Articles: intubation.
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Mechanical ventilation in critically ill patients is usually performed with the conventional endotracheal airway. The esophageal tracheal combitube (ETC) is a new device for cardiopulmonary resuscitation, conceived to bridge the gap between hospital and prehospital phases. The ETC may be used in esophageal and endotracheal positions. ⋯ Blood gas data showed adequate ventilation with the ETC during the observation period. Data suggest that mechanical ventilation with the ETC is possible for several hours after cardiopulmonary resuscitation. This might be helpful during the initial post-arrest period, when replacement of the ETC by a conventional endotracheal airway might destabilize a vulnerable patient.
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Letter Case Reports
Pneumothorax complicating small-bore nasogastric feeding tube insertion.
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Randomized Controlled Trial Clinical Trial
An investigation of the features of the pre-term infant palate and the effect of prolonged orotracheal intubation with and without protective appliances.
The features of premature low birth weight infant palates were examined. Babies of less than 32 weeks gestation at birth were compared with 30 who had required orotracheal intubation for ten or more days. ⋯ Prolonged orotracheal intubation was shown to be associated with narrowing, deepening and some anterior elongation of the developing palate. The protective appliance was shown to reduce the extent of these changes and provided an additional means of orotracheal tube support.