Endotracheal Tubes - VentiSeal (High Volume Low Pressure)

Transcription

1 Endotracheal Tubes - VentiSeal (High Volume Low Pressure) VentiSeal reduces the risk of vocal cord injury and tracheal necrosis through an optimal volume cuff with ideal pressure distribution and effective sealing. The thin ultra-smooth cuff wall reduces abrasive creases and folds, conforms to the tracheal contours and provides an effective seal. The diagram demonstrates the difference between the surface area that is in contact with the trachea when using a VentiSeal Cuffed Tube and a conventional cuffed tube. The cuff shape and length of the VentiSeal Endotracheal Tube enables the pressure to be distributed over a larger surface area, minimising the pressure placed on the tracheal wall and reducing the risk of tracheal wall necrosis. VentiSeal Conventional Kink Resistant Ensures tube patency for patient safety, whilst softening at body temperature to conform to the patient s respiratory tract. Depth Guide The double line guide facilitates safe and accurate cuff placement below the vocal cords. Pilot Balloon In addition to providing a tactile check on cuff inflation, the pilot balloon clearly identifies the tube size. SIZE ID (mm) ORAL/NASAL CURVED (Oral) SOUTH CURVED (Oral) NORTH CURVED (Nasal) NORTH REINFORCED WITH STYLET PACK SIZE

2 Endotracheal Tubes - Standard (Low Pressure Cuff) The Standard range of Low Pressure Endotracheal Tubes are designed for short-term intubation. The cuff size and shape make the them ideal for emergency situations, as the slim-line shape facilitates quick and easy intubation to maintain an open airway. Kink Resistant Ensures tube patency for patient safety, whilst softening at body temperature to conform to the patient s respiratory tract. Depth Guide The double line guide facilitates safe and accurate cuff placement below the vocal cords. Pilot Balloon In addition to providing a tactile check on cuff inflation, the pilot balloon clearly identifies the tube size. High Resolution Radiopaque Line Guarantees easy and accurate identification of tube position and location during X-ray. SIZE ID (mm) ORAL/NASAL CURVED (Oral) CURVED (Nasal) PACK SIZE ET Tube Holder Securely retains the position of all sizes of ET Tube. Jaw Opener To be used with an ET Tube when the patient has Teeth Clench. ET Tube & Tracheostomy Straps Eliminates the need for taping and distributes pressure evenly ET Tube Holder Jaw Opener ET Tube Straps Tracheostomy Straps 10 AIRWAY MANAGEMENT 23

3 Endotracheal Tubes - Plain Tubes (without cuff) Our comprehensive range of Plain Endotracheal Tubes have unique features to ensure patients safety and comfort, allowing intubation with total confidence. Clear Positioning Guides The 2.0 to 5.0mm ID tubes feature a Depth Guide to identify correct placement beyond the vocal cords and an orientation guide to indicate the position of the Murphy s Eye and tube tip. Distance Markers start at 3cms for safe and accurate placement in the smallest patients. Smooth Bevelled Tip Rounded bevelled tip reduces risk of damage to vocal cords during intubation. High Resolution Radiopaque Line Guarantees easy and accurate identification of tube position and location during x-ray. Kink Resistant Ensures tube patency for patient safety, whilst softening at body temperature to conform to the patient s respiratory tract. Depth Guide For accurate placement below the vocal cords, the Plain Endotracheal Tubes sized 5.5mm ID and above (Adult) feature the same double line depth guide as Flexicare s Standard Endotracheal and VentiSeal Tubes. SIZE ID (mm) ORAL/NASAL PREFORMED ORAL PREFORMED NASAL REINFORCED WITH STYLET PACK SIZE

4 Bougies and Stylets Flexicare's single use Bougies and Stylets complement the range of Laryngoscopes and Endotracheal Tubes, providing clinicians with a comprehensive choice of airway management devices. Bougies Reduced Patient Trauma The rounded tip provides a smooth surface that allows the Bougie to be inserted without damaging the soft tissue. Coude Tip Facilitates correct placement by providing accurate feel of the tracheal wall C-Rings. The flexibility also allows for easy removal once an ET Tube is in situ. Clearly Graduated Marking Provides depth indication to guide correct placement. Eliminate the Risk of Cross Contamination Provided sterile, the single patient use Bougie eliminates the risk of cross-infection Bougie / Introducer OD 3.3mm (10CH) x 700mm Sterile Bougie / Introducer OD 5.0mm (15CH) x 700mm Sterile 10 Stylets The malleable stylets have an aluminium core and a soft touch outer casing in a range of outer diameters and lengths to meet specific patient needs. Range of Flexibility The stylets can be shaped into the required curvature to suit the intubation need. Smooth Tip Reduces the risk of damaging soft tissue. Single Patient Use Supplied sterile, eliminating the risk of cross-contamination. OD CH LENGTH USE Stylet (Sterile) 2.2mm 6 225mm Paediatric Stylet - Long (Sterile) 4.0mm mm Adult Stylet - Long (Sterile) 5.0mm mm Adult Stylet - Extra Long (Sterile) 4.0mm mm Adult Stylet - Extra Long (Sterile) 5.0mm mm Adult 10 AIRWAY MANAGEMENT 25

