Fluid in airway

The video shows the presence of gastric contents in the airway. Also note a gastric tube placed into the esophagus. Glottic opening cannot be visualized in this video.

This is a nasotracheal intubation which is identified by the ETT seen behind the uvula (versus oral intubation where ETT is in front of the uvula).

Nasopharyngeal intubation frequently causes bleeding from traumatic passage of the ETT through the nose. This can be reduced by nasal spray with an appropriate topical anaesthetic and vasoconstrictor. After selecting the larger nostril, serial dilation of the selected nostril is performed by a lubricated nasal airway. ETT can be made soft by placing it in a warm saline solution prior to nasal insertion. The lubricated ETT is then inserted. Once its tip is visualized in the oropharynx, the tip is guided into the larynx using a magills forceps. Occasionally, if the trajectory of the tip of the ETT is towards glottis, it can be placed into the larynx by pushing it towards the larynx without the use of a magills forceps.

This video shows the presence of a yellow non-particulate fluid in the glottis.

Pulmonary aspiration is defined as the entry of liquid or solid material into the trachea and lungs. Pulmonary syndromes of differing severity result, ranging from mild symptoms such as hypoxia to complete respiratory failure and acute respiratory distress syndrome (ARDS), depending on the composition and volume of the aspirate. The types of pulmonary syndromes include aspiration pneumonitis (most common), particle-associated aspiration (e.g. airway obstruction), or bacterial infection, with subsequent development of lung abscess, pneumonia and chronic interstitial fibrosis.

This patient has an active GI bleeding.