Devices and methods for airway suctioning
Described here are devices, systems, and methods for positioning a suction catheter in the airway of a patient. The systems may comprise a suction catheter, a delivery device, and/or a stylet. The delivery device may comprise an elongate shaft, an atraumatic distal end, an elongate passageway, and a retention element configured to releasably couple to an endotracheal tube. The suction catheter may be positioned in the elongate passageway, and the delivery device may help advance the suction catheter into the airway of a patient. In some variations, the delivery device may comprise elements configured to release the suction catheter in the airway after positioning.
1. A method of positioning a suction catheter in an airway of a patient intubated with an endotracheal tube, comprising:
advancing a delivery device along an endotracheal tube into a patient intubated with the endotracheal tube, and wherein the delivery device comprises an elongate shaft comprising a central shaft region located between a proximal handle and an atraumatic distal end, wherein the elongate shaft has a maximum insertion distance of 11 cm; an elongate lumen configured to receive a suction catheter; a proximal alignment region located on the proximal handle; and a retention element configured to releasably couple to an outside of the endotracheal tube;
aligning the proximal alignment region of the delivery device with an anatomical landmark to position a distal outlet of the elongate lumen of the delivery device about the patient's vocal cords; and
advancing a distal portion of a suction catheter out of the distal outlet of the elongate lumen to advance the distal portion of the suction catheter into the patient's airway.
2. The method of claim 1 , wherein the anatomical landmark is the patient's teeth, lip or gumline.
3. The method of claim 1 , wherein the proximal alignment region is a portion of the handle.
4. The method of claim 1 , further comprising releasably locking the suction catheter to the delivery device.
5. The method of claim 1 , wherein advancing the distal portion of the suction catheter comprises advancing the suction catheter with a stylet positioned in the suction catheter.
6. The method of claim 1 , wherein positioning the distal outlet of the elongate lumen of the delivery device at or near the patient's vocal cords comprises positioning the distal outlet of the elongate passageway within 2 cm of the patient's vocal cords.
7. The method of claim 6 , wherein positioning the distal outlet of the elongate passageway of the delivery device at or near the patient's vocal cords comprises positioning the distal outlet of the elongate lumen within 1 cm of the patient's vocal cords.
8. The method of claim 1 , wherein positioning the distal outlet of the elongate lumen of the delivery device at or near the patient's vocal cords comprises positioning the distal outlet of the elongate passageway in the airway distal to the patient's vocal cords.
9. The method of claim 1 , further comprising applying suction to the airway using the suction catheter.
10. The method of claim 1 , further comprising coupling the retention element at least partially around the endotracheal tube.
11. The method of claim 10 , wherein the retention element is a first retention element positioned on a distal portion of the delivery device, and the delivery device further comprises a second retention element positioned on a proximal portion of the delivery device.
12. The method of claim 11 , further comprising coupling the second retention element to an endotracheal tube after coupling the first retention element.
13. The method of claim 1 , further comprising separating the delivery device from the suction catheter after the suction catheter has been positioned in the patient's airway, and removing the delivery device.
14. The method of claim 13 , wherein the position of the suction catheter in the patient's airway is maintained while separating the delivery device from the suction catheter.
15. The method of claim 1 , wherein the elongate shaft comprises pieces configured to separate from each other and that together form the elongate lumen.
16. The method of claim 15 , wherein separating the delivery device from the suction catheter comprises separating the pieces of the elongate shaft from each other.
17. The method of claim 1 , wherein the retention element couples to an inner curvature of the endotracheal tube to advance the delivery device along the inner curvature of the endotracheal tube.
18. The method of claim 1 , wherein positioning the distal outlet of the elongate lumen of the delivery device at or near the patient's vocal cords comprises positioning the distal outlet of the elongate lumen in the patient's airway proximate to the patient's vocal cords.
19. The method of claim 18 , wherein advancing the distal portion of the suction catheter out of the distal outlet of the elongate lumen comprises advancing the distal portion of the suction catheter past the patient's vocal cords without advancing the distal outlet past the patient's vocal cords.