Skip to main content

Combitube — Ösophagotrachealer Doppellumentubus

  • Chapter
Management des schwierigen Atemwegs
  • 103 Accesses

Zusammenfassung

Im Bemühen um eine einfache Alternative (Katz u. Falk 2001) zur Sicherung der Luftwege und zur adäquaten Beatmung vor allem im Notfall entstand der Combitube (Tyco Healthcare,Neustadt/Donau, Bayern; www.combitube.org). Ein elastischer Oropharyngealballon verschließt nach dem Aufblasen Mund- und Nasenhöhle (Benumof 1991; Frass et al. 1989b). Zum einen wird der Ballon gegen die Zungenbasis gedrückt, andererseits gegen den weichen Gaumen. Durch die Lage des Ballons knapp hinter dem harten Gaumen wird der Combitube ohne weitere Maßnahmen fixiert, sodass eine sofortige Sicherheit gegen unbeabsichtigtes Herausrutschen gegeben ist. Die Doppelläufigkeit erlaubt die Verwendung gleichermaßen in der Speiseröhre als auch in der Luftröhre.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • American Heart Association (1992) Combination esophageal-tracheal tube. In: Guidelines for cardiopulmonary resuscitation and emergency cardiac care. Recommendations of the 1992 National Conference of the American Heart Association. JAMA 268: 2203

    Google Scholar 

  • American Society of Anesthesiologists Task Force on Management of the Difficult Airway (1993) Practice Guidelines for Management of the Difficult Airway. Anesthesiology 78:597–602

    Article  Google Scholar 

  • Atherton GL, Johnson JC (1993) Ability of paramedics to use the Combitube in prehospital cardiac arrest. Ann Emerg Med 22:1263–1268

    Article  PubMed  CAS  Google Scholar 

  • Banyai M et al. (1993) Emergency intubation with the Combitube in a grossly obese patient with bull neck. Resuscitation 26:271–276

    Article  PubMed  CAS  Google Scholar 

  • Baskett PJF, Bossaert L, Carli P et al. (1996) Guidelines for the advanced management of the airway and ventilation during resuscitation. (A statement by the Airway and Ventilation Management Working Group of the European Resuscitation Council). Resuscitation 31: 201–230

    Article  Google Scholar 

  • Benumof JL (1991) Management of the difficult adult airway. Anesthesiology 75:1087–1110

    Article  PubMed  CAS  Google Scholar 

  • Bigenzahn W, Pesau B, Frass M (1991) Emergency ventilation using the Combitube in cases of difficult intubation. Eur Arch Oto-Rhino-Laryngol 248:129–131

    Article  CAS  Google Scholar 

  • Bishop MJ, Kharasch ED (1998) Is the Combitube a useful emergency airway device for anesthesiologists ? Brief communication. Anesth Analg 86:1141–1142

    PubMed  CAS  Google Scholar 

  • Biostein PA, Koestner AJ, Hoak S (1998) Failed rapid sequence intubation in trauma patients: Esophageal tracheal Combitube is a useful adjunct. J Trauma 44:534–537

    Article  Google Scholar 

  • Brimacombe J, Keller C, Fullekrug B et al. (2002) A multicenter study comparing the ProSeal and Classic laryngeal mask airway in anesthetized, nonparalyzed patients. Anesthesiology 96:289–295

    Article  PubMed  Google Scholar 

  • Davis DP, Ochs M, Hoyt DB, Vilke GM, Dunford (2001) The use of the combitube as a salvage airway device for paramedic rapid-sequence intubation. Acad Emerg Med 8:500

    Google Scholar 

  • Deroy R, Ghoris M (1998) The combitube(TM) elective anesthetic airway management in a patient with cervical spine fracture. Anesth Analg 87:1441–1442

    PubMed  CAS  Google Scholar 

  • ECC (2000) Guidelines Part 6: Advanced cardiovascular life Support, section 3: Adjuncts for oxygenation, ventilation, and airway control. Airway adjuncts. Circulation 102:I-95–I-104

    Article  Google Scholar 

  • Eichinger S et al. (1992) Airway management in a case of neck impalement: Use of the oesophageal tracheal combitube airway. Brit J Anaesth 68: 534–535

    Article  PubMed  CAS  Google Scholar 

  • Enlund M, Miregard M, Wennmalm K (2001) The Combitube for failed intubation-instructions for use. Acta Anaesthesiol Scand 45:127–128

