Infant feeding tube stiffened with guide wire as endotracheal tube exchanger and introducer in difficult airways!

Introduction: In neonates with an unanticipated difficult airway, there is an increased probability of failed intubation even with highly trained hands while performing direct laryngoscopy. Aims: We describe our experience of using a modified infant feeding tube (IFT) as an indigenous endotracheal tube (ETT) in a series of paediatric surgical patients with congenital subglottic stenosis (SGS). Material and Methods: A retrospective study was performed in our institute from January 2018 to December 2019. ETT with modified 6 and 8 French (Fr) sized IFT’s were used. A stylet obtained from the VP shunt system was used to aid in intubation. Results: Out of 12,500 admissions in our department, there were 5 pediatric cases with SGS which were managed using modified IFT. Four were neonates and 1 infant (M:F = 2:3). Modified IFT(s) were used after failed intubation with ETT of size 2.5 mm in 4 patients (non-availability of ETT of size 2 mm), while in one neonate, even 2 mm ETT could not be negotiated due to SGS. In all the 5 children, successful intubation was finally performed with modified 8 French (Fr) IFT in 3, and with modified 6 Fr IFT in two cases. The surgical procedure was completed in 4 neonates out of 5 cases, while in one infant it was deferred due to the clinical condition of the patient and significant SGS. Conclusion: All 5 patients with SGS were managed without performing a tracheostomy. Modified IFT(s) is an effective alternative if smaller sized ETT(s) cannot be negotiated or unavailable in difficult neonatal and paediatric airway. This modified IFT as ETT has to be an important part of the emergency airway tray. It should not be considered as a replacement for routine use of standard ETT.

Download Full-text

Infant feeding tube as rescue endotracheal tube in an infant with an aerodigestive foreign body

Journal of Anesthesia ◽

10.1007/s00540-013-1694-5 ◽

2013 ◽

Vol 28 (2) ◽

pp. 315-316 ◽

Cited By ~ 1

Author(s):

Vanita Ahuja ◽

Sunita Kazal ◽

Deepak Thapa ◽

Manpreet Singh ◽

Mohit Bhutani

Keyword(s):

Foreign Body ◽

Endotracheal Tube ◽

Infant Feeding ◽

Feeding Tube ◽

Infant Feeding Tube

Download Full-text

A clinical trial of feeding tube with metallic guide wire insertion for â€˜Ksharsutraâ€™ technique in a case of fistula in ano.

National Journal of Research in Ayurved Science ◽

10.52482/ayurlog.v7i02.325 ◽

2019 ◽

Vol 7 (02) ◽

Author(s):

Radha Sadafule

Keyword(s):

Clinical Trial ◽

Infant Feeding ◽

Guide Wire ◽

Surgical Excision ◽

Feeding Tube ◽

Fistula In Ano ◽

External Opening ◽

Infant Feeding Tube ◽

History Of ◽

Care Procedure

â€˜Kshar-sutraâ€™ therapy in cases of fistula in ano, despite a long medical history of credentials & conduct, still possess a challenge to medical fraternity in terms of finding a satisfactory cure of the disease. â€˜Ksharsutraâ€™ is a popular treatment modality in India for the management of fistula in ano. It works by the action of excision, scraping, draining, penetrating, debridement & sclerosing as well as healing simultaneously without surgical excision. The conventional method to insert a ksharsutra by using a metallic probe through an external opening may cause pain and discomfort to the patients. In some cases, this intervention is not possible without general anesthesia. The Ksharsutra may be inserted through an external opening by using an infant feeding tube (no.5 or 6) with the metallic guide wire to finding out the track easily & keep it in the track steady without causing pain as a day care procedure.

Download Full-text

A simple and effective way of maintaining the microvascular field clean and dry during anastomosis

Indian Journal of Plastic Surgery ◽

10.4103/0970-0358.113737 ◽

2013 ◽

Vol 46 (01) ◽

pp. 147-148 ◽

Cited By ~ 2

Author(s):

G.I. Nambi ◽

Samir M. Kumta ◽

Nitin J. Mokal ◽

Mukund R. Thatte

Keyword(s):

Infant Feeding ◽

Feeding Tube ◽

The Other ◽

Microvascular Anastomosis ◽

Surgical Glove ◽

Tube Size ◽

Additional Advantage ◽

Good View ◽

Infant Feeding Tube

ABSTRACTDuring microvascular anastomosis, it is important to maintain the microsurgical field irrigated yet dry so as to achieve a good view of the vessels for approximation. In this method, an infant feeding tube (size 4), with its tip sandwiched between layers of dry gauze and a surgical glove component placed in the anastomotic field and the other end connected to a suction apparatus, is used to maintain the microsurgical field free from flooding. It also has the additional advantage of providing a stable platform for microvascular anastomosis.

Download Full-text