BACKGROUND Adhesive tape is commonly used to secure the endotracheal tube (ETT) in anesthesia and intensive-care settings. OBJECTIVE To determine the force required to extubate when the ETT is secured with adhesive tape or commercially available ETT holders. METHODS We orally intubated a simulation manikin with a standard 8.0-mm inner-diameter ETT, inflated the cuff to 20 cm H(2)O, and mea...

provided the original work is properly cited. CC Malpositioning of an endotracheal tube within the airway can lead to serious complications, such as endobronchial intubation, which may cause collapse of the nonventilated lung and barotrauma of the ventilated lung or vocal cord paralysis and accidental extubation [1]. We retrospectively identified 204 (54 plain tubes and 54 reinforced tubes in m...

Although bedside ultrasonography can accurately distinguish esophageal from tracheal intubation, it is not used to establish the correct depth of endotracheal tube insertion. As indirect sonographic markers of endotracheal tube insertion depth have proven unreliable, a method for visual verification of correct tube depth would be ideal. We describe the use of saline to inflate the endotracheal ...

OBJECTIVES To investigate the effectiveness of mechanical cleaning with sterile urethral catheters to prevent formation of biofilms on endotracheal tubes. METHODS Forty-five children were randomized in equal numbers to endotracheal tube cleaning group for three times a day (group A), twice daily (group B), or to a control group with no endotracheal tube cleaning (group C). Bacterial studies a...

Patents: To deliver drugs to patients on mechanical ventilation, the drug particles have to successfully navigate through an endotracheal tube and the ventilator tubing. Liquid formulations (e.g. nebulized) normally used with these patients are inefficient. Large amounts of drugs are deposited in the endotracheal tube and within the ventilator circuit. Dry powders offer an alternative formulati...

Dear Editor, Compression of endotracheal tube in palatopharyngeal surgery is an inherent problem. Many modifications of the Davis mouth gag have been used. The tongue blade has also undergone various modifications to prevent endotracheal tube compression. A slot and a middle groove have been incorporated to prevent the tube compression. This definitely reduced the magnitude of the problem. Late...

● Tracheal tube—commonly called an endotracheal tube. Note that a tracheal tube may be incorrectly placed in the esophagus, so the term does not mean a correctly positioned tube in the trachea. Moreover, a tracheostomy tube is not the same as a tracheal tube as used in these guidelines, even though both tubes are placed in the trachea. The procedure of placing a tracheal tube is still called en...

Background: Confirmation of correct placement of the endotracheal tube is vitally important when performing endotracheal intubation. Most of the tests used to confirm the correct location of the tracheal tube have their own inherent drawbacks. Herewith, we introduce a new method which we hypothesize possesses high reliability when securing the airway. Methods: One hundred and seventy eight pati...