BACKGROUND/AIMS Complete endotracheal tube obstruction is a medical emergency, and partial occlusion causes increased breathing rates and failure to wean off mechanical ventilation. Partial occlusion may be underestimated due to the lack of proper detection methods. We tested whether the sound of an endotracheal tube could be used to detect an endotracheal tube obstruction using an in vitro mod...

OBJECTIVE To conduct a cost-effectiveness analysis of the economic outcomes of ventilator-associated pneumonia (VAP) prevention associated with silver-coated endotracheal tubes versus uncoated endotracheal tubes. DESIGN We used a simple decision model based on a hypothetical 1,000-patient cohort intubated with silver-coated or uncoated endotracheal tubes. The primary end point was marginal ho...

CEN, CFRN, CPEN, and Tom Pietrantonio, BSRT, RRT-RCP, reply: In a study published in Respiratory Care, Shimizu et al3 concluded that the conventional adhesive tape methods had greater extubation force than the 2 endotracheal tube holders and that extubation force varies considerably depending on the width, length, and type of adhesive tape used. Mohammed and Hassan4 studied endotracheal tube sl...

introduction respiratory distress syndrome (rds) is a current cause of morbidity in premature infants resulted from surfactant deficiency. the primary aim of this randomized study was to describe the feasibility of early administration of surfactant via a thin catheter during spontaneous breathing (tec) and compare its outcomes with the insure (intubate, surfactant, extubate) procedure material...

objectives the aim of this study was to compare hemodynamic changes following endotracheal intubation with gvl and mdl in patients undergoing cesarean section by general anesthesia. materials and methods seventy patients undergoing elective cesarean section by general anesthesia requiring endotracheal intubation were randomly allocated to be intubated with either gvl (n = 35) or mdl (n = 35). s...

A 28-year-old male patient with right maxillar, zygomatic arch, orbital wall, and nasal bone fractures had an orthognathic and nasal surgery. Naso-endotracheal intubation is the first choice during surgical correction of dentofacial deformities in an orthognathic surgery; however, its presence can interfere with concomitant surgical procedures on the nose. Traditionally, the naso-endotracheal t...

BACKGROUND Endotracheal tube security is a critical safety issue. We compared the mobility of an in situ endotracheal tube secured with adhesive tape to the one secured with a new commercially available purpose-designed endotracheal tube-holder device (Haider Tube-Guard). We also observed for the incidence of oropharyngeal or facial trauma associated with the 2 tube fixation methods. METHODS ...

BACKGROUND In patients undergoing mechanical ventilation, mucus production and secretion is high as a result of the endotracheal tube. Because endotracheal suction in these patients is essential, chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretion and improving alveola...

OBJECTIVE To compare endotracheal tube tip-to-carina distance obtained by ultrasonography vs. that obtained by chest X-ray in neonates. METHODS After endotracheal intubation of 40 neonates, chest X-ray and, within one hour, ultrasonography was obtained for each patient for measurement of endotracheal tube tip-to-carina distance. RESULTS Means of endotracheal tube tip-to-carina distances wer...

BACKGROUND A correct estimate of the tracheal tube insertion depth can prevent complications, including endobronchial intubation and vocal cord trauma. We evaluated a new topographical method for endotracheal tube positioning relative to the carina, using a well-known prior topographical method for comparison. METHODS One hundred adult (male 50, female 50) patients were studied. The compariso...