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Anaesthesiology
Tracheal tubes tracheostomy tubes and airways
Built from Al-Shaikh — Essentials of Equipment in Anaesthesia, Critical Care and Peri-operative Medicine, 6e
What’s inside
8 sections · 114 slides
Overview
- What this topic covers
Tracheal tubes
The tube that sits inside the windpipe
- What a tracheal tube is and does
- Features of a cuffed tracheal tube
- Tube 'size' means internal diameter
- Paediatric tube size formula
- Paediatric oral tracheal tube sizes
- Tube length and avoiding one-lung placement
- Correct versus too-deep tube position
- Tracheal tube with an integrated camera
- The bevel and Murphy's eye
- Murphy's eye maintains ventilation
- The cuff — an air-tight seal
- Tracheal tube cuff volumes
- Two cuff designs
- Tracheal mucosal necrosis from cuff pressure
- Cuff wall contact: low versus high volume
- Keeping cuff pressure safe
- Cuff pressure gauge
- Pressure–volume curves of the two cuff types
- Suction above the cuff
- Tube with suction above the cuff
- Oral versus nasal insertion
- Non-cuffed tracheal tube
- Connectors
- Range of tracheal tube connectors
- Problems in practice — tracheal tubes
- Tracheal tubes — key points
- Key-points marker
Specially designed tracheal tubes
Shapes and materials for particular jobs
- Armoured (reinforced) tube
- Armoured (reinforced) tracheal tube
- Polar and RAE preformed tubes
- Polar / RAE preformed tubes
- Laser-resistant tubes
- Laser-resistant tube defocuses the beam
- Foil-wrapped laser tube with twin cuffs
- Nerve-monitoring, micro and Oxford tubes
- Evoked-potential (nerve-monitoring) tube
- Microlaryngeal tube
- Oxford L-shaped tracheal tube
Tracheostomy tubes
Entering the trachea through the front of the neck
- Tracheostomy tubes
- Cuffed tracheostomy tube
- Tracheostomy tube — components
- Adjustable-flange tracheostomy tube
- Tracheostomy tube with above-cuff suction
- Reinforced subglottic-suction tracheostomy tubes
- Indications for tracheostomy
- Benefits of tracheostomy
- Complications of tracheostomy
- Fenestrated tracheostomy tube
- Tracheostomy tube for phonation
- Laryngectomy (Montandon) tube
- Laryngectomy (Montandon) tube
- Speaking valve and tracheostomy button
- Tracheostomy speaking valve
- Tracheostomy button
- Percutaneous tracheostomy
- Single-dilator percutaneous tracheostomy kit
- Griggs-forceps percutaneous tracheostomy kit
- Percutaneous tracheostomy — cautions
- Minitracheostomy
- Minitracheostomy set
- Cricothyrotomy — front-of-neck access
- Cricothyrotomy set
Double lumen tubes and blockers
Deflating one lung for chest surgery
- Why one-lung ventilation and double lumen tubes
- Right-sided double lumen tube
- Double lumen tube with a tip camera
- Left versus right double lumen tubes
- Checking double lumen tube position
- Types of double lumen tube
- Carinal-hook and Robertshaw double lumen tubes
- Double lumen tube with a CPAP assembly
- Endobronchial blocker
- Endobronchial blocker
Basic airway adjuncts
Oropharyngeal and nasopharyngeal airways that hold the throat open
- Oropharyngeal (Guedel) airway
- Oropharyngeal (Guedel) airways
- Guedel insertion and the Berman airway
- Berman oropharyngeal airway
- Nasopharyngeal airway
- Nasopharyngeal airway
Supraglottic airway devices
Sitting above the voice box — hands-free anaesthesia
- Supraglottic airway devices (SADs)
- What SADs offer
- LMA with dual gastric channels
- LMA with an endoscopy channel
- Laryngeal mask — components
- Classic laryngeal mask airway
- MRI-compatible single-use laryngeal mask
- Single-use LMA-Unique
- Laryngeal mask — use and cuff pressure
- Cuff pressure indicator technology
- Reinforced and single-use laryngeal masks
- Reinforced laryngeal mask
- Single-use reinforced laryngeal mask
- Intubating LMA and safety checks
- Intubating laryngeal mask airway
- Single-use intubating laryngeal mask
- Laryngeal mask — problems in practice
- i-gel airway
- i-gel supraglottic airway
- AuraGain airway
- AuraGain supraglottic airway
Bringing it together
Choosing the right device and the numbers to remember
- Choosing an airway device
- Numbers worth remembering
- Three take-home rules
- Why does a right-sided double lumen tube have an 'eye' in its bronchial cuff, while the left-sided version does not?
- References
- Essentials of Equipment in Anaesthesia, Critical Care, and Perioperative Medicine