Surgical Practice Dr. alqhatani
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وهذه
Chest Tube
Colostomy bag
@Surgery_Practice
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Surgical Practice Dr. alqhatani
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هذه صور بعض الأدوات الموجودة في طاولة الإمتحان

بالنسبة للاشاعات موجود خيرات
X ray fracture Fibula
وباقي اشاعات للصدر والابدومين لكن مالحقت ابسرهن سوا
كانو مستعجلين

وهذه الأدوات شفتهن في الطاولة وماحصلتهن بالصيدلية عشان اصورهن ⬇️
Corrugated drain
Feeding drain
Penrose drain
Prolene
Suction catheter

به أدوات جديدة ضافوهن
حاولوا تتطلعوا على أكثر قدر ممكن
الحاجات ال common
Nasogastric tube (Ryle’s tube)
@Surgery_Practice
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Suction catheter
أيضا موجوده ضمن الأدوات
🟢 Endotracheal tube
is a flexible tube inserted into the trachea through the mouth or nose to secure the airway and provide mechanical ventilation.

🔵 Confirmation of placement
Chest rise
Bilateral air entry
End-tidal CO₂ (gold standard)
Chest X-ray

🔵 Types
1- Cuffed (for adult ) معاها بالون
2- Uncuffed tubes ( for children < 8 yrs), less injury and necrosis

🔵 Contraindications (relative)
- Severe facial trauma (consider surgical airway)
- Upper airway obstruction (may need tracheostomy/cricothyrotomy)
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Surgical Practice Dr. alqhatani
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🔵 Indications of ETT
Endotracheal intubation is indicated to secure airway, support ventilation, and protect against aspiration.

1) Respiratory indications
- Upper airway obstruction:(Epiglottitis, Severe croup, Diphtheria, burns, Angioneurotic edema)
- Lower airway as ( Apnea, Acute RF)


2) Neurological indications
LOC, Coma, Paralysis of chest muscles (e.g. GBS, polio)
Absence of protective reflexes (cough + gag reflex)

3) Difficult mask ventilation
Failed or impossible bag-mask ventilation

4) Anaesthesia support
5) Cardiac arrest
6) Drug administration( Epinephrine, Atropine, Lidocaine)
7) Aspiration for culture


🔵 Complications of ETT
Complications may occur during insertion or prolonged use.

🔴 1) Misplacement
Esophageal intubation → hypoxia
Main bronchus intubation → unilateral ventilation

🔴 2) Airway injury
Tracheal perforation
Esophageal perforation
Vocal cord damage

🔴 3) Long-term complications
Subglottic stenosis (>3–4 weeks)
Laryngeal edema after extubation
Mucosal necrosis

🔴 4) Ventilation complications
Barotrauma
Pneumothorax

🔴 5) Mechanical problems
Tube obstruction
Tube kinking → hypoxia

@Surgery_Practice
Forwarded from Surgical Practice Dr. alqhatani (彡 Dr_Thaalnoon_ALqahatani ⁞²⁰²³彡)
Very important (STOMA )
Most of it’s questions here 💛

#Surgery_rotation
https://t.me/Surgery_Practice
Forwarded from Surgical Practice Dr. alqhatani (彡 Dr_Thaalnoon_ALqahatani ⁞²⁰²³彡)
Drains جدا مهمة
لازم بكل امتحان تنسال
#Surgery_rotation 
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