Endotracheal suctioning is performed regularly in ventilated infants and children to remove obstructive secretions. The effect of suctioning on respiratory mechanics is not known. This study aimed to determine the immediate effect of endotracheal suctioning on dynamic lung compliance, tidal volume, and airway resistance in mechanically-ventilated paediatric patients by means of a prospective ob...

Tracheobronchial disruption is an uncommon but severe complication of double lumen endotracheal tube placement. The physical properties of a double lumen tube (large external diameter and length) make tracheobronchial injury more common than that associated with smaller single lumen endotracheal tubes. Here we present the case of an iatrogenic left main bronchus injury caused by placement of a ...

Methods The study was performed over patients intubated for at least 1 day in our ICU. Once the patient was extubated, tube was immediately stored in a plastic bag at room temperature and kept in a safe place until bench assessment. This was performed maximal 24 hours after extubation as follows. The endotracheal tube was attached to a filter (Hygrobac) and both were set to ASL 5000 active serv...

reinforced tubes are commonly used to minimize the opportunity of upper airway obstruction in patients at risk. there are a few reports of the airway obstruction resulted from kinked reinforced tubes. this report describes the obstruction of a reinforced tube in an adult patient who underwent tonsillectomy. under general anesthesia; an armoured endotracheal tube was inserted into the trachea un...

To the Editor: We read with interest the letter on intratracheal kinking of an endotracheal tube by Lee et al.1 The authors highlighted that, in addition to various known causes of obstruction of the endotracheal tube, intratracheal kinking at the site where the inflating lumen opens into the cuff can also cause its obstruction. Their observation is similar to that of Singh et al.2 where the au...

abstract background: most of the patients admitted in the intensive care units (icus) require an endotracheal tube and mechanical ventilation. in order to clear and maintain patency of the airways, endotracheal suctioning is required. therefore, the least detrimental way of endotracheal tube suctioning which can diminish the complications should be selected. the present study aimed to compare t...

OBJECTIVE Endotracheal tube air leak pressures are used to predict postextubation upper airway compromise such as stridor, upper airway obstruction, or risk of reintubation. To determine whether the absence of an endotracheal tube air leak (air leak test >/=30 cm H2O) measured during the course of mechanical ventilation predicts extubation failure in infants and children. DESIGN Prospective, ...

INTRODUCTION The ever-present risk of mass casualties and disaster situations may result in airway management situations that overwhelm local emergency medical services (EMS) resources. Endotracheal intubation requires significant user education/training and carries the risk of malposition. Furthermore, personal protective equipment (PPE) required in hazardous environments may decrease dexterit...

We evaluated the use of pressure support to compensate for the added inspiratory work of breathing due to the resistances of endotracheal tubes and a ventilator demand-valve system for continuous positive airway pressure (CPAP). A mechanical model was used to simulate spontaneous breathing at five respiratory rates through 7-mm, 8-mm, and 9-mm endotracheal tubes with and without a ventilator de...

INTRODUCTION The laryngeal mask airway (LMA)-Supreme is a disposable double-lumen laryngeal mask airway that is widely used in clinical practice. However, its use in obese children has not been evaluated. The aim of this study was to determine whether the LMA-Supreme could perform equally as well as endotracheal intubation in obese children having a minor surgical procedure. MATERIAL AND METH...