Unomedical Airway Management

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Unomedical Unomedical Airway Management Airway Management Safety • Functionality • Reliability Safety • Functionality • Reliability

Transcript of Unomedical Airway Management

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UnomedicalUnomedicalAirway ManagementAirway Management

Safety • Functionality • ReliabilitySafety • Functionality • Reliability

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SuctioningSuctioning

AnaesthesiaAnaesthesia

RespiratoryRespiratory

Unomedical Airway ManagementUnomedical Airway Management

Specimen collectionSpecimen collection

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Unomedical Airway ManagementUnomedical Airway ManagementRespiratory productsRespiratory products

Oxygen MasksOxygen Masks& Cannulas& Cannulas

NebulizingNebulizingSystemsSystems

ResuscitatorsResuscitators

Oxygen CannulasOxygen Cannulas& Catheters& Catheters

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Unomedical Airway ManagementUnomedical Airway ManagementAnaesthesia productsAnaesthesia products

Endotracheal Endotracheal TubesTubes

Tracheostomy Tracheostomy TubesTubes

Laryngeal Laryngeal AirwaysAirways

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Cathy ClosedCathy ClosedSuction SystemSuction System

Open SuctionOpen SuctionCathetersCatheters

SpecimenSpecimencollectioncollection

Unomedical Airway ManagementUnomedical Airway ManagementSuction & specimen collectionSuction & specimen collection

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Standard Standard Tracheostomy Tracheostomy

TubesTubes

Laryngeal AirwaysLaryngeal Airways

Endotracheal TubesEndotracheal Tubes

Speciality Speciality Tracheostomy Tracheostomy

TubesTubes

Open Suction Open Suction CathetersCatheters

Closed SuctionClosed SuctionSystemsSystems

ResuscitatorsResuscitators

Anaesthesia MasksAnaesthesia Masks

UnomedicalUnomedicalAirway ManagementAirway Management

Safety Safety •• Functionality Functionality • • ReliabilityReliability

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Unomedical Endotracheal TubesUnomedical Endotracheal Tubes

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Unomedical Endotracheal TubesUnomedical Endotracheal Tubes

Unomedical Preformed Endotracheal TubesUnomedical Preformed Endotracheal Tubes• Oral Preformed & Nasal PreformedOral Preformed & Nasal Preformed

Unomedical Standard Endotracheal TubesUnomedical Standard Endotracheal Tubes• Cuffed & UncuffedCuffed & Uncuffed

Unomedical Reinforced Endotracheal TubesUnomedical Reinforced Endotracheal Tubes• Cuffed & UncuffedCuffed & Uncuffed

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Unomedical ETT Suction Unomedical ETT Suction

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Safety, Functionality, ReliabilitySafety, Functionality, Reliability

SafetySafetyEasy identification

Improved position controlEffective seal (HVLP Cuff)

Atraumacitic transition

FunctionalityFunctionalityUnomedical Colour Coding

Perfect adaptation Accurate positioning

Radiopaque

RELIABILITYRELIABILITY

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Unomedical Tracheostomy TubesUnomedical Tracheostomy Tubes

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Unomedical Tracheostomy TubesUnomedical Tracheostomy Tubes

Unomedical Standard Tracheostomy TubesUnomedical Standard Tracheostomy Tubes

• Cuffed & Uncuffed

Unomedical Tracheostomy Tubes with Inner Cannula (TTIC)

• Fenestrated & Non-fenestrated

Unomedical Tracheostomy Tubes with Inner Cannula & Subglottic Suctioning (TTIC Suction)

• Fenestrated & Non-fenestrated

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Safety, Functionality, ReliabilitySafety, Functionality, Reliability

SafetySafetyGentle adaptation

Reduced risk of displacementAtraumatic transition

Effective sealEasy indentification & traceability

FunctionalityFunctionalityUnomedical Colour Coding

Thermosensitive & TransparentSuitable for percutaneous insertion

Wide range of solutions

RELIABILITYRELIABILITY

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Unomedical TTIC SuctionUnomedical TTIC Suction

Glottic opening

Cuff

Subglottic room

Integrated suction line with suction port above cuff• Effective removal of subglottic secretions

• Reduction of Ventilator Associated Pneumonia (VAP)1

1 Mahul et al.: “Prevention of nosocomial pneumonia in intubated patients:respective role of mechanical subglottic secretions drainage and stress ulcer prophylaxis.“ Intensive Care Med 1992, 18:20-25.1 Valles et al.: “Continuous aspiration of subglottic secretions in preventing ventilator-associated pneumonia.” Ann Intern Med 1995, 122:179-1861 Smulders et al.: “A randomized clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation.” Chest 2002, 121:858-862

