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DIFFICULT

INTUBATION
UCSD Difficult Airway Cart
UCSD Difficult Airway Cart

Top: Bronchoscopes, suction, light


source, video head, monitor, VCR
1Drawer One: Preps
2Drawer Two: Laryngeal mask
airways, suction catheters, Yankauer
tip
3Drawer Three: Blades, handles, and
Combitube
UCSD Difficult Airway Cart
4Drawer Four: Retrograde set
and transtracheal jet ventilation
(TTJV)
5Drawer Five: Airways and tube
exchangers
6Drawer Six: Endotracheal tubes
and lighted stylets
7Drawer Seven: Masks, specialty
blades, and miscellaneous
Top: Bronchoscopes, suction, light
source, video head, monitor, VCR
2Drawer Two: Laryngeal mask airways,
suction catheters, Yankauer tip
3Drawer Three: Blades, handles,
and Combitube
4Drawer Four: Retrograde set and
transtracheal jet ventilation (TTJV)
5Drawer Five: Airways and tube
exchangers
6Drawer Six: Endotracheal tubes
and lighted stylets
7Drawer Seven: Masks, specialty
blades, and miscellaneous
The Portex Endotracheal Tube
Introducer (bougie)
Introduction
Indications:
Procedure:
Portex single use Endotracheal
Tube Introducer,
Coud Tip,
15 inch, 600mm
Introduction:
The Portex re-usable Endotracheal Tube
Introducer (also called a bougie) is an adjunct for
difficult endotracheal intubations.
Indications:
For directional control during routine or difficult
endotracheal intubation when the laryngeal inlet cannot
be completely seen.
Precautions:
Excessive force, passage beyond the carina, or blind
introduction may result in soft tissue damage or may
cause rupture of the bronchus.
The endotracheal tube should not be threaded over the
introducer without the laryngoscope in place.
Tracheal Tube Intubation Stylets

Laerdal Trachlight Wand


Light guided intubation- a
bright alternative to difficult
and routine intubations.
Versatile, can be used for oral
and nasal intubation.
Verification of appropriate
tube tip position in trachea.
The TrachLight handle is
compatible with all wands.
Portable, self-contained unit
is battery powered (3 AAA
batteries not included). Two
piece design makes it easily
carried and stored.
POLIO LARYNGOSCOPE
CLM LARYNGOSCOPE
SHERIDAN TUBE CHANGER
LMA
LMA
COMBITUBE
COMBITUBE
CO2 ANALYSER
CO2 ANALYSER
CO2 ANALYSER
PATILSYRACUSE MASK

SUCTION CATHETER
Brunswick EOA
RETROGRADE INSERTION SET
RETRO GRADE ANAESTHESIA
FIBROPTIC BRONCHOSCOPE
Video head for FOB
BULLARDS LARYNGOSCOPE
LIGHTED STYLET INTUBATION

SEARCH LIGHT
LARYNGEAL TUBE
A) Teeth marks
- thick middle line
for orientation
B) Ventilation hole
- lies in front of
the larynx for efficient
ventilation
C)Pharyngeal Cuff
- stabilizes tube
D) blocks entry of
Oesophagus
- no ventilation
into stomach
LARYNGEAL TUBE
LARYNGEAL TUBE
The VBM LT is an alternative to
ventilation with a face mask, Laryngeal
Mask or to Endotracheal Tube provided
there is no risk of regurgitation.
Intubation is not necessary Due to the
short tube and S-shape
- intubation into traquea is impossible
- a blind intubation is possible
without any instruments
- no irritation of vocal cords and
trachea Both cuffs
- are high volume low pressure
which adjust to the anatomical
situation
ENDOSCOPY MASK

babies children adults


Triple Endoscopy Access Airway (TEAA
& Difficult Intubation Airway (DIA)
The WuScope securing loop is used to
secure the WuScope flexible fiberscope and
rigid blade portions together after the
WuScope is assembled.
medical plastic and stainless steel
construction.
delivered nonsterile, two Loops per pack.
compatible with common
disinfecting/sterilizing agents, e.g., 2% Cidex
or 70% alcohol at room temperature.
reusable up to 20 ~ 30 times.
discard when there is visible wear (e.g.,
cracks in the plastic) or if the loop becomes
too loose.

WUSCOPE
WUSCOPE
1. Assemble the WuScope
as directed in the
WuScope Instruction
Manual. Hold the
WuScope with the left
hand. Hold the Loop at
the tag with the right
thumb and index finger
(Important: the front
side of the Loop should
face up. Refer to Front
View of Loop above).

2. Thread the distal blade


through the lower loop.
Move the Loop upward
towards the proximal
portion of the WuScope.
WUSCOPE
3. Continue moving
the Loop upwards,
past the handle
portion, towards the
extender and
fiberscope.
4. Move the lower loop
above the upper edge
of the handle. Hold
the handle with the
right hand and the
Loop with the left
hand as shown
WUSCOPE
5. Hook the upper
loop onto the
venting connector
of the fiberscope.
6. Figure 6 shows
the upper loop
securely hooked on
to the venting
connector.
WUSCOPE
7. Pull the tag down
towards the reference
line on the handle.
8. Lock the Loop by
guiding the lower loop
into the reference line
trough on the handle.
Tip: simultaneously
pushing down the
lower loop with your
left thumb and fingers
as you pull the tag
downward with your
right hand (not shown
in Figure 8).
WUSCOPE
9. Figures 9a, 9b,
& 9c show the
WuScope with
Securing Loop
when properly
assembled
QUICK-
TRACK
MANCATH
MANUJET-III

for adults, 13G for children, 14G


for babies, 18G/16G
JET VENTILATION
ThisCatheter was developed for
transtracheal Jet-Ventilation and
opens up many possibility in the
anaesthetic field as well as in
emergency casses. The Jet-
Ventilation Catheter in three
sizes, for babies, children and
adults, is a real alternative for
endotracheal intubation and
tracheostomy.
JET VENTILATION
A) 10ml Syringe
B) Luer-Luck
connection-
C) 15mm Connection

D) Fixation Flange-

E) the Teflon-Cannula

F) two lateral eyes

G) the Puncture
Needle with the trocar
end
Manual Jet Device
The Manual Jet
Device for
difficult Airway
Management
specially made for
jet Ventilation in
circumstances of
problem airways
and can be used in
areas that have a
high pressure
oxygen air outlet.
Emergency Cricothyrotomy
Incase of an
obstruction
of the upper
airway the
"Quicktrach"
allows a
quick and
safe access
for
1- The removable stopper prevents a
too deep insertion and avoids the
possibility of perforating the rear
tracheal wall.
2- The conical needle tip guarantees
the smallest necessary stoma and
reduces the risk of bleeding.
3- The syringe helps to hold the
"Quicktrach" steady during skin
puncture and allows identification of
the trachea by aspirating air.
The I.D. of 4 mm for adults and 2mm
for children allows an adequate
ventilation even with a resuscitation
Sequential Portex Perc Tracheostomy kit
One-step Portex Perc
Trachoestomy kit
TRACHEOSTOMY SET