scholarly journals ENDOSCOPIC CORRECTION OF IATROGENIC TRACHEA INJURIES IN SMALL PETS

2021 ◽  
Vol 247 (3) ◽  
pp. 213-217
Author(s):  
S.V. Pozyabin ◽  
◽  
N.I. Shumakov ◽  
O.V. Cherkasova ◽  
◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Operating Room ◽  
Medical Errors ◽  
Inhalation Anesthesia ◽  
Modern Equipment ◽  
Iatrogenic Injuries ◽  
Emergency Assistance ◽  
Endoscopic Correction ◽  
Blood Aspiration ◽  
Modern Technologies

Today, the veterinarian is increasingly in veterinary practice began to use new modern technologies for the treatment of small pets, using modern equipment for medical manipulations. At present, a modern operating room can no longer be imagined without a ventilator and a device for giving inhalation anesthesia. But, even new modern equipment and modern drugs for performing anesthesia cannot protect against medical errors. One of the most important manipulations is the ability to correctly place the endotracheal tube to perform resuscitation or give inhalation anesthesia. The percentage of iatrogenic injuries during this procedure reaches 2.5 % and is complicated by bleeding and blood aspiration, which requires emergency assistance, primarily with the use of endosoepic technologies.

Endotracheal Tube Obstruction due to Mucous Crust during Inhalation Anesthesia

1978 ◽  
Vol 11 (3) ◽  
pp. 263
Author(s):  
Youn Jin Chang ◽  
Hee Soon Ahn ◽  
Sung Yell Kim
Keyword(s):  
Endotracheal Tube ◽  
Inhalation Anesthesia ◽  
Tube Obstruction

Endotracheal Intubation, but Not Laryngeal Mask Airway Insertion, Produces Reversible Bronchoconstriction 

1999 ◽  
Vol 90 (2) ◽  
pp. 391-394 ◽  
Author(s):  
Eun S. Kim ◽  
Michael J. Bishop
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Respiratory System ◽  
Laryngeal Mask ◽  
Laryngeal Mask Airway Insertion ◽  
Women Patients ◽  
Inhalation Anesthesia ◽  
Endotracheal Tubes ◽  
Respiratory System Resistance ◽  
End Tidal

Background Tracheal intubation frequently results in an increase in respiratory system resistance that can be reversed by inhaled bronchodilators. The authors hypothesized that insertion of a laryngeal mask airway would be less likely to result in reversible bronchoconstriction than would insertion of an endotracheal tube. Methods Fifty-two (45 men, 7 women) patients were randomized to receive a 7.5-mm (women) or 8-mm (men) endotracheal tube or a No. 4 (women) or No. 5 (men) laryngeal mask airway. Anesthesia was induced with 2 microg/kg fentanyl and 5 mg/kg thiopental, and airway placement was facilitated with 1 mg/kg succinylcholine. When a seal to more than 20 cm water was verified, respiratory system resistance was measured immediately after airway placement. Inhalation anesthesia was begun with isoflurane to achieve an end-tidal concentration of 1% for 10 min. Respiratory system resistance was measured again during identical conditions. Results Among patients receiving laryngeal mask airways, the initial respiratory system resistance was significantly less than among patients with endotracheal tubes (9.2+/-3.3 cm water x 1(-1) x s(-1) [mean +/- SD] compared with 13.4+/-9.6 cm water x 1(-1) x s(-1); P < 0.05). After 10 min of isoflurane, the resistance decreased to 8.6+/-3.6 cm water x 1(-1) x s(-1) in the endotracheal tube group but remained unchanged at 9.1+/-3.3 cm water x 1(-1) x s(-1) in the laryngeal mask airway group. The decrease in respiratory system resistance in the endotracheal tube group of 4.7+/-7 cm water x 1(-1) x s(-1) was highly significant compared with the lack of change in the laryngeal mask airway group (P < 0.01). Conclusions Resistance decreased rapidly only in patients with endotracheal tubes after they received isoflurane, a potent bronchodilator, suggesting that reversible bronchoconstriction was present in patients with endotracheal tubes but not in those with laryngeal mask airways. A laryngeal mask airway is a better choice of airway to minimize airway reaction.

