The use of the Airtraq Laryngoscope for securing proper positioning of an endotracheal tube during bedside percutaneous dilatational tracheostomyReportar como inadecuado




The use of the Airtraq Laryngoscope for securing proper positioning of an endotracheal tube during bedside percutaneous dilatational tracheostomy - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Signa vitae : journal for intesive care and emergency medicine, Vol.6 No.1 April 2011. -

Percutaneous dilatational tracheostomy PDT is a widely used and accepted method for long-term ventilation of critically ill patients in many intensive care units ICUs. However, serious complications related to PDT have been reported, including several cases of intraoperative loss of airway with fatal consequences. 1 Generally, this is the result of the required delicate position of the endotracheal tube ETT during PDT, with a partially deflated cuff located at the level of the vocal cords. This position of the ETT may lead to accidental extubation and loss of airway during the procedure, especially in difficult patients with a short, bull neck. On the other hand, too deep a position of the tip of the ETT can lead to accidental punction of Murphy-s eye, with impalement of the ETT. 2 Unfortunately, the operator performing the PDT evaluates the correct position of the tip of the ETT on the basis of questionable, indicative, indirect parameters and clinical signs such as: capnography, the curve on the ventilator monitor and respiratory movements of the thoracic wall.



Autor: Alan Šustić - ; Department of Anesthesiology and ICU, University Hospital Rijeka, Krešimirova 42, 51000 Rijeka, Croatia Alen P

Fuente: http://hrcak.srce.hr/



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