Special Purpose Endotracheal Tubes J Michael Jaeger MD PhD and Charles G Durbin Jr MD Introduction Tracheal Tube Cuffs Techniques for Lung Separation Double-Lumen Endotracheal Tubes Endobronchial Cuffs Bronchial Blockers Endotracheal Tubes Designed for Laser Surgery Endotracheal Tubes with Additional Ports Special Tubes and Devices to Aid with Intubation Head and Neck Surgery Summary [Respir Care 1999;44(6):661– 683] Key words: endotracheal tube‚ endotracheal tube cuff‚ lung separation
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Q13. Which endotracheal tube you will prefer RAE‚ flexomettalic or mcintosh? What are the problems associated with these tubes? Ans- Ideal ET Tube is south facing RAE (Ring Adair Elwin) tube fixed in center over the lower lip. RAE Endotracheal Tubes are designed to conveniently position the anesthesia circuit out of the surgical field. Problem- Difficult to pass Suction catheter. Fixed curvature hence more chances of endobronchial intubation or inadvertent extubation. Flexometallic tubes- Inner diameter
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Endotracheal Intubation Competency Assessing and assuring an open airway and ventilation are two of the most important and sometimes challenging tasks that a paramedic will have. Without a way for air to enter and exit the lungs‚ human life is immediately compromised. It is for this reason that airway and ventilation skills are a vital part of paramedic education and training (Sanders‚ 2007). Endotracheal (ET) intubation is a procedure by which a tube is inserted through the mouth down into
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There are two devices that are most commonly used and each device has specific indications and contraindication. 2 Research question This study was done to answer the following question: Are licensed practitioner’s beliefs about airways (oral ET-tube and LMA) consistent with the current printed information and do they report using the airways in a similar manner? To answer this question‚ we first needed to know what practices the current published studies have suggested will have better out-comes
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mechanical ventilation is a method to mechanically assist or replace spontaneous breathing. Mechanical ventilation‚is typically used after an invasive intubation‚ a procedure wherein an endotracheal or tracheostomy tube is inserted into the airway. It is used in acute settings such as in the ICU for a short period of time during a serious illness. It may be used at home or in a nursing or rehabilitation institution if patients have chronic illnesses that require long-term ventilation assistance
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side. Manually stabilize his neck and spine as you do so. If the patient can’t maintain a patent airway because of copious secretions‚ an impaired level of consciousness‚ or other critical injuries‚ he’ll need endotracheal intubation. Insert a large-diameter (#18 French catheter) gastric tube as soon as possible after intubation to decompress his stomach and remove gastric contents. Remember‚ even after the airway has been secured‚ he could still vomit and
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care patients has been greatly scrutinized over the past years because of its contribution in higher risk for mortality‚ morbidity‚ and resource utilization (Epstein et al‚ 2000). Unplanned extubation is defined as a "premature removal of the endotracheal tube by the patient" (Chevron et al‚ 1998)‚ i.e.‚ self-extubation or "premature removal during nursing care and manipulation of the patient" (Betbese et al‚ 1998)‚ i.e.‚ accidental extubation. From the review of literature‚ the incidence of unplanned
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time it is used. When initiating the rapid sequence intubation protocol‚ the paramedic takes total control over the patient’s airway by sedating the patient with paralytic drugs and placing a breathing tube into the patient’s trachea. When evaluating the risks versus the benefits of an endotracheal tube insertion in the pre-hospital environment‚ paramedics must make split second decisions since the patient’s life depends on the paramedic’s knowledge and skills. If the paramedic’s attempt to intubate
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communicator that can speak typed in words. According to Nursing Times Journal‚ “The majority of patients with tracheostomies will be unable to speak‚ as the tube/stoma is positioned below the level of the vocal cords.” Thus‚ customize communization according to each patient. It is also imperative to remember that patients who have endotracheal tubes are allowed nothing by mouth. These patients will need
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panting so hard from being nervous‚ I left it in the records as panting. After his TPRs were taken‚ I able to pull blood from his jugular vein and placed it in a red tube top and an EDTA tube. Before taking blood they like to heparinize the syringe. I thought this was a bit odd and asked if the blood is still able to clot in the red top tube even after pulling it up with the heparin in the syringe. Liah ensured me
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