Articles: intubation.
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Middle East J Anaesthesiol · Oct 1979
Preventive measure against nitrous oxide induced volume and pressure changes of endotracheal tube cuffs.
Endotracheal tube (ETT) cuff volume and pressure changes were studied in patients receiving 70% and 50% nitrous oxide for anaesthesia. ETT cuffs were inflated with either room air or inhalation mixture. There was a significant increase in cuff volumes and pressures in ETT cuffs containing room air compared to insignificant changes in cuffs containing the inhalation mixture during a two hour study period. A simple measure of substitution of air by the inspired anaesthetic gases for ETT cuff inflation is highly beneficial in the prevention of detrimental changes due to excessive increase in cuff volumes and pressure during nitrous oxide administration.
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Case Reports
Tracheal laceration with massive subcutaneous emphysema: a rare complication of endotracheal intubation.
Our patient sustained a laceration of the membranous portion of the trachea associated with massive subcutaneous emphysema after an apparently uneventful intubation. The patient was successfully operated on within seven hours. The importance of prompt diagnosis and treatment in the event of this rare complicatoin and the different causative factors are discussed.
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Rev Gastroenterol Mex · Oct 1979
[Is it necessary to routinely use nasogastric intubation and subhepatic (Penrose) drainage after an uncomplicated cholecystectomy?].
140 surgical patients were studied at the Navy Medical Center in Mexico City. All of them had a cholecystectomy performed. In addition, 29 patients were treated for hiatal hernia with troncular vagotomy, pyloroplasty and hiatal repair. 7 of them had a prophylactic appendectomy. ⋯ Group B received neither. Postoperative morbidity and hospitalization time less in Group B. It is suggested by the authors not to be use nasogastric intubation nor subhepatic drainage after elective cholecystectomy, although there are special circumstances where one or both procedures are indicated.