A Clinical Study of Tracheal Stenosis Following Tracheal Intubation or Tracheostomy

2021 ◽  
Vol 72 (6) ◽  
pp. 304-309
Author(s):  
Toshiyuki Mukai ◽  
Takao Goto ◽  
Taku Sato ◽  
Rumi Ueha ◽  
Takaharu Nito
2011 ◽  
Vol 39 (6) ◽  
pp. 1093-1097 ◽  
Author(s):  
A. Webb ◽  
H. Kolawole ◽  
S. Leong ◽  
T. E. Loughnan ◽  
T. Crofts ◽  
...  

The Bonfils and Levitan FPS™ scopes are rigid fibreoptic stylets that may assist routine or difficult intubation. This study compared the effectiveness of each in patients with predicted normal airways when used by specialist anaesthetists with no prior experience using optical stylets. Twelve anaesthetists and 324 elective surgical patients participated. Six anaesthetists were randomised to first intubate 20 patients with the Levitan scope (Phase 1) followed by a further seven patients with the Bonfils scope (Phase 2). The other six participating anaesthetists undertook their first 20 intubations with the Bonfils (Phase 1), followed by seven intubations with the Levitan (Phase 2). Outcomes recorded were success rate, total time to intubation, number of attempts, ease of intubation score and incidence of complications. Overall failure rates were similar for the two scopes with 5.6% of patients not intubated after three attempts. Median total times to intubation were similar for the Levitan (44 seconds) and Bonfils (36 seconds) (P=0.11). Participants using the Bonfils in Phase 1 had significantly higher chance of success on first attempt (73%) compared to Levitan users during Phase 1 (57%) (P=0.008). These differences were not significant in the second phase and ease of intubation scores were similar for both scopes (P=0.9). This study showed the two scopes were comparable but the high failure rate amongst novice users demonstrated the importance of familiarity and skill development prior to their introduction to a difficult airway cart.


2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Carlos Ferrando ◽  
Gerardo Aguilar ◽  
F. Javier Belda

Background and Objective. The Airtraq laryngoscope (Prodol Meditec, Vizcaya, Spain) is a novel tracheal intubation device. Studies, performed until now, have compared the Airtraq with the Macintosh laryngoscope, concluding that it reduces the intubation times and increase the success rate at first intubation attempt, decreasing the Cormack-Lehane score. The aim of the study was to evaluate if, in unskillful anesthesiology residents during the laryngoscopy, the Airtraq compared with the Macintosh laryngoscope improves the laryngeal view, decreasing the Cormack-Lehane score.Methods. A prospective, randomized, crossed-over trial was carried out on 60 patients. Each one of the patients were intubated using both devices by unskillful (less than two hundred intubations with the Macintosh laryngoscope and 10 intubations using the Airtraq) anesthesiology residents. The Cormack-Lehane score, the success rate at first intubation attempt, and the laryngoscopy and intubation times were compared.Results. The Airtraq significantly decreased the Cormack-Lehane score (). On the other hand, there were no differences in times of laryngoscopy (; IC 95% 3.1, +4.8) and intubation (; C95%  −6.1, +10.0) between the two devices. No relevant complications were found during the maneuvers of intubation using both devices.Conclusions. The Airtraq is a useful laryngoscope in unskillful anesthesiology residents improving the laryngeal view and, therefore, facilitating the tracheal intubation.


2006 ◽  
Vol 20 (2) ◽  
pp. 156-160 ◽  
Author(s):  
Mitsuhiro Kamiyoshihara ◽  
Seiichi Kakegawa ◽  
Osamu Kawashima ◽  
Yoshimi Ohtani ◽  
Yasuo Morishita

Author(s):  
LG García-Herreros ◽  
A Jiménez ◽  
LF Cabrera ◽  
EE Vinck ◽  
M Pedraza

The current global COVID-19 pandemic is caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Currently, acquired tracheoesophageal fistulas are mainly iatrogenic lesions produced by prolonged tracheal intubation. We present a case of tracheoesophageal fistula with severe tracheal stenosis following tracheal intubation in a patient with SARS-CoV-2 infection.


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