During general anesthesia, voluntary breathing is stopped and the patient needs to be ventilated. The most common and the only method that suits long-term period of anesthesia is ventilation using an endotracheal tube, which is placed in the trachea. The location of the tip of tube is critical: it should be placed, and maintained above the bifurcation. A correct position of the tube, in which b...

A 64-year-old man with Parkinson’s diseasewas being treatedwith levodopa-carbidopa intestinal gel formulation through a percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) tube that had been placed in 2010. In April 2014, he complained of abdominal distension, pain, bloating, food intolerance, and a pulling sensation from the PEG-J tube. At the physical examination, we observed a...

Introduction: To present and assess a newly designed autoclavable, reusable tube shield for an endotracheal tube (ETT) during laser laryngeal surgery.   Materials and Methods: This study included patients scheduled for endolaryngeal laser surgery. A carbonated stainless-steel hemisphere shield (~1.5×0.6 mm) connected to a silk thread passing through a hole in its middle near upper edge was ...

We present a case of problematic tracheal intubation in an adult patient with an unrecognized tracheal bronchus. Immediately after tracheal intubation and position change to prone, bilateral breath sounds were almost absent, and there was a diminished tidal volume. In order to resolve the ventilatory difficulty, the wire-reinforced tube was replaced with a conventional tube, and proper position...

The use of silicone T tubes for intubation of malignant tracheobronchial strictures may provide some degree of palliation of this distressing condition. It was used in seven patients with malignant lesions and two with benign strictures (resulting from tracheal trauma and lung transplantation). Four patients (two with cancer) are still alive and well with the tube in position. All patients note...

OBJECTIVES To describe a new first-trimester sonographic landmark, posterior displacement of the midbrain and aqueduct of Sylvius, which may be useful in early screening for neural tube defects. METHODS This was a prospective study of 457 normal fetuses at 11 + 0 to 13 + 6 weeks' gestation. We measured the distance from the posterior border of the aqueduct of Sylvius to the anterior border of...

R. Templeton, B. McGrath, K. Webster, W. Simpson South Manchester University Hospital Trust, Intensive Care Unit, Manchester, UK INTRODUCTION. Displacement of tracheostomy tubes causes significant patient harm. Fibreoptic endoscopy can assess the position of a tracheostomy tube within the trachea both in elective and emergency situations and can reduce the incidence of patient harm. Simulation ...

skip to the next step of the difficult airway management algorithm.” Because of these standards, we did not measure intubation or apnea times. We thank Xue et al. for their pertinent propositions, some of them being currently applied for several years. We have responded to three issues of Shetty et al. in our response to Xue et al. We have precisely defined exclusion/ inclusion criteria includi...

objective the purpose of this study was to assess the frequency of complications of endotracheal intubation (eti) in neonates. methods the newborns that were admitted and needed urgent or semi-urgent intubation were enrolled in this study over a 1 year period. route for intubation in all cases were orotracheal. cases were not routinely sedated or paralyzed. the patients were clinically and radi...