scholarly journals WARISAN TEMBIKAR TRADISIONAL MELAYU DI PAHANG

2017 ◽  
Vol 5 (1) ◽  
pp. 124-143
Author(s):  
MOHD ZAMANI MOHD NOR PEAH ◽  
NUBLI MUHAMMAD ◽  
HAMDZUN HARON ◽  
PHAOSAN JEWAE
Keyword(s):  
Document Analysis ◽  
Analysis Data ◽  
Study Data ◽  
Cultural Practice ◽  
Pottery Production ◽  
Modern Equipment ◽  
Purposive Sampling ◽  
Age Factor ◽  
Long Time ◽  
Modern Technologies

Kajian ini meneliti tentang sejarah dan perkembangan kegiatan pembuatan tembikar tradisional Tembeling yang dijalankan di Kampung Pasir Durian dan Temin Kraf di daerah Jerantut, Pahang. Kegiatan ini bermula di Kampung Pasir Durian sejak sekian lama manakala perusahaan di Temin Kraf pula merupakan satu kesinambungan terhadap kegiatan ini. Kajian terdahulu terhadap tembikar tradisional di Malaysia mendapati kegiatan ini disaingi dengan kewujudan perubahan cara pembuatan menggunakan teknik dan peralatan moden yang menyebabkan aktiviti pembuatan secara tradisional menggunakan tangan mulai terhakis. Pada masa yang sama jumlah pengiat semakin berkurangan dan tidak banyak kajian ilmiah yang menyentuh perkembangan kegiatan ini. Penyelidikan ini merupakan satu kajian kualitatif yang merakamkan secara deskriptif kegiatan tembikar tradisional Tembeling di negeri Pahang. Seramai 3 orang penggiat tembikar dari Kampung Pasir Durian dan Temin Kraf telah dipilih secara purposive sampling sebagai peserta kajian. Bagi mencapai objektif kajian, pengutipan data telah dilakukan melalui kaedah pemerhatian, temu bual dan analisis dokumen. Analisis data telah telah dibuat secara deskriptif dan interpretasi (Ragans, 2000). Dapatan kajian menunjukkan kegiatan penghasilan tembikar tradisional Tembeling di Kampung Pasir Durian semakin terancam kerana kebanyakan penggiat sudah tidak aktif atas faktor usia serta ketiadaan generasi pelapis yang berminat. Walau bagaimanapun, terdapat usaha daripada Temin Kraf yang meneruskan penghasilan dengan menggunakan teknologi moden.   This study examines the history and development of the traditional Tembeling pottery making in Kampung Pasir Durian and Temin Kraf in Jerantut, Pahang. The cultural practice had begun in Kampung Pasir Durian since a long time ago whereas the industry of Temin Kraf is an extension of the cultural activities. The previous studies on traditional pottery in Malaysia found that this cultural practice was threatened by the change in the way of modern equipment and techniques used that resulted in the decline of the traditional craftsmanship by. At the same time, there is a decrease in the number of activists and not many scientific studies touch on the development of these activities. This research is a qualitative study with descriptive records of Tembeling traditional pottery in Pahang. Three pottery makers from Kampung Pasir Durian and Temin Kraf were selected through purposive sampling as the participants in the research. To achieve the objectives of the study, data collection was done through observations, interviews and document analysis. Data analysis was done descriptively and interpretatively (Ragans, 2000). The findings show that traditional pottery production in Kampung Pasir Durian Tembeling is increasingly being threatened because most makers are not active due to the age factor and the young generations show no interest. However, there are efforts from Temin Craft to help continue the production by using modern technologies.

scholarly journals HOW TO AVOID MEDICAL ERRORS IN SURGERY?

