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Intratracheal Intubation

Endotracheal Intubations


Presentation

  • The content of the press release has been approved by the presenter.[escardio.org]
  • Present-generation 3-dimensional ICE probes can be used for volumetric imaging; however, in the present configuration, cross-sectional measurement of annular size is difficult due to the limited field of view of 22 .[imaging.onlinejacc.org]
  • These five cases are presented below.[ejcts.oxfordjournals.org]
  • Abstract The passage of a tube into the trachea, whether through the nose or the mouth, is known as intubation, and probably presents more hazards than any other single anaesthetic procedure.[link.springer.com]
  • We reviewed the medical record of each patient in either cohort who underwent a surgical airway access procedure (tracheotomy or cricothyrotomy) to determine the presenting characteristics of the patients and the reason they could not be orally or nasally[f1000.com]
Hoarseness
  • Previous research by Jones et al. found that 54 of 167 studied patients had hoarseness following short-term intubation. 7 In five of these patients, hoarseness lasted for periods ranging between 9 and 99 days.[anesthesiology.pubs.asahq.org]
  • Cases of postoperative hoarseness, vomiting, dysphoria, bucking, and other complications were determined in the two groups.[alliedacademies.org]
  • The incidence of hoarseness after mediastinoscopy and outcome of video-assisted versus conventional mediastinoscopy in lung cancer staging*. Acta Chirurgica Belgica , Vol. 116, Issue. 1, p. 23.[cambridge.org]
  • Aspirating (inhaling) vomit, saliva or other fluids while intubated Pneumonia, if aspiration occurs Sore throat Hoarseness Erosion of soft tissue (with prolonged intubation) The medical team will assess and be aware of these potential risks, and do what[verywell.com]
  • On the other hand, a review study in 2010 showed a very low incidence of airway complications such as postoperative hoarseness and cough in the LMA group. [9] In our study, there was no significant difference in vital signs including HR, SO 2 and mean[medgasres.com]
Food Poisoning
  • 963 Prep kit 975 Diabetic Emergencies 984 Diabetic Emergencies 984 Prep Kit 1000 Allergic Reactions and Envenomations 1004 Specific Bites and Envenomations 1017 Prep Kit 1028 Poisonings and Overdose Emergencies 1032 How Poisons Get Into the Body 1037 Food[books.google.com]

Treatment

  • This is a surgical emergency and prompt recognition and initiation of treatment is essential to a favorable outcome. There are very few case reports of medical treatment [4] . Medical treatment has been applied only after early diagnosis.[ejcts.oxfordjournals.org]
  • Nevertheless, successful conservative treatment in a large tracheal tear has been reported. 11, 12 Mullan et al have suggested that the length of intact trachea 3 cm above the carina is the important predictor of successful conservative treatment. 12[rc.rcjournal.com]
  • In addition, urolithiasis was also associated with a high risk of intensive care unit treatment, shock, and arrhythmias after AMI. Medical treatments for urolithiasis may decrease the risk of MI, except the use of NSAIDs.[dovepress.com]
  • Compared to the face mask group during treatment, patients in the helmet group had a higher median sustained positive end-expiratory pressure, lower fraction of inspired oxygen, and greater decrease in respiratory rate.[dynamed.com]

Prognosis

  • Knowledge of associated clinical variables may improve the estimation of early prognosis and guide management in these patients.[neurology.org]
  • Outlook (Prognosis) The outlook will depend on the reason the procedure needed to be done. References Driver BE, Reardon RF. Tracheal intubation. In: Roberts JR, Custalow CB, Thomsen TW, eds.[mountsinai.org]
  • After discussion with the patient's relatives about the risk of surgical repair and the prognosis of neurological condition, conservative treatment was considered.[rc.rcjournal.com]
  • However misreading of this complication sometimes leads to delaying the diagnosis, then to worsening the prognosis. Subsequent infection spreads into the mediastinum and responsibility of the physician is engaged.[ejcts.oxfordjournals.org]
  • This result shows why it is vital to analyze data by the intention-to-treat principle; in this case, an erroneous conclusion could be reached if the data were analyzed by treatment received, because the success of intubation is not independent of prognosis[jamanetwork.com]

Etiology

  • Martyn JA, Richtsfeld M (2006) Succinylcholine-induced hyperkalemia in acquired pathologic states: etiologic factors and molecular mechanisms. Anesthesiology 104: 158–169 PubMed CrossRef Google Scholar 21.[link.springer.com]
  • We considered subgroups defined both by the etiology of the illness or injury that was apparent to out-of-hospital providers and by the etiology of the illness or injury based on retrospective review of the final medical record.[jamanetwork.com]
  • […] hypertension. 20 Hypoxemia seems to be related either to apnea at the time of intubation or possible airway obstruction associated with positioning. 17 Bradycardia is presumed to be vagal in origin, because the very rapid onset is suggestive of a reflexive etiology[pediatrics.aappublications.org]
  • †Adjusted for: age, gender, bystander CPR, initial cardiac rhythm, duration of resuscitation, location of arrest, status of Emergency Life-Saving Technicians, epinephrine use and etiology.[westjem.com]

Epidemiology

  • Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000;283: 2008–12. pmid:10789670 View Article PubMed/NCBI Google Scholar 27.[journals.plos.org]
  • Epidemiology of pediatric prehospital care. Ann Emerg Med. 1987;16:284-292. Google Scholar 30. United States Department of Transportation. Emergency Medical Technician: Basic, National Standard Curriculum .[jamanetwork.com]
  • Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Circulation. 2009;119:1484–91. for the Resuscitation Outcomes Consortium.[ccforum.biomedcentral.com]
  • Malekianzadeh 1, Gholamreza Noori 2, Abolfazl Mohammadbeigi 3 1 Department of Anesthesiology and Critical Care, Arak University of Medical Sciences, Arak, Iran 2 Department of surgery, Arak University of Medical Sciences, Arak, Iran 3 Department of Epidemiology[medgasres.com]
  • Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA . 2016;315(8):788-800. PubMed Google Scholar Crossref 32. Knaus WA, Draper EA, Wagner DP, Zimmerman JE.[jamanetwork.com]
Sex distribution
Age distribution

Prevention

  • If the oral route is used, a bite block may be required to prevent the patient from biting and obstructing the tube.[medical-dictionary.thefreedictionary.com]
  • Pre-intubation nebulised salbutamol or adrenaline Hypoxia Pre-oxygenation Continuous pulse oximetry Aspiration Cricoid pressure (debatable) Aspiration of stomach contents by NG tube Fasting the patient in preparation Careful bag-mask ventilation to prevent[derangedphysiology.com]
  • There are no randomized trials of intravenous fluid administration to prevent PIH in critically ill adults. The investigators propose a randomized trial of fluid loading to prevent PIH in critically ill adults.[clinicaltrials.gov]
  • […] of vagal response (especially children younger than age 5 often have bradycardic response to laryngoscopy) Atropine 0.02 mg/kg Prevention of worsening intracranial pressure or bronchospasm Lidocaine 1.5 mg/kg Prevention of hypertensive response in patients[thoracic.org]

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