Endobronchial intubation technique and airway morbidity

Endobronchial intubation technique and airway morbidity.

airway morbidity Editor—We read the interesting article by Seo and colleagues about the study comparing two techniques of double-lumen endobronchial intubation. We have a few queries. First, the authors have not mentioned if any lubrication or softening technique was used to prepare the double-lumen tube (DLT) before placement to prevent airway morbidity. Secondly, the authors have not mentione...

Disposable laryngeal mask airway (Soft Seal) for endotracheal intubation: FOB guidance technique and blind technique.

OBJECTIVE To evaluate disposable LMA for endotracheal intubation using the FOB guidance and blind techniques. MATERIAL AND METHOD The authors included ASA class I-II patients between 15 and 60 years of age, with mouth opening more than 3 cm, scheduled for elective surgery. The authors excluded patients with any history of gastro-esophageal reflux, full stomach or a body weight < 30 kg. All of...

An Airway which Facilitates intubation with a Fiberoptic Laryngoscope

Regarding fiberoptic intubation and laryngeal morbidity.

To the Editor:—Heidegger et al. are to be congratulated for a wellperformed study that validates the relative safety of their practice. The conclusions from their study, however, can be applied only narrowly. First, as they admit, it was conducted by individuals with extensive previous experience with the technique. Indeed, each had performed more than 200 previous bronchoscopic intubations. Th...

Point-of-care sonographic detection of left endobronchial main stem intubation and obstruction versus endotracheal intubation.

OBJECTIVE Determining the correct position of endotracheal tubes in critically ill patients may be complicated by external factors such as noise, body habitus, and the need for ongoing resuscitation. Multiple detection techniques have been developed to determine the correct endotracheal tube position, recently including the use of sonography to evaluate lung expansion and diaphragmatic excursio...