Articles: intubation.
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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.
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To examine the validity of a disposable, colorimetric end-tidal CO2 detector in verifying endotracheal tube (ETT) placement in infants and children. ⋯ The detector accurately identifies ETT position in children with spontaneous circulation who weigh more than 2 kg. During CPR, a positive test correctly indicates that the ETT is in the airway, but a negative result (suggesting esophageal placement) requires an alternate means of confirming ETT position.