Tracheal stenosis associated with a low pressure cuffed endotracheal tube

A new technique for immediate though temporary relief of airway obstruction due to tracheal stenosis is described. Introduction of a small gauge cuffed endotracheal tube past the stenotic segment, followed by repeated withdrawal with the cuff inflated, allows for effective and safe retrograde bougienage. Airway patency is maintained throughout. Following this procedure introduction of an endotracheal tube or tracheostomy cannula is facilitated and definitive surgery can be planned.

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Impact of a Low-Pressure Polyurethane Adult Endotracheal Tube on the Incidence of Ventilator-Associated Pneumonia: A before and after Concurrence Study

ISRN Critical Care ◽

10.5402/2013/812964 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

John Schweiger ◽

Rachel Karlnoski ◽

Devanand Mangar ◽

Jaya Kolla ◽

Gerardo Munoz ◽

...

Keyword(s):

Endotracheal Tube ◽

Length Of Hospital Stay ◽

Retrospective Chart Review ◽

High Volume ◽

Low Pressure ◽

Ventilator Associated Pneumonia ◽

Cuffed Endotracheal Tube ◽

Number Of Patients ◽

Before And After ◽

Control And Prevention

Background. Ventilator-associated pneumonia (VAP) is a leading cause of morbidity and mortality in intensive care unit (ICU) patients, encompassing up to 15% of all hospital acquired infections. Our hospital implemented a facility-wide conversion from a low-volume high-pressure polyvinyl cuffed endotracheal tube (PV-cuffed ETT) to a high-volume low-pressure (HVLP) polyurethane-cuffed endotracheal tube (PU-cuffed ETT) in an effort to reduce the incidence of VAP. Methods. We completed an IRB approved, retrospective chart review comparing the number of episodes of VAP 12 months preceding and following the introduction of a new ETT. A diagnosis of VAP was made based upon the guidelines of our institution, consistent with the Center of Disease Control and Prevention definition. Results. The number of patients developing VAP the year after the ETT conversion reduced to 32 (16.3%) from 68 (24.7%) the year before the conversion (). The rate of VAP was reduced by 56% per ventilator day after the implementation of the PU-cuffed ETT (). No significant differences were observed in length of hospital stay, length of mechanical ventilation, or mortality before or after the conversion. Conclusions. We found that HVLP PU-cuffed ETTs were associated with a statistically significant reduction of VAP in the adult ICUs.

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Rapid Establishment of Tracheal Stenosis in Pigs Using Endotracheal Tube Cuff Overpressure and Electrocautery

Current Medical Science ◽

10.1007/s11596-021-2351-0 ◽

2021 ◽

Vol 41 (2) ◽

pp. 329-335

Author(s):

Jin Hyoung Kim ◽

Jong Joon Ahn ◽

Yangjin Jegal ◽

Soohyun Bae ◽

Soon Eun Park ◽

...

Keyword(s):

Endotracheal Tube ◽

Tracheal Stenosis ◽

Endotracheal Tube Cuff ◽

Tube Cuff

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Successful anesthetic management in a child after traumatic rupture of left main bronchus by a single-lumen cuffed-endotracheal tube

Annals of Cardiac Anaesthesia ◽

10.4103/0971-9784.142066 ◽

2014 ◽

Vol 17 (4) ◽

pp. 292 ◽

Cited By ~ 1

Author(s):

Hamed Elgendy ◽

Tariq Jilani

Keyword(s):

Endotracheal Tube ◽

Main Bronchus ◽

Anesthetic Management ◽

Left Main Bronchus ◽

Traumatic Rupture ◽

Left Main ◽

Cuffed Endotracheal Tube ◽

Single Lumen

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Ultrasound Accuracy in Confirming Cuffed Endotracheal Tube Position for Pediatric Intensive Care Unit Patients

International Journal of Pediatrics & Neonatal Care ◽

10.15344/2455-2364/2018/135 ◽

2018 ◽

Vol 4 (1) ◽

Author(s):

Nabeel Almashraki ◽

Sawsan Alyousef ◽

Mustafa Safi ◽

Nabil Sadiq ◽

Shamaila Amjad ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Endotracheal Tube ◽

Pediatric Intensive Care Unit ◽

Pediatric Intensive Care ◽

Cuffed Endotracheal Tube ◽

Tube Position

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An in-vitro study to evaluate high-volume low-pressure endotracheal tube cuff deflation dynamics

Minerva Anestesiologica ◽

10.23736/s0375-9393.19.13133-1 ◽

2019 ◽

Vol 85 (8) ◽

Cited By ~ 1

Author(s):

Joan D. Marti ◽

Gianluigi Li Bassi ◽

Valentina Isetta ◽

Miguel R. Lazaro ◽

Eli Aguilera-Xiol ◽

...

Keyword(s):

Endotracheal Tube ◽

In Vitro Study ◽

High Volume ◽

Low Pressure ◽

Vitro Study ◽

Endotracheal Tube Cuff ◽

Tube Cuff ◽

Cuff Deflation

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

Journal of International Medical Research ◽

10.1177/0300060520911267 ◽

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.

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