• The COVID-19 pandemic has prompted research to measure the aerosols produced by patients during some AGPs including tracheal intubation and extubation, gastroscopies, colonoscopies and trans-nasal endoscopies. (wikipedia.org)
  • Are tracheal intubation and extubation aerosol‐generating procedures? (wikipedia.org)
  • Comparison of the Effectiveness of Different Barrier Enclosure Techniques in Protection of Healthcare Workers During Tracheal Intubation and Extubation. (bvsalud.org)
  • The aim of this study was to compare the effectiveness of different barrier enclosure techniques during tracheal intubation and extubation. (bvsalud.org)
  • Our secondary objective was to see which blood pressure and heart rate should be taken as a baseline for clinical monitoring during anaesthesia especially when one is looking at haemodynamic changes associated with tracheal intubation. (org.pk)
  • We defined perioperative complications as accidental extubation, perioperative hemorrhage, tracheal ring rupture, lesions of the tracheal wall, and abnormal insertion of the cannula. (nih.gov)
  • Time in the intensive care unit and on mechanical ventilation and the cumulative frequency of pneumonia, mortality, and accidental extubation were documented. (nih.gov)
  • Immediately after tracheal extubation, analgesia, sedation, heart rate, respiratory rate, and arterial blood pressure were measured at predetermined intervals and every 60 min thereafter until the first rescue analgesic. (scielo.br)
  • Therefore, identifying critical illness polyneuropathy for patients with respiratory muscle paralysis and tracheal extubation difficulties at early stages is clinically important. (nel.edu)
  • The specific conditions where recommendations were made include exacerbation of chronic obstructive pulmonary disease, cardiogenic pulmonary oedema, de novo hypoxaemic respiratory failure, immunocompromised patients, chest trauma, palliation, post-operative care, weaning and post-extubation. (ersjournals.com)
  • Two hours after mivacurium administration, and following tracheal extubation, progressive hypercapnic respiratory failure necessitated repeat tracheal intubation, invasive mechanical ventilation and sedation for further three hours. (heraldopenaccess.us)
  • A 72 year old male, weighing 65 kilograms was scheduled electively for percutaneous tracheostomy to facilitate weaning from positive pressure ventilation and sedation after failed trial of weaning and extubation. (ispub.com)
  • 13. Is the Airtraq optical laryngoscope effective in tracheal intubation by novice personnel? (yumc.ac.kr)
  • Medical procedures that have been designated as AGPs include positive-pressure mechanical ventilation including BiPAP and continuous positive airway pressure (CPAP), high-frequency ventilation, tracheal intubation, airway suction, tracheostomy, chest physiotherapy, nebuliser treatment, sputum induction, bronchoscopy and ultrasonic scaling and root planing. (wikipedia.org)
  • The obturator and tracheostomy tube were removed from the guide wire assuming that the tracheal stoma was under-dilated. (ispub.com)
  • After mask ventilation with 5 vol% sevoflurane in 100% oxygen for 2 minutes, tracheal intubation was done. (druglib.com)
  • The investigators recorded the time from discontinuation of sevoflurane to time to extubation. (druglib.com)
  • Intravenous dexmedetomidine pre-medication reduces the required minimum alveolar concentration of sevoflurane for smooth tracheal extubation in anesthetized children: a randomized clinical trial. (medscape.com)
  • Thus, weaning off the mechanical ventilation and extubation are of great clinical importance for these patients. (peerj.com)
  • Some post-operative problems also relate to the tracheal tube and mechanical ventilation. (peerj.com)
  • Most of the complications occurred following extubation, and the common complications were laryngospasm, increased airway secretion, and breath-holding spells. (bakirkoymedj.org)
  • Laryngospasm occurring after tracheal extubation in children is potentially dangerous. (ocom.edu)
  • If airway oedema is suspected in an intensive care patient, either because of findings at nasendoscopy, or because of a poor or absent cuff leak, there is good evidence that steroids can decrease the incidence of post-extubation stridor and re-intubation. (ccam.net.au)
  • The needle and cannula attached with a syringe was inserted in a caudal direction between 2nd and 3rd tracheal rings. (ispub.com)
  • Free air was aspirated again to re-confirm the placement of cannula into the tracheal lumen. (ispub.com)
  • When planning to extubate an intensive care patient, there are many questions that need to be answered - see the CCAM Extubation Checklist below. (ccam.net.au)
  • In the 2011 National Audit Project 4 (NAP 4), about one third of anaesthesia incidents occurred around extubation and recovery. (ccam.net.au)
  • Since a large number of factors affect the post-operative period, the present study aims to identify the predictors of extubation time in CABG patients using casualty network analysis. (peerj.com)
  • Early group showed significantly less mortality (31.7% vs. 61.7%), pneumonia (5% vs. 25%), and accidental extubations compared with the prolonged translaryngeal group (0 vs. 6). (nih.gov)
  • Moreover, extubation time was significantly affected by packed cells during the Cardiopulmonary Bypass (CPB), packed cells after CPB, inotrope use on arrival at ICU, mean arterial pressure 1st ICU, packed cells 1st ICU, platelets 1st ICU, Blood Urea Nitrogen 1st ICU, and hematocrit 1st ICU. (peerj.com)
  • Data for this "in-theatre" audit was gathered by a research assistant present during the phase of patients' tracheal extubation. (hindawi.com)
