Cite this post as:
Scott Weingart, MD FCCM. A novel set-up to allow suctioning during direct endotracheal and fiberoptic intubation. EMCrit Blog. Published on October 16, 2011. Accessed on April 19th 2024. Available at [https://emcrit.org/emcrit/ett-as-suction-device/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: October 16, 2011
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
You finished the 'cast,
Now Join EMCrit!
As a member, you can...
- Get CME hours
- Get the On Deeper Reflection Podcast
- Support the show
- Write it off on your taxes or get reimbursed by your department
.
Get the EMCrit Newsletter
If you enjoyed this post, you will almost certainly enjoy our others. Subscribe to our email list to keep informed on all of the Resuscitation and Critical Care goodness.
This Post was by the EMCrit Crew, published 13 years ago. We never spam; we hate spammers! Spammers probably work for the Joint Commission.
What an elegant solution!
Neat. I’ve just raided paeds ward for the kit I need and am looking to wet test this tonight.
Bloody brilliant, thanks!
Tim Leeuwenburg
Kangaroo Island, South Australia
Very nice. In the case of an unacceptably soiled tube, a simple tube exchange with a bougie could be coordinated.
Brilliant!
Tim, Jeff, Chris-much thanks for the kind words!
If I could be so bold as to adapt your career goal to my current setting, I want to bring upstairs care out to the streets in the back of my ambulance. I am definitely going to have this set-up in the back of my box and will reccomend it to my fellow medics at the department.
Thanks for all you do!
Aaron
Gathered these two parts the other day and tested it. Worked as advertised/expected. Very cool.
glad it worked for you
Ok Uber cool! Had a crew the other day who tubed a roadside cardiac arrest who had some type of pulmonary infection history. 3 secs into ventilating the patient copious amounts of blood came up the tube and they had a heck of a time keeping up with the blood with regular suction caths.Will add to the arsenal of airway management
Nice! Send me a couple of samples if you want me to give it a try.
I love this idea and have been trying to translate this into an ambulance/prehospital version (we don’t have bronc adapters on the ambulance). I’ve found that a regular stylet can be threaded through the finger opening of the meconium aspirator and the port can be occluded by threading the foam part of a mucosal atomizer over the end of the stylet. This allows the pt to be suctioned on and off at will. @MedicMurray
I found that using the rubber light blue stopper from the pedi glass plasma vacutainers fits perfectly into the hole to occlude, thereby allowing you to focus on holding the ET tube with continuous suction via the aspirator, in case there isn’t an extra set of hands to help.
brilliant!
me likey
Can this setup be configured with the glidescope and its proprietary rigid stylet?
bet it could, but need to cut the tube–and proviso: never tried this
Brillant idea. However I have got some pratical difficulties implementing this at our german hospital. Sontek Medical doesn`t seem to produce these particular swivel adapters anymore. On their webpage, they offer three different types (www.sontekmedical.com) and I’m unsure which one to use. Additionally, I haven’t found anything like it from a german/european provider. Can you help me out?
doesn’t need to be brand specific. any bronch port will work. use the ones that resp already has in your hospital. if you have a pulmonary service, these are already there. for the sontek page, either suction or bronch versions would work.