Nasal Endotracheal Tube

PVC Medical Grade murphy eyes with balloon Nasal Endotracheal Tube Cuffed

Description of Endotracheal Tube Cuffed:

HENAN AILE INDUSTRIAL CO., LTD is a company for operating medical disposables, and the Endotracheal Tube, which has star lumen tubing and tip-to-tip X-ray line allows for safe positioning control, is one of our productions.

The Nasal Endotracheal Tube is a method of inserting a special endotracheal tube into the trachea or bronchus through the mouth or nasal cavity, And it has different size to adapt to different medical needs,including 2.0mm to 10.0mm.

Product composition and function:

Endotracheal Tube Cuffed Application Features :

• Suitable for both oral and nasal intubation.
• Tip-to-Tip X-ray line allows for safe positioning control.
• Murphy eye incorporated as an additional safety feature.
• Smooth bevelled and carefully moulded hooded tip to assist intubation and to provide high patient safety and comfort.
• High volume/low pressure cuff helps to ensure an efficient low pressure cuff seal, for intubation during long term ventilation.
• Intubation depth marks and pre-mounted 15 mm connector.

Uses

There are a number of indications for placement of an endotracheal tube that can be broken down into a few broad categories. These include:

1. General surgery: With general anesthesia , the muscles of the body including the diaphragm are paralyzed, and placing an endotracheal tube allows the ventilator to do the work of breathing.
2. Foreign body removal: If the trachea is obstructed by a foreign body that is aspirated (breathed in), an endotracheal tube may be placed to help with the removal of the foreign object.
3. To protect the airway against aspiration: If someone has a massive gastrointestinal bleed (bleeding in the esophagus, stomach, or upper intestine) or suffers a stroke, an endotracheal tube may be placed to help prevent the stomach contents from entering the airways.
4. If the stomach contents are accidentally breathed in, a person may develop aspiration pneumonia, a very serious and potentially life-threatening disease.
5. To visualize the airway: If an abnormality of the larynx, trachea, or bronchi is suspected, such as a tumor or a congenital malformation (birth defect), an endotracheal tube may be placed to allow careful visualization of the airways.
6. To support breathing: If someone is having difficulty breathing due to pneumonia, a pneumothorax (collapse of a lung), respiratory failure or impending respiratory failure, heart failure, or unconsciousness due to an overdose, stroke, or brain injury, an endotracheal tube may be placed to support breathing.

Intubation

• During intubation, a physician usually stands at the head of the bed looking towards the patient's feet and with the patient lying flat. The positioning will vary depending on the setting and whether the procedure is being done with an adult or child. With children, a jaw thrust is often used.
•  The endotracheal tube with the assistance of a lighted laryngoscope (a Glidescope video laryngoscope is particularly helpful for people who are obese or if a patient is immobilized with a suspected injury to the cervical spine) is inserted through the mouth (or in some cases, the nose) after moving the tongue out of the way.
• lThe scope is then carefully threaded down between the vocal cords and into the lower trachea. When it's thought that the endotracheal tube is in the proper location, the doctor will listen to the patient's lungs and upper abdomen to make sure that the endotracheal tube was not inadvertently inserted into the esophagus.
• lOther signs that suggest the tube is in the proper position may include seeing chest movement with ventilation and fogging in the tube. When a doctor is reasonably sure the tube is in position, a balloon cuff is inflated to keep the tube from moving out of place. (In infants, a balloon may not be needed). The tube is then taped to the patient's face.

Verifying Proper Placement

1. Once the tube is in place, it's important to verify that it is truly in the proper location to ventilate the patient's lungs. Improper positioning is particularly common in children, especially children who have experienced trauma.

2. In the field, paramedics have a device that allows them to determine if the tube is in the correct position by a color change.⁵ In the hospital setting, a chest X-ray is often done to ensure good placement, though a 2016 review suggests that a chest X-ray alone is inadequate, as is pulse oximetry and physical examination.

3. In addition to directly visualizing the endotracheal tube pass between the vocal cords with a video laryngoscope, the authors of the study recommended an end-tidal carbon dioxide detector (capnography) in patient's that had good tissue perfusion, with continued monitoring to make sure the tube does not become displaced.

4. In the setting of a cardiac arrest, they recommended using ultrasound imaging or an esophageal detector device.

Removing the Endotracheal Tube

Before removing an endotracheal tube (extubation) and stopping mechanical ventilation, doctors carefully assess a patient to predict whether or not he or she will be able to breathe on her own. This includes:

· Ability to breathe spontaneously: If a patient had anesthesia during surgery, they will usually be allowed to wean off of the ventilator. If an endotracheal tube is placed for another reason, different factors may be used to determine if it is time, such as using arterial blood gasses or looking at peak expiratory flow rate.

· Level of consciousness: In general, a higher level of consciousness (Glasgow coma scale over eight) predicts a greater chance that weaning will be successful.

If it's thought that the tube can be reasonably removed, the tape holding the endotracheal tube on the face is removed, the cuff is deflated, and the tube is pulled out.

Side Effects After Removal

A sore throat after surgery. and hoarseness are common following surgery but usually last only a day or two. Being on a ventilator for surgery is a major risk factor for atelectasis, and having patients cough after surgery and become mobile as soon as possible is important.