Combitube
| Combitube | ||
|---|---|---|
Specialty Anesthesiology, Emergency medicine | | |
| Intervention | Airway management | |
| Related items | laryngeal mask airway, laryngeal tube | |
| ] | ||
The Combitube—also known as the esophageal tracheal airway or esophageal tracheal double-lumen airway—is a
Description and use
It consists of a cuffed, double-lumen tube that is inserted through the patient's mouth to secure an airway and enable
The simplicity of placement is the main advantage of the Combitube over
A device called the Positube, which allows for esophageal intubation detection, 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 environments.
The Combitube's ease of use makes it an option for use in the pre-hospital, emergency setting when advanced level providers capable of placing an endotracheal tube are not immediately available. The drawbacks of Combitubes are evidenced by reports of serious complications such as aspiration, esophagus perforation[3] and cranial nerve dysfunction[1] associated with their use.
While it has been suggested as an option by the
See also
- Laryngeal tube
- Endotracheal tube
- Airtraq
References
- ^ a b Jorge E. Zamora and Tarit K. Saha, "Combitube rescue for cesarean delivery followed by ninth and twelfth cranial nerve dysfunction" Canadian Journal of Anesthesia Volume 55, Issue 11 , pp 779-784, published 2008
- ^ Carin A. Hagberg, Tigran N. Vartazarian, Jacques E. Chelly, Andranik Ovassapian, "The incidence of gastroesophageal reflux and tracheal aspiration detected with pH electrodes is similar with the Laryngeal Mask Airway and Esophageal Tracheal Combitube — a pilot study" Canadian Journal of Anesthesia March 2004, Volume 51, Issue 3, pp 243-249
- ^ Marie-Claude Vézina , Pierre C. Nicole , Claude A. Trépanier , Martin R. Lessard, "Retrospective study of complications associated with the Combitube", Canadian Journal of Anesthesia June 2005, Volume 52, Issue 1 Supplement, p A125
- ^ International Liaison Committee on Resuscitation/European Resuscitation Council Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care—Part 6, Section 3: adjuncts for oxygenation, ventilation, and airway control Resuscitation, 46 (2000), pp. 115–125
Further reading
- Ron Walls, Michael Murphy, Extraglottic devices, Manual of Emergency Airway Management, Lippincott Williams & Wilkins, 05.11.2012.
