Combitube

The Combitube is a blind insertion airway device (BIAD) often used in the pre-hospital, emergency setting. It is designed to facilitate the tracheal intubation of a patient in respiratory distress. It consists of a cuffed, double-lumen tube that is inserted into a the patient's airway facilitating ventilation. Inflation of the cuff allows the device to function similarly to an endotracheal tube and usually closes off the esophagus, allowing ventilation and preventing pulmonary aspiration of gastric contents.

The simplicity of placement is the main advantage of the Combitube over endotracheal intubation. When intubating with a traditional endotracheal tube, care must be taken to visually ensure that the tube has been placed in the trachea while the dual-lumen design of the Combitube allows for ventilation to proceed regardless of esophageal or tracheal placement. Generally, the tube enters the esophagus and ventilation is provided through tube number one. In the rare instance where the Combitube intubates the trachea, ventilation is provided through tube number two while tube one is clamped. A device called the Positube, which is a esophageal intubation detection device, can be used on tube number two to rule out the intubation of the Combitube in the trachea. The Positube checks for air flow resistance on tube number two and is very helpful in checking proper Combitube placement when intubation is performed in noisy environment's.

The Combitube's ease of use makes it ideal for use in the pre-hospital, emergency setting where advanced level providers capable of placing an endotracheal tube are often not immediately available. The drawbacks of Combitube use center around an inability to perform deep (subglottic) suctioning assuming esophageal placement.

While it has been suggested as an option by the American Heart Association and European Resuscitation Council, it is seldom used outside of the pre-hospital, emergency setting, as it does not allow for long term airway control. Alternatives to the Combitube include the laryngeal mask airway (LMA), the endotracheal tube, and other BIAD's such as the King Airway.

The Combitube was invented by Austrian researchers M.Frass M.D., R. Frenzer, and J. Zahler M.D.^{[citation needed]}

External links

• Combitube.org
• A Combitube tutorial

This article related to medical equipment is a stub. You can help Wikipedia by expanding it.v · Categories: Medical equipment stubs Emergency medical equipment Wikimedia Foundation. 2010. Игры ⚽ Поможем решить контрольную работу Albion Road (Toronto) 8th Infantry Division (South Korea) Look at other dictionaries: Combitube — Le Combitube est un tube à double lumière permettant la ventilation tout en protégeant les voies aériennes supérieures du risque d inhalation du contenu gastrique régurgité. Il a été conçu par Frass et Frenzer à la fin des années 1980[1],[2] à… …   Wikipédia en Français combitube — n. an airway support device, initially designed for use by relatively untrained personnel on the battlefield, that is referred to in modern hospital resuscitation guidelines but now rarely used. The device has two tubes and is introduced through… …   The new mediacal dictionary Kombitubus — Ein Combitubus (Herstellerbezeichnungen Combitube oder modifiziert Easytube) ist ein Hilfsmittel zur Atemwegssicherung. Er stellt eine Alternative zur endotrachealen Intubation dar und wird vor allem in Notfällen eingesetzt, wenn letztere nicht… …   Deutsch Wikipedia Combitubus — Ein Combitubus (Herstellerbezeichnungen Combitube oder modifiziert Easytube) ist ein Hilfsmittel zur Atemwegssicherung. Er stellt eine Alternative zur endotrachealen Intubation dar und wird vor allem in Notfällen eingesetzt, wenn letztere nicht… …   Deutsch Wikipedia Tracheal intubation — Intervention Anesthesiologist using the Glidescope video laryngoscope to intubate the trachea of a morbidly obese elderly person with challenging airway anatomy …   Wikipedia Intubation — trachéale Intubation d un mannequin par laryngoscopie simple. L intubation trachéale (IT) est un geste d anesthésie ou de réanimation, fréquemment utilisé en médecine d urgence, qui consiste à placer dans la trachée à travers l orifice glottique… …   Wikipédia en Français Intubation Trachéale — Intubation d un mannequin par laryngoscopie simple. L intubation trachéale (IT) est un geste d anesthésie ou de réanimation, fréquemment utilisé en médecine d urgence, qui consiste à placer dans la trachée à travers l orifice glottique une sonde… …   Wikipédia en Français Intubation endo-trachéale — Intubation trachéale Intubation d un mannequin par laryngoscopie simple. L intubation trachéale (IT) est un geste d anesthésie ou de réanimation, fréquemment utilisé en médecine d urgence, qui consiste à placer dans la trachée à travers l orifice …   Wikipédia en Français Intubation endotrachéale — Intubation trachéale Intubation d un mannequin par laryngoscopie simple. L intubation trachéale (IT) est un geste d anesthésie ou de réanimation, fréquemment utilisé en médecine d urgence, qui consiste à placer dans la trachée à travers l orifice …   Wikipédia en Français Intubation oro-trachéale — Intubation trachéale Intubation d un mannequin par laryngoscopie simple. L intubation trachéale (IT) est un geste d anesthésie ou de réanimation, fréquemment utilisé en médecine d urgence, qui consiste à placer dans la trachée à travers l orifice …   Wikipédia en Français 18+ © Academic, 2000-2024 Contact us: Technical Support, Advertising Dictionaries export, created on PHP, Joomla, Drupal, WordPress, MODx. Mark and share Search through all dictionaries Translate… Search Internet Share the article and excerpts Direct link … Do a right-click on the link above and select “Copy Link”