• Anasthesiol Intensivmed Notfallmed Schmerzther · Aug 1994

    Case Reports

    [Emergency intubation with the Combitube in a patient with persistent vomiting].

    • R Hofbauer, M Röggla, T Staudinger, C Wiltschke, G V Kornek, F Sterz, M Frass, and B Panning.
    • Universitätsklinik für Innere Medizin I, Universität Wien.
    • Anasthesiol Intensivmed Notfallmed Schmerzther. 1994 Aug 1;29(5):306-8.

    AbstractPrompt establishment of a patient airway and effective ventilation are the major goals during initiation of cardiopulmonary resuscitation in patients with cardiac arrest. Endotracheal intubation is the definitive method to maintain an optimal airway. However, endotracheal intubation is not always possible, even for the skilled physician. The Combitube has been developed to overcome this disadvantage. Studies have proved the effectivity of ventilation with this device. A case is reported where a patient suffered from acute respiratory failure and attempts at endotracheal intubation failed due to continued vomiting rendering fibre-optical visualisation of the vocal cords impossible. Blind insertion of the Combitube led to successful ventilation, and hence replacement by an endotracheal airway could be performed without danger of aspiration.

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