Impacted gum-elastic bougie in an endotracheal tube after successful intubation of a difficult airway

2007 ◽  
Vol 19 (7) ◽  
pp. 566 ◽  
Author(s):  
Virendra K. Arya ◽  
Simica Makker ◽  
Surinder P.S. Bedi
Keyword(s):  
Difficult Airway ◽  
Endotracheal Tube ◽  
Successful Intubation

Successful Intubation of a Difficult Airway Using a Yankauer Suction Catheter

2019 ◽  
Vol 57 (3) ◽  
pp. 383-386
Author(s):  
Keshav Patel ◽  
Joshua Mastenbrook ◽  
Aaron Pfeifer ◽  
Laura Bauler
Keyword(s):  
Difficult Airway ◽  
Suction Catheter ◽  
Successful Intubation

scholarly journals Difficult intubation and anesthetic management in an adult patient with undiagnosed congenital tracheal stenosis: a case report

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091126
Author(s):  
Ji-A Song ◽  
Hong-Beom Bae ◽  
Jeong-Il Choi ◽  
Jeonghyeon Kang ◽  
Seongtae Jeong
Keyword(s):  
Case Report ◽  
Difficult Airway ◽  
Endotracheal Tube ◽  
Adult Patient ◽  
Tracheal Stenosis ◽  
Difficult Intubation ◽  
Anesthetic Management ◽  
Congenital Tracheal Stenosis ◽  
Post Intubation ◽  
Unusual Situation

In the operating room, unanticipated difficult intubation can occur and anesthesiologists can experience challenging situations. Undiagnosed tracheal stenosis caused by congenital factors, trauma, tumors, or post-intubation injury, can make advancing the endotracheal tube difficult. We present an adult patient in whom we were unable to pass an endotracheal tube into the trachea. This was caused by undiagnosed congenital mid-tracheal stenosis with complete tracheal rings. When faced with an unanticipated difficult airway, the anesthesiologist needs to comprehend the results of preoperative evaluations. If an unusual situation (e.g., congenital tracheal stenosis) occurs, active cooperation with other departments should be considered.

scholarly journals Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Joni E. Rabiner ◽  
Marc Auerbach ◽  
Jeffrey R. Avner ◽  
Dina Daswani ◽  
Hnin Khine
Keyword(s):  
Crossover Study ◽  
Difficult Airway ◽  
Direct Laryngoscopy ◽  
Successful Intubation ◽  
Success Rates ◽  
Normal Airway ◽  
Intubation Success ◽  
Mean Time ◽  
Randomized Crossover Study

Objective. To compare novice clinicians’ performance using GlideScope videolaryngoscopy (GVL) to direct laryngoscopy (DL).Methods. This was a prospective, randomized crossover study. Incoming pediatric interns intubated pediatric simulators in four normal and difficult airway scenarios with GVL and DL. Primary outcomes included time to intubation and rate of successful intubation. Interns rated their satisfaction of the devices and chose the preferred device.Results. Twenty-five interns were included. In the normal airway scenario, there were no differences in mean time for intubation with GVL or DL (61.4 versus 67.4 seconds, ) or number of successful intubations (19 versus 18, ). In the difficult airway scenario, interns took longer to intubate with GVL than DL (87.7 versus 61.3 seconds, ), but there were no differences in successful intubations (14 versus 15, ). There was a trend towards higher satisfaction for GVL than DL (7.3 versus 6.4, ), and GVL was chosen as the preferred device by a majority of interns (17/25, 68%).Conclusions. For novice clinicians, GVL does not improve time to intubation or intubation success rates in a pediatric simulator model of normal and difficult airway scenarios. Still, these novice clinicians overall preferred GVL.

scholarly journals A Broken Arrow: a rare complication of Endotracheal tube introducer

2019 ◽  
pp. 04-06
Author(s):  
Shyh Shyong Sim ◽  
Cheng Hung How ◽  
Bo-Hwi Kang
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Endotracheal Tube ◽  
Rare Complication ◽  
Mechanical Trauma ◽  
Difficult Airway Management

Complications from endotracheal tube introducer are rare and mostly involved mechanical trauma to airway structures. We report a rare complication while using endotracheal tube introducer during difficult airway management, which, we believed it was fragile after repeated sterilization.

