Endotracheal tube (ETT) cuff herniation is not an uncommon event in Intensive Care Units and operating rooms. The cause for this can be displacement of the tube or overinflation of ETT cuff.[1] Usually, it is noticed by the sound of gas leaking around the tube or when there is a fall in tidal volume and end-tidal carbon dioxide (CO2). Confirmation and repositioning of the ETT require direct lar...

background & aim: with the implementation of incorrectly airway suctioning, many complications and risks can be followed. therefore, health care providers can expedite recovery of patients by increasing in quality of suction. this study was conducted to evaluate the effect of clinical audit process on the level of endotracheal tube suctioning skill in nurses and anesthesia technicians working i...

Endotracheal tubes (ETTs) constitute a resistive extra load for intubated patients. The ETT pressure drop (DeltaP(ETT)) is usually described by empirical equations that are specific to one ETT only. Our laboratory previously showed that, in adult ETTs, DeltaP(ETT) is given by the Blasius formula (F. Lofaso, B. Louis, L. Brochard, A. Harf, and D. Isabey. Am. Rev. Respir. Dis. 146: 974-979, 1992)...

OBJECTIVE Given the paucity of information regarding endotracheal epinephrine for newborn resuscitation, the objectives of this study were: (1) to determine the frequency of endotracheal epinephrine use in newborns in the delivery room, and (2) to determine whether the previously recommended dose of 0.01 to 0.03 mg/kg of endotracheal epinephrine is effective in establishing a return of spontane...

Objectives: The recent introduction of a disposable laryngeal mask airway has provided paramedics with an alternative to endotracheal intubation. Time taken to secure the airway with each device was compared in patients undergoing elective surgery. Methods: Patients undergoing general anaesthesia were studied. Paramedics trained in laryngeal mask use and endotracheal intubation participated in ...

OBJECTIVES The recent introduction of a disposable laryngeal mask airway has provided paramedics with an alternative to endotracheal intubation. Time taken to secure the airway with each device was compared in patients undergoing elective surgery. METHODS Patients undergoing general anaesthesia were studied. Paramedics trained in laryngeal mask use and endotracheal intubation participated in ...

background and objectives: nosocomial infections are one of the most important worldwide health and increased patients hospital stay, therapeutic problem and mortality rate. this study was designed to determine the frequency of microorganisms isolated from tracheal tube in patients admitted to icu shaheed mostafa khomeini hospital tehran, iran, from 2001-2005. patients and methods: in this cros...

OBJECTIVE To compare ultrasonography with chest radiograph to detect the level of endotracheal tube tip in intubated neonates. DESIGN Observational. SETTING Neonatal care unit of a teaching hospital. PARTICIPANTS 53 neonates selected by convenience sampling. INTERVENTION Ultrasonography of chest was done with probe of 5 to 8 MHz using high parasternal view. The distance of the endotrach...

Conventional endotracheal tubes have high intrinsic resistive properties due to their high outer-to-inner diameter ratio. This has significant disadvantages in the treatment of the small neonatal or pediatric patient as work of breathing increases with decreasing internal radius. Diagnostic and therapeutic procedures, including suctioning, may be very difficult in patients with small endotrache...

the effect of expiratory rib – cage compression before endotracheal suctioning on blood pressure in patients under mechanical ventilation    shrvani y [1] *, piami bosary m [2] , agha hasan kashani s3, mosavi nasab n4, ghafouri fard m5     received: 21 apr , 2013 accepted: 12 jul , 2013   abstract   background & aims : in patients undergoing mechanical ventilation because of an endotracheal tub...