Intubation in the context of Artificial ventilation

Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently performed in critically injured, ill, or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation, and to prevent the possibility of asphyxiation or airway obstruction.

The most widely used route is orotracheal, in which an endotracheal tube is passed through the mouth and vocal apparatus into the trachea. In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea. Other methods of intubation involve surgery and include the cricothyrotomy (used almost exclusively in emergency circumstances) and the tracheotomy, used primarily in situations where a prolonged need for airway support is anticipated.

Cicuta, commonly known as water hemlock, is a genus of four species of highly poisonous plants in the family Apiaceae. They are perennial herbaceous plants which grow up to 2.5 meters (8 ft) tall, having distinctive small green or white flowers arranged in an umbrella shape (umbel). Plants in this genus may also be referred to as cowbane or poison parsnip. Cicuta is native to temperate regions of the Northern Hemisphere, mainly North America and Europe, typically growing in wet meadows, along streambanks and other wet and marshy areas. In the United Kingdom it is frequently found along canals. These plants bear a close resemblance to other members in the family Apiaceae and may be confused with a number of edible or poisonous plants. The common name hemlock may also be confused with poison hemlock (Conium maculatum), or with the Hemlock tree.

Water hemlock is considered one of the most toxic plants in North America and Europe, being highly poisonous to humans. Three members of the genus contain a toxin named cicutoxin which causes central nervous system stimulatory effects including seizures following ingestion. Medical treatment of poisoning may include the use of activated charcoal to decrease gastrointestinal absorption of the toxic principle along with supportive care including anticonvulsant drugs such as a benzodiazepine. High doses of anticonvulsant medicine are often required to halt seizure activity and further medical care including intubation and mechanical ventilation may be required.

A cannula (/ˈkænjʊlə/ ; Latin meaning 'little reed'; pl.: cannulae or cannulas) is a tube that can be inserted into the body, often for the delivery or removal of fluid or for the gathering of samples. In simple terms, a cannula can surround the inner or outer surfaces of a trocar needle thus extending the effective needle length by at least half the length of the original needle. Its size mainly ranges from 14 to 26 gauge. Like hypodermic needles, different-sized cannulae are often color coded.

Decannulation is the permanent removal of a cannula (extubation), especially of a tracheostomy cannula, once a physician determines it is no longer needed.

Surgical airway management (bronchotomy) is the medical procedure ensuring an open airway between a patient's lungs and the outside world. Surgical methods for airway management rely on making a surgical incision below the glottis in order to achieve direct access to the lower respiratory tract, bypassing the upper respiratory tract. Surgical airway management is often performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Surgical airway management is also used when a person will need a mechanical ventilator for a longer period. The surgical creation of a permanent opening in the larynx is referred to as laryngostomy.Surgical airway management is a primary consideration in anaesthesia, emergency medicine and intensive care medicine.

Surgical methods for airway management include cricothyrotomy and tracheostomy