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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

The first 25 slides of Tracheal tubes tracheostomy tubes and airways
The first 25 slides, exactly as they appear. The full deck has 114 content slides.

What’s inside

8 sections · 114 slides

  1. 01

    Overview

    • What this topic covers

    1 slide

  2. 02

    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

    27 slides

  3. 03

    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

    11 slides

  4. 04

    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

    24 slides

  5. 05

    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

    10 slides

  6. 06

    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

    6 slides

  7. 07

    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

    21 slides

  8. 08

    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

    6 slides