Anesthesia and analgesia
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Anesthesia and analgesia · Jul 1986
Randomized Controlled Trial Clinical TrialPrevention of silent aspiration due to leaks around cuffs of endotracheal tubes.
Significant aspiration may occur around correctly inflated high volume, low pressure endotracheal tube cuffs. The prevention of silent aspiration due to leaks around cuffs of endotracheal tubes was investigated during general anesthesia for hip replacement in 47 patients. The patients were randomly assigned to one of three groups, in which one of three endotracheal tubes of different designs were used for intubation. ⋯ At termination of the operation, the trachea below the cuff was inspected with a fiberoptic bronchoscope. Aspiration was found in 12.5% with the Rüsch tube, in 31.2% with the Mallinckrodt tube, and in 0% with the NL tube. Our results show that silent aspiration is still a problem with standard endotracheal tubes, but that it may be minimized by use of appropriate tubes, cuffs, and control of cuff inflation.
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Anesthesia and analgesia · Jul 1986
The dorsomedian connective tissue band in the lumbar epidural space of humans: an anatomical study using epiduroscopy in autopsy cases.
An anatomical study of the lumbar epidural space in 48 autopsy subjects was made using a method of endoscopy developed by the author called epiduroscopy. In every case there was a dorsal connective tissue band in the midline of the epidural space between the dura mater and the flaval ligaments. The appearance of the band varied from strands of connective tissue to a complete membrane. This connection fixed the dura mater to the flaval ligaments and also narrowed the epidural space in the midline.