![]() Diferent voice tone, swallowing diiculties, coughing atacks, stridor, dyspnea can be a sign of upper airway obstruc-tion. In non-diagnostic cases, further research is needed to investigate the causes of the condition such as hypoxia/hypercapnia resulting in patient respiratory distress. It is very important to evaluate the patient, according to clinical status, age, and comorbidity, and to determine urgent intubation need. ![]() It is diicult to decide in some complex situations. In fact, the clinician must be fast and self-conident when deciding on intubation. Identifying the problem causing the patient’s respira-tory failure helps in making the decision to intubate. It should be considered that intuba-tion may be required when evaluating the patient, and that in the long term, airway protection will be needed or that the problem cannot be solved by noninvasive ventila-tion via airway aids and devices. Endotracheal intubation may be required when respiratory distress or airway integrity cannot be achieved or maintained for any reason.
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