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CathyCathyTMTM Closed Suction System Closed Suction SystemSafety • Functionality • ReliabilitySafety • Functionality • Reliability

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CathyCathyTMTM Closed Suction System Closed Suction System

Slim semi- transparent protective sleeve

Transparent material

Mülly-tipped catheter, Metric markings

Unomedical Colour Coding

Ergonomic design

Universal connector

FunctionalityFunctionality

RELIABILITYRELIABILITY

Built-in non-return valve

Indication of open/closed position

Swivel standard connector

Disconnecting ring

Unique 5µ filter protection

Control button with safety lid

SafetySafety

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Assess, identify, formulateAssess, identify, formulate

Assess the competitionIdentify the audience

Formulate the message

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Assess, identify, formulateAssess, identify, formulate

Assess the competition

Cathyvs

Open Suction

Cathyvs

Closed Suction

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Assess, identify, formulateAssess, identify, formulate

Identify the audience

End-userEnd-user

Decision makerDecision maker

InfluencerInfluencer

ClinicianClinician

PurchaserPurchaser

NurseNurse

NurseNurse

PurchaserPurchaser

ClinicianClinician

NurseNurse

ClinicianClinician

PurchaserPurchaser

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Assess, identify, formulateAssess, identify, formulate

Formulate the message

End-userEnd-user

Decision makerDecision maker

InfluencerInfluencer

NurseNurse

ClinicianClinician

NurseNurse

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Background:Endotracheal suctioning is able to create extremely high flows that are potentially able to eliminate the complete volume delivered to the lungs by the ventilator

High sub-atmospheric suction pressure can result in:- Partial or total elimination of gas volume in the lungs- Alveolar collapse- Atelektasis- Hypoaemia- Hypercapnia

Endotracheal SuctioningEndotracheal Suctioning

The extent of the effect is directly related to the size of the suction catheter used.

Choosing the right catheter can be difficult.

Stenqvist O, Lindgren S, Karason S, Sondergaard S, Lundin S. Warning! Suctioning. A lung model evaluation of closed suctioning systems. Acta anaesthesiologica Scandinavica VOL:45(2); p.167-72/2001Almgren B, Wickerts CJ, Heinonen E, Hogman M. Side effects of endotracheal suction in pressure- and volume controlled ventilation. Chest 2004;125:1077-80Almgren, B; Endotracheal Suction a Reopened Problem. Acta Universitatis Upsaliensis. Digital Comprehensive Summaries of Uppsalla Dissertations from the Faculty of Medicine 11.55pp. Uppsala; 2005AARC Clinical Practice Guideline. Endotracheal Suctioning of Mechanically Ventilated Adults and Children with Artificial Airways. Respir Care 1993;38:500-504

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What are nurses saying?What are nurses saying?

Endotracheal suctioning is very physicalWrong sized suction catheters Need to use “end-feel” to estimate depth of catheter insertionShort time-frame for suctioning ventilated patient

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CathyCathyTMTM Closed Suction System Closed Suction System

Slim semi- transparent protective sleeve

Transparent material

Mülly-tipped catheter, Metric markings

Unomedical Colour Coding

Ergonomic design

Universal connector

FunctionalityFunctionality

RELIABILITYRELIABILITY

Built-in non-return valve

Indication of open/closed position

Swivel standard connector

Disconnecting ring

Unique 5µ filter protection

Control button with safety lid

SafetySafety

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Disconnection ring Disconnection ring

• Cathy is gently and easily pushed off the tube

• Ensures secure attachment and easy disconnection

Turn in the direction of the arrows

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Filter protection Filter protection

5 µm hydrophobic filter

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Mülly-tip catheter with metric markingsMülly-tip catheter with metric markings

• The specially designed Mülly tip catheter helps to prevent mucosa trauma

• The Mülly catheter is designed with 2 small relieving eyes and a full bore distal eye

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Mucosa trauma Mucosa trauma

Complications like mucosal trauma may occur due to :

• High vacuum

• Design of catheter

• Size of the catheter

• Wrongly performed technique

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Unomedical Colour Coding SystemUnomedical Colour Coding System

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Safety • Functionality • ReliabilitySafety • Functionality • Reliability