Medtronic McGRATH MAC Gebrauchsanweisung Seite 12

6. Advance the E.T. tube gently and atraumatically through the vocal
cords. Tube placement can be performed either by looking directly
in the mouth, indirectly on the screen or a combination of both*.
7. Indirectly visualize the E.T. tube placement through the vocal cords.
In optimal tube placement technique, the E.T. tube will enter from
the right side of the display.
8. The screen view can be used to confirm the correct insertion depth
of the E.T. tube.
*If a direct pathway for the E.T. tube was not created by sweeping the
tongue or aligning the airway axes, a stylet or a bougie may be used.
McGRATH™ X blade™ (for graphical representation, refer to quick start
guide included within the packaging)
1. Load the E.T. tube onto a stylet and form to the curvature of the X
blade™. Clinical experience has shown that intubation with a stylet
is required to facilitate optimal tube placement. Use of a bougie is
not advised. Where possible, position the patient's head for optimal
access.
2. Using a mid-line approach, roll the blade into the mouth. Ensuring
the anterior side of the blade maintains contact with the tongue,
advance the blade until the epiglottis is seen on the top of the
screen.
3. Place the tip of the X blade™ into the vallecula. Using minimal
force, rock the device back towards the user to lift the epiglottis
and obtain an indirect view of the glottis. When the device is in the
optimal position, the glottis will be viewed in the central upper
section of the screen*.
4. The DepthGuide™ numeric markings on the posterior side of the
blade may be used as an indication of the depth of blade insertion**.
5. Insert the E.T. tube at the right side corner of the mouth. Advance in
a rolling movement following the curvature of the blade, ensuring
it maintains contact with the section of the blade labelled E.T.
CONTACT ZONE™.
6. When using optimal technique, the E.T. tube should enter the screen
on the right side; advance the tube until the tip is in front of the
vocal cords.
7. Holding the stylet secure, slide the tube off the stylet and through
the cords, ensuring the stylet does not pass through the cords. Once
the E.T. tube has passed the cords, remove the stylet completely.
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