2020 ◽  
Vol 75 (3) ◽  
pp. 13-19
Author(s):  
V.A. Gol′brah ◽  
◽  
S.S. Maskin ◽  
V.V. Matyukhin ◽  
◽  
...  
Keyword(s):  
Medical Errors ◽  
Surgical Interventions ◽  
Widespread Adoption ◽  
Parallel Increase ◽  
Modern Classification ◽  
Legal Foundations ◽  
Modern Technologies ◽  
Unexpected Consequences

The enchantment of numbers of surgical interventions and the widespread adoption of modern technologies, lead to a parallel increase in technological errors and morbidity in recent years. This article analyzes such section of surgery as «medical errors», provides a modern classification of medical errors and complications according to foreign and Russian authors. The article contains information about definition, legal foundations and principles for the prevention of unexpected consequences of surgical interventions

scholarly journals Kinking of Disposable Fiberoptic Bronchoscope During Difficult Nasal Awake Intubation

2019 ◽  
pp. 1-2
Author(s):  
Cyrus Motamed ◽  
Lauriane Bordenave ◽  
Cyrus Motamed ◽  
Mohamed Abdellaoui
Keyword(s):  
Endotracheal Tube ◽  
Operating Room ◽  
Local Anesthesia ◽  
Awake Intubation ◽  
Total Intravenous Anesthesia ◽  
Fiberoptic Intubation ◽  
Fiberoptic Bronchoscope ◽  
Cricothyroid Membrane ◽  
Jet Ventilation ◽  
Intravenous Anesthesia

Background: disposable fiberoptic for intubation are more and more available in operating room We hereby report a complication of a difficult fiberoptic intubation performed with a disposable fiberscope. Case: Under remifentanil sedation Visualizing the glottis was easy while advancing the endotracheal tube through the fiberscope was mildly difficult. Removing the fiberscope was impossible as was the removal of the endotracheal tube. The patient was becoming uncomfortable. Under local anesthesia we performed a jet ventilation after puncture of the cricothyroid membrane followed by total intravenous anesthesia. A cervicofacial surgeon visualized the kinking of the fiberscope at the tip of the endotracheal tube. The fiberscope was removed under direct vision with a rigid bronchoscope. Conclusion: Because of more flexibility disposable fiberscopes may kink during the introduction of the endotracheal tube.

scholarly journals Two Endotracheal Tubes in One Trachea with a Traumatic Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Andrew Winegarner ◽  
Harish Lecamwasam ◽  
Mark C. Kendall ◽  
Shyamal Asher
Keyword(s):  
Endotracheal Tube ◽  
Operating Room ◽  
Traumatic Injury ◽  
Video Laryngoscope ◽  
The Self ◽  
Time Constraints ◽  
Case Presentation ◽  
Endotracheal Tubes ◽  
Oral Intubation ◽  
Airway Trauma

Background. Traumatic airway injuries often require improvising solutions to altered anatomy under strict time constraints. We describe here the use of two endotracheal tubes simultaneously in the trachea to facilitate securing an airway which has been severely compromised by a self-inflicted wound to the trachea. Case Presentation: A 71-year-old male presented with a self-inflicted incision to his neck, cutting deep into the trachea itself. An endotracheal tube was emergently placed through the self-inflicted hole in the trachea in the ED. The patient was bleeding profusely, severely somnolent, and desaturating upon arrival to the operating room. Preservation of the tenuous airway was a priority while seeking to establish a more secure one. A video laryngoscope was used to gain a wide view of the posterior oropharynx and assist with oral intubation using a fiberoptic scope loaded with a second endotracheal tube. The initial tube’s cuff was deflated as the second tube was advanced over the fiberoptic scope, thereby securing the airway while a completion tracheostomy was performed. Conclusions. Direct penetrating airway trauma may necessitate early, albeit less secure, intubations though the neck wounds prior to operating room arrival. The conundrum is weighing the risk of losing a temporary airway while attempting to establish a more secure airway. Here, we demonstrate the versatility of common anesthesia tools such as a video laryngoscope and a fiberoptic bronchoscope and the welcome discovery of the trachea’s ability to accommodate two endotracheal tubes simultaneously so as to ensure a patent airway at all points throughout resuscitation.

