Airway Tube Exchanger Techniques in Morbidly Obese Patients

Udomtecha, Danai

doi:10.1155/2012/968642

Cited by 4 publications

(7 citation statements)

References 37 publications

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“…14 AECs should not be inserted more than 24 cm from the lip. 15 Highlighting the safe insertion depth by colored markers can be of help in preventing overinsertion. 16 Fiberoptic bronchoscope, if passed alongside AEC, can help to visualize the tip and ensure safe exchange 17 however, it is not always possible.…”

Section: Discussionmentioning

confidence: 99%

Bougie through Murphy’s Eye During Airway Exchange: A Near Miss

Sameera

Biswas

Rath

2020

J Neuroanaesth Crit Care

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Endotracheal tube (ETT) exchange is a common procedure performed in the operating room and intensive care unit for the purpose of changing damaged or soiled ETT with appropriate one. The exchange procedure is performed over an airway exchange catheter or ETT introducer (bougie). We report an event during ETT exchange over bougie wherein the introducer exited through Murphy’s eye. Here, we intend to re-emphasize the safety concerns pertaining to the use of bougie (with coude tip) as airway exchange conduit and enumerate the precautions to be taken during tube exchange.

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Section: Discussionmentioning

confidence: 99%

Bougie through Murphy’s Eye During Airway Exchange: A Near Miss

Sameera

Biswas

Rath

2020

J Neuroanaesth Crit Care

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“…8 In the second surgery, in which we were also concerned with postoperative airway edema, we used the AEC to allow rapid reintubation should compromised Tsukamoto and Yokoyamaupper airway patency due to postoperative edema around the epiglottis be encountered, as has been previously reported. 4 In addition, the AEC can be used to temporarily ventilate and provide oxygen until the airway can be secured. The AEC may result in a decrease in the incidence of complications when difficult tracheal reintubation may be required.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Since severe craniofacial anomalies often make it difficult to perform nasotracheal intubation and extubation, there have been various techniques attempted to ensure safe airway management. 3,4 We describe a potentially useful and convenient method for nasotracheal intubation and extubation in a patient with Apert syndrome undergoing biopsy and resection of the tumor in the mandible.…”

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confidence: 99%

Alternative Methods for Nasotracheal Intubation and Extubation in a Patient With Apert Syndrome

Tsukamoto

Yokoyama

2015

Anesthesia Progress

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Apert syndrome is a rare autosomal dominant disorder characterized by craniofacial abnormalities, craniosynostosis and syndactyly. Nasotracheal intubation for a patient with Apert syndrome can be a challenge because of abnormal facial anatomy. We experienced the anesthetic management of a patient with Apert syndrome who underwent partial resection of mandible and cleft palate repair with nasotracheal intubation. Nasotracheal intubation using a gastric tube and extubation using an airway exchange catheter proved useful in this case of airway compromise.

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“…Access to the airway may be secured with an airway exchanger. [44][45][46] The device is inserted into the established airway. The intubation through an alternative route is then performed with the airway exchanger in place, acting as a guide to the airway in case the attempt at intubation is unsuccessful.…”

Section: Techniquesmentioning

confidence: 99%

Airway Management in Facial Trauma Patients

Jacomet

Tasman

2015

Facial plast Surg

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Airway management in craniofacial trauma patients is a challenge for an anesthetist. Treating these patients requires a close interdisciplinary communication and cooperation. Maintaining the airway and oxygenation of the patient is the initial challenge in craniofacial trauma patients. The management of the difficult airway is facilitated and patient's safety improved by following one of several published difficult airway algorithms. We describe the St. Gallen difficult airway algorithm for the management of difficult airway in general and the airway in facial trauma patients in particular. Whenever possible, the airway should be secured in a conscious and spontaneously breathing patient. It is important to be familiar with different techniques and to change the approach after two unsuccessful attempts with one technique. Once the airway is established, all available preventive measures should be used to avoid losing the airway. A tracheotomy has its place in a significant number of patients in whom an immediate postoperative or a delayed extubation appears unfeasible.

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Airway Tube Exchanger Techniques in Morbidly Obese Patients

Cited by 4 publications

References 37 publications

Bougie through Murphy’s Eye During Airway Exchange: A Near Miss

Bougie through Murphy’s Eye During Airway Exchange: A Near Miss

Alternative Methods for Nasotracheal Intubation and Extubation in a Patient With Apert Syndrome

Airway Management in Facial Trauma Patients

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