Q: All of the following are risk factors for laryngeal injury via Endotracheal tube (ETT) except?
A) Prolonged intubation
B) Traumatic intubation
C) Using a muscle relaxant during intubation
D) Unplanned extubation
E) Presence of a nasogastric tube
The objective of above question is to highlight the importance of proper skills and techniques to be used during intubation. It is not uncommon to see that medical staff skip the use of a muscle relaxant during intubation for various reasons including unresponsiveness of a patient, fear of increasing the risk of myopathy, hyperkalemia, difficult intubation or desaturation.
Muscle relaxants should be employed during intubation unless absolutely contraindicated or risk is too high.
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