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EVOLUTION OF GENESIS AIRWAYS

The trauma that current methods of nasotracheal intubation can cause to the patient’s nasal passage is extensive, and the complexity of this technique for medical professionals can be frustrating, particularly in emergency trauma situations

The solution was the development of safer, simpler and more secure methods of intubation.

Dr Vernon Vivian was shown how to insert the end of an endotracheal tube into the flute of a red rubber catheter to reduce the complications and make nasal passage easier. The drawback was the thick wall of the catheter adding to the external diameter of the tube which can add to trauma.

The solution was the OBTURATING INTRODUCER FOR A NASAL ENDOTRACHEAL TUBE.

It then became apparent that if you could secure the airway by the oral route, which all anaesthetists are accustomed to, then the nasal airway could be secured in a safe, controlled manner. Using the introducer and a further length of flexible reinforced airway tubing, the method of retrograde nasal intubation allowed the oral airway to be changed to a nasal airway.

Consequently, the NASAL LARYNGEAL MASK and the INTERCHAGEABLE ORAL/NASAL ENDOTRACHEAL TUBE were developed.

COMPLICATIONS OF NASAL ENDOTRACHEAL INTUBATION

DR.VERNON.VIVIAN is a GP Anaesthetist who has been based in Queensland, Australia for the past 15 years. He graduated from the Godfrey Huggins Medical School in Zimbabwe in 1984. Most of his career has involved emergency medicine, anaesthesia and retrieval medicine. Some of the highlights of his career have been his involvement in Medical Air Rescue Services (MARS) in Victoria Falls and Harare (Zimbabwe), and his years in the emergency and trauma departments in the hospitals of some of the most volatile areas in South Africa.

GREG MURRAY is an entrepreneur and experienced SME start-up executive. With businesses ranging from safari operations in Africa to global distribution, Greg has an impressive track record for both starting up and actively running a number of successful ventures. Greg and Vernon met in Victoria Falls in Zimbabwe in the early 90’s and have been friends for over 25 years.