Friday, January 26, 2018

Armored Endotracheal Tube

Q: Give at least three characteristics of an Armored endotracheal tube (A-ETT) popularly known as a 'reinforced endotracheal tube'?


Answer: A reinforced ETT is advocated when there is a concern for tracheal compression. It has a metal wire coil embedded in the wall of the tube.

1. It has more flexibility but less collapsibility.

2. The tube connector of armored tubes is not detachable (unlike standard ETT).
3. As they are relatively more flexible, it is very hard to intubate without a stylet. 

It is an excellent replacement for ETT when more flexibility but less collapsibility (i.e resistance to occlusion) is desired such as in;


  • fiberoptic intubation
  •  intubation through a tracheotomy 
  • upper body surgeries
  • when a patient requires prone position

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