    Article  PubMed  CAS  Google Scholar 

  • Frass M (1996) The Combitube: esophageal/tracheal double lumen airway. In Benumof JL (ed): Airway management — principles and practice. Mosby, St. Louis, pp 444–454

    Google Scholar 

  • Frass M et al. (1987a) Evaluation of esophageal tracheal combitube in cardiopulmonary resuscitation. Crit Care Med 15: 609–611

    Article  PubMed  CAS  Google Scholar 

  • Frass M et al. (1987b) The esophageal tracheal combitube: Preliminary results with a new airway for CPR. Ann Emerg Med 16:768–772

    Article  PubMed  CAS  Google Scholar 

  • Frass M et al. (1987c) Mechanical ventilation with the esophageal tracheal combitube (ETC) in the intensive care unit. Arch Emerg Med 4: 219–225

    Article  PubMed  CAS  Google Scholar 

  • Frass M et al. (1989a) Esophageal tracheal combitube (ETC) for emergency intubation: Anatomical evaluation of ETC placement by radiography. Resuscitation 18:95–102

    Article  PubMed  CAS  Google Scholar 

  • Frass M et al. (1989b) Esophageal tracheal combitube, endotracheal airway and mask: Comparison of ventilatory pressure curves. J Trauma 29:1476–1479

    Article  PubMed  CAS  Google Scholar 

  • Frass M, Frenzer R, Zahler J (z) Respiratory tube or airway. US-Patent No. 4,688,568

    Google Scholar 

  • Gaitini LA, Vaida SJ,Mostafa S et al. (2001)The Combitube in Elective Surgery: A Report of 200 Cases. Anesthesiology 94: 79–82

    Article  PubMed  CAS  Google Scholar 

  • Gaitini LA, Vaida SJ, Somri M, Fradis M, Ben-David B (1999) Fiberoptic-guided airway exchange of the Esophageal-Tracheal Combitube in spontaneously breathing vs. mechanically ventilated patients. Anesthesia Analgesia 88:193–196

    PubMed  CAS  Google Scholar 

  • Green K, Beger T (1994) Proper use of the Combitube. Anesthesiology 81:513

    Article  PubMed  CAS  Google Scholar 

  • Hartmann T, Krenn CG, Zoeggeler A, Hoerauf K, Benumof JL, Krafft P (2000) The oesophageal — tracheal Combitube small adult. An alternative airway for ventilatory support during gynaecological laparoscopy. Anaesthesia 55: 670–675

    Article  PubMed  CAS  Google Scholar 

  • Hideharu T, Tetsuo Y, Hiroharu M, Shuji S (1996) Comparison of esophageal gastric tube airway, laryngeal mask, Combitube, and face mask ventilation in prehospital cardio-pulmonary arrest patients. 25th Educational and Scientific Symposium, New Orleans, Louisiana, Feb 5–9, 1996. Critical Care Medicine A112[Suppl 24]: 257

    Google Scholar 

  • Katz SH, Falk JL (2001) Misplaced endotracheal tubes by paramedics in an urban emergency medical services system. Ann Emerg Med 37:32–37

    Article  PubMed  CAS  Google Scholar 

  • Klein U, Rich JM, Seifert A, Tesinsky P (2002) Use of the Combitube as a rescue airway during a case of „can’t ventilate — can’t intubate (cvci)“ in the operating room when a laryngeal mask failed. Difficult Airway 3: 4–7

    Google Scholar 

  • Koppel JN, Reed AP (1995) Formal instruction in difficult airway management. A survey of anesthesiology residency programs. Anesthesiology 83:1343–1346

    Article  PubMed  CAS  Google Scholar 

  • Krafft P, Röggla M, Fridrich P, Locker GJ, Frass M, Benumof JL (1997) Bronchoscopy via a re-designed Combitube? in the esophageal position. A clinical evaluation. Anesthesiology 86:1041–1045

    Article  PubMed  CAS  Google Scholar 

  • Kulozik U, Georgi R, Krier C (1996) Intubation mit dem Combitube-TM bei massiver Blutung aus dem Locus Kieselbachii. Anäsmesiologie, Intensivmemzm, Notfallmedizm, Schmerztherapie 31:191–193

    Article  CAS  Google Scholar 

  • Lefrancois DP, Dufour DG (2002) Use of the esophageal tracheal combitube by basic emergency medical technicians. Resuscitation 52:77–83

