FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1987702893> ?p ?o ?g. }

• W1987702893 endingPage "1665" @default.
• W1987702893 startingPage "1660" @default.
• W1987702893 abstract "Study objectiveTo determine the usefulness of routinely inserting a hollow airway exchange catheter (jet stylet) prior to tracheal extubation of adult patients with risk factors for difficult tracheal intubation.DesignProspective, 1-year study of 40 consecutive patients undergoing mechanical ventilation who had one or more risk factors for difficult tracheal reintubation.SettingSurgical ICU of a tertiary university medical center.InterventionsStudy patients at risk for difficult tracheal reintubation were extubated using a No. 11 Cook airway exchange catheter (CAEC). Following tracheal extubation, the CAEC was secured, and humidified oxygen was insufflated through the central lumen (2 to 8 L/min) for a minimum of 4 h, during which oxyhemoglobin saturation (SpO2) and respiratory frequency were monitored. Stridor or other signs of respiratory difficulty were also assessed. The CAEC was removed when it became clinically apparent that the need for tracheal reintubation was unlikely. When patients failed to respond to tracheal extubation, the CAEC was used to facilitate reintubation of these difficult airways.ResultsRespiratory distress necessitating tracheal reintubation occurred in 3 of 40 patients (8%). One patient failed to respond to tracheal extubation twice. None of the patients developed oxyhemoglobin desaturation (SpO2 <90%) before or during tracheal reintubation. All four reintubations were accomplished during the first attempt using the CAEC as a stylet. The CAEC was kept in the trachea for a mean duration of 9.4 h. There were no adverse events documented.ConclusionsThe No. 11 CAEC is a useful and effective tool for giving patients a trial of extubation. Administration of oxygen through the CAEC diminishes the potential for hypoxia while maintaining the ability to reintubate the trachea, especially when reintubation might prove challenging. Previous data suggest that the CAEC is rigid enough to facilitate tracheal reintubation in adults; this was confirmed in the three patients in our study who required tracheal reintubation. The risk of aspiration, barotrauma, or other airway trauma during prolonged placement of the CAEC appears to be low (zero incidence in 40 patients in this study), and use of the No. 11 CAEC appeared to be safe. Since oxygen can be delivered through the CAEC, it may provide a means to safely evaluate an airway during a trial of extubation, ie, a reversible extubation. Finally, oxygen administration through the CAEC may obviate the need for facemask or nasal cannula following tracheal extubation. To determine the usefulness of routinely inserting a hollow airway exchange catheter (jet stylet) prior to tracheal extubation of adult patients with risk factors for difficult tracheal intubation. Prospective, 1-year study of 40 consecutive patients undergoing mechanical ventilation who had one or more risk factors for difficult tracheal reintubation. Surgical ICU of a tertiary university medical center. Study patients at risk for difficult tracheal reintubation were extubated using a No. 11 Cook airway exchange catheter (CAEC). Following tracheal extubation, the CAEC was secured, and humidified oxygen was insufflated through the central lumen (2 to 8 L/min) for a minimum of 4 h, during which oxyhemoglobin saturation (SpO2) and respiratory frequency were monitored. Stridor or other signs of respiratory difficulty were also assessed. The CAEC was removed when it became clinically apparent that the need for tracheal reintubation was unlikely. When patients failed to respond to tracheal extubation, the CAEC was used to facilitate reintubation of these difficult airways. Respiratory distress necessitating tracheal reintubation occurred in 3 of 40 patients (8%). One patient failed to respond to tracheal extubation twice. None of the patients developed oxyhemoglobin desaturation (SpO2 <90%) before or during tracheal reintubation. All four reintubations were accomplished during the first attempt using the CAEC as a stylet. The CAEC was kept in the trachea for a mean duration of 9.4 h. There were no adverse events documented. The No. 11 CAEC is a useful and effective tool for giving patients a trial of extubation. Administration of oxygen through the CAEC diminishes the potential for hypoxia while maintaining the ability to reintubate the trachea, especially when reintubation might prove challenging. Previous data suggest that the CAEC is rigid enough to facilitate tracheal reintubation in adults; this was confirmed in the three patients in our study who required tracheal reintubation. The risk of aspiration, barotrauma, or other airway trauma during prolonged placement of the CAEC appears to be low (zero incidence in 40 patients in this study), and use of the No. 11 CAEC appeared to be safe. Since oxygen can be delivered through the CAEC, it may provide a means to safely evaluate an airway during a trial of extubation, ie, a reversible extubation. Finally, oxygen administration through the CAEC may obviate the need for facemask or nasal cannula following tracheal extubation." @default.
• W1987702893 created "2016-06-24" @default.
• W1987702893 creator A5011618932 @default.
• W1987702893 creator A5042540752 @default.
• W1987702893 creator A5065655245 @default.
• W1987702893 creator A5087956311 @default.
• W1987702893 date "1997-06-01" @default.
• W1987702893 modified "2023-10-18" @default.
• W1987702893 title "A Prospective Study of the Safety of Tracheal Extubation Using a Pediatric Airway Exchange Catheter for Patients With a Known Difficult Airway" @default.