5 Nasopharyngeal Airways NasoSafe is an innovative Nasopharyngeal Airway. The swivel safety grip eliminates the risk of the airway from being drawn down the nasal passage whilst providing maximum comfort for the patient. Patient Comfort The safety grip can be rotated through 360 to place the airway in the most convenient and comfortable position without blocking the free nostril. Allows Access NasoSafe is ideal when the oral passage is not accessible and allows for nasotracheal suctioning. Reduced Risk of Injury The rounded edge of the tip combined with the angle cut design helps reduce the risk of injury during intubation. Size Colour Coding Available in 11 sizes with colour coded swivel grips, that co-ordinate with suction catheter sizes. Swivel Safety Grip The NasoSafe swivel grip prevents the nasopharyngeal airway from being drawn into the nasal passage without the need for an additional fixation device, such as a safety pin. Better Tolerance NasoSafe is better tolerated by awake patients than oropharyngeal airways. NasoSafe is best inserted when the patient is in the supine position. The airway should be lubricated with a water soluble lubricant prior to insertion. The rounded bevelled tip reduces mucosal wall trauma and guides the airway along the floor of the nasal passage. When correctly in place the tip of the airway should be visible behind the uvula. mm fr ID OD NasoSafe Size 4 - Dark Green 4.0mm 20fr NasoSafe Size Dark Green 4.5mm 22fr NasoSafe Size 5 - Black 5.0mm 24fr NasoSafe Size Black 5.5mm 26fr NasoSafe Size 6 - Green 6.0mm 28fr NasoSafe Size Green 6.5mm 28fr NasoSafe Size 7 - Orange 7.0mm 30fr NasoSafe Size Orange 7.5mm 32fr NasoSafe Size 8 - Dark Red 8.0mm 34fr NasoSafe Size Dark Red 8.5mm 36fr NasoSafe Size 9 - Purple 9.0mm 38fr 10 26

6 Nasopharyngeal Airways NasoClear is a simple and effective airway adjunct designed for easy insertion and maximum patient compliance. In-Built Safety NasoClear has an integrated connector designed to prevent the tube from travelling down the nasal passage and removes the need to use a safety pin, eliminating the risk of needle stick injury. Clear Construction Provides visual confirmation before insertion that there are no blockages. Reduced Risk of Injury Rounded bevelled tip reduces mucosal wall trauma and guides the airway along the floor of the nasal passage. Patient Comfort NasoClear is better tolerated by awake patients than oropharyngeal airways. Flared Nasal Opening The large flared opening prevents the nasopharyngeal airway from physically travelling down the nasal passage and allows for comfortable positioning without obstructing the other nostril. Patient Fit Available in 11 sizes for optimal patient fit. Nasoharyngeal Airway Insertion Technique The length of the nasal airway can be estimated by the distance from the patient s nostril to the earlobe, or the angle of the jaw. The nasal airway is best inserted when the patient is in the supine position. Lubricate the airway prior to insertion with a water soluble lubricant C NasoClear Size 4 4.0mm 20fr C NasoClear Size mm 22fr C NasoClear Size 5 5.0mm 24fr C NasoClear Size mm 26fr C NasoClear Size 6 6.0mm 28fr C NasoClear Size mm 28fr C NasoClear Size 7 7.0mm 30fr C NasoClear Size mm 32fr C NasoClear Size 8 8.0mm 34fr C NasoClear Size mm 36fr C NasoClear Size 9 9.0mm 38fr 10 mm ID Insert with the curve facing the opposing direction and follow the nasal passage whilst turning the nasopharyngeal airway through 180 o fr OD AIRWAY MANAGEMENT 27

7 Airways Guedel Airways Guedel Airways provide free air flow whilst protecting the airway from occlusion. Williams Airways Opening on the distal half of the lingual surface, provides a conduit for fibre-optic guided intubation. Colour Coded Easy identification of the required size. Integrated Bite Block Prevents the patient from biting down and occluding airway. Smooth bevelled tip Allows for easy insertion and minimising the risk of causing patient trauma. Sterile Individually packaged and single use. Supplied sterile to reduce risk of crossinfection. Embossed Size Device size is embossed on airway providing easy identification of size even if the user is unfamiliar with colour coding. GUEDEL LENGTH (cm) SIZE COLOUR WILLIAMS LENGTH (cm) COLOUR Berman Oropharyngeal Airways Side channels enable the use of suction catheters without obstructing the airway, whilst allowing for additional air flow. BERMAN LENGTH (cm) SIZE Guedel Airways applicable standard BS EN ISO 5364:2011