Evaluation of Optimal Insertion Length of Tracheal Tube in Orotracheal Intubation in Indian Adults

2019 ◽  
Vol 6 (3) ◽  
pp. 93
Author(s):  
Suresh Kumar Singhal ◽  
Sarita Sharma ◽  
Kiranpreet Kaur ◽  
Sumedha Vashisht
Keyword(s):  
Tracheal Tube ◽  
Orotracheal Intubation ◽  
Insertion Length

scholarly journals Effects of head positions on awake fiberoptic bronchoscope oral intubation: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhuo Liu ◽  
Li Zhao ◽  
Zhongfeng Ma ◽  
Meiqi Liu ◽  
Xiaohang Qi ◽  
...  
Keyword(s):  
Tracheal Tube ◽  
Orotracheal Intubation ◽  
Neutral Position ◽  
Fiberoptic Bronchoscope ◽  
Glottic Opening ◽  
Vocal Cords ◽  
Oral Intubation ◽  
Vas Scores ◽  
Head Positions ◽  
Position Group

Abstract Background There are many factors affecting the success rate of awake orotracheal intubation via fiberoptic bronchoscope. We performed this study was to investigate the effects of head positions on awake Fiberoptic bronchoscope oral intubation. Methods Seventy-five adult patients, received general anaesthesia were included in this study. After written informed consent, these patients were undergoing awake orotracheal intubation via fiberoptic-bronchoscope and according to the head position, the patients were randomized allocated to neutral position group (NP group), sniffing position group (SP group) or extension position group (EP group). After sedation the patients were intubated by an experienced anesthesiologist. The time to view the vocal cords, the percentage of glottic opening scores (POGO), the time to insert the tracheal tube into trachea and the visual analog scale (VAS) scores for ease experienced of passing the tracheal tube through glottis, the hemodynamic changes and the adverse events after surgery were recorded. Results The time to view the vocal cords was significantly shorter and the POGO scores was significantly higher in the EP group compared with the other two groups (P < 0.05); The SpO2 in the EP group was higher than NP group at before intubation and higher than SP group and NP group at immediate after intubation (P < 0.05); The time to insert the tracheal tube into trachea, the VAS scores for passing the tracheal tube through glottis, the coughing scores had no significant differences among groups (P > 0.05). There were also no significant differences regard to the incidence of postoperative complications, mean arterial pressure and heart rate among the groups (P > 0.05). Conclusions The head at extension position had a best view of glottic opening than neutral position or sniffing position during awake Fiberoptic bronchoscope oral intubation, so extension position was recommended as the starting head position for awake Fiberoptic bronchoscope oral intubation. Trial registration Clinical Trials.gov. no. NCT02792855. Registered at https://register.clinicaltrials.gov on 23 september 2017.

Facilitation of Fiberoptic Orotracheal Intubation with a Flexible Tracheal Tube

1994 ◽  
Vol 78 (4) ◽  
pp. 746???748 ◽  
Author(s):  
Sorin J. Brull ◽  
Richard Wiklund ◽  
Cynthia Ferris ◽  
Neil R. Connelly ◽  
Jan Ehrenwerth ◽  
...  
Keyword(s):  
Tracheal Tube ◽  
Orotracheal Intubation

Effect of Two Kinds of Tracheal Tube on the Ease of Fiberoptic Orotracheal Intubation

1997 ◽  
Vol 32 (2) ◽  
pp. 214
Author(s):  
Yun Hee Kim ◽  
Sang Kyi Lee ◽  
Jun Rae Lee ◽  
He Sun Song
Keyword(s):  
Tracheal Tube ◽  
Orotracheal Intubation

Insertion length of airway exchange catheter during exchange of tracheal tube: a simulation study

2016 ◽  
Vol 60 (6) ◽  
pp. 832-833 ◽  
Author(s):  
K. Toki ◽  
Y. Yamaguchi ◽  
T. Miyashita ◽  
S. Takaki ◽  
O. Yamaguchi ◽  
...  
Keyword(s):  
Tracheal Tube ◽  
Simulation Study ◽  
Airway Exchange Catheter ◽  
Exchange Catheter ◽  
Airway Exchange ◽  
Insertion Length

scholarly journals Effects of Head Positions on Awake Orotracheal Intubation Via Fiberoptic-Bronchoscope: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Zhuo Liu ◽  
Li Zhao ◽  
Meiqi Liu ◽  
Xiaohang Qi ◽  
Qianqian Jia ◽  
...  
Keyword(s):  
Tracheal Tube ◽  
Orotracheal Intubation ◽  
Head Position ◽  
Neutral Position ◽  
Fiberoptic Bronchoscope ◽  
Glottic Opening ◽  
Vocal Cords ◽  
Vas Scores ◽  
Head Positions ◽  
Position Group

Abstract Background: There are many factors affect the success rate of awake orotracheal intubation via fiberoptic bronchoscope. We performed this study to investigate the effects and safety of three head positions on awake orotracheal intubation via fiberoptic bronchoscope. Methods: Seventy-five adult patients with anticipated difficult airway, received general anaesthesia and undergoing awake orotracheal intubation were included in this study. According to the head position, the patients were randomized allocated to neutral position group (NP group), sniffing position group (SP group) or extension position group (EP group). After conscious sedation the patients were intubated by an experienced anesthesiologist. The time to view the vocal cords, the time to insert the tracheal tube into the trachea, the percentage of glottic opening scores (POGO) and the visual analog scale (VAS) scores for ease experienced of passing the tracheal tube through the glottis, the hemodynamic changes during intubation and the adverse events after surgery were recorded. Results: The time to view the vocal cords was significantly shorter and the POGO scores was significantly higher in the EP group compared with the other two groups (P<0.05); the SpO2 immediate after intubation was higher in the EP group compared with SP group (P<0.05) and the SpO2 before intubation was higher in the EP group compared with NP group (P<0.05), while at other time points the SpO2 had no significant difference among groups. The time to tracheal intubation, the VAS scores for passing the tracheal tube through glottis, the coughing scores of patients when inserted fiberoptic bronchoscope into the trachea and inserted the tracheal tube into the trachea over fiberoptic bronchoscope had no significant differences among groups (P>0.05). There were also no significant differences among the groups with regard to the incidence of postoperative complications, mean arterial pressure and heart rate at each time point (P>0.05). Conclusions: Extension position had a best view of glottic opening than neutral position or sniffing position during awake orotracheal intubation via fiberoptic bronchoscope, so extension position was recommended as the starting head position for awake orotracheal intubation using fiberoptic bronchoscope.Trial registration: Clinical Trials.gov. no. NCT 02792855. Registered at https://register.clinicaltrials.gov on 23 september 2017.

Broken tracheal tube connector

Anaesthesia ◽  
2001 ◽  
Vol 56 (11) ◽  
pp. 1116-1130
Author(s):  
S. Snyders
Keyword(s):  
Tracheal Tube
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