesive plaster. The mouth is packed with light gauze. Use of the inflatable cuff is shown as an alternative to gauze (it can be inflated in situ). Next the anaesthetic machine is attached. Maintenance of anaesthesia; there are two methods shown; with complex equipment and a simple can of ether used in emergencies. Nasal intubation by the blind method; a drawing demonstrates the correct position of the head. The tube is inserted nasally; this is shown in real time and slow motion to show the care, which the anaesthetist takes when listening to the breath. Nasal intubation by direct vision; the laryngoscope is used again and the tube inserted correctly. Extubation; nasal intubation, suction is used to remove any blood. Advantages of endotrachael anaesthesia; absolute control of the airways. Choking can be prevented. The anaesthetist carefully guards the tubing in complex surgery and can prevent asepsis particularly in surgery to the head and neck. ICI The End.

Publication/Creation

England, 1944

Physical description

1 film reel (24:16 mins): sd., b&w.; 16mm.

Notes

Duplicate film item with BMA523.
Part of the film collection comprising of 55 items donated by Nuffield Department of Anaesthetics, Oxford, to the Wellcome Trust in 2008. In 1937, Lord Nuffield established a clinical chair of anaesthesia in Oxford amidst some controversy that anaesthesia was even an academic discipline. The collection is a mixture of clinical and educational films made or held by the department to supplement their teaching dating from the late 1930s onwards.

Creator/production credits

Direction by Margaret Thomson, Photography by A.E. Jeakins, Drawings by Isabel Alexander. Produced by Realist Film Unit. Made with the co-operation of the Department of Anaesthetics, Westminister Hospital, London.

Copyright note

ICI Pharmaceutical Division

Type/Technique

Languages

Where to find it

  • Location Access
    Closed stores
    4209F
    Can't be requested

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