scholarly journals Validation of tracheal intubation of wire-reinforced endotracheal tube with ultrasonography

2018 ◽  
Vol 14 (2) ◽  
pp. 20 ◽  
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Tube

scholarly journals I-gel Laryngeal Mask Airway Combined with Tracheal Intubation Attenuate Systemic Stress Response in Patients Undergoing Posterior Fossa Surgery

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Chaoliang Tang ◽  
Xiaoqing Chai ◽  
Fang Kang ◽  
Xiang Huang ◽  
Tao Hou ◽  
...  
Keyword(s):  
Stress Response ◽  
Tracheal Intubation ◽  
Adverse Events ◽  
Endotracheal Tube ◽  
Posterior Fossa ◽  
Carbon Dioxide Tension ◽  
Uneventful Recovery ◽  
Posterior Fossa Surgery ◽  
Necrosis Factor Alpha ◽  
Respiratory Variables

Background. The adverse events induced by intubation and extubation may cause intracranial hemorrhage and increase of intracranial pressure, especially in posterior fossa surgery patients. In this study, we proposed that I-gel combined with tracheal intubation could reduce the stress response of posterior fossa surgery patients.Methods. Sixty-six posterior fossa surgery patients were randomly allocated to receive either tracheal tube intubation (Group TT) or I-gel facilitated endotracheal tube intubation (Group TI). Hemodynamic and respiratory variables, stress and inflammatory response, oxidative stress, anesthesia recovery parameters, and adverse events during emergence were compared.Results. Mean arterial pressure and heart rate were lower in Group TI during intubation and extubation (P<0.05versus Group TT). Respiratory variables including peak airway pressure and end-tidal carbon dioxide tension were similar intraoperative, while plasmaβ-endorphin, cortisol, interleukin-6, tumor necrosis factor-alpha, malondialdehyde concentrations, and blood glucose were significantly lower in Group TI during emergence relative to Group TT. Postoperative bucking and serious hypertensions were seen in Group TT but not in Group TI.Conclusion. Utilization of I-gel combined with endotracheal tube in posterior fossa surgery patients is safe which can yield more stable hemodynamic profile during intubation and emergence and lower inflammatory and oxidative response, leading to uneventful recovery.

scholarly journals Cuff Failure of Spiral-Filled Polyvinyl Chloride Endotracheal Tube Immediately after Tracheal Intubation Using a Channeled Videolaryngoscope (Pentax Airway Scope)

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Koichi Nishikawa ◽  
Yoshihisa Fujita
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Polyvinyl Chloride ◽  
Mechanical Damage ◽  
Airway Scope ◽  
The Past ◽  
Inner Surface

We report on a case of mechanical damage to the spiral-filled polyvinyl chloride endotracheal tube that occurred shortly after tracheal intubation using a channeled videolaryngoscope (Pentax airway scope). We also found this problem in two other cases among 350 neurosurgery patients over the past 5 years. Prior to intubation, we did not observe any defect in the cuff. However, the cuff could not be filled with air immediately after the intubation. Anesthesiologists should be aware that, during tracheal intubation using an airway scope, friction between the endotracheal tube and inner surface of the introducer might result in sudden rupture of the cuff.

scholarly journals A Method of Detecting Oesophageal Intubation or Confirming Tracheal Intubation

1988 ◽  
Vol 16 (3) ◽  
pp. 299-301 ◽  
Author(s):  
J. J. O'Leary ◽  
B. J. Pollard ◽  
M. J. Ryan
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Original Position ◽  
Endotracheal Tube Cuff ◽  
Tube Cuff ◽  
Incorrect Answer ◽  
Marked Resistance ◽  
Oesophageal Intubation

A method of testing the location of an endotracheal tube, in the trachea or oesophagus, was subjected to trial. The test involves drawing back on the plunger of a 50 ml syringe connected with airtight fittings to the endotracheal tube connector, with the endotracheal tube cuff deflated. The ability to withdraw 30 ml of air confirms tracheal intubation. When marked resistance to withdrawal of the plunger occurs and on release the plunger rebounds to its original position the oesophagus has been intubated. The method was 100% accurate in fifty intubations, 25 tracheal and 25 oesophageal. The technique has been in routine use by one author for several years without giving an incorrect answer and enthusiastic use by other authors is producing the same result.

Use of the endotracheal tube introducer as an adjunct for oral tracheal intubation in the prehospital setting

2003 ◽  
Vol 22 (1) ◽  
pp. 28-31
Author(s):  
William G. Heegaard ◽  
Cara Black ◽  
Cheryl Pasquerella ◽  
James Miner
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Prehospital Setting

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.

