We present a case of problematic tracheal intubation in an adult patient with an unrecognized tracheal bronchus. Immediately after tracheal intubation and position change to prone, bilateral breath sounds were almost absent, and there was a diminished tidal volume. In order to resolve the ventilatory difficulty, the wire-reinforced tube was replaced with a conventional tube, and proper position...

Sir,—I read with interest the article entitled "Trachea! rupture after tracheal intubation" by Regragui, Fagan and Natrajan [1]. The authors described the anaesthetic management of a patient with a distal tracheal tear. The trachea was intubated initially with an 8-mm tracheal rube under bronchoscopic guidance with the distal end of the tube above the tracheal tear. After right rhoracotomy was ...

BACKGROUND Aims of this study were to assess the maximum displacement of tracheal tube tip during head-neck movement in children, and to evaluate the appropriateness of the intubation depth marks on the Microcuff Paediatric Endotracheal Tube regarding the risk of inadvertent extubation and endobronchial intubation. METHODS We studied children, aged from birth to adolescence, undergoing cardia...

abstract  background: uncuffed endotracheal tube(ett) were considered for children less than 8 years. meanwhile, aspiration around ett in patients undergoing adenotonsillectomy is concerned.we compared cuffed versus uncuffed ett regarding respiratory complications following adenotonsillectomy.  methods: 128 children aged 2-8 yr were divided to two groups of 64 each. uncuffed and cuffed tubes we...

BACKGROUND This randomized single-blinded, cross-over study was done to evaluate the influence of the size of tracheal tubes on air leaks around the cuffs. METHODS In a benchtop model, the number of longitudinal folds on the cuffs was evaluated for different sizes of tracheal tubes. In an anesthetized patient study, thirty patients scheduled for elective surgery under general anesthesia were ...

We have assessed the efficacy of tracheal tube cuff inflation in the oropharynx as an aid to blind nasotracheal intubation in 20 ASA I and II patients undergoing elective oral surgery. The trachea was intubated once using the technique of tracheal tube cuff inflation in the oropharynx and once keeping the tracheal tube cuff deflated throughout the manoeuvre. With the cuff deflated, intubation w...

UNLABELLED Tracheal secretion leakage might lead to ventilator-associated pneumonia. Standard tracheal tube cuffs are cylindrical in shape. Bronchial tree aspiration is observed in the presence of leakage past tracheal tube cuffs. The new TaperGuard tracheal tube has a cuff in the shape of a cone, preventing from the development of microtubules and microaspiration. The aim of the study was to c...