ETT Nasal Rae Tube Intubation 6.0mm PVC Endotracheal Tube for Airway Management

Endotracheal Tube is a method of inserting a special endotracheal tube into the trachea or bronchus through the mouth or nasal cavity. And the Endotracheal Tube Cuffed is one type of it, which has different size to adapt to different medical needs,including 3.0mm to 10.0mm.

A cuffed nasal endotracheal tube is a type of nasal tube used for airway management and mechanical ventilation. It is similar to an uncuffed nasal endotracheal tube, but it also includes an inflatable cuff at the distal end of the tube.

 

Here are some important points about cuffed nasal endotracheal tubes:

 

• Design: Cuffed nasal endotracheal tubes are typically made of flexible plastic or silicone material. They have a beveled tip for easier insertion through the nostril and advancement into the trachea. The cuff is located near the distal end of the tube and is inflated once the tube is in the proper position.

 

• Cuff inflation: The cuff of a cuffed nasal tube is inflated to create an airtight seal within the trachea. This seal prevents air leakage and reduces the risk of aspiration. The cuff is usually inflated with air using a syringe, and the pressure is monitored to ensure it remains within the recommended range.

 

• Advantages: Cuffed nasal endotracheal tubes offer several advantages, including improved ventilation control, reduced risk of aspiration, and the ability to provide positive pressure ventilation. They are commonly used in adult patients, particularly in critical care settings.

 

• Considerations: When using a cuffed nasal endotracheal tube, it's important to carefully monitor the cuff pressure to avoid overinflation or underinflation. Overinflation can lead to tracheal damage, while underinflation may result in air leakage and inadequate ventilation. Regular monitoring and adjustment of cuff pressure are necessary to maintain an appropriate seal.

 

The specific steps for using a cuffed nasal endotracheal tube are similar to those of other nasal intubation techniques, as described earlier. However, additional attention should be given to proper cuff inflation and monitoring to maintain a secure airway and effective ventilation. Healthcare professionals trained in airway management should follow established protocols and guidelines when using cuffed nasal endotracheal tubes.

• Smooth bevelled and carefully moulded hooded tip to assist intubation and to provide high patient safety and comfort.
• The cuff of the endotracheal tube (ETT) is designed to provide a seal within the airway, allowing airflow through the ETT but preventing passage of air or fluids around the ETT.
• 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.

1. Suitable for both oral and nasal intubation.
2. Tip-to-Tip X-ray line allows for safe positioning control.
3. Murphy eye incorporated as an additional safety feature.

Intubation:

1. 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.
2. 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.
3. The 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.
4. Other 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:

• 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.
• In the field, paramedics have a device that allows them to determine if the tube is in the correct position by a color change.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.
• 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.
• In the setting of a cardiac arrest, they recommended using ultrasound imaging or an esophageal detector device.

After the Procedure:

After the endotracheal tube is in place and a patient connected to a ventilator, healthcare providers will continue to monitor the tubing, settings, and provide breathing treatments and suctioning as needed. Careful attention to oral care will also be provided. Due to the location of the tube, patients who are conscious will be unable to talk while the tube is in place.

FAQ

1. What is an ETT Nasal Rae Tube?

An Endotracheal Tube (ETT) Nasal Rae Tube is a specialized type of endotracheal tube designed for airway management, typically used for intubation via the nose rather than the mouth. This tube is commonly used in situations where oral intubation is not possible, such as during facial or oral surgeries, or when the patient has an obstruction or injury in the oral cavity.

2. What is the size of this specific tube?

The 6.0mm refers to the internal diameter of the tube. The size is important to ensure adequate airflow and fit based on the patient's airway size. This tube is suitable for adults with an average airway diameter.

3. What material is this tube made from?

The tube is made from PVC (Polyvinyl Chloride), a durable and flexible plastic material commonly used for medical tubing. PVC provides a good balance of rigidity for ease of insertion and flexibility for comfort during extended use.

4. Can this tube be used for both short and long-term ventilation?

While the Nasal Rae Tube is often used for shorter procedures, it can be used for longer ventilation, provided the patient’s condition allows and the tube is properly maintained. For extended periods, monitoring is crucial to avoid complications such as sinusitis or tube obstruction.

5. Is the ETT Nasal Rae Tube disposable or reusable?

Typically, the 6.0mm PVC Endotracheal Tube is disposable, meaning it is intended for single-use only to reduce the risk of infection and contamination. Reprocessing or reuse is not recommended.