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they are inserted through either the nose or the mouth past the epiglottis and vocal cords into the trachea and down to where the trachea by 4 case into the bronchi ET chips are not usually left in place for more than 14 days because doing so places the client at risk for infection and Airway injury endotracheal tubes are made of a flexible Plus material and are available in a variety of sizes the size used depends on the age and size of the client for adult clients the 82 will usually have a cut that is inflated with air after insertion to prevent air from leaking around the tube and prevent oral and gastric secretions from being aspirated tracheostomy tube tracheostomy tubes are used for long-term Airway support they are inserted through a small opening in the neck into the trachea this type of Airway may be permanent or temporary depending on the client's condition and reason for the tracheostomy tracheostomy tubes are made of either plastic or metal and are available in a variety of sizes because metal tracheostomy tubes are temperature sensitive thing must be protected from heat and cold to prevent tissue injury like 80 tubes tracheostomy tubes may have a cut that is inflated with air after insertion most tracheostomy tubes have an inner cannula that is temporarily removed during tracheostomy care of the various types of Airway management devices a tracheostomy tube is the only one whose place it requires a surgical procedure postoperatively the nursing priority is maintaining a patent Airway tube obstruction is a major complication as his tube dislodgement during the first 72 hour postoperatively it is essential to keep a manual resuscitation bag tracheostomy tube of the same size and type tracheostomy insertion tray and operator at the client's bedside if the tracheostomy tube becomes dislodged exert minimal pressure under the tube to ease the 2 back into place and then we secure the two by adjusting the ties to reduce movement of the tube do to the emergent nature of complications such as dislodgement of obstruction it may also be necessary to insert the obturator into the tracheostomy tube and then gently replace a tracheostomy tube with a new one once the tracheostomy tube has been replaced the operator has been removed some other possible complications are pneumothorax subcutaneous emphysema Hemorrhage all the small amounts of blood are to be expected and infection manifested by purulent drainage erythema pain and edema Covers the lesson text at the module focusing on the learning content that can be easily digested by simply listening please be sure to review the full content in the module including interactive activities and visual content such as illustrations end tables when a client stairway is it risk for obstruction or becomes obsessed oropharyngeal Airway oral Airways are used to keep the upper Airway Peyton when it is at risk for becoming obstructed by the Tongue or by secretions because this type of Airway stimulates the gag reflex it should be used only for clients whose level of Consciousness is altered oropharyngeal Airways are made of hard plastic and are available in a variety of sizes to determine the correct size for a client naturally oropharyngeal Airway from the corner of the clients mouth to the angle of the jaw when inserting an oral Airway the curved and should initially Point toward the cheek and be placed over the tongue once it reaches the back of the mouth it is rotated so that the curved part points down and follows the natural curve of the tongue the outer flange of the airway should be just outside the clients lips nasopharyngeal Airway nasopharyngeal Airway is sometimes called nasal trumpets are also used to keep the upper Airway patency. They are inserted through the Nares and extend into the oropharynx because this type of Airway does not stimulate the gag reflex it can be used for clients who are alert the nasal Airway is composed of a soft flexible rubber material and is available in a variety of sizes to determine appropriate size for the client measure the airway by holding it next to the client's face and ensure it reaches from the tip of the nose to the earlobe use the airway with the largest outer diameter that fits comfortably in the nares endotracheal tube endotracheal ET tubes are used for clients undergoing a procedure that requires general anesthesia and or mechanical ventilation they are inserted through the nose or the mouth past the epiglottis and vocal cords into the trachea and down to where the trachea by 4 case into the bronchi ET tubes are not usually left in place for more than 14 days because doing so places the client at risk for infection and Airway injury endotracheal tubes are made of a flexible plastic material and are available in a variety of sizes the size used depends on the age and size of the client for adult clients the ET tube will usually have a cut that is inflated with air after insertion to prevent air from leaking around the tube and prevent oral and gastric secretions from being aspirated tracheostomy tube tracheostomy tubes are used for long-term Airway support they are inserted through a small opening in the neck into the trachea this type of Airway may be permanent or temporary depending on the client's condition and reason for the tracheostomy tracheostomy tubes are made of either plastic or metal and are available in a variety of sizes because metal tracheostomy tubes are temperature sensitive thing must be protected from heat and cold to prevent tissue injury like 80 tubes tracheostomy tubes may have a cut that is inflated with air after insertion most tracheostomy tubes have an inner cannula that is temporarily removed during tracheostomy care of the various types of Airway management devices a tracheostomy tube is the only one whose place it requires a surgical procedure postoperatively the nursing priority is maintaining a patent Airway tube obstruction is a major complication as his tube dislodgement during the first 72 hour postoperatively it is essential to keep a manual resuscitation bag tracheostomy tube of the same size and type tracheostomy insertion tray and operator at the client's bedside if the tracheostomy tube becomes dislodged exert minimal pressure under the tube to ease the 2 back into place and then we secure the two by adjusting the ties to reduce movement of the tube do to the emergent nature of complications such as dislodgement of obstruction it may also be necessary to insert the obturator into the tracheostomy tube and then gently replace a tracheostomy tube with a new one once the tracheostomy tube has been replaced the operator has been removed some other possible complications are pneumothorax subcutaneous emphysema Hemorrhage all the small amounts of blood are to be expected and infection manifested by purulent drainage erythema pain and edema