scholarly journals New method for the fixation of the endotracheal tube in patients with facial hair

2003 ◽  
Vol 9 (1-2) ◽  
pp. 108-112
Author(s):  
H. Kamalipour ◽  
K. Kardan

A problem faced by anaesthetists in Islamic countries is the unwillingness of patients to shave their facial hair. Adhesive tapes may not adequately secure an endotracheal tube in these patients, and a cotton b and around the neck may cause obstruction of the venous return. A new device, a synthetic leather mask, was compared with the two other methods in a r and omized trial on 900 patients undergoing general anaesthesia. No displacement of the endotracheal tube, pressure on the neck veins, or skin reaction were observed in the mask group compared with the adhesive tape and the cotton b and groups. The mask can be reused, autoclaved and made in several sizes, prevents allergies to adhesive tape and is suitable for laryngoscopy, suctioning and inserting the oral airway

2017 ◽  
Vol 176 (3) ◽  
pp. 32-37
Author(s):  
I. E. Onnintsev ◽  
S. Ya. Ivanusa ◽  
A. V. Khokhlov ◽  
A. A. Sokolov ◽  
A. V. Yankovskiy

OBJECTIVE. The aim of the study was to estimate the efficacy of new method of reinfusion of extracorporeal modified ascitic fluid in therapy of diuretic resistance ascites in patients with liver cirrhosis and portal hypertension syndrome. MATERIAL AND METHODS. An analysis of treatment was made in 83 patients, who underwent laparocentesis and ascitic fluid evacuation. The patients were divided into two groups. Laparocentesis and fractional evacuation of ascitic fluid were carried out for the patients of the first group (n=40). This procedure was followed by intravenous infusion of 25 % albumin (10 g of albumin on each 2 litres of removed fluid) in order to make up losses of protein. Laparocentesis and ascitic fluid evacuation with following extracorporal processing and reinfusion were performed for the second group of patients (n=43). RESULTS. There was noted an increase of day diuresis from (620,0 ± 110,0) ml to (2,2 ± 0,4) l compared with the first group from (780 ± 80) ml to (1,2 ± 0,5) l and rise of sodium excretion (132 ± 7) mmol/l compared with the first group - (120 ± 6) mmol/l. An average molecular peptide concentration was decreased in blood plasma to (0,254 ± 0,098) units in the second group and it counted (0,298 ± 0,045) units in the first group. CONCLUSIONS. Reinfusion of extracorporeal modified ascitic fluid was more effective than conventional correction of albumin level and electrolytes disturbances against a background of ascitic fluid evacuation.


IAWA Journal ◽  
2010 ◽  
Vol 31 (4) ◽  
pp. 373-383 ◽  
Author(s):  
Antonio C. F. Barbosa ◽  
Marcelo R. Pace ◽  
Luciana Witovisk ◽  
Veronica Angyalossy

A new method is presented to prepare anatomical slides of plant materials including a combination of soft and hard tissues, such as stems with cambial variants, arboreal monocotyledons, and tree bark. The method integrates previous techniques aimed at softening the samples and making them thereby more homogeneous, with the use of anti-tearing polystyrene foam solution. In addition, we suggest two other alternatives to protect the sections from tearing: adhesive tape and/or Mayer’s albumin adhesive, both combined with the polystyrene foam solution. This solution is cheap and easy to make by dissolving any packaging polystyrene in butyl acetate. It is applied before each section is cut on a sliding microtome and ensures that all the tissues in the section will hold together. This novel microtechnical procedure will facilitate the study of heterogeneous plant portions, as shown in some illustrated examples.


1972 ◽  
Vol 18 (7) ◽  
pp. 630-642 ◽  
Author(s):  
Tevfik K Bigat ◽  
Abraham Saifer

Abstract Methodological modifications have been made in our "SMA 12/60 AutoAnalyzer" system, to improve the reproducibility and accuracy of six commonly performed procedures. These include glucose with the glucose oxidase method, albumin with the bromcresol green method, and alkaline phosphatase with the sodium thymolphthalein monophosphate method. We have also modified the composition of the reagents used in the determination of protein, inorganic phosphate, and aspartate aminotransferase. A general approach that is useful for adapting a new method to a multichannel AutoAnalyzer system is discussed.


2020 ◽  
pp. bmjmilitary-2020-001402 ◽  
Author(s):  
Danny Epstein ◽  
R Strashewsky ◽  
A Furer ◽  
A M Tsur ◽  
J Chen ◽  
...  

IntroductionEndotracheal intubation is required in many emergency, trauma and prehospital scenarios. Endotracheal tube (ETT) fixation must be stable and quick to apply to enable rapid evacuation and patient transport. This study compares performance times of three common ETT securement techniques which are practical for out-of-hospital and combat scenarios.MethodsWe compared the time required by military medics to complete ETT fixation in three techniques—fixation of a wide gauze roll wrapped twice around the head and tied twice around the ETT (GR), using a Thomas Tube Holder (TH) and using a pre-tied non-adhesive tape (PT). 300 military medics were randomised to apply one technique each on a manikin, and time to completion was recorded.Results300 ETTs were successfully fixated by 300 military medics. Median times to complete ETT fixation by PT and TH techniques were 24 s (IQR (19 to 31) and (IQR 20 to 33), respectively). Both were significantly shorter to apply than the GR technique, with a median time of 57 s (IQR 47 to 81), p<0.001.ConclusionsIn time critical situations such as combat, severe trauma, mass casualties and whenever rapid evacuation might improve the clinical outcome, using a faster fixation technique such as Thomas Tube Holder or a pre-tied non-adhesive tape might enable faster evacuation than the use of traditional endotracheal tube fixation techniques.


1981 ◽  
Author(s):  
M Szoke ◽  
A L Willis ◽  
R McGuire ◽  
J M Fisher ◽  
D Donegan ◽  
...  

Male guinea pigs of 350-500 g (Hartley strain, Simonsen, Gilroy, CA) were anesthetized with pentobarbitone sodium (32.5 mg/kg, i.p.) and restrained head downwards on a plexiglass board tilted at an angle of 45° to the horizontal. Both ears were held down on the surface of the board using adhesive tape (Scotch brand #810). The upper surface of each ear was then superfused at 5 ml/min with warmed (37°C) sterile 0.9% (w/v) NaCl solution, delivered via a 14 g hypodermic needle. The tip of the needle was lowered in a standardized manner to puncture a small ear artery. From the time of incision, serial 10 sec. aliquots of bloodstained superfusate were collected into tubes containing 10 ml of particle-free saline with EDTA (‘Isoton’, Coulter) to inhibit coagulation and platelet clumping. After bleeding had ceased, the tube contents were allowed to sediment overnight. The following day, platelets in the upper (plateletrich) layer were counted electronically (Coulter). After shaking and further dilution the red blood cells were similarly counted. Effects of 500U heparin and 20 mg/kg aspirin (i.p., 1h. before bleeding) were examined. Both drugs markedly increased platelet and RBC efflux from the hemostatic site, but with characteristic differences in the time curves observed. An unexpected finding was that an incision in one ear could suppress bleeding from an incision subsequently made in the second ear. A previously undiscovered reflex or blood-borne hormone may be responsible.


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