To maintain airway intact endotracheal intubation is a must. Indications for Endotracheal intubation. General Anaesthesia (one of the alternative) Positive pressure ventilation. Protecting the Respiratory tract from aspiration of acid gastric contents. Surgical procedures in which the anesthesiologists cannot control the airway easily e.g., sitting, prone &/ lateral decubitus procedures. The situation in which neuromuscular paralysis is instituted.

Surgical procedures within the chest, abdomen & cranium. When Intracranial hypertension must be treated. Protecting the healthy lung from a diseased lung to ensure its continued performance e.g., hemoptysis, empyema. pulmonary abscess. Severe pulmonary & multisystem injury associated with Respiratory failure e.g., severe sepsis, airway obstruction, hypoxaemia, & hypercarbia of various origin. Objective Review measures suggesting the need for…