Articles: intubation.
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It is widely accepted and taught that the accidental placement of a tracheal tube in the oesophagus can be readily detected if it is looked for, though it is recognised that death from this cause occurs from time to time. Evidence is now presented of instances where anaesthetists have been misled by a range of tests which are commonly used to check the correct placement of a tracheal tube. An explanation is offered for this unexpected finding, and some recommendations are formulated to improve patient safety.
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AJR Am J Roentgenol · Apr 1980
Case ReportsStomach rupture associated with esophageal atresia, tracheoesophageal fistula, and ventilatory assistance.
When infants with tracheoesophageal fistula require ventilatory assistance, gastric distention may ultimately result in perforation and pneumoperitoneum. This report describes four neonates with esophageal atresia and tracheoesophageal fistula who experienced such a complication.
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Randomized Controlled Trial Clinical Trial
Droperidol and endotracheal intubation. Attenuation of pressor response to laryngoscopy and intubation.
The cardiovascular responses to anaesthesia, laryngoscopy and tracheal intubation were studied in 20 healthy adult patients. The mean arterial pressure increase following intubation was 1.60 mmHg (SEM +/- 3.52 mmHg) in patients to whom droperidol 150 microgram/kg was given intravenously before anaesthesia compared with a rise of 26.50 mmHg (SEM +/- 4.35 mmHg) in a control group of patients.