Articles: intubation.
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Ann Oto Rhinol Laryn · Jul 1984
Historical ArticleTracheotomy versus intubation. A 19th century controversy.
The early history of tracheotomy and intubation is reviewed. Both techniques evolved to their modern formats during the 19th century stimulated by the need to treat diphtheria epidemics. Development of technical aspects of tracheotomy during the first half of the 19th century, and of endotracheal and endolaryngeal intubation in the latter part, are reviewed.
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A method is described for reversible controlled ventilation of rats by transtracheal catheter (20 or 22 G). A small rodent ventilator is used, rather then a jet ventilator, because the former enables the mixing of inhalation anesthetics with the carrying gas mixture. The method proved to be the most successful one for weaning from controlled ventilation after cardiac arrest and resuscitation of rats. In general, the method can be considered as an alterative to oral intubation and tracheotomy for controlled ventilation in rats.
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Wien Med Wochenschr · Jun 1984
[Esophageal obturator tube, a new method for emergency artificial respiration].
Since several years, there are reports from the USA about the esophageal obturator airway, a simple device for emergency ventilatory support in the unconscious patient. The simplicity of its use is of advantage and may easily be achieved by paramedics too (blind insertion into the esophagus without the need of a laryngoscope). ⋯ Still, preference should be given to endotracheal intubation whenever feasible. Several modifications of the EOA are discussed as well as possible complications.
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Case Reports
"Failed intubation" in obstetric anaesthesia. An indication for use of the "Esophageal Gastric Tube Airway".
The management of failure to intubate the trachea during emergency Caesarean section in a 116.7-kg woman is described. General anaesthesia was continued with the aid of a Gordon and Don Michael Esophageal Gastric Tube Airway. The forward displacement of the larynx caused by the tube in the oesophagus improved the patency of the airway.