ISO13485 Nasal Ett Tube 10.0mm Cuffed Endotracheal Tube

• 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.

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:

• 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.
• 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.
• 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:

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.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.

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.