Introduction: In 1941, Murphy introduced an intratracheal catheter with a side vent (“Murphy eye”) to prevent complete airway obstruction should the distal end of the endotracheal tube become occluded (1). Various complications associated with the presence of the Murphy eye have been reported, including the lodging of fiberoptic bronchoscopes (2,3) and suction catheters (4) in the Murphy eye ne...

Endotracheal intubation was carried out in 11 common marmosets (Callithrix jacchus). A commercially available tilting stand and a Miller laryngoscope blade were used to visualize the larynx. Anaesthesia was induced with alphaxalone (10.6 ± 1.6 mg/kg intramuscularly, followed by 3.2 ± 1.2 mg/kg intravenously). The diameter of the proximal trachea easily fitted an endotracheal tube made from read...

To determine the accuracy of the Esophageal Detector Bulb (EDB) in the aeromedical setting, we conducted a prospective, observational study of all intubated patients transported by an aeromedical program over two years. Flight personnel recorded the results of the EDB, clinical examination, pulse oximetry, and capnography (ETCO(2)). Endotracheal tube position was confirmed by prehospital ETCO(2...

BACKGROUND AND OBJECTIVES Studies show the importance of monitoring neuromuscular function in preventing the residual block. However, most anesthesiologists in their daily practice base their evaluation of the recovery of neuromuscular function on clinical data. The aim of this study was to assess the degree of neuromuscular blockade in children undergoing general anesthesia at the time of bloc...

There are circumstances when induction of general anesthesia followed by direct laryngoscopy and intubation is contraindicated. This case report describes and presents a protocol for a method of endotracheal intubation that combines the benefits of light wand and fiberoptic techniques. The patient was a 73-year-old male with a history of two cervical fusions. He was reported to be "unintubatabl...

N Engl J Med 2014;370:e4. DOI: 10.1056/NEJMvcm1300964 Copyright © 2014 Massachusetts Medical Society. Overview Endotracheal extubation refers to the removal of an endotracheal tube from the trachea. This procedure is commonly performed in operating rooms, postanesthesia care units, and intensive care units. This review focuses on extubation of the trachea after general anesthesia and short-term...

In the absence of infection, the pathophysiology of endotracheal tube-induced sore throat pain is unclear. Activated neutrophils release elastase, reactive oxygen species, and inflammatory cytokines known to contribute to neuropathic pain. Sterile tissue injury can cause the release of damage-associated molecular patterns such as mitochondrial DNA that promote neutrophil activation. We hypothes...

We report the case ofa pediatric patient with tetralogy of Fallot (TOF) and cleft palate deformity with difficult intubation in which a laryngeal mask airway (LMA) was used and converted into an endotracheal tube through retrograde intubation. The patient with TOF was scheduled for repair of the congenital bilateral cleft lip and palate. Inhalational induction with 4% sevoflurane was started. C...

1. The small flexible suction catheter they inserted through the endotracheal tube stopped at 19 cm, the point at which the pilot balloon line inserts, i.e., where the cuff is starting to inflate. Did the authors attempt to let the cuff down? This should be considered as the first option for a possible treatment of an airway obstruction. The cuff could have herniated into the lumen of the endot...

STUDY OBJECTIVE To investigate safety issues associated with the reuse of sterilized endotracheal tubes (ETTs). DESIGN Prospective, randomized study. SETTING Laboratory in vivo testing. INTERVENTION Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa were inoculated onto ETT cuffs. Following inoculation, ETTs were sterilized with either ethylene oxide or glutaraldehyde. Cu...