Anatomy of the ET Tube

⏺ 15 mm connector – standardized on all airway equipment to avoid a situation where somebody had to look for the right adaptor

⏺ Pilot balloon – contains a spring-loaded one way valve to inflate the balloon.

⏺ One way valve – prevents the air from leaking out when the syringe is disconnected

⏺ Inflatable cuff – has 2 purposes: seals the trachea so that 1) positive pressure can’t escape from lower airways, and 2) seals the trachea so patient doesn’t aspirate any secretions or stomach contents coming from upper airway

⏺ Magill Curve – a natural curvature of approximately 140mm radius, +/- 20mm

⏺ Black line – suggested vocal cords marker

⏺ Size of the ETT – is the internal diameter of the tube

⏺ Depth markings – allow us to measure the depth of the ETT at the teeth or lips (typically 3x size of ETT)

⏺ Radio-opaque line (white here, but I’ve also seen blue!) – helps with the identification of the ETT on X-ray

⏺ Murphy’s Eye – an opening on the right side that allows for ventilation, if the primary opening gets occluded.

EMK Foundation

The Emergency Medicine Kenya (EMK) Foundation is a not-for-profit organization registered in Kenya in 2015 that aims to ensure timely, accessible and quality lifesaving emergency care in Kenya.