scholarly journals Thermosoftening of the Parker Flex-TipTM Tracheal Tube in Preparation for Nasotracheal Intubation

2013 ◽  
Vol 60 (3) ◽  
pp. 109-110
Author(s):  
Takuro Sanuki ◽  
Junichiro Kotani

Abstract The Parker Flex-Tip tracheal tube (PFTT, Parker Medical, Highlands Ranch, Colo) has a soft, flexible, curved tip with double Murphy eyes. Previous studies have shown that the PFTT reduces the incidence of epistaxis during nasotracheal intubation and the incidence of postintubation nasal pain, as compared to conventional tracheal tubes. Although thermosoftening is a well-known and effective technique for reducing epistaxis during nasotracheal intubation with conventional tracheal tubes, we occasionally encounter difficulties with advancing the tube through the nasal passage when the PFTT is thermosoftened prior to nasotracheal intubation. Consequently, when using the PFTT for nasotracheal intubation, the procedure of thermosoftening should be avoided.

2018 ◽  
Vol 65 (4) ◽  
pp. 259-260 ◽  
Author(s):  
Tsuyoshi Hoshi ◽  
Takashi Suzuki ◽  
Masayuki Somei ◽  
Takehiko Iijima ◽  
Yuka Kurihara

A 23-year-old healthy man was scheduled for extraction of his mandibular third molars under general anesthesia with nasotracheal intubation. Sudden sinus tachycardia up to 170 beats/min occurred when applying an epinephrine solution-soaked swab into the nasal cavity for preventing epistaxis during intubation. This was presumably evoked by submucosal migration of the swab into a false passage created because of the force applied during a prior failed attempt at nasal passage of the tracheal tube, and rapid epinephrine absorption by the traumatized mucosa. The causes of the unexpected severe tachycardia in our patient are discussed.


Anaesthesia ◽  
2011 ◽  
Vol 66 (5) ◽  
pp. 399-399 ◽  
Author(s):  
Y. Imashuku ◽  
M. Kura ◽  
C. Sukenaga ◽  
H. Otada ◽  
H. Kitagawa

1995 ◽  
Vol 29 (6) ◽  
pp. 811
Author(s):  
Byoung Chul Ko ◽  
Young Pyo Cheong ◽  
Kang Chang Lee ◽  
Tai Yo Kim

1994 ◽  
Vol 72 (1) ◽  
pp. 140
Author(s):  
N.M. GAJRAJ ◽  
J.H. PENNANT ◽  
A.C. VAN ELSTRAETE ◽  
R.A. VICTORY

2020 ◽  
Author(s):  
Rui Hu ◽  
Jingyi Niu ◽  
Lining Wu ◽  
Hao Sun ◽  
Peng Sun ◽  
...  

Abstract Background: Magill forceps are frequently used to complete the process of nasotracheal intubation (NTI). We aimed to identify a tube core that could facilitate the NTI process conveniently without Magill forceps. Methods: Sixty patients with no differences between the two groups (30 per group) with regard to demographic data were enrolled in our study. In Group M, the wire-reinforced tracheal tube was inserted into the trachea using Magill forceps. However, in Group T, a tube core bent to the physiological curve of the nasal cavity lubricated with aseptic liquid paraffin was inserted into the tracheal tube, and the tube core was then withdrawn after the tracheal tube was advanced through the glottis under direct vision. Results: All NTIs were completed successfully, and no Magill forceps were used in Group T. There was a significant difference in total NTI time between the two groups (Group M, 59.7 (5.1) sec vs Group T, 52.4 (3.1) sec). Mild epistaxis was observed in 6 patients in Group M and 5 patients in Group T (6/30 vs 5/30, respectively). There was no presence of damaged oral tissue or damage to the teeth in either group. Conclusion: We conclude that using the tube core, which is a disposable sterilised stylet, for NTI is a convenient choice. Trial registrations: This clinical research was registered at the Chinese Clinical Trial Registry (www.Chictr.org.cn, ChiCTR1900027387).


2018 ◽  
Vol 127 (6) ◽  
pp. 1421-1426 ◽  
Author(s):  
Hyerim Kim ◽  
Jung-Man Lee ◽  
Jiwon Lee ◽  
Jin-Young Hwang ◽  
Jee-Eun Chang ◽  
...  

2002 ◽  
Vol 95 (5) ◽  
pp. 1432-1436 ◽  
Author(s):  
Dietmar Enk ◽  
Anne M. Palmes ◽  
Hugo Van Aken ◽  
Martin Westphal

2010 ◽  
Vol 24 (5) ◽  
pp. 819-820 ◽  
Author(s):  
Goneppanavar Umesh ◽  
Prabhu Manjunath ◽  
Gurudas Kini ◽  
Kaur Jasvinder

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