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Endotracheal Tube, Cuffed

Endotracheal Tube, Cuffed

Manufactured with strong tube walls to ensure the proper ventilation for all patients. A variety of sizes ensures a safe airway is maintained throughout the surgery.

Endotracheal tubes are used to maintain an airway during surgery and other medical procedures. These tubes are inserted through the nose or mouth and into the trachea (windpipe). A high-volume, low-pressure cuff is placed around the tube to seal it in place and prevent air from leaking.

Description
  • High-volume, low-pressure, barrel-shaped cuffs
  • Responsive pilot balloons.
  • Finely heat-welded cuffs (cuffed versions).
  • Bull-nose tips.
  • Split-resistant radiopaque lines.
  • Smooth Murphy eyes.
  • Kink-resistant thermosensitive tubes.
Ref. No.: Size: Qty. Cs:
NMR100125 2.5 100
NMR100130 3.0 100
NMR100135 3.5 100
NMR100140 4.0 100
NMR100145 4.5 100
NMR100150 5.0 100
NMR100155 5.5 100
NMR100160 6.0 100
NMR100165 6.5 100
NMR100170 7.0 100
NMR100175 7.5 100
NMR100180 8.0 100
NMR100185 8.5 100
NMR100190 9.0 100
NMR100195 9.5 100
NMR100110 10.0 100

Endotracheal Tube, Cuffed High-volume, low-pressure, barrel-shaped cuffs

Endotracheal tubes are used to maintain an airway during surgery and other medical procedures. These tubes are inserted through the nose or mouth and into the trachea (windpipe). A high-volume, low-pressure cuff is placed around the tube to seal it in place and prevent air from leaking.

What is an endotracheal tube?

An endotracheal tube is a tube that is inserted into the trachea (windpipe) through the nose or mouth. It is held in place by a cuff that inflates to seal the opening of the trachea. The tube is used to help a person breathe when they cannot do so on their own.

The different types of endotracheal tubes

There are many different types of endotracheal tubes on the market today. Each type has its own set of features and benefits. Here, we will take a look at the three main types of endotracheal tubes: high-volume, low-pressure, and barrel-shaped cuffs.

High-volume cuffed endotracheal tubes are designed for patients who require a high volume of air to be delivered to their lungs. These tubes have larger cuffs that can accommodate a higher volume of air. Low-pressure cuffed endotracheal tubes are designed for patients who require a lower pressure of air to be delivered to their lungs. These tubes have smaller cuffs that can provide a more comfortable fit for the patient. Barrel-shaped cuffed endotracheal tubes are designed for patients who require a higher pressure of air to be delivered to their lungs. These tubes have larger cuffs that can provide a more comfortable fit for the patient.

Pros and cons of cuffed high-volume, low-pressure, barrel-shaped cuffs

There are both pros and cons to using cuffed high-volume, low-pressure, barrel-shaped cuffs. Some of the pros include that they can provide a good seal, they're less likely to leak, and they're less likely to cause trauma to the trachea. However, some of the cons include that they can be more difficult to insert, and they may not be as comfortable for the patient. Ultimately, it's up to the doctor to decide which type of cuff is best for each individual patient.

How to choose the right size cuff

When it comes to choosing the right size cuff for your endotracheal tube, there are a few things you need to take into account. The first is the size of the patient's trachea. The second is the type of surgery being performed. And lastly, you need to consider the surgeon's preference.

Size
The size of the patient's trachea will determine the internal diameter (ID) of the cuff. The ID should be slightly smaller than the trachea so that when inflated, the cuff snugly fits and seal off the airway without causing any damage.

Type of Surgery
The type of surgery being performed will also dictate the size of the cuff. For example, if a patient is undergoing a procedure that requires intubation, a larger cuff is necessary to provide a tight seal. However, if a patient is only having a minor procedure, a smaller cuff may be all that is needed.

