scholarly journals Intraoperative kinking of armored endotracheal tube leading to airway obstruction in obese patients positioned prone for spine surgeries: A report of two cases

2019 ◽  
Vol 21 (1) ◽  
pp. 83
Author(s):  
Vidhu Bhatnagar ◽  
Deepak Dwivedi ◽  
SG S Datta ◽  
Swayam Tara
2019 ◽  
Vol 47 (5) ◽  
pp. 387-391
Author(s):  
Lee C. Chang ◽  
◽  
Susan C. Lee ◽  
Andrew L. Ding ◽  
Suman Rajagopalan ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Danai Udomtecha

Morbidly obese patients may present a challenge during airway management. When airway tube exchange is required, it can even be more challenging than the primary intubation. With the increasing prevalence of morbid obesity over the years, there will be increasing numbers of these patients presenting for surgical procedures, including ones that require endotracheal tube exchanges. It is therefore important for anesthesiologists to be familiar with options and limitations of the airway tube exchanger techniques.


2007 ◽  
Vol 24 (11) ◽  
pp. 983-984 ◽  
Author(s):  
Y. S. Jeon ◽  
Y. S. Kim ◽  
J. D. Joo ◽  
E. G. Kang ◽  
J. H. In ◽  
...  

1985 ◽  
Vol 58 (4) ◽  
pp. 1314-1318 ◽  
Author(s):  
T. N. Hansen ◽  
A. L. Gest ◽  
S. Landers

The purpose of this study was to examine the effects of inspiratory airway obstruction on lung fluid balance in newborn lambs. We studied seven 2- to 4-wk-old lambs that were sedated with chloral hydrate and allowed to breathe 30–40% O2 spontaneously through an endotracheal tube. We measured lung lymph flow, lymph and plasma protein concentrations, pulmonary arterial and left atrial pressures, mean and phasic pleural pressures and airway pressures, and cardiac output during a 2-h base-line period and then during a 2- to 3-h period of inspiratory airway obstruction produced by partially occluding the inspiratory limb of a nonrebreathing valve attached to the endotracheal tube. During inspiratory airway obstruction, both pleural and airway pressures decreased 5 Torr, whereas pulmonary arterial and left atrial pressures each decreased 4 Torr. As a result, calculated filtration pressure remained unchanged. Inspiratory airway obstruction had no effect on steady-state lung lymph flow or the lymph protein concentration relative to that of plasma. We conclude that in the spontaneously breathing lamb, any decrease in interstitial pressure resulting from inspiratory airway obstruction is offset by a decrease in microvascular hydrostatic pressure so that net fluid filtration remains unchanged.


Radiology ◽  
1981 ◽  
Vol 141 (2) ◽  
pp. 387-391 ◽  
Author(s):  
R C Brasch ◽  
G P Heldt ◽  
S T Hecht

2012 ◽  
Vol 117 (2) ◽  
pp. 309-320 ◽  
Author(s):  
Michele Carron ◽  
Stefano Veronese ◽  
Walter Gomiero ◽  
Mirto Foletto ◽  
Donato Nitti ◽  
...  

Background The stress responses from tracheal intubation are potentially dangerous in patients with higher cardiovascular risk, such as obese patients. The primary outcome objective of this study was to test whether, in comparison with the endotracheal tube (ETT), the Proseal™ Laryngeal Mask Airway (PLMA™) (Laryngeal Mask Airway Company, Jersey, United Kingdom) reduces blood pressure and norepinephrine responses and the amounts of muscle relaxants needed in obese patients. Methods We assessed hemodynamic and hormonal stress responses, ventilation, and postoperative recovery in 75 morbidly obese patients randomized to receive standardized anesthesia with either an ETT or the PLMA™ for laparoscopic gastric banding. Results In repeated-measures ANOVA, mean arterial blood pressure and plasma norepinephrine were significantly higher in the ETT group than in the PLMA™ group. In individual pairwise comparisons, blood pressure rose higher in ETT than PLMA™ patients after insertion and removal of airway devices, and after recovery. In ETT compared with PLMA™ patients, plasma norepinephrine was higher after induction of carboperitoneum (mean ± SD, 534 ± 198 and 368 ± 147 and pg/ml, P = 0.001), after airway device removal (578 ± 285 and 329 ± 128 pg/ml, P < 0.0001), and after recovery in postanesthesia care unit (380 ± 167 and 262 ± 95 and pg/ml, P = 0.003). Compared with use of the ETT, the PLMA™ reduced cisatracurium requirement, oxygen desaturation, and time to discharge from both the postanesthesia care unit and the hospital. Conclusions PLMA™ reduces stress responses and postoperative complaints after laparoscopic gastric banding.


1983 ◽  
Vol 41 (4) ◽  
pp. 260-262 ◽  
Author(s):  
Stephen E. Feinberg ◽  
Sanford L. Klein

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