Difficult Airway ETT

PRODUCT FEATURES

Designed by clinicians to simplify intubation through a supraglottic airway device (SAD) or for awake fibreoptic nasal intubation
No disruption to ventilation due to one patent airway tube
Uniquely sized at 50cm to allow excess tube length to support safe removal of SAD over ETT
No risk of disconnection during SAD removal as no stabilizing rod required
Extra long pilot line to prevent pilot balloon getting stuck at proximal end of SAD on removal
Insert onto standard bronchoscope for fibreoptic nasal/oral intubation. Advance ETT off the bronchoscope once confirmed trachea placement
Available in PVC or PVC/Reinforced
Available in box of 10 or as single items for Difficult Intubation & Resuscitation Trolleys
Genesis Airway Features:
- Posterior facing bevel
- Soft, curved, atraumatic tip
- High volume low pressure cuff
Product Inclusions:
- 1 x Difficult Airway ETT with non bonded 15mm connector
- 2 x Spare 15mm ISO connector
- 1 x Tube to tube rescue connector (Bailey’s manoeuvre)
- 1 x 10cm marked PVC tube for ETT depth assessment prior to removal of SAD

BENEFITS of the DA-ETT vs OTHERS

Faster, Easier & Safer.

	DA-ETT	AINTREE INTUBATING CATHETER (AIC)	FASTRACH ETT + STABILIZER ROD
Ventilation maintained until LMA removed	YES	NO -routine ventilation not recommended due to risk of barotrauma.	NO
Risk of hypoxia	MINIMAL	PRESENT	PRESENT
Visual confirmation of ETT tube tip maintained while LMA removed	YES	NO	NO
Steps required until LMA removed	+	+++ After LMA removed an ETT still needs to be railroaded over AIC into trachea	+++ After LMA removed an ETT still needs to be railroaded over AIC into trachea
Risk of tube migration	MINIMAL	MINIMAL	POSSIBLE – Part of procedure is blind.
Risk of disconnection	NIL – entire procedure over one long tube	NIL- entire procedure over one long tube	YES- risk of ETT disconnecting from stabilizer rod.
Time to completion of intubation through LMA /steps required.	+	+++	++
Trauma related to procedure.	Minimal – achieved under direct vision. ETT with posterior facing bevel.	Use of an AIC has a recognised morbidity and mortality	Minimal
Size limit of ETT	MAXIMUM – ID 9 mm – limited by airway tube diameter of LMA used. MINIMUM – ID 2mm – limited by the external diameter of paediatric bronchoscopes.	MAXIMUM – no limit MINUMUM – ID 7mm ETT limited by the external diameter of the AIC	MAXIMUM – ID 9 mm – limited by airway tube diameter of LMA used. MINIMUM – ID 2mm – limited by the external diameter of paediatric bronchoscopes.
Suitable for long term intubation	Yes – Cuff of FOB-ETT high volume low pressure.	Yes	No – high pressure low volume cuff used
Use in paediatric patients.	YES	NO	YES
Use in tall adults	YES	NO – AIC has found to be too short to use in tall adults	YES
Risk of aspiration	Minimal – the airway is protected by the LMA until the ETT is in trachea.	NO – AIC has found to be too short to use in tall adults	Minimal – the airway is protected by the LMA until the ETT is in trachea.

SIMPLIFIED INSTRUCTIONS

Choose correct ETT size for patient to fit down SAD
Use a bronchoscope to guide ETT down SAD until correct depth through vocal cords
Inflate ETT cuff, remove bronchoscope, confirm ETT placement and ventilate down ETT
Instruct assistant to stabilize ETT while the SAD is removed from oropharynx
Remove 15mm connector from ETT and completely remove SAD
Cut ETT to desired length and reconnect 15mm connector, connect oxygen supply, reconfirm ETT placement and continue to ventilate

Your Lateral Medical sales representative will discuss education around this device. Please note the above instructions are only a guide and patient specific airway planning must be undertaken by the health care professional.

SIZE | DEVICE | CODE

SIZE	DEVICE	CODE
6.0	PVC	DAPVC60
6.5	PVC	DAPVC65
7.0	PVC	DAPVC70
7.5	PVC	DAPVC75
8.0	PVC	DAPVC80
6.0	Reinforced	DARF60
6.5	Reinforced	DARF65
7.0	Reinforced	DARF70
7.5	Reinforced	DARF75
8.0	Reinforced	DARF80

Size of Laryngeal Mask Airway

DEPTH TO INSERT ETT IN LMA BEFORE INSERTION OF BRONCHOSCOPE

Size of LMA	AIR-Q Depth of insertion of endotracheal tube In AIR-Q before inserting Intubating Bronchoscope (cm)	I-GEL Depth of insertion of endotracheal tube in I-GEL before inserting Intubating Bronchoscope (cm)
		ARROW INDICATES WHERE THE DEPTH (cm) OF THE ENDOTRACHEAL TUBE IS MEASURED BEFORE THE INTUBATING BRONCHOSCOPE IS INSERTED
#5	19.5cm	20.5cm
#4	17.5cm	19.5cm
#3	16.5cm	18.5cm