FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2004229768> ?p ?o ?g. }

• W2004229768 endingPage "1139" @default.
• W2004229768 startingPage "1138" @default.
• W2004229768 abstract "A recent article (Fisher et al. Anaesthesia 2002; 57: 253–5) describes a new method of airway management using a microlaryngeal tube during percutaneous tracheostomy. The procedure involved the existing tracheal tube being replaced with a longer 5.0-mm internal diameter microlaryngeal tube. Prior to tracheostomy, the cuff was deflated and the resulting gas leak prevented by a pharyngeal throat pack. I consider there are inherent problems with this particular technique of airway management that need to be addressed. (a) The airway pressure may increase following ventilation through a smaller microlaryngeal tube in patients with poor lung compliance, and adequate ventilation may be impossible to achieve. Mechanical ventilation via a microlaryngeal tube can lead to hypercarbia. The rise in arterial carbon dioxide may be detrimental in patients with raised intracranial pressure. (b) There have been numerous studies evaluating various airway devices including the laryngeal mask [1], the intubating laryngeal mask [2], the airway management device [3], the Combitube [4] and a microlaryngeal tube [5] being used during retrograde translaryngeal tracheostomy. None of these has achieved widespread acceptance. Major complications including loss of airway and hypoxic episodes have been reported in about 14% of patients during the process of changing the existing tracheal tube to a microlaryngeal tube during translaryngeal tracheostomy [6]. (c) Accurate needle and guidewire placement in the trachea is an important step during percutaneous tracheostomy prior to insertion of single or multiple dilators. Life-threatening complications can occur during the needle placement, dilatation and subsequent placement of a tracheostomy tube. Fibreoptic bronchoscopy is increasingly used and has been found useful to guide these steps during tracheostomy [7]. In addition, continuous endoscopic guidance has been shown to increase the safety of percutaneous tracheostomy [8]. This series reports a case of oesophageal dilatation and placement of a tracheostomy tube necessitating thoracotomy for the oesophageal repair. The use of a microlaryngeal tube during tracheostomy does not allow passage of a bronchoscope to visualise the key steps of the procedure. The oesophageal tear could have been avoided by bronchoscopy. (d) In patients with thick secretions or blood clot in the airway, it would be difficult to perform an effective suction via a microlaryngeal tube during tracheostomy. Despite the growth of multiple percutaneous techniques in recent years, there has been a decreasing trend of immediate or early complications of tracheostomy since the introduction of the Ciaglia serial dilatational technique. This may be as a result of more training and increasing use of bronchoscopy during the procedure. We believe using a bronchoscope through the existing tracheal tube should lead to a safer percutaneous tracheostomy. The use of a microlaryngeal tube prevents this option." @default.
• W2004229768 created "2016-06-24" @default.
• W2004229768 creator A5015503123 @default.
• W2004229768 date "2002-10-22" @default.
• W2004229768 modified "2023-09-27" @default.
• W2004229768 title "Airway management is simpler with the existing tracheal tube" @default.
• W2004229768 cites W1976054137 @default.
• W2004229768 cites W2025618779 @default.
• W2004229768 cites W2078439115 @default.
• W2004229768 cites W2083838404 @default.
• W2004229768 cites W2092350196 @default.
• W2004229768 cites W2143370878 @default.
• W2004229768 cites W2158804029 @default.
• W2004229768 cites W4247213233 @default.
• W2004229768 doi "https://doi.org/10.1046/j.1365-2044.2002.28808.x" @default.
• W2004229768 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/12392465" @default.
• W2004229768 hasPublicationYear "2002" @default.
• W2004229768 type Work @default.
• W2004229768 sameAs 2004229768 @default.
• W2004229768 citedByCount "1" @default.
• W2004229768 crossrefType "journal-article" @default.
• W2004229768 hasAuthorship W2004229768A5015503123 @default.
• W2004229768 hasConcept C105922876 @default.
• W2004229768 hasConcept C141071460 @default.
• W2004229768 hasConcept C2776900724 @default.
• W2004229768 hasConcept C2778112660 @default.
• W2004229768 hasConcept C2778333281 @default.
• W2004229768 hasConcept C2778551211 @default.
• W2004229768 hasConcept C2778553927 @default.
• W2004229768 hasConcept C2778996910 @default.
• W2004229768 hasConcept C2779870758 @default.
• W2004229768 hasConcept C2780017030 @default.
• W2004229768 hasConcept C2780474809 @default.
• W2004229768 hasConcept C2780978852 @default.
• W2004229768 hasConcept C2909479059 @default.
• W2004229768 hasConcept C42219234 @default.
• W2004229768 hasConcept C71924100 @default.
• W2004229768 hasConceptScore W2004229768C105922876 @default.
• W2004229768 hasConceptScore W2004229768C141071460 @default.
• W2004229768 hasConceptScore W2004229768C2776900724 @default.
• W2004229768 hasConceptScore W2004229768C2778112660 @default.
• W2004229768 hasConceptScore W2004229768C2778333281 @default.
• W2004229768 hasConceptScore W2004229768C2778551211 @default.
• W2004229768 hasConceptScore W2004229768C2778553927 @default.
• W2004229768 hasConceptScore W2004229768C2778996910 @default.
• W2004229768 hasConceptScore W2004229768C2779870758 @default.
• W2004229768 hasConceptScore W2004229768C2780017030 @default.
• W2004229768 hasConceptScore W2004229768C2780474809 @default.
• W2004229768 hasConceptScore W2004229768C2780978852 @default.
• W2004229768 hasConceptScore W2004229768C2909479059 @default.
• W2004229768 hasConceptScore W2004229768C42219234 @default.
• W2004229768 hasConceptScore W2004229768C71924100 @default.
• W2004229768 hasIssue "11" @default.
• W2004229768 hasLocation W20042297681 @default.
• W2004229768 hasLocation W20042297682 @default.
• W2004229768 hasOpenAccess W2004229768 @default.
• W2004229768 hasPrimaryLocation W20042297681 @default.
• W2004229768 hasRelatedWork W1514473743 @default.
• W2004229768 hasRelatedWork W1984687605 @default.
• W2004229768 hasRelatedWork W2018376646 @default.
• W2004229768 hasRelatedWork W2041763663 @default.
• W2004229768 hasRelatedWork W2045350397 @default.
• W2004229768 hasRelatedWork W2055776474 @default.
• W2004229768 hasRelatedWork W2107505766 @default.
• W2004229768 hasRelatedWork W2330418440 @default.
• W2004229768 hasRelatedWork W2414725804 @default.
• W2004229768 hasRelatedWork W3028787224 @default.
• W2004229768 hasVolume "57" @default.
• W2004229768 isParatext "false" @default.
• W2004229768 isRetracted "false" @default.
• W2004229768 magId "2004229768" @default.
• W2004229768 workType "article" @default.