combitube


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combitube

(kom'bi-tūb),
Airway device with two lumens and obturator cuffs at two points, used to ventilate the trachea after blind insertion, whether the device is placed in the trachea or the esophagus.

Combitube

[kom′bit(y)o̅o̅b]
a trademark for a double-lumen tube with inflatable balloon cuffs that seal off the hypopharynx from the oropharynx and esophagus, used for airway management. It is inserted blindly, entering either the esophagus or trachea. If it enters the esophagus, one lumen, which has a blind distal end and side holes, functions as an esophageal obturator airway. If it enters the trachea, the other lumen, which has an open distal end, functions as a standard cuffed endotracheal tube.
References in periodicals archive ?
PRODUCT OVERVIEW II-14 Anatomy of the Airway II-14 History of Airway Management II-14 Manual Methods II-15 Intubation II-15 Devices for Airway Management II-16 Laryngoscopes II-17 Fiberoptic Bronchoscope in Airway Management II-17 Rigid Fiberoptic Intubation Devices II-17 New Generation of Fiberoptic Devices II-17 Video Laryngoscopy Evolves into a High Growth Market II-17 Intubation adjuncts II-18 Stylets II-18 Endotracheal Tubes II-18 Face Mask II-19 Supraglottic Airway Devices II-19 Laryngeal Mask Airway (LMA) II-20 Key Milestones in LMA Market II-20 Other Supraglottic Devices II-21 Laryngeal tube II-21 i-gel II-21 Cobra Perilaryngeal Airway II-21 Cookgas Air-Q Airway II-22 Esophageal Tracheal Combitube II-22 Nasopharyngeal airway II-22 Oropharyngeal airway II-22 4.
Laryngeal mask airways (sizes 4 and 5), or ProSeal LMAs (sizes 4 and 5), or Combitube (small)
A comparison of the proseal laryngeal mask airway, the laryngeal tube S and the oesophageal-tracheal combitube during routine surgical procedures.
Two of the coauthors hold patents on airway device inventions used extensively in securing difficult airways: Michael Frass, professor of medicine at the Medical University of Vienna, designed the Combitube, an esophageal-tracheal double-lumen airway for combined endotracheal and esophageal obturator ventilation, and George Beck designed an airflow indicator, or "whistle," for facilitating blind intubations.
The basic emergency medical technician has the same capability as the 1st responder and can provide additional airway support with an invasive Combitube airway.
Provided that CPR is not interrupted, health care professionals should use their training and experience to select the most appropriate type of advanced airway device, for example an endotracheal tube, laryngeal mask airway, or combitube.
The second edition adds chapters on rapid sequence intubation, response to terrorism, capnography, the combitube, and the laryngeal mask airway.
Nowadays extraglottic devices such as the laryngeal mask, the Combitube and more recently the laryngeal tube are readily available and should be added to any difficult airway kit.
2] cannot be maintained at >92%, intubation attempts should be aborted and emergency ventilation using a Combitube, LMA, or other Food and Drug Administration-approved supraglottic airway device (Table 2) should be used until a definitive airway can be safely inserted using a different technique (1).
Other forms of intubation aids, including bougie, introducer, Combitube and laryngeal mask, were also unlikely to be useful.
Protection of the airway using an invasive airway device such as an endotracheal tube (ETT), laryngeal mask airway (LMA) or tracheo-oesophageal combitube (TOC) can be done when rescuers with the necessary skills, expertise and equipment become available.