The safety of reused endotracheal tubes sterilized according to Centers for Disease Control and Prevention guidelines

Yoon, Seung Zhoo; Jeon, Yun Seok; Kim, Yong C.; Lim, Young Jin; Ha, Jin; Bahk, Jae Hyon; Sang, Heng; Lee, Kook Hyun; Kim, Chong S.

doi:10.1016/j.jclinane.2007.02.009

Cited by 12 publications

(4 citation statements)

References 7 publications

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“…A study from human medicine shows that up to three gas sterilisations can compromise physical integrity of the cuff but not the silicone tube. While we used an uncuffed tube, the number of sterilisations of the tube we used is unknown and likely higher than the three investigated by Yoon and others 16. Niimura del Barrio and others17 describe two cases of silicon ETT breakage in dogs and hypothesise that degradation of the material could be due to formation of a biofilm in reused silicon tubes.…”

Section: Discussionmentioning

confidence: 95%

Can intubation confirmed by capnography be misleading? Complication with rabbit intubation

Calice

Rocchi

2020

Vet Record Case Reports

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Rapid and accurate tracheal intubation in rabbits is challenging. It requires skill and is a technically demanding procedure. Visualisation of a normal capnography trace is widely considered the most objective indication of a correct orotracheal intubation, especially with blind intubation and small tidal volumes. This case report describes how a large defect in the oesophageally dislocated endotracheal tube led to misleading positive capnography signal.

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Section: Discussionmentioning

confidence: 95%

Can intubation confirmed by capnography be misleading? Complication with rabbit intubation

Calice

Rocchi

2020

Vet Record Case Reports

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“…Uma avaliação da aderência de biofilme e integridade física de tubos endotraqueais esterilizados com glutaraldeído e óxido de etileno sugere que ambos os desinfetantes previnem a infecção cruzada, porém podem comprometer a integridade física dos tubos. Alterações na integridade física dos tubos endotraqueais foram constatadas após cinco reprocessamentos com glutaraldeído e três reprocessamentos com óxido de etileno 16 .…”

Section: Discussionunclassified

Efeito do ácido peracético sobre a adesão microbiana e as propriedades de tubos endotraqueais

Poletto

Hoss

Wermuth

et al. 2016

Rev. da Fac. de Odontologia, UPF

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Objetivo: avaliar a influência do número de imersões em ácido peracético na colonização bacteriana, na composição química, na rugosidade e na capacidade de recuperação após a deformação de tubos endotra. Quando a condição respiratória do paciente está deteriorada, a intubação pode levar o paciente a um risco de aspiração de patógenos até o trato respiratório inferior, levando ao desenvolvimento de pneumonia associada à ventilação mecânica (PAVM), que ocorre devido à aspiração de secreções da orofaringe, do condensado formado no circuito do respirador ou do conteúdo gástrico colonizado por bactérias patogênicas 4 . Nesse sentido, o tubo endotraqueal por si só proporciona uma superfície passível de colonização bacteriana e formação de biofilme, de onde, posteriormente, microrganismos podem ser broncoaspirados 2 . Após 72 horas de intubação, já são encontradas cepas de Staphylococcus aureus nos tubos endotraqueais e na boca

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“…This is partially due to suboptimal monitoring equipment, limited choices of pharmacological agents as well as systemic shortcomings, including the lack of resources, such as consistent and reliable electricity and inadequate sterilization standards [74]. Furthermore, the reuse of endotracheal tubes poses an additional risk of equipment failure or disease transmission, particularly if the required sterilization is inadequately performed [75,76]. Awake craniotomy may be performed rather simply and inexpensively, therefore facilitating access to neurosurgical care, and avoiding the need for intensive care unit beds which are at a premium in resource-poor countries.…”

Section: Utility In Low-resource Settingsmentioning

confidence: 99%

Awake Craniotomy for Supratentorial Gliomas: Why, when and how?

Ibrahim

Bernstein

2012

CNS Oncol.

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Awake craniotomy has become an increasingly utilized procedure in the treatment of supratentorial intra-axial tumors. The popularity of this procedure is partially attributable to improvements in intraoperative technology and anesthetic techniques. The application of awake craniotomy to the field of neuro-oncology has decreased iatrogenic postoperative neurological deficits, allowed for safe maximal tumor resection and improved healthcare resource stewardship by permitting early patient discharge. In this article, we review recent evidence for the utility of awake craniotomy in the resection of gliomas and describe the senior author's experience in performing this procedure. Furthermore, we explore innovative applications of awake craniotomy to outpatient tumor resections and the conduct of neurosurgery in resource-poor settings. We conclude that awake craniotomy is an effective and versatile neurosurgical procedure with expanding applications in neuro-oncology.

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The safety of reused endotracheal tubes sterilized according to Centers for Disease Control and Prevention guidelines

Cited by 12 publications

References 7 publications

Can intubation confirmed by capnography be misleading? Complication with rabbit intubation

Can intubation confirmed by capnography be misleading? Complication with rabbit intubation

Efeito do ácido peracético sobre a adesão microbiana e as propriedades de tubos endotraqueais

Awake Craniotomy for Supratentorial Gliomas: Why, when and how?

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