Esophageal Detector Device in Pediatric Tracheal Intubation

PEDIATRICS ◽  
1995 ◽  
Vol 96 (5) ◽  
pp. 983-983
Author(s):  
Katharina P. Koetter ◽  
Wolfgang H. Maleck
Keyword(s):  
Carbon Dioxide ◽  
Cardiac Arrest ◽  
Tracheal Intubation ◽  
Tracheal Tube ◽  
Pooled Data ◽  
Tube Position ◽  
Initial Control ◽  
Carbon Dioxide Co2

Bhende and Thompson's article in Pediatrics (1995;95:395-399) showed problems associated with the use of capnometry for initial control of tube position in cardiac arrest. They found a failure to detect carbon dioxide (CO2) in six of 39 patients with correct tracheal tube position.1 This is similar to their earlier publication with a failure in two of 17 cardiac arrest patients with tracheally placed tubes.2 We found a 13% incidence of failure to detect CO2 with the EASYCAP (Nellcor, Hayward, CA) in cardiac arrest despite tracheal intubation in pooled data.3

Accuracy and Reliability of the Self-inflating Bulb to Verify Tracheal Intubation in Out-of-hospital Cardiac Arrest Patients

2000 ◽  
Vol 93 (6) ◽  
pp. 1432-1436 ◽  
Author(s):  
Koichi Tanigawa ◽  
Taku Takeda ◽  
Eiichi Goto ◽  
Keiichi Tanaka
Keyword(s):  
Carbon Dioxide ◽  
Cardiac Arrest ◽  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Clinical Judgment ◽  
False Negative ◽  
The Self ◽  
Tube Position ◽  
Hospital Cardiac Arrest ◽  
Observation Period

Background To determine the sensitivity and specificity of the self-inflating bulb (SIB) to verify tracheal intubation in out-of-hospital cardiac arrest patients. Methods Sixty-five consecutive adult patients with out-of-hospital cardiac arrest were enrolled. Patients were provided chest compression and ventilation by either ba-valve-mask or the esophageal tracheal double-lumen airway by ambulance crews when they arrived at the authors' department. Immediately after intubation in the emergency department, the endotracheal tube position was tested by the SIB and end-tidal carbon dioxide (ETCO2) monitor using an infrared carbon dioxide analyzer. We observed the SIB reinflating for 10 s, and full reinflation within 4 s was defined as a positive result (tracheal intubation). Results Five esophageal intubations occurred, and the SIB correctly identified all esophageal intubations. Of the 65 tracheal intubations, the SIB correctly identified 47 tubes placed in the trachea (72.3%). Delayed but full reinflation occurred in one tracheal intubation during the 10-s observation period. Fifteen tracheal intubations had incomplete reinflation during the observation period, and two tracheal intubations did not achieve any reinflation. Thirty-nine tracheal intubations were identified by ETCO2 (60%). When the SIB test is combined with the ETCO2 detection, 59 tracheal intubations were identified with a 90.8% sensitivity. Conclusions The authors found a high incidence of false-negative results of the SIB in out-of-hospital cardiac arrest patients. Because no single test for verifying endotracheal tube position is reliable, all available modalities should be tested and used in conjunction with proper clinical judgment to verify tracheal intubation in cases of out-of-hospital cardiac arrest.

Sonomatic Confirmation of Tracheal Intubation Using the SCOTI

1997 ◽  
Vol 12 (2) ◽  
pp. 78-82 ◽  
Author(s):  
Georg Petroianu ◽  
Wolfgang Maleck ◽  
Wolfgang Bergler ◽  
Roderich Rüfer
Keyword(s):  
Carbon Dioxide ◽  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Sound Waves ◽  
Miniature Pigs ◽  
Tube Position ◽  
Independent Assessment ◽  
Mini Pigs

AbstractThis study compares the performance of two commercially available devices (Ambu. TubeChek™ and SCOTI™ in establishing endotracheal (ET) tube position (oesophageal vs. tracheal) in a mannequin and in miniature pigs. The Ambu TubeChek is a syringe-type, Oesophageal Detector Device (ODD) that fits to the endotracheal tube connector. Air is aspirated easily from the rigid trachea, but not from the collapsing esophagus. The Sonomatic Confirmation of Tracheal Intubation device (SCOTI) is a lightweight battery-powered, sonomatic device. It emits sound waves into the tube and analyzes the reflection. The SCOTI purports to enable a user-independent and carbon-dioxide-independent assessment of tube position following intubation.Intubation followed by tube position assessment with Ambu TubeChek (ODD) was significantly faster and easier with the ODD than with the SCOTI. The SCOTI cannot differentiate tracheal from oesophageal ET-tube position in mini-pigs.In situations in which capnometry is not available or the CO2 production and transport are compromised (CPR), we recommend the use of an Oesophageal Detector Device (ODD) rather than the SOCTI.

