Articles: intubation.
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Swiss medical weekly · Feb 1985
[Injury to the larynx and trachea following artificial respiration].
A general interdisciplinary survey of trends within intensive care units is necessary in order to further reduce the risk of laryngo-tracheal injury requiring treatment after prolonged intubation. Endoscopic controls of the larynx and cervical trachea should be recommended as urgent during long intubations, to ensure that a secondary tracheotomy does not ultimately occur too late. Only a perfectly performed tracheotomy minimises complications (stenoses). Repeated laryngoscopy and endoscopy of the trachea with a fibreoptic system (a few days after extubation) is recommended after every prolonged intubation.
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Comparative Study
Prehospital endotracheal tube airway or esophageal gastric tube airway: a critical comparison.
This study compares two similar groups of patients in cardiopulmonary arrest with ventricular fibrillation (VF). In the survival study group of 296 patients, 148 patients received an endotracheal tube airway (ETA) and 148 patients received an esophageal gastric tube airway (EGTA), the improved version of the esophageal obturator airway (EOA). ⋯ Training time was longer for the ETA. We conclude that both airways have a place in the prehospital setting.
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We are describing a complication of the usage of Sengstaken-Blakemore tubes. Premature inflation of the gastric balloon in the esophagus can lead to rupture of the esophagus. This hazard can be avoided by checking the position of the tube with a chest radiograph before attempting to inflate the tamponading balloons.
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Intensive care medicine · Jan 1985
Case ReportsPulmonary complications following endotracheal intubation for anesthesia in breech extraction.
A 28-year-old, healthy pregnant patient developed bilateral pneumothorax, subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum and pneumoperitoneum following endotracheal intubation and manual ventilation during general anesthesia for breech extraction. It is likely that positive-pressure ventilation was the cause for this very rare combination of complications. Early recognition and treatment may prevent such a catastrophe.