Artificial Ventilation Via A Tube

A tube can be used to keep the airways open and to ventilate a patient. Learn more about it!

Artificial ventilation through a tube

A tube is used when the patient is no longer able to breathe independently. You will never use it yourself, but you may have already been ventilated through it without knowing what it is actually about. Today you will find out more.

How is the tube used?

The tube is usually inserted through the mouth or nose to make sure the airway is open and the patient can breathe properly.

Typically, this type of tube is used when a patient is being treated under general anesthesia, is in an intensive care unit, needs artificial ventilation, or has a problem that affects the airways.

Some studies describe this procedure as “invasive mechanical ventilation”. The reason for this definition is that the airways are forced by the tube to open even when they are closed due to the stress that the patient may experience.

However, in many situations, prior to insertion, it is necessary to use medication that will relax the muscles of the area to allow access for the endotracheal tubes.

How is the tube composed?

The endotracheal tubes or invasive mechanical ventilation systems consist of different parts. These are:

  • Connection : It is the part that is between the hose and the breathing mask. We could also define it as a mouthpiece and it is the counterpart of the part that is inserted into the airway.
  • Body : is the main part of the endotracheal tube that allows air to pass through. It usually also has a light so doctors can see if they are properly inserting the instrument through the windpipe.
  • Balloon : Located near the “junction”, it is usually of a custom and ergonomic design to facilitate intubation. This part of the tube reduces pressure on the walls of the windpipe. It is usually used in children.

Different types

There is not just one type of tube, there are different types. Let’s look at some of these and their properties.

  • Single lumen endotracheal tube: sterile device made of polyvinyl chloride or silicone. It can be administered orally or nasally, and anesthesia may be required to improve the patient’s intubation tolerance. He has a high volume, low pressure ball.
  • Endotracheal tube double lumen: ideal for patients with a lung disease, so that independent lung ventilation is possible, ie ventilation of only one lung.
  • Special endotracheal tube: There are several types, such as those that are resistant to lasers, spiral tubes with wire reinforcement in the tube wall, clamping or preforms for neurosurgical procedures, …
  • Hose with additional connection : Allows the administration of medication that is necessary for the patient in an emergency situation, e.g. B. Anesthesia or relaxation agent to facilitate the passage of the tube through the airways.

As we can see, there are different types of tubes that can meet the needs of each patient at any given time.

Patient needs tube

Please pay attention to

Knowing how to properly place an endotracheal tube is something that even emergency room professionals need to be very good at in order not to injure the patient. Failure to follow the correct steps can endanger the patient’s life. So it’s far from easy.

First of all, you should never force a tube in. If the airway prevents insertion, for example due to tension or movement of the patient, some calming or relaxing measure must be taken to avoid damaging the trachea walls.

Even professionals who perform this type of procedure need to do it with precision, speed and skill. They should also know what type of probe the patient needs to avoid wasting time.

Now you know a little more about medical treatment that we hope you never need. But now that you know more, you can approach the matter a little more calmly, even in the event of an emergency.

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