8. Securing and Maintaining the Airway
8. Securing and Maintaining the Airway
Be careful not to allow the weight of the breathing circuit to twist or displace the light-weight Tulip when connected (see 7.14).
Connect to the gas supply, holding, securing then mounting the breathing tube to prevent displacement and gently inflate the lungs and confirm correct placement using a stethoscope and/or monitoring e.g. capnography. Secure the Tulip in place, ensuring that the proximal connector end of the airway tube is pointing out of the mouth. Tying the Tulip in place is recommended, but sticking may suffice. Proper securing and mounting of the small-sized, light-weight Tulip is mandatory. Be careful not to allow the weight of the breathing circuit to twist or displace the small-sized, light-weight Tulip when connected. It is recommended that the breathing circuit is mounted “north”, pointing towards the Patients head and the attending Anaesthetist commande viagra en france. This reduces the amount of traction applied by the breathing circuit and reduces the amount of twist applied to the Tulip by reducing the rotational traction induced by a laterally mounted breathing circuit. It must be remembered that the breathing circuit out-weighs the Tulip by some margin, and as such may pull the Tulip out of the Patients mouth if the Tulip is not tied or secured properly. The rotational traction of a laterally mounted breathing circuit may induce significant twist upon the small-sized, light-weight Tulip. This twisting of the Tulip must be monitored using the printed lines and markings on the convex surface of the breathing tube that faces the Anaesthetist. Mounting the breathing circuit “north” minimizes the risk of Tulip displacement and movement.
Catheter and tube-mount connectors with a rotating “free-swivel” connection are recommended as minimal rotational traction is then applied by the breathing circuit and its connection to the light-weight Tulip.
