Articles: intubation.
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British medical journal · Feb 1980
Case ReportsDecompression of malignant biliary obstruction by duodenoscopic intubation of bile duct.
Interest is increasing in non-operative methods of relieving malignant obstruction of the bile duct, and drainage tubes and prostheses may be placed in the bile duct via the percutaneous transhepatic route. Two cases are described, however, in which a duodenoscope was used and the approach was via the papilla of Vater. ⋯ This endoscopic approach is less invasive and should be safer than that by the transhepatic route; furthermore, removing and replacing a blocked endoprosthesis should be easier. Further study is needed, as the procedure is technically more difficult and its role in managing biliary strictures has yet to be defined.
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Anasth Intensivther Notfallmed · Feb 1980
[Experiences with nasotracheal intubation in the primary management of severe facial burns of face and neck (author's transl)].
Experiences with nasotracheal intubation in the primary management of 157 severe burns of the face and neck are reported. The indication for intubation is provided by the pathophysiology of these cases. Complications are minimized by a careful technique that makes due allowance to the individual anantomical features. The advantages and disadvantages of the method are discussed.
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The history is outlined of the development from metal through rubber to PVC of the endotracheal tube. The technical advantages of the plastics material both for product performance and for processing are summarized. Design features of the modern product are described. Finally, a view is presented of the need now to combine polymer science and clinical research towards further improvement of intubation anaesthesia.
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The endotracheal route for the administration of epinephrine has been studied extensively in dogs. There has been little in the medical literature to document the successful use of this technique in humans. The successful use of endotracheally administered epinephrine in two patients with cardiorespiratory collapse is reported. Specific points concerning endotracheal drugs are discussed and a set of guidelines for clinical use is offered.