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Perianesthesia emergency repair of a cut endotracheal tube’s inflatable tube:A case report

World Journal of Clinical Cases 2022年第14期10卷 4594-4600页

作者： Ting-Ting Wang Jiang Wang Ting-Ting Sun Yu-Ting Hou Yao Lu Shan-Gui Chen Department of Anesthesiology The First Affiliated Hospital of Anhui Medical UniversityHefei 230000Anhui ProvinceChina Department of Infectious Disease The First Affiliated Hospital of Anhui Medical UniversityHefei 230000Anhui ProvinceChina

BACKGROUND During the perianesthesia period,emergency situations threatening the life and safety of patients can occur at any *** dealing with some emergencies,occasional confusion is *** SUMMARY This case report describes the rare situation wherein a surgeon inadvertently detached the inflatable tube of an endotracheal tube during a tonsillectomy,and positive pressure ventilation could not be *** reintubation may increase the risk of respiratory tract infection and aspiration,patients with a difficult airway might die due to *** best treatment method is to optimize the damaged tracheal tube junction to avoid secondary intubation and ensure patient *** intravenous needle and cannula were used to repair the damaged gap in the current *** the repair,the anesthesia machine showed no indication of low tidal volume,and there was no deflation of the endotracheal tube ***,the patient was transferred to the postanesthesia recovery room,and the tracheal tube was removed with satisfactory *** Using an intravenous needle to repair a break in the inflatable tube surrounding an endotracheal tube is safe and reliable.

关键词： Perianesthesia accident Emergency situation endotracheal tube Inflatable tube Tonsillectomy Mechanical ventilation Case report

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Should We Pay More Attention to endotracheal tube Fixation during Anesthesia—Surveys from Chinese Anesthesiologists for endotracheal tube Fixation and endotracheal tube Displacement in 2014 and 2020

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Open Journal of Anesthesiology 2021年第8期11卷 243-258页

作者： Dongxue Li Tongfeng Luo Chuling Liu Xi Hong Sanqing Jin Department of Anesthesia The Sixth Affiliated Hospital Sun Yat-sen University Guangzhou China

Background: Displacement of endotracheal tube (ETT) can result in endobronchial intubation and accidental extubation that severely threatens safety of surgical patients. However, few surveys have investigated intraoperative ETT displacement experienced by anesthesiologists. The objective of these surveys was to investigate ETT fixation method and ETT displacement during general anesthesia experienced by anesthesiologists in China in 2014 and 2020. Methods: A questionnaire was designed with twenty questions and randomly distributed to anesthesiologists in two survey methods. In 2014, we collected responses from anesthesiologists who participated in the 22nd annual meeting of the Chinese Society of Anesthesiology in a face-to-face setting;in 2020, anesthesiologists from twenty-eight provinces completed the questionnaire through an online questionnaire survey platform. Differences in the responses from the anesthesiologists in 2014 and 2020 were assessed with a chi-square test. Results: In total, 568 questionnaires were collected, of which 541 questionnaires were valid (valid response rate 95.2%). A majority of the respondents (65.6%) had experienced ETT displacement, and 4.3% of respondents had experienced serious complications due to ETT displacement. Three hundred and twenty-nine respondents (60.8%) fixed the ETT with adhesive tape in the shape of the letter X. A majority of respondents considered the influence of surgical site, body position (97.8% of all respondents), and age (77.1% of all respondents) on fixing the ETT. Adhesive tape was the most commonly used material to fix the ETT (90.4% of the respondents). Conclusion: During clinical anesthesia, a majority of anesthesiologists experienced ETT displacement that can result in serious consequences. Therefore, the management of ETT should be a priority during the operation.

