Page 379 - ATP-P 11th Ed

Figure 17. Immediately provide
Figure 16. Insert tracheostomy tube (ideal) or supplemental oxygen.
endotracheal tube through the incision and direct Breathe in the tube or use a hand-operated
the distal opening down the trachea. resuscitator.
Use the largest tube that will fit in the trachea; (7–11mm
internal diameter tubes are typical).

Figure 18. Secure the tracheal tube.
Secure the tracheal tube by attaching gauze bandage SECTION 4
to the tube and tying it around the dog’s neck in a bow
knot. Inflate the cuff until you get back pressure.

If using a tracheostomy tube, secure the tracheostomy tube to the patient using umbilical
tape, roll gauze, or similar material tied to the wings of the tube and passed around the neck
and tied with a quick release knot. Insert the inner cannula (if provided) in the tracheos-
tomy tube (if used) and inflate the cuff of the tracheostomy tube.
d. Cervical Spinal stabilization is not necessary for MWDs suffering only penetrating
trauma.
e. Monitor hemoglobin saturation (SpO ) and capnography when available, to help
2
assess airway patency.
i. Normal SpO values in MWDs are similar to those in people (> 94% on room/
2
atmospheric air). Pulse oximetry probe placement for MWDs in order of
ATP-P Handbook 11th Edition 369