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INNOVATIONS
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 243

T-piece made from a 10 ml syringe


Department of Anaesthesiology, Teerthanker Mahaveer Medical College and Research Centre, Moradabad 244 001, Uttar Pradesh, India

Date of Submission17-Sep-2019
Date of Web Publication25-May-2021

Correspondence Address:
Pallavi Ahluwalia
Department of Anaesthesiology, Teerthanker Mahaveer Medical College and Research Centre, Moradabad 244 001, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_1602_19

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How to cite this article:
Shahid R, Ahluwalia P. T-piece made from a 10 ml syringe. Indian J Med Res 2020;152, Suppl S1:243

How to cite this URL:
Shahid R, Ahluwalia P. T-piece made from a 10 ml syringe. Indian J Med Res [serial online] 2020 [cited 2021 Aug 4];152, Suppl S1:243. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/243/316720

T-piece is an instrument used in weaning of a patient from ventilator during spontaneous breath trials, and is widely used to identify patients who are ready for extubation. T-shaped tubing connected to an endotracheal tube is used to deliver oxygen therapy in an intubated patient who does not require mechanical ventilation. It provides low-pressure support and high oxygen concentration to the patient. In an emergency situation, (during patient management in triage), in the department of Anaesthesia, Teerthanker Mahaveer University, Moradabad, India, a 10 ml syringe was modified to make an alternative to T-piece, as there was non-availability of T-piece in the emergency room, in August, 2018.

A keyhole was made in the middle of the syringe, the needle cap was cut from the blind end and was inserted in it; oxygen tubing was attached to it, to provide oxygen supplementation [Figure 1]. In our experience, this alternate T-piece (made from a 10 ml syringe) was equally efficient, when compared to the traditional, commercially available T-piece. In certain situations, there is a need to secure airway, for example, in cases of trauma or presence of vomitus in an unconscious patient. In such patients, supplemental oxygen can be provided by attaching this (modified T-piece) to the endotracheal tube as a regular T-piece may not be always available in peripheries or non-operating room locations. This modification is economically viable as the cost of procuring a T-piece can be easily avoided. Thus, this can be a useful alternative in situations where there is non-availability of T-piece in emergency situations or low-resource settings.
Figure 1: T-piece syringe in the circuit with endotracheal tube at the patient end along with oxygen source.

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Knowledge about such easy method to make T-piece from a readily available material (syringe in this case) can improve patient management in rural areas where there is often a scarcity of equipment and devices.

Conflicts of Interest: None.


    Figures

  [Figure 1]



 

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