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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...

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Updated: May 12, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

[Preformed pediatric endotracheal tubes].

Masayuki Shibasaki1, Nobuaki Shime, Yasufumi Nakajima

  • 1Department of Anesthesiology, Kyoto Prefectural University of Medicine, Kyoto 602-8566.

Masui. the Japanese Journal of Anesthesiology
|April 3, 2013
PubMed
Summary

Preformed pediatric endotracheal tubes (PPETTs) show significant variability in design and features. Manufacturers should update PPETT specifications for improved patient safety and clinical consistency.

Area of Science:

  • Pediatric Anesthesiology
  • Medical Device Engineering
  • Airway Management

Context:

  • Preformed pediatric endotracheal tubes (PPETTs) are crucial for airway management in children.
  • Existing PPETTs exhibit considerable variation in critical design elements.
  • Standardization is lacking across different brands and manufacturers.

Purpose:

  • To meticulously evaluate the detailed specifications of preformed pediatric endotracheal tubes (PPETTs) with internal diameters ranging from 3.0 to 6.0 mm.
  • To identify and quantify variations in key dimensional parameters and features of PPETTs.
  • To assess the uniformity of design across various brands and manufacturers.

Summary:

  • Eighty PPETTs from 18 brands and 5 manufacturers were analyzed, with 30% being cuffed tubes.

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Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

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Last Updated: May 12, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

  • Significant variability was observed in tube tip to bent section distance, depth markings, Murphy eye configuration, and cuff dimensions.
  • No uniformity exists in the detailed specifications of PPETTs, including those with high-volume, low-pressure cuffs.

    • Impact:

    • Highlights critical inconsistencies in pediatric endotracheal tube design.
    • Underscores the need for updated manufacturing standards and product specifications.
    • Aims to improve the safety and reliability of airway management devices for pediatric patients.