Cuffed endotracheal tubes in cats

2020 ◽  
Vol 25 (3) ◽  
pp. 1-3
Author(s):  
David Yates ◽  
Albert Holgate

A cuffed endotracheal tube may improve the airway seal in anaesthetised feline patients, compared to use of an uncuffed tube. This may improve capnography and decrease theatre pollution with volatile agents. However, two significant risks are associated with the technique. First, over-inflation of the cuff could occur, with associated iatrogenic tracheal damage; this may be prevented by use of a cuff manometer for inflation. Second, as a result of the improved seal, barotrauma may be more likely with high gas flow rates and assisted ventilation.

2017 ◽  
Vol 27 (5) ◽  
pp. 494-500 ◽  
Author(s):  
Senthil G. Krishna ◽  
Mumin Hakim ◽  
Roby Sebastian ◽  
Heather L. Dellinger ◽  
Dmitry Tumin ◽  
...  

1997 ◽  
Vol 86 (6) ◽  
pp. 1367-1374 ◽  
Author(s):  
Rudolf Trawoger ◽  
Theodor Kolobow ◽  
Maurizio Cereda ◽  
Matteo Giacomini ◽  
Jiro Usuki ◽  
...  

Background Intratracheal pulmonary ventilation (ITPV) is a form of tracheal gas insufflation in which all gas emerges in a cephalad direction from the tip of a reverse-thrust catheter positioned within an endotracheal tube. In vitro experiments have shown that this rapid gas flow, with 5 ml/h of normal saline added to the gas flow, continuously removes tracheal secretions from within the endotracheal tube. The authors evaluated its effectiveness to remove mucus in long-term studies in sheep. Methods Fourteen healthy sheep were tracheally intubated and ventilated for 3 days with ITPV or with volume-controlled ventilation. Measurements were made of the total amount of secretions within the endotracheal tubes (weight gain), the protein content within the endotracheal tubes, and the increase in resistance to constant air flow. The structure of the airways was examined grossly and histologically. Three additional sheep were ventilated for 24 h with ITPV, and Evans Blue dye was added to the saline to assess the distribution of the infused saline. Results There was significantly less mucus in endotracheal tubes of sheep ventilated with ITPV than with conventional ventilation, as shown by minimal weight gain (0.70 +/- 0.14 g vs. 2.44 +/- 0.81 g; P < 0.001), lower protein content (14.09 +/- 10.79 mg vs. 294.99 +/- 153.06 mg; P < 0.001), and lower resistance to constant air flow (6.15 +/- 0.54 cm H2O x 1(-1) x s(-1) vs. 15.34 +/- 5.28 cm H2O x 1(-1) x s(-1); P < 0.001). Results of gross and histological examinations of the tracheas of animals in both groups were similar, and the tracheas were well preserved. More than 95% of the instilled saline was recovered during ITPV. Only traces of Evans Blue dye were found near the tip of the endotracheal tubes. Conclusion Intratracheal pulmonary ventilation makes it possible to keep the endotracheal tubes of sheep ventilated for 3 days free of mucus without suctioning.


2021 ◽  
pp. 014556132098051
Author(s):  
Matula Tareerath ◽  
Peerachatra Mangmeesri

Objectives: To retrospectively investigate the reliability of the age-based formula, year/4 + 3.5 mm in predicting size and year/2 + 12 cm in predicting insertion depth of preformed endotracheal tubes in children and correlate these data with the body mass index. Patients and Methods: Patients were classified into 4 groups according to their nutritional status: thinness, normal weight, overweight, and obesity; we then retrospectively compared the actual size of endotracheal tube and insertion depth to the predicting age-based formula and to the respective bend-to-tip distance of the used preformed tubes. Results: Altogether, 300 patients were included. The actual endotracheal tube size corresponded with the Motoyama formula (64.7%, 90% CI: 60.0-69.1), except for thin patients, where the calculated size was too large (0.5 mm). The insertion depth could be predicted within the range of the bend-to-tip distance and age-based formula in 85.0% (90% CI: 81.3-88.0) of patients. Conclusion: Prediction of the size of cuffed preformed endotracheal tubes using the formula of Motoyama was accurate in most patients, except in thin patients (body mass index < −2 SD). The insertion depth of the tubes was mostly in the range of the age-based-formula to the bend-to-tip distance.


2011 ◽  
Vol 39 (6) ◽  
pp. 1103-1110 ◽  
Author(s):  
J. E. Ritchie ◽  
A. B. Williams ◽  
C. Gerard ◽  
H. Hockey

In this study, we evaluated the performance of a humidified nasal high-flow system (Optiflow™, Fisher and Paykel Healthcare) by measuring delivered FiO2 and airway pressures. Oxygraphy, capnography and measurement of airway pressures were performed through a hypopharyngeal catheter in healthy volunteers receiving Optiflow™ humidified nasal high flow therapy at rest and with exercise. The study was conducted in a non-clinical experimental setting. Ten healthy volunteers completed the study after giving informed written consent. Participants received a delivered oxygen fraction of 0.60 with gas flow rates of 10, 20, 30, 40 and 50 l/minute in random order. FiO2, FEO2, FECO2 and airway pressures were measured. Calculation of FiO2 from FEO2 and FECO2 was later performed. Calculated FiO2 approached 0.60 as gas flow rates increased above 30 l/minute during nose breathing at rest. High peak inspiratory flow rates with exercise were associated with increased air entrainment. Hypopharyngeal pressure increased with increasing delivered gas flow rate. At 50 l/minute the system delivered a mean airway pressure of up to 7.1 cmH2O. We believe that the high gas flow rates delivered by this system enable an accurate inspired oxygen fraction to be delivered. The positive mean airway pressure created by the high flow increases the efficacy of this system and may serve as a bridge to formal positive pressure systems.


