|
| |
| | Misplaced Endotracheal Tubes a Common Problem |
 | | Tube misplacement was much more common in this study than in the literature because intubation research is usually done by well-run EMS systems that exercise tightly controlled oversight of paramedic training and practice, speculated Dr. Falk. | | | A tube was considered correctly placed if it passed between the vocal cords or if the patient had bilateral breath sounds and a positive ET 2 waveform and the tube was at an appropriate depth. | | | Each patient’s endotracheal tube was assessed on arrival, starting with auscultation of the chest and epigastrium. |
|
http://www.pulmonaryreviews.com/may01/pr_may01_misplaced.html
(486 words)
|
|
| |
| | [No title] |
| | It is still a further object of the instant invention to provide an endotracheal tube and suction catheter system having a cuff with elongated sides to provide a greater surface area and less pressure per unit area on sensitive, delegate tracheal tissue to decrease the incidence of injuries associated with cuff pressure on the trachea. | | | For instance, if an endotracheal tube could be designed to also monitor a patient's temperature it would provide important medical information to a practitioner. | | | 5,143, 062, issued to Peckham, discloses an endotracheal tube comprising a double lumen through which air may be circulated, creating an indirect gentle suction through a suction eye communicating with the distal ends of the lumens, and located at a position proximal to the inflation cuff. |
|
http://www.wipo.int/cgi-pct/guest/getbykey5?KEY=04/71553.040826&ELEMENT_SET=DECL
(5985 words)
|
|
| |
| | Endotracheal tube - Wikipedia, the free encyclopedia |
| | Special double-lumen endotracheal tubes have been developed for lung and other intra-thoracic surgery. | | | These tubes allow one-lung ventilation while the other lung can be collapsed to make surgery easier. | | | This allows a suction system to be connected to the ETT to allow for suctioning of secretions which sit above the cuff. |
|
http://en.wikipedia.org/wiki/Endotracheal_tube
(395 words)
|
|
| |
| | Deep versus shallow suction of endotracheal tubes in ventilated neonates and young infants |
| | Infant responses to saline instillations and endotracheal suctioning. | | | However, much of the practice of suctioning endotracheal tubes appears to be based on ritual rather than a physiological rationale or reliable evidence. | | | The practice of suctioning the endo-tracheal tube of ventilated neonates and infants continues without adequate evidence on the various techniques used. |
|
http://www.nichd.nih.gov/cochraneneonatal/Spence2/SPENCE.HTM
(2484 words)
|
|
| |
| | Assessing Endotracheal Tube Cuff Pressure — Emergency Medical Services (EMSResponder.com) |
| | Establishing a secure airway via endotracheal intubation is a critical clinical skill and lifesaving technique commonly used in the prehospital setting. | | | Endotracheal tube cuff pressure assessment: Pitfalls of finger estimation and need for objective measurement. | | | The practice of inflating ETT cuffs without precisely measuring such pressure, in particular, should be closely scrutinized. |
|
http://www.emsmagazine.com/features/article.jsp?id=2717&siteSection=16
(2036 words)
|
|
| |
| | Mishaps With Endotracheal Tube Exchangers In ICU |
| | Endotracheal exchangers should be handled with caution; the rate of failure seems to be higher than expected depending on the type of AEC, technique and experience of the operator. | | | However, a second explanation in both cases is that, despite the respiratory therapist was holding the endotracheal tube in proper position during the exchange, the tube bent out of the trachea forced into the esophagus when threading the CAE. | | | Use of the flexible fiberoptic bronchoscope to change endotracheal tubes in critically ill patients. |
|
http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ija/vol5n1/ette.xml
(2080 words)
|
|
| |
| | ACARC Tech-Talk |
| | Hold the endotracheal tube alongside the patient with the cuffed end at the point of the shoulder and the adaptor end near the nose. | | | If possible, practice this on a normal patient next time you intubate (but make sure you clear it with your veterinarian first!). | | | Once you have done it yourself, it will be quick and simple the next time you really need it. |
|
http://www.acarc.com/story.asp?StoryID=128&IssueID=51
(599 words)
|
|
| |
| | ACEP.org - Verification of Endotracheal Tube Placement |
| | The syringe aspiration technique to verify endotracheal tube position. | | | However, false negative and false positive determinations can result, for example, in obese patients, those with a large amount of air in the esophagus, and in patients with copious pulmonary secretions. | | | Prospective observational study to determine incidence of unrecognized misplaced ET tubes. |
