New Technique to Secure Endotracheal Tube Using Sports Band for Long-Term Respiratory Management

1993 ◽  
Vol 8 (5) ◽  
pp. 254-254
Author(s):  
Kahoru Nishina ◽  
Katsuya Mikawa ◽  
Akira Owaki ◽  
Gen-Ichi Suzuki ◽  
Hidefumi Obara
Keyword(s):  
Endotracheal Tube ◽  
New Technique ◽  
Respiratory Management

Local Delivery of Mometasone Furoate from an Eluting Endotracheal Tube Reduces Airway Morbidity Following Long-Term Animal Intubation

2021 ◽  
Author(s):  
Forsan Jahshan ◽  
Aiman Abu Ammar ◽  
Offir Ertracht ◽  
Netanel Eisenbach ◽  
Amani Daoud ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Local Delivery ◽  
Mometasone Furoate

A new technique for long-term recording of eye movements in infants

1976 ◽  
Vol 40 (1) ◽  
pp. 109-112 ◽  
Author(s):  
Ronald M Harper ◽  
Toke Hoppenbrouwers ◽  
S.A Ross
Keyword(s):  
Eye Movements ◽  
New Technique ◽  
A New Technique

Management of the Extubation Problem in the Premature Child

1980 ◽  
Vol 89 (6) ◽  
pp. 508-511 ◽  
Author(s):  
Robin T. Cotton ◽  
Allan B. Seid
Keyword(s):  
Endotracheal Tube ◽  
Ventilatory Support ◽  
Disease Process ◽  
Upper Respiratory Tract ◽  
Endoscopic Evaluation ◽  
Newborn Period ◽  
Edema Formation ◽  
Premature Child ◽  
Upper Respiratory

Long-term endotracheal intubation is a widely established means of giving ventilatory support in the newborn period. Though such long-term intubation is well tolerated by the premature infant, laryngeal complications do occur and extubation may be impossible even though the initial disease process for which the intubation was performed has resolved. In such a situation, careful endoscopic evaluation of the upper respiratory tract is advocated to identify the site of the problem. If subglottic edema or mucosal ulceration in the subglottic area is the site of the damage and if, during endoscopic evaluation immediately following removal of the endotracheal tube, the subglottic area starts to narrow because of edema formation or edema fluid filling up compressed granulation tissue, then a split of the cricoid in the midline anteriorly, leaving the endotracheal tube in as a stent, appears to be a preferable alternative to performing a tracheotomy. Of 12 consecutive patients, 9 have been successfully extubated.

Endotracheal and Enteric Tubes

Chest Imaging ◽  
2019 ◽  
pp. 35-39
Author(s):  
Tyler H. Ternes
Keyword(s):  
Mechanical Ventilation ◽  
Gas Exchange ◽  
Endotracheal Tube ◽  
Medical Devices ◽  
Esophageal Intubation ◽  
Ideal Position ◽  
Tracheostomy Tubes ◽  
Tube Malposition ◽  
The Ideal

The Endotracheal and Enteric Tubes chapter addresses these frequently used medical devices. An endotracheal tube (ETT) is a catheter placed into the airway for mechanical ventilation. It serves to protect the airway and provide adequate gas exchange. The ideal position of the endotracheal tube tip is approximately 5 cm above the carina. Complications of ETT placement include inadequate ventilation if placed too high or too low, esophageal intubation and tracheal injury. Tracheostomy tubes are used in patients who require long-term intubation. Enteric tubes are thin flexible hollow catheters that course into the stomach and beyond. They may be placed via nasal (nasogastic) or oral (orogastric) approach. When used for suctioning, the ideal position of the tube tip is within the stomach. When used for administration of drugs or nutrition, the tube tip is ideally advanced beyond the pylorus. Enteric tube malposition may be due to coiling within the esophagus or inadvertent malposition within the airway. Malpositioning could result in aspiration, lung injury, and pneumothorax.

Non-vascularized toe phalanx transfer for correction of severe clinodactyly of the thumb in Rubinstein–Taybi syndrome

2020 ◽  
Vol 45 (7) ◽  
pp. 715-721
Author(s):  
Marie Le Mapihan ◽  
Alina Badina ◽  
Stéphanie Pannier ◽  
Arielle Salon ◽  
Chrisophe Glorion ◽  
...  
Keyword(s):  
New Method ◽  
New Technique ◽  
Level Of Evidence ◽  
Before And After ◽  
Long Term Follow Up ◽  
Osteotomy Technique ◽  
Toe Transfer ◽  
Delta Phalanx

In Rubinstein–Taybi syndrome, patients may have a particularly severe clinodactyly of the thumb. We evaluated a new method for correction of these severe clinodactylies using non-vascularized toe phalanx transfer as a replacement for the abnormal delta phalanx. Results of the new technique are presented, together with those of an osteotomy technique. We retrospectively recorded the angle of the clinodactyly before and after surgery and at long-term follow-up of 11 osteotomies and five transfers in nine patients from 1990 to 2017. The pre-operative angle of clinodactyli was similar between the two groups with a mean of 59°. After surgery, the correction was equivalent (7° and 11°). At the last follow-up (7 and 18 years), the relapse of clinodactyly was 17° for osteotomies and 1° for phalanx transfers. We noticed growth of the transferred phalanx, resulting in an excellent thumb length. We conclude that non-vascularized toe transfer can be an effective correction of severe clinodactyly and may be more stable than osteotomy in the long-term. Level of evidence: IV

scholarly journals Chest physiotherapy in cystic fibrosis - Adjuncts and alternatives

1986 ◽  
Vol 42 (3) ◽  
pp. 77-79
Author(s):  
B. Oberwaldner ◽  
M. S. Zach
Keyword(s):  
Cystic Fibrosis ◽  
Pulmonary Function ◽  
Training Programme ◽  
Therapeutic Benefit ◽  
Chest Physiotherapy ◽  
Sputum Production ◽  
Respiratory Management ◽  
Resistive Loads ◽  
Physiotherapy Programme

Chest physiotherapy is part of the long-term respiratory management of cystic fibrosis. Since compliance is often poor, effective and practical alternatives need to be sought.A preliminary study investigated the effect of weeks swimming training on the respiratory status of 10 patients while continuing their chest physiotherapy programme. Pulmonary function improved significantly after the course viz. FEV1: 82% predicted ± 24 to 90% predicted ± 23, p 0,05. Ten weeks after the trial most of the measurements had returned to their pre swimming levels. It was noted that sputum production on swimming days was higher than on non-swimming days.In a second study 12 children with cystic fibrosis participated in a training programme which included a variety of sports. Physiotherapy was discontinued during this period. Again pulmonary function improved significantly after the course viz. FEV1: 71% predicted ±23 to 79% predicted ± 23, p 0,01. Most values had returned to pre-training levels 8 weeks after the programme had ended.A current study is investigating the possible therapeutic benefit of a one-way breathing valve with increased expiratory resistive loads. Preliminary results indicate increased mobilisation of obstructing secretions as well as a significant improvement of pulmonary function.One can conclude that some highly effective and practical adjuncts and alternatives to the daily physiotherapy routine for cystic fibrosis do exist

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