• W1987702893 cites W1963534569 @default.
• W1987702893 cites W1966256192 @default.
• W1987702893 cites W1967114376 @default.
• W1987702893 cites W1983198660 @default.
• W1987702893 cites W1985705829 @default.
• W1987702893 cites W1986984592 @default.
• W1987702893 cites W1993539542 @default.
• W1987702893 cites W1996859235 @default.
• W1987702893 cites W1997048343 @default.
• W1987702893 cites W2000229723 @default.
• W1987702893 cites W2000680141 @default.
• W1987702893 cites W2023808975 @default.
• W1987702893 cites W2027942761 @default.
• W1987702893 cites W2036843099 @default.
• W1987702893 cites W2037355069 @default.
• W1987702893 cites W2056091212 @default.
• W1987702893 cites W2063351101 @default.
• W1987702893 cites W2115266902 @default.
• W1987702893 cites W2118565113 @default.
• W1987702893 cites W2138167027 @default.
• W1987702893 cites W2140709324 @default.
• W1987702893 cites W2168997028 @default.
• W1987702893 doi "https://doi.org/10.1378/chest.111.6.1660" @default.
• W1987702893 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9187190" @default.
• W1987702893 hasPublicationYear "1997" @default.
• W1987702893 type Work @default.
• W1987702893 sameAs 1987702893 @default.
• W1987702893 citedByCount "109" @default.
• W1987702893 countsByYear W19877028932012 @default.
• W1987702893 countsByYear W19877028932013 @default.
• W1987702893 countsByYear W19877028932014 @default.
• W1987702893 countsByYear W19877028932015 @default.
• W1987702893 countsByYear W19877028932016 @default.
• W1987702893 countsByYear W19877028932017 @default.
• W1987702893 countsByYear W19877028932018 @default.
• W1987702893 countsByYear W19877028932019 @default.
• W1987702893 countsByYear W19877028932020 @default.
• W1987702893 countsByYear W19877028932022 @default.
• W1987702893 countsByYear W19877028932023 @default.
• W1987702893 crossrefType "journal-article" @default.
• W1987702893 hasAuthorship W1987702893A5011618932 @default.
• W1987702893 hasAuthorship W1987702893A5042540752 @default.
• W1987702893 hasAuthorship W1987702893A5065655245 @default.
• W1987702893 hasAuthorship W1987702893A5087956311 @default.
• W1987702893 hasBestOaLocation W19877028931 @default.
• W1987702893 hasConcept C105922876 @default.
• W1987702893 hasConcept C141071460 @default.
• W1987702893 hasConcept C141983124 @default.
• W1987702893 hasConcept C2776410716 @default.
• W1987702893 hasConcept C2777080012 @default.
• W1987702893 hasConcept C2778029997 @default.
• W1987702893 hasConcept C2778112660 @default.
• W1987702893 hasConcept C2778716859 @default.
• W1987702893 hasConcept C2781047483 @default.
• W1987702893 hasConcept C2781267111 @default.
• W1987702893 hasConcept C42219234 @default.
• W1987702893 hasConcept C71924100 @default.
• W1987702893 hasConceptScore W1987702893C105922876 @default.
• W1987702893 hasConceptScore W1987702893C141071460 @default.
• W1987702893 hasConceptScore W1987702893C141983124 @default.
• W1987702893 hasConceptScore W1987702893C2776410716 @default.
• W1987702893 hasConceptScore W1987702893C2777080012 @default.
• W1987702893 hasConceptScore W1987702893C2778029997 @default.
• W1987702893 hasConceptScore W1987702893C2778112660 @default.
• W1987702893 hasConceptScore W1987702893C2778716859 @default.
• W1987702893 hasConceptScore W1987702893C2781047483 @default.
• W1987702893 hasConceptScore W1987702893C2781267111 @default.
• W1987702893 hasConceptScore W1987702893C42219234 @default.
• W1987702893 hasConceptScore W1987702893C71924100 @default.
• W1987702893 hasIssue "6" @default.
• W1987702893 hasLocation W19877028931 @default.
• W1987702893 hasLocation W19877028932 @default.
• W1987702893 hasOpenAccess W1987702893 @default.
• W1987702893 hasPrimaryLocation W19877028931 @default.
• W1987702893 hasRelatedWork W1582682287 @default.
• W1987702893 hasRelatedWork W1988236659 @default.
• W1987702893 hasRelatedWork W2093110723 @default.
• W1987702893 hasRelatedWork W2118644559 @default.
• W1987702893 hasRelatedWork W2123618044 @default.
• W1987702893 hasRelatedWork W2163730555 @default.
• W1987702893 hasRelatedWork W2270677960 @default.
• W1987702893 hasRelatedWork W2580122206 @default.
• W1987702893 hasRelatedWork W3165372591 @default.
• W1987702893 hasRelatedWork W4226049589 @default.
• W1987702893 hasVolume "111" @default.
• W1987702893 isParatext "false" @default.
• W1987702893 isRetracted "false" @default.
• W1987702893 magId "1987702893" @default.
• W1987702893 workType "article" @default.