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Endotracheal Tube, Cuffed

Reinforced Endotracheal Tube, Uncuffed

Reinforced Endotracheal Tube, Uncuffed

An endotracheal tube is a medical device that is inserted into the trachea (windpipe) to maintain an airway during medical procedures. The tube is attached to a ventilator and delivers oxygen to the lungs. A reinforced endotracheal tube is a type of tube that has a reinforcement cuff around the outside of the tube. The cuff helps to keep the tube in place and prevents it from being dislodged.

Description
Ref. No.: Size: Qty. Cs:
NMR104110 3.0 100
NMR104111 3.5 100
NMR104112 4.0 100
NMR104113 4.5 100
NMR104116 5.0 100
NMR104117 5.5 100
NMR104118 6.0 100
NMR104119 6.5 100
NMR104120 7.0 100
NMR104121 7.5 100
NMR104122< 8.0 100
NMR104123< 8.5 100
NMR104124 9.0 100
NMR104125< 9.5 100

Reinforced Endotracheal Tube, Uncuffed

A new study finds that a certain type of breathing tube used in hospitals is associated with a lower risk of pneumonia.

What is a reinforced endotracheal tube?

An endotracheal tube is a medical device that is inserted into the trachea (windpipe) to maintain an airway during medical procedures. The tube is attached to a ventilator and delivers oxygen to the lungs. A reinforced endotracheal tube is a type of tube that has a reinforcement cuff around the outside of the tube. The cuff helps to keep the tube in place and prevents it from being dislodged.

How is it different from a regular endotracheal tube?

A reinforced endotracheal tube is a type of medical device that is used to provide ventilation to patients who are unable to breathe on their own. Unlike a regular endotracheal tube, a reinforced tube is designed to withstand higher levels of pressure and force. This makes it an ideal choice for patients who are at risk for suffering from respiratory distress or who require mechanical ventilation.

Why would you use a reinforced endotracheal tube?

There are several reasons why you might use a reinforced endotracheal tube. One reason is if you are intubating a patient with a difficult airway. The extra support from the reinforcement can help to keep the tube in place and prevent it from kinking or collapsing.

Another reason to use a reinforced tube is if you are concerned about the possibility of the tube being dislodged. This could happen if the patient coughs or vomits, or if they move around a lot during the procedure. The reinforcement can help to keep the tube in place and prevent it from being accidentally pulled out.

Finally, some reinforced tubes come with an inner cuff that can be inflated. This can help to provide a seal between the tube and the trachea, which can be helpful in preventing air leak around the tube.

What are the benefits of using a reinforced endotracheal tube?

There are many benefits to using a reinforced endotracheal tube. First, they are much more durable than non-reinforced tubes and can withstand more wear and tear. This is especially important in high-risk patients who may be more likely to experience complications from their intubation. Additionally, reinforced endotracheal tubes have been shown to decrease the incidence of tube displacement and kinking, both of which can lead to serious complications. Finally, reinforced endotracheal tubes may provide better ventilation for patients by creating a seal around the trachea that is less likely to leak air.

Are there any risks associated with using a reinforced endotracheal tube?

Yes, there are certain risks associated with using a reinforced endotracheal tube. One risk is that the tube may become kinked, which can cause difficulty in breathing. Another risk is that the tube may become dislodged, which can lead to air leaking out around the tube and potentially causing respiratory distress.

How do you care for a reinforced endotracheal tube?

When you have a reinforced endotracheal tube, you will need to take extra care of it to make sure that it does not become damaged. Here are some tips on how to care for your tube:

- Keep the tube clean and free of any debris or buildup. This can be done by gently wiping it down with a soft cloth or brush.

- Inspect the tube regularly for any signs of wear or damage. If you notice any cracks, tears, or other damage, replace the tube immediately.

- Store the tube in a safe place when it is not in use. This will help to prevent accidental damage.

Conclusion

The reinforced endotracheal tube, uncuffed is a great option for those who are looking for a durable and reliable tube. This tube is designed to withstand the rigors of intubation and provide superior support. It is alsouncuffed, which means that it will not put undue pressure on the trachea or cause any discomfort. If you are looking for an endotracheal tube that will give you the best possible results, then this is the ideal option for you.

