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Classic prone tube

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One of the life-threatening situations during surgery is unintentional tracheal extubation of patient under general anaesthesia in position limiting face access and can cause serious complications if not followed by rapid reintubation [ 1 ]. Sudden extubation which may happen in patient in prone position for example during general anaesthesia for spine surgery may lead to serious complications. There is still no best method of management of these situation in clinical settings [ 1 ]. A securely fastened reinforced cuffed endotracheal tube is still considered the airway of choice for patients in the prone position [ 2 ]. Although some authors suggest that routine intubation using standard Macintosh blade laryngoscope in prone position is possible we think that it can be performed effectively and safely only by experienced anaesthesiologists, requires continuous training [ 3 ]. There are number of papers confirming successful use of supraglottic devices for airway management in anaesthesia patients in prone position. For exapmle Weksler et al.

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Endotracheal tube displacement or dislocation is a severe complication that can occur in patients who require prone position ventilation. We hypothesized the prone position tube PPT would reduce the incidence of displacement of an endotracheal tube in an adult prone operation compared to a traditional tube TT. A total of 80 adult patients undergoing neurosurgery or spine surgery were recruited. The primary outcome measures were the incidence of the endotracheal tube displacement during surgery, and the secondary outcomes were symptoms of sore throat, dysphagia and dysphonia during follow-up in the post-anesthesia care unit PACU. Compared to the traditional tube, the improved prone positon tube reduced the incidence of displacement of the endotracheal tube. This study was registered with ClinicalTrials.

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About videoYour comments (8)

Views: 576

From: Akilkis

Added: 21.10.2020

Category: Cosplay

Tags: classic+prone+tube

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