BACKGROUND In patients undergoing mechanical ventilation, mucus production and secretion is high as a result of the endotracheal tube. Because endotracheal suction in these patients is essential, chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretion and improving alveola...

OBJECTIVE To compare endotracheal tube tip-to-carina distance obtained by ultrasonography vs. that obtained by chest X-ray in neonates. METHODS After endotracheal intubation of 40 neonates, chest X-ray and, within one hour, ultrasonography was obtained for each patient for measurement of endotracheal tube tip-to-carina distance. RESULTS Means of endotracheal tube tip-to-carina distances wer...

BACKGROUND A correct estimate of the tracheal tube insertion depth can prevent complications, including endobronchial intubation and vocal cord trauma. We evaluated a new topographical method for endotracheal tube positioning relative to the carina, using a well-known prior topographical method for comparison. METHODS One hundred adult (male 50, female 50) patients were studied. The compariso...

BACKGROUND Acoustic reflectometry can be used to create a "one-dimensional image" of a cavity, such as the airway and lung, with the image displayed as an area-length curve. This pilot study was undertaken to determine whether acoustic reflectometry could be used to distinguish between an endotracheal and an esophageal intubation. METHODS Ten adult patients underwent general endotracheal anes...

OBJECTIVES (1) Present a unique case of partial necrosis of the dorsal tongue caused by an endotracheal tube; (2) highlight the importance of verifying proper endotracheal tube positioning during cases requiring prolonged intubation. METHODS Case report and literature review. RESULTS A 50 year-old man underwent total thyroidectomy and bilateral lymphadenectomies for papillary thyroid carcin...

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...

results there were 13 (59, 1%) male and 9 (40.9%) female patients in group 1. in group 2, there were 15 (60%) male and 10 (40%) female cases (p = 0.949). patients in both groups were matched well regarding age, body weight, height and the duration of streptokinase infusion (p < 0.05). the incidence of hematoma was higher in group 1 than group 2 (p = 0.032). the patients of group 1 required more...