Endotracheal Intubation and Tracheostomy

Fudge, Mack

doi:10.1016/b978-1-4557-0306-7.00197-5

Cited by 11 publications

(27 citation statements)

References 22 publications

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“…Endotracheal (ET) intubation is widely used in veterinary medicine to protect the airway in patients with decreased gag reflex, to bypass upper airway obstruction, and to provide oxygen therapy, inhalation anesthesia, and positive‐pressure ventilation . While ET intubation is generally a straightforward procedure with appropriate preparation and good visualization of the laryngeal structures, it can be challenging in certain situations.…”

Section: Introductionmentioning

confidence: 99%

“…Incorrect placement of ET tubes into the esophagus can increase morbidity and mortality when unrecognized. Situations in which ET intubation may be difficult include upper airway obstruction due to masses, foreign bodies, or secretions; in animals with abnormal or challenging anatomy, such as brachycephalic dogs; or during cardiopulmonary resuscitation (CPR).…”

Section: Introductionmentioning

confidence: 99%

“…Verification of ET tube placement has traditionally been done by direct visualization of the tube entering the larynx . However, confirmation of appropriate placement by direct visualization can be challenging in situations of difficult intubation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A pilot study evaluating the use of cervical ultrasound to confirm endotracheal intubation in dogs

Herreria-Bustillo

Kuo

Burke

et al. 2016

J Vet Emergen Crit Care

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A pilot study evaluating the use of cervical ultrasound to confirm endotracheal intubation in dogs

Herreria-Bustillo

Kuo

Burke

et al. 2016

J Vet Emergen Crit Care

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“…Punkt A steht weiterhin für Airway, d. h. die Überprüfung der oberen Atemwege auf Durchgängigkeit. Bei Verlegung, beispielsweise infolge von Verätzungen oder durch ödematöse Schwellung, muss eine Intubation und eventuell eine Tracheotomie erfolgen (29,32).…”

Section: Allgemeines Notfallmanagementunclassified

Notfalltherapie bei Vergiftungen von Hund und Katze

Hassdenteufel

Lehmann²,

Schneider³

et al. 2016

Tierarztl Prax Ausg K

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ZusammenfassungVergiftungen können zu lebensbedrohlichen Notfällen führen. Neben der allgemeinen Stabilisation des Patienten sollte eine Therapie eine schnellstmögliche Toxinelimination bewirken. Zunächst wird versucht, durch allgemeine Dekontaminationsmaßnahmen (gastrointestinal, dermal, okulär) die Giftaufnahme so gering wie möglich zu halten. Eine genauere Eingrenzung des Toxins bzw. seiner Eigenschaften kann bei der Auswahl spezifischerer Behandlungsansätze, wie beispielsweise Dialyse oder Gabe eines Antidots, Hilfestellung leisten. Die Therapie mit Lipidemulsionen zur raschen Elimination lipophiler Substanzen aus dem Körper hat in den letzten Jahren zunehmend an Bedeutung gewonnen. Sie kann das Allgemeinbefinden des Patienten schnell verbessern und ist mit wenig Nebenwirkungen verbunden.

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“…Upper airway obstruction is a potentially life‐threatening condition that may require stabilization by means of tracheostomy. Tracheostomy may also be indicated for oral or pharyngeal surgery or long‐term ventilator support in critically ill patients . In veterinary medicine, temporary tracheostomy is most commonly performed through a ventral cervical surgical approach.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the percutaneous dilatational tracheostomy technique in experimental manikins and canine cadavers

Pardo

Sumner

Friello

et al. 2019

J Vet Emergen Crit Care

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Objective: To evaluate procedure time, ease of placement, and complication rates of percutaneous dilatational tracheostomy (PDT) compared to surgical tracheostomy (ST) in canine cadavers. Design: Randomized crossover experimental manikin and cadaver study involving 6 novice veterinary students. Setting: University teaching hospital. Animals: Canine tracheostomy training manikin, 24 canine cadavers. Interventions: None. Measurements and Main Results: For training, each student performed 10 PDT and 10 ST procedures on a training manikin, followed by 2 PDT and 2 ST procedures on a canine cadaver. After each training procedure, feedback from bronchoscopy and observers was provided. Final PDT and ST tube placements using new equipment were performed in unused cadavers. Placements were timed, ease of placement was scored using visual analog scales (VAS, 0-10 cm), and complications were assessed by two independent observers using ordinal scales (0-3). Cadaver tracheas were explanted postprocedure to evaluate anatomical damage scores (0-3). Procedure time and VAS scores for PDT and ST procedures were analyzed using mixed-effects linear models, accounting for student, technique, and procedure number with post hoc pairwise comparisons. Data are presented as median (range). For the final cadaver placement, there were no significant differences in placement time (300 seconds [230-1020] vs 188 seconds [116-414], P = 0.210), ease of placement (3.8 cm [2.1-5.7] vs 1.9 cm [0-4.7], P = 0.132), anatomical damage score (1 [0-2] vs 0 [0-1], P = 0.063), or equipment complications score (0 [0-1] vs 0 [0-0], P = 1.000) between PDT and ST, respectively.Conclusions: These data suggest that PDT can be performed as quickly, as easily, and as safely as ST in a canine cadaver by novice veterinary students following manikin training. Additional studies will be required to determine if these findings can be translated into veterinary clinical practice. K E Y W O R D Sanatomic models, complications, manikin training, trachea, upper airway obstruction

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Endotracheal Intubation and Tracheostomy

Cited by 11 publications

References 22 publications

A pilot study evaluating the use of cervical ultrasound to confirm endotracheal intubation in dogs

A pilot study evaluating the use of cervical ultrasound to confirm endotracheal intubation in dogs

Notfalltherapie bei Vergiftungen von Hund und Katze

Assessment of the percutaneous dilatational tracheostomy technique in experimental manikins and canine cadavers

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