scholarly journals Cardiac arrest during laparoscopic cholecystectomy under general anaesthesia: A study into four cases

1970 ◽  
Vol 7 (3) ◽  
pp. 280-288 ◽  
Author(s):  
B Gautam ◽  
BR Shrestha
Keyword(s):  
Carbon Dioxide ◽  
Cardiac Arrest ◽  
Laparoscopic Cholecystectomy ◽  
General Anaesthesia ◽  
Open Abdomen ◽  
Case Reports ◽  
Co2 Pneumoperitoneum ◽  
Carbon Dioxide Pneumoperitoneum ◽  
Operative Complications ◽  
Carbon Dioxide Co2

Laparoscopic cholecystectomy (LapChole) has virtually superseded the more conventional open abdomen approach for the surgical treatment of symptomatic cholelithiasis. LapChole is however not a risk free procedure and serious, potentially fatal intra-operative complications can occur. Here we present case reports of four patients who suffered from intra-operative cardiac arrest during LapChole. All four recovered without residual morbidity and three of them underwent successful surgery in the same setting. No definite cause could be identified in any of the patients. We outline several possible mechanisms that could have been involved and discuss these events in face of published reports describing similar incidences. We infer that the creation of carbon-dioxide (CO2) pneumoperitoneum was involved in the causation of the cardiac arrest because all four incidences occurred within minutes thereafter. Although rare, such complications can be fatal and are thus demanding to the anaesthesiologist. Key words: Anaesthetic complications; carbon-dioxide pneumoperitoneum (CP); cardiac arrest; general anaesthesia; laparoscopic cholecystectomy DOI: 10.3126/kumj.v7i3.2738 Kathmandu University Medical Journal (2009) Vol.7, No.3 Issue 27, 280-288

scholarly journals Simulation Case: Cardiac Arrest After Carbon Dioxide (CO2) Embolism

MedEdPORTAL ◽  
2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Bryan Halverson ◽  
Mathew Malkin ◽  
John Lenart ◽  
Marissa Vadi
Keyword(s):  
Carbon Dioxide ◽  
Cardiac Arrest ◽  
Carbon Dioxide Co2

PERANCANGAN PROTEKSI KEBAKARAN OTOMATIS PADA KAPAL BERBASIS ARDUINO

2018 ◽  
Vol 1 (2) ◽  
pp. 1-8
Author(s):  
Dody Hidayat
Keyword(s):  
Carbon Dioxide ◽  
Fire Extinguisher ◽  
Carbon Dioxide Co2

Kebakaran dapat terjadi dimana saja salah satunya dapat terjadi di alat transportasi air yakni kapal. Kebakaran selalu menyebabkan hal-hal yang tidak diinginkan baik kerugian material maupun ancaman keselamatan jiwa manusia. Seiring dari kejadian tersebut musibah kecelakaan kapal yang disebabkan oleh bahaya kebakaran sangatlah mungkin terjadi. Salah satu yang dapat mencegah kejadian kebakaran pada kapal haruslah dapat mendeteksi dini kebakaran tersebut. Untuk mendeteksi dini terjadinya kebakaran dikapal maka dirancanglah sebuah alat proteksi kebakaran otomatisberbasis adruino. Dimana Arduino merupakan board yang memiliki sebuah mikrokontroller sebagai  otak kendali sistem. Sistem otomatisasi atau controller tidak akan terlepas dengan apa yang disebut  dengan ‘sensor’. Sensor adalah sebuah alat untuk mendeteksi atau mengukut sesuatu yang digunakan untuk mengubah variasi mekanis, magnetis, panas, sinar dan kimia menjadi tegangan dan arus listrik. sistem yang dirancang ini dilengkapi dengan beberapa sensor diantaranya adalah sensor apiUV-Tron R2868, sensor asap MQ-2 dan kemudian sensor suhuDS18B20. Mikrokontroller sebagai pengendali akan merespon input yang berupa sensor tersebut ketika data yang dibaca oleh sensor mendeteksikebakaran diantaranya mendeteksi adanya asap, kemudian api dan suhu. Sebagai output dari sistem berupa racun api (fire extinguisher)dimana kandungan yang ada pada racun api tersebut berupa Dry Chemical Powder dan Carbon Dioxide (CO2) yang fungsinya digunakan untuk memadamkan api serta dilengkapi buzzer sebagai alarm peringatan jika terjadi kebakaran. 

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