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Esophageal Detection Device (EDD)

 

Esophageal Detection Device (EDD)

White Paper(3)

 

 

 

 


Esophageal Intubation Detection Device

 

Frequently Asked Questions

 

Q:

Why should I use an EDD?  I’ve been doing this for years and haven’t needed one yet.

A:

Unfortunately, research has shown that proper ET tube placement is a national problem. Confirmation of an intubation by physical findings alone is no longer good enough. The National Standard is now confirmation by more than one method.1  We are advocating using the “Confirmation Triad” which includes using:

1.      Physical Findings – Visualization / Auscultation

2.      PosiTube EDD – Immediate Positive Confirmation

3.      Capnography / Capnomemtery – Long Term Monitoring

 

Q:

What makes the PosiTube so much better than competitive products?

A:

§         Control - the handles give the user control over the ET Tube, the 90º elbow and the PosiTube.

§         Immediate confirmation – in the time it takes to pull back on the syringe plunger you will know

§         90º Elbow - the elbow changes the direction of the pull. In-line movement of 3-5 cm’s can either extubate the patient or push the tube into the right mainstem bronchus.

§         Clear Barrel – condensation can be visualized in the barrel of the PosiTube.

§         Low cost

§         Purpose built - the PosiTube was designed and built for this one use.

 

Q:

What is the benefit of a detachable 90º elbow? 

A:

The PosiTube was built to work with all different types of BVM’s and O2 circuits. Some come with 90º turns built in and some don’t. A detachable 90º elbow provides maximum flexibility to work with any system available.

 

Q:

Can I use the PosiTube with a Colormetric device?

A:

Yes,

Colormetric devices have benefits:

§         Low cost

§         Longer term monitoring

They have limitations that the PosiTube resolves:

§         A shelf life

§         Slower confirmation waiting for the paper to change color

§         False readings from the ingestion of CO2 from beverages

§         Does not work on patients that have been down for an extended period ( they’re not expelling CO2 )

 

Q:

Can I use the PosiTube with Capnography / Capnometery?

A:

Yes,

Capnography / Capnometery has benefits

§         Long term monitoring

It has limitations that the PosiTube resolves:

§         Slower confirmation waiting for the monitor

§         Does not work on patients that have been down for an extended period ( they’re not expelling CO2 )

 

Q:

How will I know that I’m in the trachea?

A:

If they are in the trachea the syringe will pull back freely. You may also see fogging or condensation in the barrel.

 

Q:

How will I know that I’m in the esophagus?

A:

The user will feel a strong resistance when they pull on the syringe. Each user needs to train with the PosiTube to feel the difference between the resistance of a blocked tube and the free pull of the trachea.

 

Q:

Is the PosiTube reusable?

A:

No, the FDA requires that the device be disposable.

 

Q:

Is the Posi Tube Latex Free?

A:

Yes, all of its components are made from non-latex plastics.

 

 

1 American Heart Association Guidelines 2000

 

B-PRA-EDD White Paper(3).doc( 01-10-05 )