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Reinforced endotracheal tubes, also known as "Tracheal Tubes with Spring," are designed to maintain airway patency during complex surgical procedures and prolonged ventilation. These tubes feature a spiral-wound metal wire embedded within the tube wall, providing enhanced resistance to kinking and ensuring consistent airflow even when the patient's position changes .
Constructed from soft, thermosensitive PVC, these tubes adapt to the patient's airway anatomy, minimizing trauma during intubation. They are available in both cuffed and uncuffed versions, with high-volume, low-pressure cuffs that provide an effective seal against the tracheal wall, reducing the risk of aspiration and allowing precise control of ventilation .
Additional features include radiopaque lines for X-ray visualization, depth markings for accurate placement, and universal 15 mm connectors compatible with standard breathing systems. These tubes are particularly indicated for neurosurgical and head and neck procedures, where maintaining airway integrity is critical despite patient positioning .
Reinforced Structure: The armored endotracheal tube is designed with a spiral wire reinforcement embedded in the wall, preventing kinking or collapse during patient positioning.
High Flexibility: Allows safe airway management even in situations requiring head and neck movement, making it ideal for armored tube intubation in challenging surgical positions.
Multiple Variants: Available as armored ETT, armored ETT tube, armored reinforced endotracheal tube, and armored tracheostomy tube for different airway needs.
Smooth Insertion & Removal: The tube tip is designed to reduce trauma during placement and minimize airway irritation.
Compatible with Standard Connectors: Fits common ventilator and anesthesia machine connections for secure integration.
Applications
General Anesthesia: Especially useful in head, neck, and oral surgeries where tube kinking is a risk.
Neurosurgery & ENT Procedures: The armored ET tube maintains airway patency even when the surgical field requires unusual positioning.
ICU & Critical Care: Suitable for patients requiring long-term ventilation via endotracheal tube armored designs.
Tracheostomy Care: The armored tracheostomy tube provides flexibility and stability for patients with permanent or temporary tracheostomies
Kink-Resistant Design: The spiral reinforcement ensures continuous airflow regardless of patient positioning.
Enhanced Safety: Reduces the risk of airway obstruction compared to standard tubes.
Durability: Can withstand repeated manipulation without structural compromise.
Versatility: Applicable to both oral and nasal armored tube intubation.
Optimized for Difficult Airways: Provides reliable ventilation in complex surgical and emergency cases.
Q1: What are the main armored endotracheal tube uses?
A1: They are primarily used in surgeries and critical care situations where airway security is vital and tube kinking must be avoided, such as neurosurgery, maxillofacial surgery, and long-term ventilation.
Q2: What is the difference between an armored ETT and a standard ETT?
A2: An armored ETT contains a wire reinforcement to prevent collapse, whereas a standard ETT is more prone to bending or obstruction under pressure.
Q3: Can an armored reinforced endotracheal tube be reused?
A3: These are generally single-use devices due to infection control protocols. Reuse is not recommended unless explicitly approved by medical guidelines.
Q4: When should I choose an armored tracheostomy tube?
A4: It is recommended for patients requiring flexibility in their airway device while still ensuring durability, especially in cases with frequent head and neck movement.
Q5: Is armored tube intubation more difficult than standard intubation?
A5: Not necessarily—trained clinicians can perform armored tube intubation with the same techniques used for standard tubes, though flexibility requires careful handling during placement.
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