On smooth extubation without coughing and bucking
نویسندگان
چکیده
منابع مشابه
Sufentanil infusion before extubation suppresses coughing on emergence without delaying extubation time and reduces postoperative analgesic requirement without increasing nausea and vomiting after desflurane anesthesia
BACKGROUND Coughing, hypertension, tachycardia, and even laryngospasm can occur due to airway irritation during emergence from anesthesia. We investigated the effect of maintaining a sufentanil infusion during emergence from anesthesia by evaluating the incidence of cough and recovery profiles at extubation. METHODS In total, eighty-four patients undergoing an elective laparoscopic hysterecto...
متن کاملمقایسه اثر لیدوکائین داخل تراشه با لیدوکائین وریدی بر پاسخ‌های راه هوایی هنگام خروج لوله تراشه
Background and Aim: Airways responses during extubation can lead to coughing, laryngospasm and hypertension. The aim of this study was to compare the effects of intratracheal and intravenous lidocaine on airway responses and cardiovascular effects during extubation . Materials and Methods: This clinical trail was preformed on sixty 15-60 year old patients undergoing general or gynecologi...
متن کاملSuccessful Conservative Management of Tracheal Injury After Forceful Coughing During Extubation: A Case Report
A-56-year-old woman underwent carpal tunnel release surgery under general anesthesia. Thirty minutes after extubation, the patient complained of chest discomfort with dyspnea. Swelling of the neck and upper anterior chest was observed. Computed tomography of the chest showed tracheal rupture at the brachiocephalic trunk level, and bronchoscopy demonstrated a 5 cm linear tracheal defect in the p...
متن کاملCoughing correlates: insights into an innovative study using cough peak expiratory flow to predict extubation failure
Main text We read the innovative study by Duan et al. [1] with great interest. However, key results need to be interpreted carefully to reach the proper conclusions. First, their primary finding that patients with low cough peak expiratory flow (CPEF) have significant benefit from non-invasive positive pressure ventilation (NIPPV) in the prevention of re-intubation and 90-day mortality is not u...
متن کاملExtubation with or without spontaneous breathing trial.
Purpose- To evaluate whether spontaneous breathing trials (SBTs) are necessary when extubating critical care patients. Methods- A prospective, randomized, double-blind study was performed in adult patients supported by mechanical ventilation for at least 48 hours in the general intensive care unit of a teaching hospital. Patients ready for weaning were randomly assigned to either the SBT group ...
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ژورنال
عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie
سال: 2002
ISSN: 0832-610X,1496-8975
DOI: 10.1007/bf03020540