Surgeon's Preference
Lastly, you need to consider the surgeon's preference when selecting a cuff size. Some surgeons prefer a larger cuff for added security while others prefer a smaller cuff to minimize tissue trauma. Ultimately, it is up to the surgeon to decide which size

How to care for your endotracheal tube

If you or a loved one has been recently intubated, it is important to know how to properly care for the endotracheal tube. Here are a few tips:

1. Keep the area around the tube clean and dry. This will help to prevent infection.

2. The tube should be secured in place with tape or a strap.

3. If the patient is able to talk, they should be encouraged to do so as this will help keep the lungs inflated and prevent pneumonia.

4. It is important to keep suctioning equipment close by in case of secretions buildup.

5. The patient should be turned every 2 hours to prevent bed sores.

By following these simple tips, you can help ensure that your loved one has a successful recovery from their intubation.

Endotracheal Tube Cuffed, cuffed endotracheal tubes, tracheal tubes, Cuffed endotracheal tubes price, Cuffed endotracheal tubes Nexgen Medical, Nexgen Medical online shopping Store. Endotracheal Tube, Cuffed Structural defects in the endotracheal tube due to trauma (e.g. teeth, surgical instruments, lasers, and local anesthetic sprays) or manufacturing defects
  • inflation valve (e.g. incompetent)
  • pilot balloon (e.g. punctured)
  • inflation line (e.g. punctured or defect in intramural part)
  • cuff (e.g. torn or misshapen)
Leaks around an intact endotracheal tube
  • Cuff under-inflation
  • cephalad malposition of the ETT (partial tracheal extubation)
    • can be due to initial malposition, coughing, tongue movements, inadequate sedation, improper ETT fixation, secretions, frequent suctioning, head extension, accidental ETT pulling, and moving the patient)
  • misplaced orogastric or nasogastric tubes (passing alongside the cuff into the trachea)
  • the marked discrepancy between ETT and tracheal diameters
  • excessive peak airway pressure resulting in leakage around intact cuffs
COMPLICATIONS
  • loss of airway
  • aspiration
  • failure of oxygenation and ventilation
ASSESSMENT Assess for presence of cuff leak and underlying cause
  • Respiratory instability
    • oxygenation (colour, SpO2, PaO2)
    • ventilation (chest movement, ETCO2, PaCO2)
  • cuff leak
    • gurgling, decreased tidal volumes
    • assess cuff pressure and pilot balloon inflation
  • ETT position
    • distance at teeth
    • direct laryngoscopy (also check gastric tube entering the trachea)
    • CXR
Assess for urgency and difficulty of endotracheal tube replacement
  • expected duration of mechanical ventilation
  • history of a difficult airway
  • size of leak and effect on oxygenation and ventilation
  • aspiration risk
  • tolerance to interruption of ventilation
  • expected response to laryngoscopy and intubation
  • cervical spine precautions, movement restrictions and positioning (e.g. prone versus supine)
MANAGEMENT ETT replacement is the definitive treatment, but this is often not necessary or may be hazardous
  • correction of the underlying cause
    • adequately inflate cuff (aim for no-audible leak point at applied airway pressures of 20 cm H2O)
    • ensure ETT is adequately positioned (e.g. deflate the cuff, advance the reinflate cuff)
    • ensure gastric tubes are appropriately positioned
    • trouble-shoot excess peak airway pressures
    • conservative measures described for structural problems include:
      • incompetent inflation valve: 3-way stopcock used as a secondary valve to stop the leak
      • leaking pilot balloon: cutting the pilot balloon from the cuff tubing and inserting a 22-gauge IV catheter into the tubing with a stopcock valve attached to the catheter’s end
      • leaking cuff: continuous air insufflation through the inflation tubing has been describe to maintain adequate pressure in the perforated cuff
  • if these fail or a structural problem is identified then ETT replacement is required (unless the patient is ready for extubation)
    • standard intubation by laryngoscopy if previous easy intubation and larynx is visualized
    • ETT exchange over a bronchoscope, bougie, or exchange catheter allowing oxygenation during the exchange
    • ensure appropriate expertise (e.g. airway specialist, ENT surgeon) and equipment (e.g. difficult airway trolley) are available for difficult airways