Articles: intubation.
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Randomized Controlled Trial Clinical Trial
[Atropine in the premedication of patients at risk. Its effect on hemodynamics and salivation during intubation anesthesia using succinylcholine].
Should atropine be administered for premedication? This question continues to be controversial; in particular, the combined administration of atropine and succinylcholine has been investigated with conflicting results by numerous researchers. The present study was carried out to assess the effect of premedication with atropine on hemodynamic variables and salivation in patients assigned to ASA class II and III. METHODS. ⋯ No increase in heart rate occurred in the control groups during tracheal intubation. Neither i.m. nor i.v. atropine had any significant effect on blood pressure. Arrhythmias occurred in a few cases with both routes of administration; several instances of marked tachycardia were recorded.(ABSTRACT TRUNCATED AT 250 WORDS)
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Pediatric emergency care · Feb 1992
Comparative StudyPediatric EMS transport: are we treating children in a system designed for adults only?
Unlike adults, small children and infants do not require stretchers or ambulances for transport from a prehospital scene to the emergency department (ED). This study was designed to determine the importance of this difference in patient transport needs. ⋯ Utilizing this model, police transports demonstrate shorter TTIs for brief scene-to-ED travel times or limited paramedic success rates, while paramedic intubations produced shorter TTIs for long scene-to-ED transports. These results suggest that nonambulance transport of pediatric patients be considered in the development of urban or suburban pediatric Emergency Medical Services.
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Review Case Reports
Retrograde intubation of the pharynx: an unusual complication of emergency cricothyrotomy.
Retrograde, translaryngeal intubation of the pharynx, a previously unreported and potentially fatal complication of emergency cricothyrotomy, is described. Methods of avoiding this complication are discussed. Reports in the literature of related technical errors following successful surgical incision of the cricothyroid membrane are discussed.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 1992
[A new single-lumen endobronchial tube for artificial respiration following pneumonectomy in thoracic surgery].
If a patient who has undergone a major resection such as a pneumonectomy or radical pneumonectomy develops during the postoperative period respiratory failure requiring mechanical ventilation, this may cause problems with the respirator treatment. It is of particular interest that the newly sutured bronchus stump can be protected from high ventilation pressures. Until now, patients who have undergone pneumonectomy have been ventilated using a single lumen tube or a double lumen tube (Table 1). ⋯ No. 115900) for the mechanical ventilation of pneumonectomised patients (Fig. 1). The sutured bronchial stump lies between the bronchial and tracheal cuff (Fig. 2) and for that reason is not exposed to any increased ventilation pressure. This new tube contributes to a lower complication rate in mechanically ventilated patients after pneumonectomy.