Reinforced Endotracheal Tube: By being more flexible than standard ET tubes, armored tubes are less likely to kink and occlude when bent to an angle, which is their biggest single advantage over standard ETTs. Just like standard ET tubes, armored or re-inforced tubes have the typical left-facing bevel at the tip and the Murphy eye. Their distinctive feature is a metal wire coil embedded in the wall of the tube shaft which keeps the lumen of the tube open when it is bent. The fact that this type of ET tube contains a metal wire coil means there is no need for a radio-opaque line.
The metal wire coil does not make armored/ reinforced ET tubes laser-proof!
In contrast to ‘standard’ ET tubes, the tube connector of armored tubes is firmly fixed to the tube shaft and not detachable. The fact that armored tubes are 'bendier' and therefore not as well pre-formed as standard tubes means they are more likely to require a stylet for successful intubation since they don't keep their curved shape quite as well. Although armored tubes are less likely to occlude through bending because of the wire-coil re-inforcement, they are not a substitute for a bite block. Whilst it is significantly more difficult for a patient to totally occlude an armored compared to a regular tube by biting onto it, the armored tube has the disadvantage of having a ‘memory’, meaning it won’t expand back to a round diameter once the bite is released, significantly increasing resistance to airflow.

MRI compatibility of armored Reinforced Endotracheal Tube

For medical equipment there are three levels MRI compatibility and safety
  1. MRI-safe: Equipment that does not contain any metal parts. With regards to endotracheal tubes this would apply to uncuffed ETTs.
  2. MRI-conditional: Equipment which has some metal parts such as the stainless steel spring in the pilot balloon valve of cuffed endotrachel tubes.
  3. MRI-unsafe: Equipment that must not be used in an MRI environment.
With regards to MRI safety, armored endotracheal tubes are classified as MRI-conditional, which means they are generally safe to use in an MRI environment, with no increased risk of clinically significant heating in the magnetic field. Actually, most endotracheal tubes are only classed as MRI-conditional and not MRI-safe, because the pilot balloon usually contains a metal spring-loaded valve. For any medical equipment to be MRI-safe, it must not contain any metal at all. It might still be worth to avoid using armored tubes in the MRI environment as the metal coil can adversely affect picture quality, especially if the scanned area is in close vicinity to the tube, i.e. in c-spine and brain MRIs.

USES

Reinforced tubes have certain advantages over standard endotracheal tubes in several situations due to their resistance to occlusion when bent and their overall greater flexibility:
  •  The most common reason to use armored ETT is arguably for certain head & neck and neurosurgical cases, i.e. when access to the airway is limited and bulky equipment in front of the patient's mouth and face can get in the way of the surgeon. In these situations an armored tube is a great alternative to an oral RAE tube.
  •  They can be advantageous in fiberoptic intubation via either the oral or nasal route. Since they are usually easier to 'railroad' off the scope due to their superior flexibility.
  •  They might be useful for intubation through a tracheotomy. Again, the greater flexibility of these tubes makes for an easier navigation of the angle between the tracheotomy site at the skin and the trachea and makes an armored ETT potentially less traumatic than a standard one.
  •  Reinforced tubes can be useful in patients positioned prone. Forces applied at to the part of the tube outside of the patients airway are less likely to be transmitted.
There are some disadvantages to using armored/ re-inforced tubes:
  •  'Misting' of the ET tube, one of the confirmatory signs of successful tracheal intubation, is more difficult to see when an armored/ re-inforced tube is used because of the wire coil and overall higher opacity of the tube wall.
  •  The fact that the connector at the proximal end is fixed and cannot be detached means armored/ re-inforced ETTs cannot be used with the AirQ supraglottic airway or for intubation through an operating laryngoscope (as is occasionally done by our ENT surgeon colleagues).
  •  They might not be suitable for airway management in the MRI scanner (see above).
  •  They are more expensive!
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