How to Use Rigid Veterinary Endoscope to Perform Endoscopic Endotracheal Intubation on Pets
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- Issue Time
- May 7,2025
Summary
Discover a detailed guide on performing endoscopic endotracheal intubation in pets using rigid veterinary endoscopes, including rabbits, guinea pigs, and exotic species.

Endotracheal intubation in pets - particularly small mammals like rabbits, guinea pigs, and ferrets-is a critical yet complex procedure. These species present unique anatomical challenges, such as narrow airways, delicate tracheal tissues, and a high risk of laryngospasm. Traditional blind intubation methods often lead to complications like esophageal misplacement, tracheal trauma, or prolonged anesthesia times. Portable rigid veterinary endoscopes offer a safer airway management solution by enabling direct visualization of the airway, reducing risks, and enhancing precision. In this guide, we explore endoscopic endotracheal intubation in pets using veterinary rigid scopes, tailored for veterinarians seeking safer, minimally invasive techniques and veterinary medical equipment distributors.

Why Use Rigid Veterinary Endoscope for Pet Intubation
1. Enhanced Visualization: Direct imaging of the larynx and glottis eliminates guesswork, reducing the risk of esophageal intubation and trauma.
2. Minimized Complications: Studies show endoscopic methods decrease postoperative complications like laryngeal edema or bleeding compared to blind techniques.
3. Versatility Across Species: Ideal for rabbits, ferrets, guinea pigs, and even small rodents, especially breeds prone to airway obstruction.
4. Faster Procedure Times: With practice, intubation can be completed in under minutes, improving workflow efficiency.
Essential Equipment for Endoscopic Intubation
Rigid Endoscope Veterinary: Select a 1.2 mm-3.1mm diameter pet endoscope with a 120° field angle and medical grade stainless steel material tube, corrosion-resistant and antibacterial to ensure clear visibility and the safety of animal patients during the procedure.
Endotracheal Tubes(ET): Choose appropriately sized tubes designed for pets patients. Consider factors such as tube material, length, and internal diameter to ensure a secure and comfortable fit.
Anesthesia Machine and Ventilator: Ensure your anesthesia machine is properly calibrated and equipped with a suitable ventilator for patients. This will help maintain adequate ventilation once the endotracheal tube is in place.
Suction Devices: Have suction devices readily available to clear any secretions or debris from the airway during the procedure.
Pre-Anesthetic Considerations
1)Pre-Anesthetic Assessment
Conduct a thorough pre-anesthetic evaluation of the pet patients, including a physical examination, blood work, and assessment of airway patency. This helps identify any potential risks or complications that may arise during intubation and anesthesia.
2)Fasting and Pre-Medication
Administer appropriate fasting guidelines based on the pe't's size and health status. Provide pre-medication to reduce stress, anxiety, and pain, making the induction and intubation propetcess more manageable.
3)Positioning the Pet Patients
Place the pet patient in a comfortable and secure position that allows easy access to the airway. Typically, a dorsal recumbency position works well for this procedure.

Step-by-Step Guide to Endoscopic Endotracheal Intubation
Step 1: Induction of Anesthesia
Administer an appropriate induction agent to the animal patients, ensuring a smooth transition into a suitable anesthetic plane for intubation. Monitor the patient's vital signs closely throughout this process.
Step 2: Preparing the Endoscope
Attach the rigid veterinary endoscope to the endoscopy video processor or monitor and ensure the image is clear and properly displayed on the monitor. Adjust the lighting and focus settings as needed for optimal visualization.
Step 3: Accessing the Airway
Gently open the patients's mouth using a suitable mouth gag, taking care to avoid causing trauma to the oral cavity. Advance the endoscope into the oral cavity, carefully navigating around the tongue and soft tissues.
Step 4: Visualizing the Larynx
Maneuver the endoscope to visualize the larynx. This may require gentle adjustments of the endoscope's angle and position to obtain a clear view of the laryngeal structures.
Step 5: Inserting the Endotracheal Tube
Once the larynx is visualized, guide the endotracheal tube through the laryngeal opening and into the trachea under direct endoscopic visualization. Use slow and controlled movements to ensure accurate placement and avoid trauma to the surrounding tissues.
Step 6: Confirming Tube Placement
After inserting the endotracheal tube, confirm proper placement by checking for bilateral lung sounds, observing chest movement during ventilation, and using capnography to detect the presence of carbon dioxide. These steps ensure the tube is correctly positioned within the trachea and not in the esophagus or other surrounding structures.
Step 7: Securing the Tube
Once proper placement is confirmed, secure the endotracheal tube in position using appropriate tie knots or securing devices. This prevents accidental dislodgment during the surgical procedure.

Post-Intubation Care and Monitoring
After successfully intubating the animal patients, ongoing care and monitoring are essential to ensure patient safety throughout the surgical procedure and recovery period.
1. Monitoring During Surgery
Continuously monitor the pet's vital signs, including heart rate, respiratory rate, blood pressure, and oxygen saturation. Adjust anesthesia levels and ventilation parameters as needed based on the monitoring data.
2. Recovery and Extubation
Once the surgical procedure is complete, carefully extubate the pet once it has regained consciousness and protective airway reflexes. Monitor the animal patients closely during recovery, ensuring it can maintain a patent airway and breathe comfortably.
Conclusion
Mastering endoscopic endotracheal intubation in small mammals like rabbits, guinea pigs is a valuable skill for veterinarians performing surgical procedures. As the demand for minimally invasive procedures continues to grow, investing in high-quality endoscopic equipment will elevate your practice of animal healthcare.
As a professional animal endoscope manufacturer and supplier, JeetVet provides a large selection of endoscopic equipment, including flexible and rigid portable veterinary endoscopes, veterinary suction pumps and endoscopic peripherals and accessories for precise examination of small pets, large animals, avian and exotic pets. Whether you are a veterinarian, pet doctor, pet health worker, or pet owner and lover, veterinary medical equipment distributor, visit our website to learn more.