Articles: intubation.
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Randomized Controlled Trial Comparative Study Clinical Trial
Prolonged tracheal intubation in the trauma patient.
Over a 15-month period, 74 trauma patients who were expected to require extended intubation were studied prospectively to evaluate the appropriateness of tracheostomy. Patients were randomized to receive either early (34) or late (40) tracheostomies. ⋯ Significantly more complications occurred in rigid-posture, head-injured patients than in any other trauma grouping, but there was no significant difference in the complication incidence between the two tracheostomy groups within that classification. We conclude that patients can undergo translaryngeal intubation for up to 2 weeks without significantly increasing complications relative to transtracheal intubation.
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Anaesth Intensive Care · Feb 1984
Use of a pharyngeal guide to aid intubation with the fibreoptic laryngoscope.
The fibreoptic laryngoscope is a difficult instrument to master in anaesthetised patients, and reasons for this are discussed. The use of a pharyngeal guide was shown to provide an acceptable success rate in patients without anatomical deformity. These guides may also be beneficial to those with such deformities.