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A device called the
Positube, which allows for esophageal intubation detection, can be used on tube number two to rule out the intubation of the Combitube in the trachea. The Positube checks for air flow resistance on tube number two and is very helpful in checking proper Combitube placement when
172:
The
Combitube's ease of use makes it an option for use in the pre-hospital, emergency setting when advanced level providers capable of placing an endotracheal tube are not immediately available. The drawbacks of Combitubes are evidenced by reports of serious complications such as aspiration,
274:
Hagberg, Carin A.; Vartazarian, Tigran N.; Chelly, Jacques E.; Ovassapian, Andranik (2004). "The incidence of gastroesophageal reflux and tracheal aspiration detected with pH electrodes is similar with the
Laryngeal Mask Airway® and Esophageal Tracheal Combitube® — a pilot study".
165:. When intubating with a traditional endotracheal tube, care must be taken to visually ensure that the tube has been placed in the trachea while the dual-lumen design of the Combitube allows for ventilation to proceed regardless of esophageal or tracheal placement.
184:
for situations where intubation attempts are unsuccessful since the year 2000, it is seldom used outside of the pre-hospital, emergency setting, as it does not allow for long term airway control. Alternatives to the
Combitube include the
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679:
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Vézina, Marie-Claude; Nicole, Pierre C.; Trépanier, Claude A.; Lessard, Martin R. (2005). "Retrospective study of complications associated with the combitube®".
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Zamora, Jorge E.; Saha, Tarit K. (2008). "Combitube™ rescue for cesarean delivery followed by ninth and twelfth cranial nerve dysfunction".
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142:, where the cuff is inflated and ventilation is provided through the proximal tube (tube one, blue) which opens at the level of the
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150:, ventilation is provided through the distal tube. Inflation of the cuff in the esophagus allows a level of protection against
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It consists of a cuffed, double-lumen tube that is inserted through the patient's mouth to secure an airway and enable
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Latorre, Francisco; Nolan, Jerry; Robertson, Colin; Chamberlain, Douglas; Baskett, Peter (2001).
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114:(BIAD) used in the pre-hospital and emergency setting. It is designed to provide an
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esophagus perforation and cranial nerve dysfunction associated with their use.
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The simplicity of placement is the main advantage of the
Combitube over
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esophageal tracheal airway, esophageal tracheal double-lumen airway
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146:. In the rare instance where the distal tube intubates the
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176:While it has been suggested as an option by the
154:of gastric content similar to that found in the
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182:European Resuscitation Council
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760:Advanced cardiac life support
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355:10.1016/s0300-9572(00)00379-8
112:blind insertion airway device
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766:Advanced trauma life support
749:Mouth-to-mouth resuscitation
498:Pediatric emergency medicine
882:Emergency medical equipment
389:Ron Walls, Michael Murphy,
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468:Emergency medical services
178:American Heart Association
104:esophageal tracheal airway
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643:Epinephrine / Adrenaline
163:endotracheal intubation
120:mechanical ventilation
824:Injury Severity Score
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568:Intraosseous infusion
187:laryngeal mask airway
76:laryngeal mask airway
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478:Emergency psychiatry
463:Emergency department
413:Combitube Intubation
391:Extraglottic devices
124:respiratory distress
580:Tracheal intubation
574:Intravenous therapy
130:Description and use
102:—also known as the
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223:References
193:, and the
152:aspiration
738:First aid
623:Adenosine
590:Combitube
564:(ECG/EKG)
528:Equipment
140:esophagus
100:Combitube
47:Specialty
22:Combitube
843:Category
804:(CCrISP)
648:Naloxone
638:Dopamine
633:Atropine
318:: A125.
297:15010407
261:19138919
201:See also
37:Synonyms
855:Outline
780:(ACoRN)
726:Courses
373:9632405
217:Airtraq
148:trachea
798:(ALSO)
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518:Triage
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189:, the
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110:—is a
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576:(IV)
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180:and
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