Endotracheal tubes
Shiley™ evac endotracheal tube with TaperGuard™ cuff
Endotracheal tubes
Shiley™ evac endotracheal tube with TaperGuard™ cuff
The Shiley™ evac endotracheal tube with TaperGuard™ cuff technology incorporates evac technology for subglottic secretion drainage.
Description
May reduce ventilator-associated pneumonia (VAP) by an average of 50%1–3
The need to reduce ventilator associated events is the primary reason the Shiley™ evac oral endotracheal tube with TaperGuard™ cuff is critical for all patients on a ventilator in the ICU.
The Shiley™ endotracheal tube with TaperGuard™ cuff technology incorporates evac technology for subglottic secretion drainage, which can potentially reduce the incidence of ventilator-associated pneumonia.1–3 This product is available with or without an optional pre-loaded satin soft stylet, and features an integrated cuff inflation line, an integrated suction lumen, and easy-to-read tube insertion markings.
Features
Manage secretions with advanced airway protection.
The Shiley™ evac endotracheal tube with TaperGuard™ cuff technology features an integrated suction lumen and evacuation port and provides a safe, convenient way to suction the subglottic area above the cuff. This technology, when used in conjunction with a VAP bundle, has been shown to reduce VAP by an average of 50%.1–3
Discover the advantages of Taperguard™ cuff technology
The low-impact, low-pressure endotracheal tube
Endotracheal tubes with TaperGuard™ cuff technology have features that may help reduce the tracheal impact of intubation with a unique, taper-shaped cuff design that provides a smaller area of contact with the patient’s airway than traditional barrel-shaped cuffs.4 The unique TaperGuard™ cuff design:
- Exerts 29% less pressure on the trachea4,5
- Reduces intracuff pressure required to obtain an adequate seal compared to traditional cuffed tubes4,6
- Provides more uniform pressure distribution than traditional cuffed tubes at equivalent intracuff pressures4,7
- Reduces microaspiration by as much as 90% compared to traditional cuffed tubes4,7
Ordering information
Resources
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- Based on benchtop test report 090352, Mallinckrodt™ TaperGuard™ evac endotracheal tube 510(k).
- Muscedere J, Rewa O, McKechnie K, Jiang X, Laporta D, Heyland DK. Subglottic secretion drainage for the prevention of ventilator-associated pneumonia: a systematic review and meta analysis. Crit Care Med. 2011;39(8):1985–1991.
- Pozuelo-Carrascosa DP, Herráiz-Adillo Á, Alvarez-Bueno C, Añón JM, Martínez-Vizcaíno V, Cavero-Redondo I. Subglottic secretion drainage for preventing ventilator-associated pneumonia: an overview of systematic reviews and an updated meta-analysis. Eur Respir Rev. 2020;29(155):190107.
- Mahmoodpoor A, Hamishehkar H, Hamidi M, Shadvar K, Sanaie S, Golzari SE, Khan ZH, Nader ND. A prospective randomized trial of tapered-cuff endotracheal tubes with intermittent subglottic suctioning in preventing ventilator-associated pneumonia in critically ill patients. J Crit Care. 2017;38:152-156.
- Seegobin RD, van Hasselt GL. Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs. Br Med J (Clin Res Ed). 1984;288(6422):965–968.
- Lichtenthal PR, Wood L, Wong A, Borg U. Pressure applied to tracheal wall by barrel and taper shaped cuffs. American Society of Anesthesiologists Annual Meeting. 2011:A1054.
- Guard endotracheal tube intracuff pressure increase is less than that of the Hi-Lo tube during nitrous oxide exposure: a model trachea study. Anesth Analg. 2013;116: 609–612.