    Article  PubMed  Google Scholar 

  • Liao D, Shalit M (1996) Successful intubation with the Combitube in acute asthmatic respiratory distress by a parkmedic. J Emergency Med 14:561–563

    Article  CAS  Google Scholar 

  • Lipp M, Thierbach A, Daubländer M, Dick W (1996) Clinical evaluation of the Combitube. 18th Annual Meeting of the European Academy of Anaesthesiology, August 29–September 1,1996, Copenhagen, Denmark, p 43

    Google Scholar 

  • Mercer Michael, Gabbott David (1998) The influence of neck position on ventilation using the Combitube airway. Anaesthesia 53:146–150

    Article  Google Scholar 

  • Morimoto F, Yoshioka T, Ikeuchi H, Inoue Y, Higashi T, Abe Y (2001) Use of esophageal tracheal combitube to control severe oronasal bleeding associated with craniofacial injury: case report. J Trauma 51:168–169

    Article  PubMed  CAS  Google Scholar 

  • Niemann JT (1992) Cardiopulmonary resuscitation. Current concepts. N Engl J Med 327:1075–1080

    Article  PubMed  CAS  Google Scholar 

  • Ochs M, Vilke GM, Chan TC, Moats T, Buchanan J (2000) Successful prehospital airway management by EMT-Ds using the combitube. Prehosp Emerg Care 4: 333–337

    Article  PubMed  CAS  Google Scholar 

  • Reed AP (1995) Current concepts in airway management for cardiopulmonary resuscitation. Mayo Clin Proc 70:1172–1184

    Article  PubMed  CAS  Google Scholar 

  • Rumball CJ, MacDonald D (1997) The PTL, Combitube, laryngeal mask, and oral airway: A randomized prehospital comparative study of ventilatory device effectiveness and cost-effectiveness in 470 cases of cardiorespiratory arrest. Prehospital Emergency Care 1:1–10

    Article  PubMed  CAS  Google Scholar 

  • Staudinger et al. (1993) Emergency intubation with the Combitube: Comparison with the endotracheal airway. Ann Emerg Med 22:1573–1575

    Article  PubMed  CAS  Google Scholar 

  • Tanagawa K, Shigematsu A (1998) Choice of airway devices for 12,020 cases of nontraumatic cardiac arrest in Japan. Prehospital Emergency Care 2:96–100

    Article  Google Scholar 

  • Tesinsky P, Vrastilova M, Poncarova J, Rich JM, Frass M (2003) Use of the Combitube in a patient trapped in a vehicle. Submitted z

    Google Scholar 

  • Thierbach A, Lipp M, Dick W (1997) Management der Atemwege im Notfall — Teil 1 und Teil 2. Notfallmedizin 8:352–361,408–411

    Google Scholar 

  • Urtubia R, Aguila C (1999) Combitube: A new proposal for a confusing nomenclature. Anesth Analg 89: 803

    PubMed  CAS  Google Scholar 

  • Urtubia RM, Aguila CM, Cumsille MA (2000) Combitube: A study for proper use. Anesthesia Analgesia 90:958–962

    Article  PubMed  CAS  Google Scholar 

  • Vézina D, Lessard MR, Bussières J, Topping C, Trépanier CA (1998) Complications associated with the use of the Esophageal-Tracheal Combitube. Can J Anaesth 45: 76–80

    Article  PubMed  Google Scholar 

  • Wafai Y, Salem MR, Baraka A, Joseph NJ, Czinn EA, Paulissian R (1995) Effectiveness of the self-inflating bulb for verification of proper placement of the Esophageal-Tracheal Combitube. Anesth Analg 80:122–126

    PubMed  CAS  Google Scholar 

  • Walz R, Davis S, Panning B (1999) The Combitube™ a useful emergency airway device for anesthesiologists ? Anesth Analg 88: 233

    PubMed  CAS  Google Scholar 

  • Wiltschke C, Kment G, Swoboda H et al. (1994) Ventilation with the Combitube during tracheotomy. Laryngoscope 104: 763–765

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Frass, M., Hofbauer, R. (2004). Combitube — Ösophagotrachealer Doppellumentubus. In: Management des schwierigen Atemwegs. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18701-8_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-18701-8_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62255-7

  • Online ISBN: 978-3-642-18701-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics