Combitube Insertion
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The Combitube is a twin lumen device designed for use in emergency situations and difficult airways. It can be inserted without the need for visualization into the oropharynx, and usually enters the esophagus. It has a low volume inflatable distal cuff and a much larger proximal cuff designed to occlude the oro- and nasopharynx.
If the tube has entered the trachea, ventilation is achieved through the distal lumen as with a standard ETT. More commonly the device enters the esophagus and ventilation is achieved through multiple proximal apertures situated above the distal cuff. In the latter case the proximal and distal cuffs have to be inflated to prevent air from escaping through the esophagus or back out of the oro- and nasopharynx.
This video in 30 seconds
This video covers the Combitube, a twin lumen airway device designed for emergency situations and difficult airways. The description explains its insertion without visualization, its distal and proximal cuffs, and how ventilation differs depending on whether it enters the trachea or the esophagus.
Key points
- The Combitube twin lumen airway device is presented
- Insertion without visualization into the oropharynx is explained
- The distal and proximal cuffs are described
- Ventilation through the distal lumen and through proximal apertures is explained
Video Overview
This video presents “Combitube Insertion” — The Combitube is a twin lumen device designed for use in emergency situations and difficult airways. It can be inserted without the need for visualization into the oropharynx, and usually enters the esophagus. It has a low volume. Whether you are preparing for a procedure, studying the technique, or learning how a condition is assessed, the recording shows the process as it is performed in practice.
From our Clinical Skills collection: Suturing, injections, catheterization, IV insertion and OSCE-style examination techniques demonstrated step by step. Browse all Clinical Skills videos →
Educational content only — not a substitute for professional medical advice.
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