Comparison of Two Techniques for Retrograde Tracheal Intubation in Human Fresh Cadavers

2006 ◽  
Vol 104 (1) ◽  
pp. 48-51 ◽  
Author(s):  
François Lenfant ◽  
Mehdi Benkhadra ◽  
Pierre Trouilloud ◽  
Marc Freysz
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Success Rate ◽  
Guide Wire ◽  
Cricothyroid Membrane ◽  
Simple Modification ◽  
Classic Technique ◽  
Clinical Conditions ◽  
The Impact ◽  
Mean Time

Background During retrograde tracheal intubation, the short distance existing between the cricothyroid membrane and vocal cords may be responsible for accidental extubation. The insertion of a catheter into the trachea before the removal of the guide wire may help to cope with this problem. This work was conducted to study the impact of such a modification on the success rate and the duration of the procedure. Methods Procedures of retrograde tracheal intubation following the classic and modified techniques were randomly performed in cadavers (n = 70). The duration of the procedure from the puncture of the cricothyroid membrane to the inflation of the balloon of the endotracheal tube was measured, and, at the end of the procedure, the position of the endotracheal tube was checked under laryngoscopy. The procedure was considered to have failed if it had taken more than 5 min or when the endotracheal tube was not positioned in the trachea. Results The mean time to achieve tracheal intubation was similar in both groups (123 +/- 51 vs. 127 +/- 41 s; not significant), but intubation failed significantly more frequently with the classic technique (22 vs. 8 failures; P &lt; 0.05). All failures were related to incorrect positioning of the endotracheal tube. In four cases, both techniques failed. Conclusions This efficient, simple modification of the technique significantly increases the success rate of the procedure, without prolonging its duration. These data should be confirmed in clinical conditions but may encourage a larger use of the retrograde technique in cases of difficult intubation.

Endotracheal Tube Cuff Pressure Monitoring: A Review of the Evidence

2011 ◽  
Vol 21 (11) ◽  
pp. 379-386 ◽  
Author(s):  
Pervez Sultan ◽  
Brendan Carvalho ◽  
Bernd Oliver Rose ◽  
Roman Cregg
Keyword(s):  
United States ◽  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Critically Ill Patients ◽  
Cuff Pressure ◽  
The United States ◽  
Endotracheal Tube Cuff ◽  
Pressure Monitoring ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure

Tracheal intubation constitutes a routine part of anaesthetic practice both in the operating theatre as well as in the care of critically ill patients. The procedure is estimated to be performed 13–20 million times annually in the United States alone. There has been a recent renewal of interest in the morbidity associated with endotracheal tube cuff overinflation, particularly regarding the rationale and requirement for endotracheal tube cuff monitoring intra-operatively.

scholarly journals Comparison of non-invasive haemodynamic monitors of stress response to endo-tracheal intubation with perfusion index in patients undergoing elective surgery

2020 ◽  
Vol 23 (2) ◽  
pp. 9-13
Author(s):  
Sushila Lama Moktan ◽  
Manan Karki
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Stress Response ◽  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Diastolic Blood Pressure ◽  
Endotracheal Intubation ◽  
Elective Surgery ◽  
Perfusion Index ◽  
Non Invasive

Introduction: Laryngoscopy and intubation is always associated with a short term reflex sympathetic pressor response. The perfusion index is an indirect, non-invasive, and continuous measure of peripheral perfusion by pulse oximeter which can detect the stress response to intubation similar to heart rate, systolic blood pressure and diastolic blood pressure. Methods: This prospective observational study enrolled sixty-five normotensive patients of American society of anesthesiologists physical status grade I and II scheduled for elective surgery under general anaesthesia. Tracheal intubation was performed after induction with intravenous fentanyl, propofol and vecuronium. Heart rate, Systolic and Diastolic Blood Pressure and Perfusion Index were measured before induction of anesthesia, before intubation and one minute, three minutes, five minutes after the insertion of the endotracheal tube. Increase in heart rate by ?10 beats per minute, systolic and diastolic blood pressure by ?15 millimeters of mercury and decrease in Perfusion index ?10% after endotracheal intubation as compared to preintubationvalue were considered positive haemodynamic changes. Results: Endotracheal intubation produced a significant increase in heart rate and blood pressure whereas perfusion index decreased significantly. Our study showed that perfusion index response criterion achieved 97.7% (Confidence interval 97.58-97.86) sensitivity in detecting the stress response to insertion of endotracheal tube whereas systolic and diastolic blood pressure achieved sensitivity of 90% and 92% respectively. Conclusion: Perfusion Index is easier, reliable and non-invasive alternative to conventional haemodynamic criteria for detection of stress response to endotracheal intubation.

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