1. Suitable for both oral and nasal intubation.
2. Tip-to-Tip X-ray line allows for safe positioning control.
3. Murphy eye incorporated as an additional safety feature.
4. Smooth bevelled and carefully moulded hooded tip to assist intubation and to provide high patient safety and comfort.
5. High volume/low pressure cuff helps to ensure an efficient low pressure cuff seal, for intubation during long term ventilation.
6. Intubation depth marks and pre-mounted 15 mm connector.

Intubation:

• During intubation, a physician usually stands at the head of the bed looking towards the patient's feet and with the patient lying flat. The positioning will vary depending on the setting and whether the procedure is being done with an adult or child. With children, a jaw thrust is often used.
• The endotracheal tube with the assistance of a lighted laryngoscope (a Glidescope video laryngoscope is particularly helpful for people who are obese or if a patient is immobilized with a suspected injury to the cervical spine) is inserted through the mouth (or in some cases, the nose) after moving the tongue out of the way.
• The scope is then carefully threaded down between the vocal cords and into the lower trachea. When it's thought that the endotracheal tube is in the proper location, the doctor will listen to the patient's lungs and upper abdomen to make sure that the endotracheal tube was not inadvertently inserted into the esophagus.
• Other signs that suggest the tube is in the proper position may include seeing chest movement with ventilation and fogging in the tube. When a doctor is reasonably sure the tube is in position, a balloon cuff is inflated to keep the tube from moving out of place. (In infants, a balloon may not be needed). The tube is then taped to the patient's face.

A cuffed oral endotracheal tube is a type of endotracheal tube that is inserted through the mouth and advanced into the trachea for airway management and mechanical ventilation. It includes an inflatable cuff near the distal end of the tube.

Here are some important points to know about cuffed oral endotracheal tubes:

Design: Cuffed oral endotracheal tubes are typically made of flexible plastic or silicone material. They have a beveled tip to facilitate insertion through the mouth and into the trachea. The cuff is located near the distal end of the tube and can be inflated to create an airtight seal within the trachea.

Cuff inflation: The cuff of a cuffed oral endotracheal tube is inflated to create a seal within the trachea, which helps prevent air leakage and reduces the risk of aspiration. The cuff is usually inflated with air using a syringe, and the pressure is monitored to ensure it remains within the recommended range.

Advantages: Cuffed oral endotracheal tubes offer several advantages, including improved ventilation control, reduced risk of aspiration, and the ability to provide positive pressure ventilation. They are commonly used in adult patients requiring mechanical ventilation, particularly in critical care settings.

Considerations: Proper cuff inflation and monitoring are crucial when using a cuffed oral endotracheal tube. Overinflation can lead to potential complications such as tracheal damage, while underinflation may result in air leakage and inadequate ventilation. Regular monitoring and adjustment of cuff pressure are necessary to maintain an appropriate seal and minimize complications.

The specific steps for using a cuffed oral endotracheal tube involve similar principles to other oral intubation techniques. These include preoxygenation, pre-medication, visualization of the vocal cords using a laryngoscope, insertion of the tube through the mouth and into the trachea, confirmation of proper tube placement, and securing the tube.

It's important to note that the use of a cuffed oral endotracheal tube should be determined based on the patient's specific needs, clinical condition, and the healthcare provider's judgment. Healthcare professionals trained in airway management should follow established protocols and guidelines when using cuffed oral endotracheal tubes to ensure patient safety and effective ventilation.

Verifying Proper Placement:

1. Once the tube is in place, it's important to verify that it is truly in the proper location to ventilate the patient's lungs. Improper positioning is particularly common in children, especially children who have experienced trauma.
2. In the field, paramedics have a device that allows them to determine if the tube is in the correct position by a color change.In the hospital setting, a chest X-ray is often done to ensure good placement, though a 2016 review suggests that a chest X-ray alone is inadequate, as is pulse oximetry and physical examination.
3. In addition to directly visualizing the endotracheal tube pass between the vocal cords with a video laryngoscope, the authors of the study recommended an end-tidal carbon dioxide detector (capnography) in patient's that had good tissue perfusion, with continued monitoring to make sure the tube does not become displaced.
4. In the setting of a cardiac arrest, they recommended using ultrasound imaging or an esophageal detector device.