|
http://www2.acep.org/1,4924,0.html
(1745 words)
|
|
| |
| | Confirmation of Endotracheal Tube Placement |
| | The presence or absence of breath sounds, or the rise and fall of the chest, even to an experienced examiner, may or may not determine correct endotracheal tube placement. | | | This seriously impedes physical exams, so other methods must be employed to accurately determine endotracheal tube placement. | | | Not only is the EDD inexpensive, it's portable, easy to use, and not dependent on patient condition or environmental conditions (such as good lighting, low ambient noise, etc). |
|
http://www.merginet.com/clinical/airway/ETubePlacement.cfm
(1385 words)
|
|
| |
| | Orotracheal Intubation - Medical Procedures - Medstudents |
| | Cervical spine injury, in which the need for complete immobilization of the cervical spine makes endotracheal intubation difficult. | | | Listen to each side of the chest, be sure that breath sounds are equal in both sides of the thorax. | | | Occasionally, gently pressing posteriorly on the anterior neck at the level of the larynx will help to bring an anteriorly placed larynx into view and facilitate intubation. |
|
http://www.medstudents.com.br/proced/proced5/intubat.htm
(1104 words)
|
|
| |
| | Capitol Anesthesiology Association - Services - General Anesthesia - Endotracheal Intubation |
| | Endotracheal tubes may be placed nasally (through the nostrils) if it is desired to keep them out of the mouth; and there are a variety of techniques for successfully placing them when patient factors preclude direct visualization of the larynx, some using fiber optics. | | | For surgery within the mouth, an endotracheal tube placed orally might be in the surgeon's way. | | | If the direct visualization method is not feasible, the patient is usually not as deeply anesthetized during placement, so that the patient continues to breathe normally until the tube is correctly located and assisted breathing can be instituted. |
|
http://www.capanes.com/services_ga_endotracheal.html
(673 words)
|
|
| |
| | Israel21c |
| | According to ETView's chief Medical Officer Noam Gavriely, this is the first time that an endotracheal tube has been developed that enables ongoing, visual monitoring of the inside of the upper respiratory tract during either resuscitation or ongoing care of an intensive care patient. | | | Performed almost eight million times a year in the US, intubation takes place when a person is unable to continue breathing on his own and doctors or emergency workers need to insert a tube into their upper respiratory system to clear the airwaves. | | | On ER, the new interns are always closely supervised by a senior doctor when they first intubate, and for good reason. |
|
http://www.israel21c.org/bin/en.jsp?enDispWho=Articles^l936&enPage=BlankPage&enDisplay=view&enDispWhat=object&enVersion=0&enZone=Technology&
(1057 words)
|
|
| |
| | Compensation of endotracheal tube resistance in spontaneously breathing patients |
| | During controlled ventilation the respiratory muscles are entirely passive while the lung and thorax are inflated by the positive pressure applied to the patient’s airways via the endotracheal tube (ETT). | | | This problem has previously been recognized and various authors have claimed to be able to compensate for the additional ETT resistance by giving a suitable level of inspiratory pressure support [5,2]. | | | Various attempts have been made to develop forms of inspiratory pressure support that should automatically adapt to the patient’s breathing effort. |
|
http://www.hsph.harvard.edu/physiology/projects/bfabry/publications/TechnHeathCare/TechHealthCare1994.htm
(4717 words)
|
|
| |
| | Epinephrine Via Endotracheal Tube Frequently Fails in Treatment of Neonates in the Delivery Room: Presented at AAP |
| | And while Dr. Barber said he and his colleagues hypothesized that endotracheal delivery would be less effective than IV delivery of the drug, additional research is required to determine whether alternative dosing regimens can improve outcomes. | | | Because the need for epinephrine in the delivery room is rare, little research has been done to assess the NRP recommendations. | | | Chad Barber, MD, Fellow, Neonatal Medicine, Department of Pediatrics, UT Southwestern Medical Center, Dallas, Texas, United States, presented the findings here on October 9 |
|
http://www.docguide.com/dg.nsf/PrintPrint/E4ED911F4469BE91852570980042D01C
(498 words)
|
|
| |
| | Eldor Atraumatic Endotracheal Tube |
