Endobronchial intubation detected by insertion depth of endotracheal tube, bilateral auscultation, or observation of chest movements: randomised trial

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Endobronchial intubation detected by insertion depth of endotracheal tube, bilateral auscultation, or observation of chest movements: randomised trial

OBJECTIVE To determine which bedside method of detecting inadvertent endobronchial intubation in adults has the highest sensitivity and specificity. DESIGN Prospective randomised blinded study. SETTING Department of anaesthesia in tertiary academic hospital. PARTICIPANTS 160 consecutive patients (American Society of Anesthesiologists category I or II) aged 19-75 scheduled for elective gyn...

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Blind endobronchial insertion of a movable bronchial blocker attached to an endotracheal tube, Univent tube.

The endotracheal tube with a movable bronchial blocker, Univent tube, used to effect one-lung ventilation is easy to use in endotracheal intubation. However, problems are often encountered when inserting the blocker into the bronchus. We herein describe a method which enables the easy blind insertion of the blocker into the left or right bronchus. The techniques of inserting the blocker into th...

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Use of the Rapiscope vs chest auscultation for detection of accidental bronchial intubation in non-obese patients undergoing laparoscopic cholecystectomy.

STUDY OBJECTIVE Main stem bronchial intubation is not always detected by routine means and may occur more frequently during laparoscopic procedures. Tracheal tube positional changes in non-obese patients undergoing laparoscopic cholecystectomy were detected by either the Rapiscope (Cook Critical Care, Bloomington, Ind) or chest auscultation. DESIGN Prospective, double-blind, crossover study. ...

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Tension pneumothorax complicated by double-lumen endotracheal tube intubation.

Tension pneumothorax is not a rare complication of mechanical ventilation, but its occurrence immediately after intubation with a double-lumen endotracheal tube (DLT) is very rare. Subsequent impairment of the respiratory and cardiovascular function can be life threatening if it is not detected early enough and managed properly. Most reported cases of tension pneumothorax during DLT intubation ...

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Bilateral vocal cord paralysis following endotracheal intubation.

Bilateral vocal cord paralysis following endotracheal intubation is an uncommon cause of respiratory obstruction. We report one case, adding to ten previously identified. We dissected eight human cadaver larynges and noted the path of the anterior ramus of the recurrent laryngeal nerve. It appeared to be particularly vulnerable to compression injury as it passed between the arytenoid cartilage ...

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ژورنال

عنوان ژورنال: BMJ

سال: 2010

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.c5943