Combitube Insertion Demo

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Uploaded by on Jul 3, 2008

Insertion of a combitube (non-visualized airway) into a manikin. Created by EPS411.com and Advanced Professional Healthcare Education. (more)

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Education

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  • Very good demonstration, thank you!

    

  • I can drop a Combitube, inflate both cuffs, and ventilate in 11 seconds flat.

  • Before giving ventilation on the blue, you need to see if the test was negative or positive, in order to use the right tube to ventilate, that will prevent gastric distension in the stomach..

  • @Jrobertsmusickid Twisting OPA on the way out is not necessary. It can slide out in the position it is in.

  • Our Medical Director won't let us use those, b/c two patients died even after proper insertion of the tube.

    Their deaths were directly related to complication with the tube, so Dr. C won't let us use them.

  • You Need To have some one ventilating the patient while you set up the combi tube

  • You only take your hand off the tube once you have it properly secured with a tube holder. Even then, just as with an ET tube, you need to verify proper tube placement every time the patient is moved and any time there's a sudden change in vitals.

  • RUFFIAN SAID: "if lung sounds are not heard when ventilating though the longer Blue tube then it´s in the esophagus.." Wrong.... Usually the combitube´s tip will go into the esophagus so, in almost all insertions U will be able to ventilate though the longer, blue tube (marked # 1). Now, if U get really lucky, the tube´s tip will go into the trachea (really rare to happen), so U will be able to ventilate though the clear, short tube (marked # 2).

  • until when does it matter to keep you non-dominant hand on the tube?

  • Ruffian is correct. Here in Virginia, the EMT-B can use the Combitube aslong as they are signed off by the OMD in which agency they are working/volunteering for. There are only a handfull that are able to use the combitube at the EMT-B level. I was able to when I was just a basic. Much more toys to play with now since I became a Medic.

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