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Tracheostomy Tubes

Tracheostomy tubes are medical devices inserted into a surgically created hole in the windpipe (trachea) to help maintain an open airway, facilitate breathing, and assist with the removal of secretions from the lungs. These tubes come in various sizes and designs to accommodate different patient needs.
1. Outer Cannula: This is the primary tube inserted into the tracheostomy stoma (the hole in the neck). It maintains the patency of the airway and prevents collapse. Outer cannulas can be made from various materials, including plastic or metal.
2. Inner Cannula: Many tracheostomy tubes have removable inner cannulas that sit inside the outer cannula. These can be easily cleaned or replaced, reducing the risk of blockages from mucus or debris. Some inner cannulas have a speaking valve to enable speech for patients with a tracheostomy.
3. Obturator: The obturator is a removable guide that aids in the insertion of the tracheostomy tube into the stoma. It is usually removed once the tube is in place.
Tracheostomy tubes serve various purposes:
Ventilation: They are commonly used in patients requiring long-term mechanical ventilation, such as those with respiratory failure or neurological disorders affecting breathing.
Airway Protection: Tracheostomy tubes can prevent aspiration of fluids or solids into the lungs, reducing the risk of aspiration pneumonia, particularly in patients with swallowing difficulties.
Secretion Management: The presence of a tracheostomy tube allows for easier suctioning of respiratory secretions, helping to maintain airway clearance and prevent infections.
Weaning from Ventilation: In some cases, tracheostomy tubes are used as a step towards weaning patients off mechanical ventilation by facilitating breathing trials and allowing for easier removal of secretions.
Facilitation of Speech: With appropriate attachments, such as speaking valves, some tracheostomy tubes enable patients to speak by directing airflow through the vocal cords.
Emergency Airway Access: Tracheostomy tubes may be used in emergency situations to establish a secure airway when traditional methods, such as endotracheal intubation, are not feasible.
Care and management of tracheostomy tubes are essential to prevent complications such as infections, tube displacement, and airway obstruction. Regular cleaning, suctioning, and monitoring for signs of complications are necessary aspects of patient care.

Double Luman Endobronchial Tube

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Double Luman Endobronchial Tube
  • Double Luman Endobronchial Tube
  • Double Luman Endobronchial Tube
  • Double Luman Endobronchial Tube
  • +1 Double Luman Endobronchial Tube
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Approx. Rs 3,199 / PieceGet Latest Price

Product Brochure
Product Details:
Minimum Order Quantity10 Piece
Patient TypeAdult
Cuff TypeCuffed
MaterialSilicone
BrandRusch
Model Name/Number116100
ApplicationHospital
SteribilitySterile
ColorWhite transparent
Country of OriginMade in India

Double Lumen Endobronchial Tube (DLET)
A double lumen endobronchial tube (DLET) is a sophisticated medical device designed to facilitate one-lung ventilation (OLV) during thoracic surgeries. It consists of two lumens, allowing independent ventilation and collapse of each lung. This enables surgeons to operate on one lung while maintaining ventilation in the other, improving surgical exposure and reducing the risk of contamination from the non-operative lung.
Components:Main Lumen: Responsible for ventilating the main bronchus of the lung undergoing surgery.Bronchial Lumen: Placed within the main lumen, responsible for ventilation of the non-operative lung.Cuff: Inflatable cuffs seal each lumen independently to prevent air leakage and ensure effective lung isolation.Carina Mark: Indicates the correct positioning of the tube at the carina for optimal lung isolation.
Placement and Positioning:
Fiberoptic Bronchoscope Guidance: Placement of DLET often requires fiberoptic bronchoscope guidance to ensure accurate positioning.Selective Bronchial Intubation: The tube is advanced until the bronchial cuff is wedged into the non-operative bronchus, while the main lumen remains positioned in the operative bronchus.Verification: Fiberoptic visualization confirms proper positioning at the carina and adequate isolation of the lungs.
Clinical Applications:
Thoracic Surgery: Commonly used during thoracic surgeries such as lobectomy, pneumonectomy, or thoracoscopic procedures requiring lung isolation.Management of Lung Pathologies: Facilitates differential lung ventilation in patients with unilateral lung pathologies like lung cancer, abscesses, or trauma.Compromised Airway Situations: Useful in managing complex airway cases where lung isolation is necessary for ventilation or protection against aspiration.Respiratory Distress Syndromes: Can be employed in managing conditions like unilateral pneumonia or acute respiratory distress syndrome (ARDS).

Advantages:Improved Surgical Exposure: Allows surgeons to operate in a clear field by collapsing the non-operative lung.Reduced Risk of Contamination: Minimizes the risk of contamination from blood or fluids in the non-operative lung.Optimized Ventilation: Provides better control over ventilation and oxygenation during OLV, ensuring adequate gas exchange.Enhanced Patient Safety: Facilitates precise management of lung ventilation, reducing the risk of complications such as hypoxemia or barotrauma.

Considerations and Complications:Skill-Dependent Placement: Proper placement requires expertise and may pose challenges, especially in patients with distorted airway anatomy.Lung Trauma: Improper placement or manipulation can cause trauma to the tracheobronchial tree.Cuff-Related Complications: Overinflation of cuffs can lead to mucosal damage or pressure necrosis.Asymmetric Lung Collapse: Inadequate lung isolation may result in incomplete collapse of the non-operative lung, compromising surgical exposure.

Conclusion:The double lumen endobronchial tube is a valuable tool in thoracic anesthesia, enabling precise control over lung ventilation and facilitating complex thoracic surgeries. Its design and functionality contribute to improved patient outcomes and surgical success in a variety of clinical scenarios necessitating lung isolation.
This overview encapsulates the essential aspects of double lumen endobronchial tubes, including their components, placement, clinical applications, advantages, considerations, and potential complications.

Additional Information:

  • Production Capacity: 100000
  • Delivery Time: 7-10 Days
  • Packaging Details: Sterile, individually packed in a box.
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