scholarly journals Cluster cross-over randomised trial of paediatric airway management devices in the simulation lab and operating room among paramedic students

2020 ◽  
Vol 38 (1) ◽  
pp. 27-32
Author(s):  
Matthew Lee Hansen ◽  
Adam Wagner ◽  
Ashley Schnapp ◽  
Amber Lin ◽  
Nancy Le ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Endotracheal Tube ◽  
Operating Room ◽  
Randomised Trial ◽  
Multivariable Analysis ◽  
Random Order ◽  
Laryngeal Mask ◽  
Significant Difference ◽  
Mean Time

ObjectivesThe objective of this study was to compare paediatric emergency airway management strategies in the simulation lab and operating room environments.MethodsThis was a two-part cluster cross-over randomised trial including simulation lab and operating room environments conducted between January 2017 and June 2018 in Portland, Oregon, USA. In simulated infant cardiac arrests, paramedic students placed an endotracheal tube, an i-gel or a laryngeal mask airway in random order. In the operating room, paramedic students placed a laryngeal mask airway or i-gel device in random order in sequential patients. The primary outcome for both portions of the study was time to ventilation. In the operating room portion, we also evaluated leak pressures and average initial tidal volumes.ResultsThere were 58 paramedic students who participated in the simulation lab and 22 who participated in the operating room study. The mean time to airway placement in the simulation lab was 48.5 s for the i-gel, 68.9 s for the laryngeal mask and 129.5 s for the endotracheal tube. In the operating room, mean time to i-gel placement was 34.3 s with 45.2 s for the laryngeal mask. In multivariable analysis of the simulation study, the laryngeal mask and i-gel were significantly faster than the endotracheal tube, and the i-gel was faster than the laryngeal mask. In the operating room, there was no significant difference in time to placement, leak pressure and average volume of the first five breaths between the i-gel and laryngeal mask.ConclusionsWe found that paramedic students were able to place supraglottic devices rapidly with high success rates in simulation lab and operating room environments. Supraglottic devices, particularly the i-gel, were rated as easy to use. The i-gel may be easiest to use since it lacks an inflable cuff and requires fewer steps to place.

Airway Fire

2017 ◽  
Author(s):  
Ju-Mei Ng
Keyword(s):  
Endotracheal Tube ◽  
Operating Room ◽  
Surgical Procedures ◽  
Fire Safety ◽  
Safety Measures ◽  
Three Components

Airway fires during tracheotomy are rare but potentially fatal events, which are preventable. There are many surgical procedures that place the patient at a higher risk for airway fires, identification of those procedures and the associated risk is the first step towards avoiding this deadly complication. In this chapter the fire triad, of which each of the three components is independently necessary for fire to occur is described. Operating room fire safety measures are reviewed, with emphasis on the management of airway fires. The immediate interventions during an airway fire are discussed, together with the dilemma of which method should be used to secure the airway after the endotracheal tube catches fire.

scholarly journals Bougie through Murphy’s Eye During Airway Exchange: A Near Miss

2020 ◽  
Author(s):  
Vattipalli Sameera ◽  
Konish Biswas ◽  
Girija P. Rath
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Endotracheal Tube ◽  
Operating Room ◽  
Near Miss ◽  
Common Procedure ◽  
Airway Exchange Catheter ◽  
Exchange Catheter ◽  
Tube Exchange ◽  
Airway Exchange

Abstract Endotracheal tube (ETT) exchange is a common procedure performed in the operating room and intensive care unit for the purpose of changing damaged or soiled ETT with appropriate one. The exchange procedure is performed over an airway exchange catheter or ETT introducer (bougie). We report an event during ETT exchange over bougie wherein the introducer exited through Murphy’s eye. Here, we intend to re-emphasize the safety concerns pertaining to the use of bougie (with coude tip) as airway exchange conduit and enumerate the precautions to be taken during tube exchange.

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