关键词： Anesthesia endotracheal tube Displacement Fixation Questionnaires

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A Comparison of the Best Place to Fix endotracheal tubes for Men and Women When Men and Women Are in the Same Height

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Open Journal of Anesthesiology 2014年第7期4卷 153-158页

作者： Shahram Nafisi Mehdi Rajabi Mohammad Afshar Morteza Rashidian Mitra Mohammadzadeh Department of Anesthesiology Advocate Illinois Masonic Medical CenterChicagoILUSA Department of Anesthesia and Critical Care Kashan University of Medical SciencesKashanIran Faculty of Nursing and Midwifery Kashan University of Medical SciencesKashanIran Clinical Innovation Ins Trials Costa MesaCAUSA Shahid Beheshti University of Medical Sciences TehranIran

Background: Comparison of the tracheal tube depth over the same body height of men and women based upon intubation depth markings. Methods: Kashan University of Medical Sciences ethics committee approved the study and written informed consent was taken for each patient. Patients undergoing surgery requiring general anesthesia with oro-tracheal intubation were included in a prospective observational study. After induction of general anesthesia, the endotracheal tube was secured at the point at which the cuff was just below the vocal cord on laryngoscopy. Results: In a statistical study of 682 intubated patients which consisted of 499 women and 183 men, 28 cases of laryngoscopic view grade III and IV were excluded from the study. The measurement markings on the ETT at the level of right corner of the mouth were 20.65 ± 0.13 and 18.52 ± 0.08 for men and women respectively (CI 95%). Patient’s height has a meaningful correlation with the measurement of the fixation point of the ETT. Pearson correlation coefficient between the securing point of the tube and height was 0.2 and 0.357 for men and women respectively. In most cases of men and women of the same height, Mann-Whitney U test rejected the hypothesis that the tube can be fixed in the particular point. Conclusions: In general, men are taller than women. Comparing the fixation depth of the tube, even when man and woman have the same body height, the endotracheal tube might be placed in a deeper level for men rather than women.

关键词： Intubation endotracheal tube General Anesthesia Height Cuffed

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Pressure changes in tapered and cylindrical shaped cuff after extension of head and neck:A randomized controlled trial

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World Journal of Clinical Cases 2022年第31期10卷 11419-11426页

作者： Gukjin Seol Juhwa Jin Jinyoung Oh Sung-Hye Byun Younghoon Jeon Department of Oral and Maxillofacial Surgery School of DentistryKyungpook National UniversityDaegu 41944South Korea Department of Anesthesiology and Pain Medicine Kyungpook National University HospitalDaegu 41944South Korea Department of Anesthesiology and Pain Medicine School of MedicineKyungpook National UniversityDaegu 41944South Korea Department of Anesthesiology and Pain Medicine School of DentistryKyungpook National UniversityDaegu 41944South Korea

BACKGROUND The proper cuff pressure of endotracheal tube(ET)plays an important role in sealing the airway and preventing airway complications during mechanical *** ET cuff shape affects the cuff pressure after positional *** To investigate cuff pressure between tapered and cylindrical cuff after extension of head and neck during nasal endotracheal *** In a randomized clinical trial,52 patients were randomized to one of two groups:cylindrical cuff or Tapered *** pressure with 22 cmH_(2)O was applied to patients in the neutral *** extension of head and neck,the cuff pressure was evaluated again and readjusted to 22 cmH_(2)*** addition,the extent of cephalad migration of ET tip was assessed and postoperative airway complications such as sore throat,and hoarseness were *** The cuff pressure was higher in the tapered cuff(28.7±1.0 cmH_(2)O)than in the cylindrical cuff(25.5±0.8 cmH_(2)O)after head and neck extension(Ptube tip was greater in TaperGuard ET(18.4±2.2 mm)than in conventional ET(15.1±1.2 mm)(P<0.001).The incidence of postoperative airway complications was comparable between two *** After head and neck extension,the cuff pressure and the extent of cephalad migration of ET was greater in tapered cuff than in cylindrical cuff during nasal intubation,respectively.

关键词： Cuff pressure Cylindrical cuff endotracheal tube Nasal intubation Tapered cuff

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