scholarly journals A Comparison of Macintosh and Video Laryngoscopy Performed With a Prototype Rigid Anterior Commissure Laryngoscope by Experienced and Novice Users in a Manikin Model

2020 ◽  
Author(s):  
Price Sonkarley ◽  
Nilesh R. Vasan ◽  
Edward Kosik ◽  
Michael Anderson ◽  
Marvin Williams ◽  
...  
Keyword(s):  
Difficult Airway ◽  
Primary Outcome ◽  
Outcome Measure ◽  
Anterior Commissure ◽  
Primary Outcome Measure ◽  
User Preference ◽  
The Novel ◽  
Successful Intubation ◽  
Life Saving ◽  
Novice Users

Abstract Background. Intubation is a life-saving skill that can be difficult to learn and perform.Objective. The intubation time and user preference of four intubation techniques, performed by novices or experienced individuals, were compared.Methods. Enrolled participants were randomly assigned to one of four simulated intubation groups. Each group first performed intubation on the manikin airway without modifications (‘easy’ airway), followed by the same technique on a manikin with modifications to mimic a ‘difficult’ airway. The primary outcome measure was the time taken to inflate the manikin’s lungs with the bag ventilator, with successful intubation.Results. Ninety-eight participants were recruited and grouped according to experience: 59 novices (10 or fewer live intubations) and 39 experts (more than 10 live intubations). The total time to intubation increased significantly from the easy airway to the difficult airway for both expertise levels, and for all intubation techniques except the novel laryngoscope.Conclusion. Repeated exposure to multiple intubation devices can result in an adequate learning curve for the novice participant. The novel laryngoscope is an uncomplicated intubation tool; in this study, it provided novice users who intubate infrequently with a better chance of successful intubation in manikins.

scholarly journals Modified Infant Feeding Tube as an Indigenous Endotracheal Tube in Unanticipated Congenital Subglottic Stenosis

2021 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Rahul Gupta ◽  
Rama Chatterjee ◽  
Neelam Dogra ◽  
Dinesh Kumar Barolia ◽  
Pratibha Rathore ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Infant Feeding ◽  
Feeding Tube ◽  
Subglottic Stenosis ◽  
Surgical Patients ◽  
Successful Intubation ◽  
Failed Intubation ◽  
Shunt System ◽  
Emergency Airway ◽  
Infant Feeding Tube

Introduction: In neonates with an unanticipated difficult airway, there is an increased probability of failed intubation even with highly trained hands while performing direct laryngoscopy. Aims: We describe our experience of using a modified infant feeding tube (IFT) as an indigenous endotracheal tube (ETT) in a series of paediatric surgical patients with congenital subglottic stenosis (SGS). Material and Methods: A retrospective study was performed in our institute from January 2018 to December 2019. ETT with modified 6 and 8 French (Fr) sized IFT’s were used. A stylet obtained from the VP shunt system was used to aid in intubation. Results: Out of 12,500 admissions in our department, there were 5 pediatric cases with SGS which were managed using modified IFT. Four were neonates and 1 infant (M:F = 2:3). Modified IFT(s) were used after failed intubation with ETT of size 2.5 mm in 4 patients (non-availability of ETT of size 2 mm), while in one neonate, even 2 mm ETT could not be negotiated due to SGS. In all the 5 children, successful intubation was finally performed with modified 8 French (Fr) IFT in 3, and with modified 6 Fr IFT in two cases. The surgical procedure was completed in 4 neonates out of 5 cases, while in one infant it was deferred due to the clinical condition of the patient and significant SGS. Conclusion: All 5 patients with SGS were managed without performing a tracheostomy. Modified IFT(s) is an effective alternative if smaller sized ETT(s) cannot be negotiated or unavailable in difficult neonatal and paediatric airway. This modified IFT as ETT has to be an important part of the emergency airway tray. It should not be considered as a replacement for routine use of standard ETT.

Urgent Complex Intraoperative Reintubation in a Known Difficult Airway After Endotracheal Tube Damage

2019 ◽  
Vol 13 (1) ◽  
pp. 4-6
Author(s):  
Lynnie R. Correll ◽  
Chelsea Jin ◽  
Meghan S. Park ◽  
Audra M. Webber
Keyword(s):  
Difficult Airway ◽  
Endotracheal Tube
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