Pull tube

The lumen of the catheter and into the stomach6. The endoscopist grasps the suture within the stomach with biopsy or grasping forceps and pulls the endoscope and forceps as a unit into the esophagus and out the mouth6. Remove the catheter from the body wall over the suture material and place a small hemostat on the suture to avoid inadvertently pulling it into the stomach6. Insert a 3.5 French open-ended tomcat catheter over the oral end of the suture with the tip of the catheter directed in the distal or aborad direction5. Suture the oral end of the suture to the tapered end of the feeding tube using a horizontal mattress suture5,6. Wedge the tapered end of the feeding tube into the hub of the tomcat catheter (may need to trim the end of the feeding tube on an angle5. Move the feeding tube into the stomach by applying steady traction on the suture exiting the abdominal wall6. Do not pull on the tomcat catheter as it appears through the skin. Continue to pull the feeding tube until the mushroom tip can be palpated against the abdominal wall5,6. Endoscopically visualize the mushroom tip, ensuring it is snug against the gastric mucosa5,6. Create an outer flange by cutting off the distal tip of the feeding tube, make a 0.5 cm slit in the middle this piece of tubing and pass it over the exteriorized end of the feeding tube and slide it down to sit loosely against the abdominal wall6. Place a small amount of antibiotic ointment over the tube exit site and cover with gauze. A T-shirt or stockinette body shirt is placed over the tube to keep from catching on objects and protect from scratching / chewing6. Complications: Inflammation or infection of the stoma site is a common complication, especially in the first few days to weeks after palcement6. Owners should be instructed to monitor the stoma site daily and report any changes or concerns. PEG-tubes should remain in place for at least 14 days after placement to ensure a strong adhesion between the tube and the abdominal wall. Peritonitis due to leakage of stomach contents or food into the abdominal cavity can occur following accidental dislodgement, tube migration or breakdown of the adhesion between the stomach and body wall. Owners should immediately discontinue feedings and seek veterinary care if the animal appears uncomfortable during feeding. The risk of

Continuous feeding schedule. As such, NE tubes are only appropriate for hospitalized patients. Feeding may be initiated immediately after placement 2. Esophagostomy tubeIndications: Long-term (> 1 week to 3-4 months)7, at home nutritional support of patients with normal pharynx, esophagus and stomach. Technique: The patient must be under general anesthesia with endotracheal intubation and in right lateral recumbency. Clip and aseptically prep the left cervical region from the angle of the mandible to the mid-cervical region and the wing of the atlas to the trachea6. Choose a 12 (small cats) 14 (cats and small dogs) or 16 to 20-French (dogs > 15 kg or 33lbs) red rubber (most commonly), polyurethane or silicone tube4,5 tube. Determine the length of the tube to be inserted by measuring the tube from the 7th intercostal space (tip of the tube) to the point where the tube will exit the skin; just distal to the hyoid apparatus and dorsal to the jugular groove 5,6. Advance curved forceps (e.g. curved carmalt) through the mouth into the proximal esophagus and direct the curved tip laterally4,6. Palpate the tip of the forceps externally in the mid-cervical region, over the proposed site of insertion4. Use a No.11 scalpel blade to make a small (5 mm) skin incision over the tip of the curved forceps 4,6. Push the forceps laterally to expose the esophagus over the tips of the forceps through the skin incision4,6. Use the scalpel blade to make a very small nick in the esophagus over the tip of the forceps and gently force the tip of the forceps through the nick6 or bluntly push the tip of the forceps through the esophagus and skin incision5. Grasp the distal end of the tube with the forceps and pull it into the esophagus and out the oral cavity such that the distal end of the tube extends out the oral cavity and the proximal end out the cervical incision4-6. Being careful not to pull the proximal end of the tube through the skin incision, redirect the distal end of the tube posteriorly (down the esophagus) with fingers or forceps5,6. The proximal end of the tube will rotate in a cranial direction as the distal portion of the tube moves down the esophagus4. Advance the tube to the premeasured length and secure in place with a purse-string (around the incision and tube) and "Chinese finger trap" suture (2-0 polypropylene) and

Description Excellent condition with minor signs of wear. 100% functional. Includes original box and paperwork. Last we heard there is a 2 year wait to get one of these new. Grab this one today! Features CL1B: The Industry Standard Vocal Compressor!The TUBE-TECH CL 1B is an all-tube optical mono compressor. It delivers a very musical and smooth compression, preserving the clarity of the source even at extreme settings, and this is where CL 1B really stands out compared to other compressors. Furthermore, the operation is very intuitive, enabling you to achieve your goal achieve your goal quickly and easily.CL1B is by far the most popular TUBE-TECH unit, and this is not without a reason: For vocals and instruments like guitar bass and keys (regardless of musical genre) the CL1B delivers extremely musical and smooth compression, just what’s needed to make the track fit into your mix without any muddiness or distortion, even at very extreme settings.The CL1B is VERY easy to use; just dial in what you need! You’ll hear and feel the action immediately and don’t have to doubt whether the setting works, it’s always obvious.With thousands of units sold, the CL 1B is by far the most successful TUBE-TECH device to date, and its distinctive sound can be heard on countless legendary recordings.The number of hit records featuring the CL1B is countless and the rule is that the majority of all top singers and musicians demands the CL1B for their recordings regardless of the genre they perform. As an example, it’s well known secret that all the big Hip Hop / Rap stars depend heavily on the CL1B for their vocal performance. Specifications The TUBE-TECH CL 1B Compressor is an optical, all tube based compressor. The unit features a gain-reduction element, positioned immediately after the input transformer. It is controlled by the sidechain amplifier, which also contain the two time control circuits – one for fixed and one for variable Attack/Release. The two time-controllers can either be used separately or combined. This circuit contains semiconductor OP-amps for the entire control.A dedicated Bus selector with three positions (Off, Bus 1, Bus 2) is used whenever you want to link several compressors together.The gain-reduction element is followed by a tube-based push-pull amplifier with variable gain up to 30 dB. Input and output transformers have a static-screen between the primary and secondary wirings. Both Input and Output are balanced as well as fully floating.- Unique, low-distortion optical gain reduction element- All-tube based push-pull amplifier- Frequency response @ -3 dB: 5 Hz to 25 kHz- Low noise: - CMRR: > 60 dB @ 10 kHz- Variable ratio from 2:1 to 10:1- Continuously variable attack and release times- Output gain: Off to +30

Attached to the RV by the long, horizontal metal plate that holds the track and can be removed with an electric drill.[3]Use a screwdriver instead of an electric drill if you'd like. Each bracket is located on the side of the RV at the lower end of the awning arms. Pull them outward away from the RV to pop them out. Afterward, extend them until they're both touching ground.[4]Pull the bottom of the awning arms down to the ground to extend them.On some RV models, you can arms upward against the RV instead of to the ground. Start by flipping the control lever on the right side of the roller tube as though you're preparing to fully extend the awning. Now, use the awning rod to pull the roller tube out about 1 foot (0.30 m) from the RV.[5]Check that both arms are resting on the ground so that the fabric is unrolled about 1 foot (0.30 m) from the awning.Advertisement This will make sure they don't scratch the side of the RV. If your awning is really old, use a sharp edge to cut away the sealant that connects the fabric to the track.Be sure to apply tape before sliding the awning off the RV.Scrape any debris from the inside of the track with a sharp edge. Place it in between the 2 pieces of the track that hold the fabric inside. Now, apply downward pressure to the screwdriver to lever the pieces apart. This will ease the removal