Author(s):  
Z. Insepov ◽  
R. J. Miller

Propagation of Rayleigh traveling waves from a gas on a nanotube surface activates a macroscopic flow of the gas (or gases) that depends critically on the atomic mass of the gas. Our molecular dynamics simulations show that the surface waves are capable of actuating significant macroscopic flows of atomic and molecular hydrogen, helium, and a mixture of both gases both inside and outside carbon nanotubes (CNT). In addition, our simulations predict a new “nanoseparation” effect when a nanotube is filled with a mixture of two gases with different masses or placed inside a volume filled with a mixture of several gases with different masses. The mass selectivity of the nanopumping can be used to develop a highly selective filter for various gases. Gas flow rates, pumping, and separation efficiencies were calculated at various wave frequencies and phase velocities of the surface waves. The nanopumping effect was analyzed for its applicability to actuate nanofluids into fuel cells through carbon nanotubes.


Resuscitation ◽  
2010 ◽  
Vol 81 (6) ◽  
pp. 737-741 ◽  
Author(s):  
G.M. Schmölzer ◽  
S.B. Hooper ◽  
K.J. Crossley ◽  
B.J. Allison ◽  
C.J. Morley ◽  
...  

1974 ◽  
Vol 14 (01) ◽  
pp. 44-54 ◽  
Author(s):  
Gary W. Rosenwald ◽  
Don W. Green

Abstract This paper presents a mathematical modeling procedure for determining the optimum locations of procedure for determining the optimum locations of wells in an underground reservoir. It is assumed that there is a specified production-demand vs time relationship for the reservoir under study. Several possible sites for new wells are also designated. possible sites for new wells are also designated. The well optimization technique will then select, from among those wellsites available, the locations of a specified number of wells and determine the proper sequencing of flow rates from Those wells so proper sequencing of flow rates from Those wells so that the difference between the production-demand curve and the flow curve actually attained is minimized. The method uses a branch-and-bound mixed-integer program (BBMIP) in conjunction with a mathematical reservoir model. The calculation with the BBMIP is dependent upon the application of superposition to the results from the mathematical reservoir model.This technique is applied to two different types of reservoirs. In the first, it is used for locating wells in a hypothetical groundwater system, which is described by a linear mathematical model. The second application of the method is to a nonlinear problem, a gas storage reservoir. A single-phase problem, a gas storage reservoir. A single-phase gas reservoir mathematical model is used for this purpose. Because of the nonlinearity of gas flow, purpose. Because of the nonlinearity of gas flow, superposition is not strictly applicable and the technique is only approximate. Introduction For many years, members of the petroleum industry and those concerned with groundwater hydrology have been developing mathematical reservoir modeling techniques. Through multiple runs of a reservoir simulator, various production schemes or development possibilities may be evaluated and their relative merits may be considered; i.e., reservoir simulators can be used to "optimize" reservoir development and production. Formal optimization techniques offer potential savings in the time and costs of making reservoir calculations compared with the generally used trial-and-error approach and, under proper conditions, can assure that the calculations will lead to a true optimum.This work is an extension of the application of models to the optimization of reservoir development. Given a reservoir, a designated production demand for the reservoir, and a number of possible sites for wells, the problem is to determine which of those sites would be the best locations for a specified number of new wells so that the production-demand curve is met as closely as possible. Normally, fewer wells are to be drilled than there are sites available. Thus, the question is, given n possible locations, at which of those locations should n wells be drilled, where n is less than n? A second problem, that of determining the optimum relative problem, that of determining the optimum relative flow rates of present and future wells is also considered. The problem is attacked through the simultaneous use of a reservoir simulator and a mixed-integer programming technique.There have been several reported studies concerned with be use of mathematical models to select new wells in gas storage or producing fields. Generally, the approach has been to use a trial-and-error method in which different well locations are assumed. A mathematical model is applied to simulate reservoir behavior under the different postulated conditions, and then the alternatives are postulated conditions, and then the alternatives are compared. Methods that evaluate every potential site have also been considered.Henderson et al. used a trial-and-error procedure with a mathematical model to locate new wells in an existing gas storage reservoir. At the same time they searched for the operational stratagem that would yield the desired withdrawal rates. In the reservoir that they studied, they found that the best results were obtained by locating new wells in the low-deliverability parts of the reservoir, attempting to maximize the distance between wells, and turning the wells on in groups, with the low-delivery wells turned on first.Coats suggested a multiple trial method for determining well locations for a producing field. SPEJ P. 44


2004 ◽  
Vol 831 ◽  
Author(s):  
E. Berkman ◽  
R. Collazo ◽  
R. Schlesser ◽  
Z. Sitar

ABSTRACTGallium nitride (GaN) films were grown on (0001) sapphire substrates at 1050°C by controlled evaporation of gallium (Ga) metal and reaction with ammonia (NH3) at a total reactor pressure of 800 Torr. Pure nitrogen (N2) was flowed directly above the molten Ga source to prevented direct reaction between the molten Ga and ammonia, which causes Ga spattering and GaN crust formation. At the same time, this substantially enhanced the Ga transport to the substrate. A simple mass-transport model based on total reactor pressure, gas flow rates and source temperature was developed and verified. The theoretical calculations and growth rate measurements at different ammonia flow rates and reactor pressures showed that the maximum growth rate was controlled by transport of both Ga species and reactive ammonia to the substrate surface.


Sign in / Sign up

Export Citation Format

Share Document