| | After putting the patient asleep by general anesthesia with muscle relaxation a laryngoscopy is done using a laryngoscope. | | | Although the invention has been described herein with reference to particular means, materials and embodiments, the invention is not intended to be limited to the particulars disclosed herein; rather, the invention extends to all functionally equivalent structures, methods and uses, such as are within the scope of the appended claims. | | | The particulars shown herein are by way of example and for purposes of illustrative discussion of the preferred embodiments of the present invention only and are presented in the cause of providing what is believed to be the most useful and readily understood description of the principles and conceptual aspects of the invention. |
|
http://www.csen.com/eaet
(1900 words)
|
|
| |
| | ASE Resources: Endotracheal tubes |
| | This problem may be avoided by trimming of the tube to the correct length and securing it firmly around the muzzle or lower jaw of the patient. | | | In practice, it is found that any degree of movement or intermittent positive pressure ventilation tends to dislodge the tube, so it is not a very satisfactory tube for routine use. | | | This carries the risk that the pressure within the cuff can cause trauma to or necrosis of the tracheal wall. |
|
http://asevet.com/resources/ettubes.htm
(1008 words)
|
|
| |
| | Endotracheal Tube |
| | The nurse or respiratory therapist will suction the patient's endotracheal tube from time to time. | | | The nurses and respiratory therapists secure the tube with tape. | | | The endotracheal tube will be removed when the patient's doctor feels that he can breathe well by himself. |
|
http://www.suru.com/endo1.htm
(584 words)
|
|
| |
| | SECURING AND CARE OF ENDOTRACHEAL TUBES (ETT's) |
| | * The endotracheal tube will be secured in such a way as to prevent pressure sores from developing. | | | * A chest x-ray should be attended to check on position of ETT and the distance of the tube at the patients lips. | | | Note tube distance at patients lips on the patients flow chart. |
|
http://www.medicineau.net.au/clinical/ICU/procedures/ettcare.html
(420 words)
|
|
| |
| | Dr. James Simon - Endotracheal Tube |
| | The light source for the lighted sleeve may be either fiberoptic or chemiluminescent in nature. | | | The invention is an endotracheal intubation device that will allow rapid intubation of a patient by allowing an intubator to visualize the patient's airway while at the same time suctioning out debris that could compromise visualization. | | | The present invention is an endotracheal intubation device containing a light source and having simultaneous suctioning ability, enabling a practitioner to apply suction to a patient's airway while at the same time visualizing the airway for insertion of the endotracheal tube. |
|
http://www.illumitube.com/patent.htm
(1676 words)
|
|
| |
| | Endotracheal tubes |
| | For these species, endotracheal intubation is more readily accomplished with the aid of a laryngoscope and guide tube or stylet after adequate muscle relaxation has been achieved (Figure 38). | | | Cuffed endotracheal tubes are usually preferred when the patient has a large enough tracheal diameter. | | | Providing inhalant anesthesia for a variety of animal species requires a broad assortment of endotracheal tubes and knowledge of effective intubation techniques. |
|
http://www.vetmed.wsu.edu/depts-anesthesia/_archive/equipment/ettube.htm
(393 words)
|
|
| |
| | SWO |
| | If endotracheal intubation fails and you are unable to ventilate the patient with the bag-mask, perform a cricothyrotomy.** ** Paramedics utilizing Succinylcholine Chloride are required to be competent in needle or surgical cricothyrotomy. | | | ET tube should have a diameter of approximately the size of the patient's little finger or their external nares. | | | Use of a Combitube allows for airway control of patients in which endotracheal intubation is unsuccessful. |
|
http://students.mountainstate.edu/students/tmclean/Swo.htm
(2056 words)
|
|
| |
| | Removal of the Endotracheal Tube |
| | The endotracheal tube should be removed in an environment in which the patient can be physiologically monitored and in which emergency equipment and appropriately trained health care providers with airway management skills are immediately available. | | | Removal of the endotracheal tube from adult, pediatric, and newborn patients. | | | Complications and consequences of endotracheal intubation and tracheotomy: a prospective study of 150 critically ill adult patients. |
|
http://www.rcjournal.com/online_resources/cpgs/rotetcpg.html
(2546 words)
|
|
| |
| | Tracheotomy Tubes and Airway Options |
