INTRODUCTION The use of a system for continuous control of endotracheal tube cuff pressure reduced the incidence of ventilator-associated pneumonia (VAP) in one randomized controlled trial (RCT) with 112 patients but not in another RCT with 142 patients. In several guidelines on the prevention of VAP, the use of a system for continuous or intermittent control of endotracheal cuff pressure is no...

Many methods are taught and used clinically to determine what size uncuffed endotracheal tube is required for the pediatric patient. The purpose of this study was to compare the effectiveness of two methods of selection used clinically: (1) the traditional age-based (AB) formula; (age in years +16) divided by 4, and (2) the method based on body length using the Broselow pediatric resuscitation ...

Endotracheal tube (ETT) cuff herniation is not an uncommon event in Intensive Care Units and operating rooms. The cause for this can be displacement of the tube or overinflation of ETT cuff.[1] Usually, it is noticed by the sound of gas leaking around the tube or when there is a fall in tidal volume and end-tidal carbon dioxide (CO2). Confirmation and repositioning of the ETT require direct lar...

Objectives: The recent introduction of a disposable laryngeal mask airway has provided paramedics with an alternative to endotracheal intubation. Time taken to secure the airway with each device was compared in patients undergoing elective surgery. Methods: Patients undergoing general anaesthesia were studied. Paramedics trained in laryngeal mask use and endotracheal intubation participated in ...

OBJECTIVES The recent introduction of a disposable laryngeal mask airway has provided paramedics with an alternative to endotracheal intubation. Time taken to secure the airway with each device was compared in patients undergoing elective surgery. METHODS Patients undergoing general anaesthesia were studied. Paramedics trained in laryngeal mask use and endotracheal intubation participated in ...

500 March 2013 I this issue of Anesthesiology, sathyamoorthy et al.1 describe three cases of postextubation airway swelling in young infants. The cases are noteworthy because the endotracheal tube used in all three infants was a recently developed cuffed endotracheal tube called the Microcuff® (Kimberly-Clark, Roswell, gA), which has been specifically designed for use in pediatric anesthesia. i...

RAPID and accurate diagnosis of the misplacement of an endotracheal tube in the esophagus remains one of the most important problems in anesthesia and intensive care. Clinical signs observed through auscultation, inspection of thoracic excursions, refilling of the breathing bag, or water vapor condensing at the endotracheal tube may be misleading in as many as 30% of patients. ' Although end-ti...

conclusions this report presents a new method for lung isolation in specific cases and in the absence of certain equipment. case presentation a 41-year-old woman with a history of pharyngo-laryngo-oesophagectomy (plo) and tracheostomy was a candidate for thoracic duct ligation because of chylothorax. since the patient had tracheostmy stomal stenosis, two cuffed tracheal tubes (internal diameter...