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Encyclopedia > Endotracheal tube
Diagram of an endotracheal tube (10) that has been inserted into the airway of a patient.
Diagram of an endotracheal tube (10) that has been inserted into the airway of a patient.

An endotracheal tube (ETT) is used in anaesthesia, intensive care and emergency medicine for airway management and mechanical ventilation. It is regarded as the most reliable available method for protecting a patient's airway. Image File history File links No higher resolution available. ... Image File history File links No higher resolution available. ... Anesthesia (AE), also anaesthesia (BE), is the process of blocking the perception of pain and other sensations. ... Intensive care medicine or critical care medicine is concerned with providing greater than ordinary medical care and observation to people in a critical or unstable condition. ... This article or section does not cite its references or sources. ... In cardiopulmonary resuscitation, anaesthesia, emergency medicine, and intensive care medicine, airway management is the process or ensuring that: there is an open pathway between a patient’s lungs and the outside world, and the lungs are safe from aspiration. ... mechanical or forced ventilation is the use of powered equipment, e. ...

Contents

Inventor

David S Sheridan was the inventor of the modern "disposable" plastic endotracheal tube now used routinely in surgery. Previous to his invention, red rubber tubes were used, then sterilyzed, and re-used which often lead to the spread of disease and also a high risk of infection. Mr Sheridan is credited with saving thousands of lives.


He also held more than 50 medical instrument patents. Mr Sheridan died April 29 2004 in Argyle, New York at the age of 95.


Procedure

It is inserted into the trachea, generally via the mouth, but sometimes through the nares of the nose (e.g. in extensive mouth surgery) or even through a tracheostomy. The process of inserting an ETT is called intubation. Look up trachea in Wiktionary, the free dictionary. ... Tracheotomy is a surgical procedure used to cut a hole in the trachea through which a small tube is inserted. ... Intubation being practiced on a dummy (conventional technique using a laryngoscope). ...


Intubation usually requires general anesthesia and muscle relaxation but can be achieved in the awake patient with local anaesthesia or in an emergency without any anaesthesia, although this is extremely uncomfortable and generally avoided in other circumstances. This article or section may be confusing for some readers, and should be edited to be clearer. ... Local anesthesia is any technique to render part of the body insensitive to pain without affecting consciousness. ...


It is usually performed by visualising the larynx by means of a hand-held laryngoscope but can also be performed "blind". A stylet is normally used in an intubation which is a bendable piece of metal inserted into the ETT as to make the tube more stiff for easier insertion, this is then removed after the intubation and a ventilator or bag valve mask is attached to the ETT. The goal is to position the end of the ETT 2 centimeters above the bifurcation of the lungs or the carina. If inserted too far into the trachea it mainly goes into the right mainstem of the bronchial tree. Laryngoscope in use intubating a dummy A laryngoscope is a medical instrument that is used to obtain a view of the glottis by direct laryngoscopy. ...


Types

There are many types of Endotracheal tubes (ETT). Endotracheal tubes range in size from 3-10.5 mm in internal diameter (ID) - different sizes are chosen based on the patient's body size with the smaller sizes being used for pediatric and neonatal patients. Tubes larger than 6 mm ID tend to have an inflatable cuff. 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. Another type of endotracheal tube has a second lumen which the opening is situated right above the inflatable cuff, this is a suction port. This allows a suction system to be connected to the ETT to allow for suctioning of secretions which sit above the cuff. This has been proven to decrease the amount of bacteria which could possible grow in the secretions causing a longer stay in the hospital. A millimetre (American spelling: millimeter), symbol mm is an SI unit of length that is equal to one thousandth of a metre. ...


External Links


  Results from FactBites:
 
Endotracheal tube holder - Patent 5305742 (3162 words)
The endotrachael tube holder of this invention is a multi-component plastic clamping device which is positioned in front of the patient's mouth and held in position by one or two sets of straps which engage either side of the device and encircle the back of the head.
The cylinder is pushed/pulled to align the tube bores 51, 57 in the cylinder and barrel.
The adaptor 89 is removed from the distal end of the ET tube and the tube passed through the aligned tube bores 51, 57 with the bite block 34 facing toward the patient.
Capitol Anesthesiology Association - Services - General Anesthesia - Endotracheal Intubation (673 words)
Endotracheal Intubation refers to the placement of a tube directly into the trachea, or windpipe, and is done for a variety of reasons.
Under direct visualization the endotracheal tube is inserted in between the vocal cords and into the trachea, where the cuff is inflated and the proper position of the tube is confirmed.
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.
  More results at FactBites »


 

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