HENAN AILE INDUSTRIAL CO., LTD is a company for operating medical disposables, and the Endotracheal Tube, which has star lumen tubing and tip-to-tip X-ray line allows for safe positioning control, is one of our productions.

The Nasal Endotracheal Tube is a method of inserting a special endotracheal tube into the trachea or bronchus through the mouth or nasal cavity, And it has different size to adapt to different medical needs,including 2.0mm to 10.0mm.

A nasal endotracheal tube is a type of medical device used for airway management. It is inserted through the nostril and advanced into the trachea to secure the airway and facilitate mechanical ventilation.

Nasal endotracheal tubes are commonly used in various clinical settings, including operating rooms, intensive care units, and emergency departments. They are typically made of flexible plastic or silicone material and come in various sizes to accommodate different patient populations, ranging from infants to adults.

These tubes have several important features, including:

• Connector: The tube has a connector at one end that allows it to be attached to the anesthesia or ventilator circuit.
• Cuff: Many nasal endotracheal tubes have an inflatable cuff around the distal end. The cuff is inflated once the tube is in the proper position to create an airtight seal within the trachea, preventing air leakage and reducing the risk of aspiration.
• Pilot balloon: Tubes with cuffs usually have a pilot balloon attached to the cuff, which allows for monitoring and adjusting the cuff pressure.
• Murphy eye: The distal end of the tube often has a small opening called a Murphy eye. This opening provides an alternate pathway for airflow in case the main opening gets obstructed.

The choice of using a nasal endotracheal tube depends on the clinical situation, patient factors, and the medical professional's judgment. Nasal intubation may be preferred in certain cases, such as facial trauma, oral surgery, or when oral intubation is challenging or contraindicated.

It's important to note that the use of medical devices, including nasal endotracheal tubes, should be performed by trained healthcare professionals following appropriate protocols and guidelines to ensure patient safety and optimal airway management.

How to use the nasal endotracheal tube?

The use of a nasal endotracheal tube involves a series of steps that should be performed by trained healthcare professionals. Here is a general overview of the process:

Preparations:

Gather the necessary equipment, including the appropriate size nasal endotracheal tube, laryngoscope, stylet (if needed), lubricant, suction device, and securing materials (e.g., tape or tube holder).
Ensure that the patient is properly positioned, usually in a supine position with the head slightly extended.

Preoxygenation:

Administer supplemental oxygen to the patient via a mask or other means to optimize oxygenation before intubation.

Pre-medication:

If necessary, administer appropriate medications to induce sedation and/or paralysis as per the patient's condition and medical guidelines.

Nasal intubation:

• Apply a water-based lubricant to the nasal endotracheal tube to facilitate insertion.
• Select the appropriate nostril for intubation based on the patient's anatomy and any contraindications (e.g., nasal obstruction, facial trauma).
• Gently insert the tube through the chosen nostril, advancing it along the floor of the nasal cavity while applying slight upward pressure to follow the natural curvature of the airway.
• Use a laryngoscope (with or without a stylet) to help guide the tube through the nasal passages and into the trachea.
• Monitor the patient's vital signs and oxygen saturation throughout the intubation process.
• Once the tube reaches the desired depth, inflate the cuff with an appropriate volume of air, as recommended by the manufacturer or medical guidelines, to create an airtight seal.
• Confirm proper tube placement using clinical indicators (e.g., bilateral breath sounds, chest rise, capnography) and, if available, confirm with a chest X-ray.

Securing the tube:

Secure the nasal endotracheal tube in place using tape, a tube holder, or other appropriate methods. Care should be taken not to cause undue pressure on the nasal bridge, which can lead to skin breakdown.

Post-intubation care:

Connect the endotracheal tube to the anesthesia or ventilator circuit.
Confirm proper ventilation and adjust ventilator settings as needed.
Maintain appropriate cuff pressure and monitor it regularly.
Provide ongoing monitoring of the patient's vital signs, oxygenation, and ventilation.