Wednesday, May 27, 2015

7. While listening to your chest and stomach, with a bag-valve device that is connected to 100% oxy

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Esophageal tracheal tube combination (ETC) or (Esophageal-Tracheal CombiTube) Air pipe conduit with two ventilation openings for each duct. Taps longer blue, the distal opening is short and clear openings, vent proximal to the lower ends of the larynx. ETC has a pair of cuff-a cuff 15 mL in the area before opening the distal and proximal cuff 100 mL in the area after opening. beha
To determine which is the opening beha into the trachea and ventilation must first external vent air longer, because the possibility of putting it in the esophagus is very high. Now the phone in the chest Listen to the sounds of the breath sounds. beha If breath sounds are heard in the chest and not in the epigastric, external ventilation by opening beha longer continue. beha If you hear your stomach rather than the chest breath sounds on the air through the vent valve to vent longer stop and take a shorter Connect. Remove the distal cuff distal opening and proximal cuff separate proximal opening beha is larger, which makes the air blown into the lower throat into the trachea.
ETC Benefits include intubation when conventional techniques are unsatisfactory or unavailable beha as a means of replacing ETC is used to control the airway. Paste it in place is quick and easy. Paste it to view the larynx or not require special equipment. Pharyngeal balloon, pipe stuck in the back of the hard palate throws. The patient may, regardless of the pipe (esophagus or trachea) to be ventilated. ETC significantly reduces gastric distention and reject its contents. ETC can be used in trauma patients, because the neck during beha intubation can be neutral in status. If the tube is placed in the esophagus, stomach contents can be used to reduce the pressure by opening the distal suction.
ETC disadvantages are: when the tube is in the esophagus, trachea suctioning secretions is impossible. If ETC is located at the place of the endotracheal tube is very difficult. ETC can not be used to alert patients or gagging beha reflex. Cuff can cause ischemia in the esophagus, trachea, and lower part of the throat. ETC can not separate the trachea beha and completely out of it. The tube can not be in patients with esophageal disease or GERD used. It can not Karbrvd children. Paste ETC is not easy - if the caregiver does not have sufficient skills to be an error.
5-raising maneuver, using language - ETC's jaw gently in the middle of the oral pharyngeal region and move it to the depth specified by the markings on the tube to the lower throat in front of you. Black rings pipe between the teeth should be patient.
7. While listening to your chest and stomach, with a bag-valve device that is connected to 100% oxygen and water through the proximal opening is longer get air sick. If breath sounds beha in the chest and in the stomach to hear the pipe firmly in place and continue to ventilate.
8. If the breath sounds in the chest, stomach sound you hear, change your pores clear and connected through the air to the patient. Verify the presence of breath sounds in the chest. Use various techniques to establish the correct tube.
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