Airway equipment

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4. IDENTIFY PARTS
RELEVANT
HISTORY
TYPES/CLASSIFICATION
USES SOAP ME
CONFIRMATION CUFFS
ENDOTRACHEAL
SUCTION
PROTOCOL
FORMULA FOR SIZE &
DEPTH

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7. PRESSURE MANOMETER
MURPHYS EYE / BEVEL

8. ET TUBE TIP / CUFF
INDUCATIONS OF
INTUBATION

9. Contraindications to
intubaton Depth of insertion

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11. CONFIRMATION OF TUBE

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15. 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
The metal wire coil does not make armored/ reinforced ET tubes
laser-proof!

17. Laser Hazards
1. Atmospheric Contamination
2. Perforation of Vessel or structure
3. Embolism
4. Inappropriate energy transfer

18. Types:
1. Norton tube
2. Mallinckrodt laser tube
3. Xomed laser shield II Tube
4. Bivona Fome Cuff laser Tube
5. Metal Tubes
6. Wrapped standard tubes
Advantages:
1. Metal components are noninflammable.
2. The tube maintains its shape during intubation and is
kink resistant.
3. The proximal cuff serves as a shield for the distal
tracheal cuff.
Disadvantages:
1. Although metal may reflect the laser onto non-
targeted tissues and result in damage, the matte
finish and convexity of this product reduce this
potential.
2. The cuffed model contains materials which are
flammable and requires that the cuff be inflated with
saline to decrease the risk of ignition.
3. Metal tubes are thick walled.
4. The double cuff takes more time to inflate and deflate
than a single cuff.
5. Metal may transfer heat to adjacent tissue and other
materials.

20. MICROCUFF Pediatric Endotracheal Tubes
• Reducing tracheal trauma and providing a sealed airway that allows
minimal and low flow anesthesia use.
• Its short and cylindrical cuff membrane compensates for different
sized and shaped pediatric airways, reducing the need for replacing
oversized tracheal tubes, and resulting in lower re-intubation rates.
• Designed for ideal anatomical cuff placement
• Advanced micro thin polyurethane material (10 microns) permits a
true high volume, low pressure (HVLP) cuff, effectively sealing at an
average of 11 cm H20 about half the pressure of conventional tubes
• Anatomically-based intubation depth mark results in correct
placement and a cuff-free subglottic zone2
• Precision bands facilitate and confirm optimal tube placement
• Seal with a cuff membrane in the trachea, instead of rigid tube shaft
in the cricoid
• Reduced risk of aspiration of blood and secretions due to improved
seal
• Sealing with a cuff compensates for different sized and shaped
airways

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