| | There are a few times when a tracheotomy is unwise, but in most cases, when the doctor suggests a Trach, it is best to push ahead for improved airway support, and for patient comfort. | | | In fact, for some patients, it can be lifesaving. | | | As with all operations, the procedure has the risk of possible problems associated with it. |
|
http://www.otoassociates.com/a10.htm
(719 words)
|
|
| |
| | Burden Nasoscope Nasotracheal Intubation Medical Device For Endotracheal Tube Insertion |
| | The medical professional hears the distal aspect of the endotracheal tube advance directed to airflow. | | | Intubation when there is cervical spine immobilization can be rapidly accomplished by combining a Burden Nasoscope with an endotracheal tube that is capable of anterior motion of its' distal aspect without movement of the patient's neck. | | | Burden Nasoscope Nasotracheal Intubation Medical Device For Endotracheal Tube Insertion |
|
http://www.nasoscope.com
(388 words)
|
|
| |
| | Double lumen endotracheal tube insertion - W. John Russell |
| | Since then this technique has been taught widely. | | | DL Tube with bronchial cuff inflated firmly to seal in the trachea. | | | If a tube goes right, turning the head 90° so that the chin is on the right shoulder and rotating the tube on its axis to restore the bronchial tube to point laterally, can usually achieve insertion into the left main bronchus. |
|
http://www.usyd.edu.au/su/anaes/lectures/dlt.html
(464 words)
|
|
| |
| | RIHANI INTERNATIONAL, INC. - Endotracheal Tube Holders |
| | In fact, our ET holders were ergonomically engineered from both the patient's and the healthcare provider's perspectives to provide the most effective ET holder on the market today. | | | Comfortable open cell foam-padded backing allows patient's skin to breathe. | | | Eliminates the need for tape, which is messy, unreliable and may cause allergic reactions. |
|
http://www.rihani.com/pages/TubeHolders.htm
(242 words)
|
|
| |
| | Tracheal-Innominate Artery Fistula Caused by the Endotracheal Tube Tip |
| | However, we do not believe that the higher rigidity of the HiLo Evac ETT necessarily poses any greater risk than other ETTs under normal circumstances, in which the tube tip is not fixed in a stationary position for an extended period. | | | Tracheo-innominate artery fistula requires emergency surgical intervention, and the mortality rate from the condition is high. | | | METHODS: The rigidity of the Mallinckrodt HiLo Evac was measured with a mechanical model and compared to 5 other commercially-available ETTs. |
|
http://www.rcjournal.com/contents/10.01/10.01.1012.asp
(657 words)
|
|
| |
| | ENDOTRACHEAL TUBE HOLDER |
| | Eliminates potential for skin breakdown and allergies to tape. | | | Reduces trauma to facial skin usually caused by ET tube stabilization methods. | | | Soft, plush material eliminates the skin irritation and maceration caused by adhesive tape. |
|
http://www.latinhealthgroup.com/endotracUK.htm
(169 words)
|
|
| |
| | Critical Care Full text Endotracheal tube and VAP |
| | This interesting study helps to explain the mechanism behind the association of endotracheal intubation with VAP. | | | In clinical terms, this paper supplies more ammunition for early extubation and the use of noninvasive modes of ventilation (if support is still required) in an attempt to reduce VAP. | | | Work has shown that microorganisms may cling to the ET and secrete an exopolysaccharide (the biofilm) that encases bacteria, making them relatively resistant to antibiotics. |
|
http://ccforum.com/paperreport/ccf-1999-2301
(485 words)
|
|
| |
| | Pharmalicensing.com |
| | The flexibility of this new ETI makes it ideal for use in patients with unusual anatomy or neck or nasal trauma and other medical complications obscuring airway visibility or neck movement | | | SUNY researchers have developed a low-tech device that is safe, inexpensive, effective, and easy to use compared to traditional nonsurgical alternatives for management of the difficult airway. | | | Once the tube is properly positioned, the ETI is withdrawn |
|
http://pharmalicensing.com/licensing/displicopp/3800
(214 words)
|
|
| |
| | Dale Medical - Endotracheal Tube Holder - Clinical Advantages |
| | Easy to apply, one person can apply, no need to search for other supplies | | | Dale Medical - Endotracheal Tube Holder - Clinical Advantages | | | Minimizes ET tube movement and helps prevent accidental dislodgement of ET tube |
|
http://www.dalemed.com/ca/endotracheal_ca.html
(155 words)
|
|
| |
| | China (Mainland) Endotracheal Tube |