  • a Patients with data available: In total, three patients (one sugammadex and two neostigmine) were excluded from the table because monitoring was stopped before extubation due to the patient moving or waking up. (omicsonline.org)
  • The last recorded TOF ratios were 0.8 in the sugammadex patient and 0.5 and 0.6, respectively, in the neostigmine patients, but it cannot be discounted that these patients would have recovered to a TOF ratio of ≥0.9 by the time of extubation. (omicsonline.org)
  • Sixty mechanically ventilated ICU (intensive care unit) patients (41 patients with pneumonia and 19 patients without pneumonia) were included, and tracheal aspirates were obtained on days 1, 3, and 7. (mdpi.com)
  • This section of the course covers how we assess patients for extubation and device exchange, and how we perform these procedures safely. (ccam.net.au)
  • The airway can be injured during surgery, tracheal intubation or by repetitive shearing forces caused by the tube, especially in agitated patients in the ICU. (ccam.net.au)
  • Patients should be characterised as 'low risk' or 'at risk' as in the DAS extubation guideline. (ccam.net.au)
  • Tracheal Intubation Most patients requiring an artificial airway can be managed with tracheal intubation, which can be Orotracheal (tube inserted through the mouth) Nasotracheal (tube inserted through the nose). (msdmanuals.com)
  • and to facilitate extubation in spontaneously breathing patients. (msdmanuals.com)
  • We hypothesized that the presence of particular microbiota in endotracheal tube aspirates during the course of intubation was associated with clinical outcomes such as extubation failure or 28-day mortality. (mdpi.com)
  • The majority of problems that occur during extubation and emergence are of a minor nature, but a small and significant number may result in injury or death. (theanesthesiaconsultant.com)
  • The etiology is likely multi-factorial: use of non-depolarizing muscle relaxant agents, lack of intraoperative objective monitoring, and reliance on subjective assessment (visual or tactile means) or clinical tests (head-lift, grip strength, tidal volume, etc) to judge adequacy of pharmacologic reversal prior to tracheal extubation. (apsf.org)
  • Our secondary objective was to see the impact on the percentage change from baseline to maximum change after tracheal intubation if different baseline measurements taken at different locations were substituted for the immediate preinduction measurement (which is the usual baseline for most clinical studies on haemodynamics). (org.pk)
  • The strategy should include a plan for the timing and technique of extubation, and the disposition and ongoing care of the patient. (ccam.net.au)
  • It may be beneficial, for example, to arrange for an intensive physiotherapy regime after extubation of a patient who has a lot of secretions or a borderline cough. (ccam.net.au)
  • An example of an 'at risk' patient due to general factors might be a patient after surgery for ruptured aortic aneurysm, where haemodynamic instability, metabolic derangement, potential full stomach and distended abdomen would make early extubation challenging. (ccam.net.au)
  • This narrative review describes the main applications of de la ultrasonografía en ultrasound in anesthesia, ultrasound-guided techniques, and current trends in the perioperative anesthetic management of anestesia the surgical patient. (bvsalud.org)
  • Concerns include that placing a tube in the patient's airway (intubation) before surgery or removing it at the end (extubation) may produce a fine mist of small particles (called aerosols) and spread the COVID-19 virus to nearby staff. (bristol.ac.uk)
  • The year after NAP4, the Difficult Airway Society (DAS) published guidelines for extubation. (ccam.net.au)
  • The Difficult Airway Society Guidelines for the Management of Tracheal Extubation state that "tracheal extubation is a high-risk phase of anesthesia. (theanesthesiaconsultant.com)
  • The Difficult Airway Society Guidelines for the Management of Tracheal Extubation (see below), published in 2012, recommend to "wait until awake, eye opening/obeying commands," just as my faculty member advised me in 1986. (theanesthesiaconsultant.com)
  • Bij een aanstaande bevalling en onbekende GBS-status is het conform de richtlijn Preventie en behandeling van early onset neonatale infectie van de NVK en de NVOG wel aangewezen GBS-profylaxe met benzylpenicilline te overwegen. (richtlijnendatabase.nl)
  • However, the same basic principles of planning, preparation and post-extubation care still apply. (ccam.net.au)
  • The removal of this airway tube, an event called "extubation," is a critical and sometimes dangerous event. (theanesthesiaconsultant.com)
  • Preparation for extubation should include gathering the right personnel and equipment in case of failure. (ccam.net.au)
  • Extubation is a team decision and a team activity. (ccam.net.au)
  • Train-of-four (TOF) ratios at or before tracheal extubation by treatment group (intent-to-treat group, n=97). (omicsonline.org)
  • LEAG: study conception, de datos PubMed y Cochrane, se incluyeron artículos originales, estudios aleatorizados y de revisión, en español y en inglés, manuscript design, publicados entre 2017-2021. (bvsalud.org)
  • Nasogastric tubes, endoscopes and trans-oesophageal echocardiography probes can also cause damage which may not become evident until extubation is attempted. (ccam.net.au)
  • There are then 'low-risk' and 'at risk' algorithms which should prompt the formation of an extubation strategy. (ccam.net.au)
  • Na het lezen van 54 volledige manuscripten werden 47 artikelen geëxcludeerd, omdat deze artikelen vanwege studiepopulatie, type van interventie en/of uitkomstmaat BPD bij 36 weken PML, ofwel de studieopzet (geen RCT, review of cohortstudie), niet aan de PICO of de vooraf opgestelde eisen voldeden. (richtlijnendatabase.nl)