Entubation

RE: Entubation

mariette asselbergs — Fri, 05 Aug 2016 14:00:28 GMT

Anybody using a Vgel tube in cats?

Mariette

RE: Entubation

Neil Wheadon — Fri, 05 Aug 2016 00:36:49 GMT

[quote user="Kate Richardson"]We don't use cuffed tubes in cats at all, can usually get a 5 down most cats if you give plenty of time (1 minute) post laryngeal lidocaine and deep enough induction[/quote]

I do the same, always using an uncuffed larger tube when available for cats (for dentals I pack the throat tightly) Like Martin I have only heard of one split trachea with a cuff.

Try blowing down a 2.5 tube and then a 5, then imagine a cat trying to push air through that smaller one, it's a favourite of mine for vet students.

Neil

RE: Entubation

Kate Richardson — Thu, 04 Aug 2016 21:46:14 GMT

We don't use cuffed tubes in cats at all, can usually get a 5 down most cats if you give plenty of time (1 minute) post laryngeal lidocaine and deep enough induction

RE: Entubation

Emily Rainbow — Thu, 04 Aug 2016 21:29:25 GMT

Use the low pressure high volume tubes (clear ones) NOT the red ones.

We don't routinely cuff tubes in cats as we unfortunately have the red tubes.

RE: Entubation

Anthony Todd — Thu, 04 Aug 2016 15:45:55 GMT

[quote user="Anthony Dennison"]There has been a study into the cuffing of ET tubes and how to best measure the pressure created by it, can't remember where I read it. [/quote]

Humans sometimes have a pressure gauge attached to the cuff-line.

The best way is a mod to Martin's in that you squeeze the bag whilst squeezing the syringe to inflate the cuff and stop when the bzzzzzing stops, and add a bit. A set volume is a recipe for tracheal ischaemia.

RE: Entubation

Anthony Dennison — Thu, 04 Aug 2016 13:42:20 GMT

There has been a study into the cuffing of ET tubes and how to best measure the pressure created by it, can't remember where I read it.

RE: Entubation

Martin Atkinson — Thu, 04 Aug 2016 12:43:20 GMT

[quote user="Anthony Todd"]For a start what is your practice's instruction regarding inflating endo tubes?[/quote]Inflate until the cuff bulb is just inflated and then when connected to the circuit squeeze the re-breathing bag. If we can hear air leaking around the cuff we inflate a bit more until it just stops. If in doubt under-inflate.