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INTUBATION RELATED TRAUMA

The reason why you should use Genesis ETTs with posterior facing bevels and atraumatic tips. Genesis Airway thanks Airway On Demand for allowing us to use this instructional video

SECURE A NASAL AIRWAY SAFELY

HANG UP ON LARYNGEAL STRUCTURES WHILE ATTEMPTING INTUBATION

Genesis Airway thanks Airway On Demand for allowing us to use this instructional video demonstrating hang up on laryngeal structures whilst using an ETT with a lateral facing bevel – relieved by rotating the ETT 90° so that the bevel is posterior facing. The importance...

IMPORTANCE OF FIRST PASS INTUBATION OUT OF OPERATING THEATRES

These intubations are performed on often critically ill patients who have an additional aspiration risk. J.C. Sakles et al. 44 studied over a 4-year  period 1,828 orotracheal intubations in emergency departments Adverse Events (AEs)  included aspiration, oxygen desaturation, oesophageal intubation, hypotension, dysrhythmia, and cardiac arrest...

Historical Use of Nasal laryngeal Masks

Archie Brain is a British anaesthetist best known as the inventor of the laryngeal mask in 1981. The laryngeal mask airway has since been used over 300 million times worldwide in elective anaesthesia and emergency airway management. 1997 Marchionni,L. MD ;Agro, F. MD et al...

WHICH NOSTRIL TO INTUBATE?

Standard endotracheal tubes have flat left facing bevels with the tip on the right side. The turbinates are theoretically more at risk from damage when passing an endotracheal tube through the right nostril, and the septum with the left nostril . Studies have compared the...

COMPLICATIONS ARISING FROM THE BLIND PASSAGE OF AN ENDOTRACHEAL TUBE THROUGH THE NASOPHARYNX INCLUDE

-EPISTAXIS Epistaxis rate of 86% reported with nasal endotracheal intubation.16 -NASAL AND NASOPHARYNGEAL SOFT TISSUE MUCOSAL DAMAGE 3,4 -AVULSION OF A TURBINATE 5,6,7 – RETROPHARYNGEAL DISSECTION 10,48 – OBSTRUCTION OF ENDOTRACHEAL TUBE WITH AVULSED TISSUE. 7, 8, 9 – POST INTUBATION NASAL PAIN. – AUTONOMIC...

THE NASAL CYCLE

German physician Richard Kayser first described the nasal cycle in 1895. He observed the alternate congestion and decongestion of blood-filled erectile tissue in the nasal turbinates. The duration of this cycle ranges from 40 minutes to several hours in normal nasal passages and allows the...

STUDIES SUPPORTING GENESIS INNOVATIONS

a. Studies showing increased safety of using catheter/introducer guidance for nasotracheal intubation. 22,23,24,16,41 b. Studies showing increasing external diameter of the tube passing through the nasopharynx airway increases complications. 2,4,15 c. Study to show safety of reinforced tube in nasal endo- tracheal intubation compared to...