| | Suture needles, catgut, stainless steel surgical knife handle, surgical Blade, wheelchair, stick, walker, commode chair, double rocked bed with Board head, pipette tips disposable tips, sample cup, petri dishes, test Tube, microscope slide, cover glass, graduate, funnel tube, smokeless Moxa stick, acupuncture instrument set etc. | | | This member's information has NOT been authenticated or verified by Alibaba or any third party. | | | Disposable infusion set, iv catheter, lancet, disposable blood transfusion Set, lancing device, glass syringe, disposable syringe, scalp vein set, Disposable needle, urinecollector, colostomy bag, urine bag, umbilical cord Clamp, I. Bracelet, vaginal dilator, stomach tube, feeding tube, suction |
|
http://www.alibaba.com/catalog/11033172/Endotracheal_Tube.html
(438 words)
|
|
| |
| | Laryngeal Mask Airways |
| | The LMA may be a useful adjunct in patients who are inadequately ventilated by mask. | | | Passage of the endotracheal tube may not be possible when tube engages the glottic structures. | | | Splitting the LMA allows use of larger endotracheal tubes for the size of LMA used in the patient. |
|
http://gasnet.med.yale.edu/airway/opt07.htm
(184 words)
|
|
| |
| | Healthcare Purchasing News: Endotracheal tube |
| | Traditional non-adjustable endotracheal tube tips can be difficult to position in certain patients. | | | This revolutionary endotracheal tube, called EndoFlex, enables the clinician to rapidly and safely adjust the tip of the tube into position for a variety of difficult airway situations. |
|
http://www.findarticles.com/p/articles/mi_m0BPC/is_12_28/ai_n8568432
(73 words)
|
|
| |
| | Metropolitan Medical, Inc. - Endotracheal Tube Accessories |
| | Use this product on burn and bearded patients and long term sedated patients who are less at risk for self extubatio... | | | Disposable Endotracheal Tube Changer A simple, rapid technique for changing endotracheal tubes Can be done in less than two minutesSingle patient use only Polyeth | | | Chrome Body Flowmeters - O2 - 0-15 LPM |
|
http://www.metropolitanmedical.com/default.cfm?a=prod_list&c=62
(266 words)
|
|
| |
| | [No title] |
| | The capnometry (sensitivity and specificity 100%) and capnography (sensitivity and specificity 100%) were better than auscultation (sensitivity 94% and specificity 83%) in confirming endotracheal tube placement in non-arrest patients (p | | | In nine (2.7%) patients, esophageal tube placement occurred. | | | The esophageal intubations were followed by successful endotracheal intubations without complications. |
|
http://www.co.sanmateo.ca.us/vgn/images/portal/cit_609/9007673Emergency_Intubation_article.doc
(256 words)
|
|
| |
| | Dale Medical - endotracheal Tube Holder |
| | The adhesive base is applied to the patient and includes a strip of Velcro® material that attaches to the neckband to prevent slippage. | | | The adhesive is skin friendly and can be left in place for up to 3 days. | | | The Dale Stabilock Endotracheal Tube Holder helps prevent accidental extubation by providing a secure method of stabilization. |
|
http://www.dalemed.com/prod/endotracheal.html
(157 words)
|
|
| |
| | Endotracheal Tube Holder |
| | Patient transports, such as from surgery to recovery, usually require using not one but up to three different oxygen delivery tube / cannula set-ups during this process. | | | Flotec’s new Universal Oxygen Adapter eliminates the problems of incompatible connections associated with different types of oxygen delivery systems allowing for hassle-free interchangeability between the two most common oxygen tubing connections utilized in medical facilities everyday. | | | Saves time, reduces waste and provides for a seamless changeover from one type of tubing connection to the other. |
|
http://www.floteco2.com/HTM/Products/B-INI-Universal_Adapte.htm
(168 words)
|
|
| |
| | endotracheal tube - definition of endotracheal tube by the Free Online Dictionary, Thesaurus and Encyclopedia. |
| | This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional. | | | endotracheal tube - a catheter that is inserted into the trachea through the mouth or nose in order to maintain an open air passage or to deliver oxygen or to permit the suctioning of mucus or to prevent aspiration of the stomach contents | | | catheter - a thin flexible tube inserted into the body to permit introduction or withdrawal of fluids or to keep the passageway open |
|
http://www.thefreedictionary.com/endotracheal+tube
(151 words)
|
|
| |
| | [No title] |
| | Confirm placement by listening for an absence of sounds over the epigastrium and the presence of breath sounds over both sides of the chest, or by use of end-tidal capnometry. | | | A stylet may be used; i t is removed after the tube has passed the cords. | | | As \tab \tab \tab tube enters the pharynx, the patient is likely to cough or gag. |
|
http://volusia.org/ems/300_04.doc
(901 words)
|
|
|
