The Experts below are selected from a list of 255 Experts worldwide ranked by ideXlab platform
Junichiro Kotani - One of the best experts on this subject based on the ideXlab platform.
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Thermosoftening of the Parker Flex-TipTM Tracheal Tube in Preparation for Nasotracheal Intubation
Anesthesia progress, 2013Co-Authors: Takuro Sanuki, Junichiro KotaniAbstract:The Parker Flex-Tip tracheal tube (PFTT, Parker Medical, Highlands Ranch, Colo) has a soft, flexible, curved tip with double Murphy eyes. Previous studies have shown that the PFTT reduces the incidence of epistaxis during Nasotracheal Intubation and the incidence of postIntubation nasal pain, as compared to conventional tracheal tubes. Although thermosoftening is a well-known and effective technique for reducing epistaxis during Nasotracheal Intubation with conventional tracheal tubes, we occasionally encounter difficulties with advancing the tube through the nasal passage when the PFTT is thermosoftened prior to Nasotracheal Intubation. Consequently, when using the PFTT for Nasotracheal Intubation, the procedure of thermosoftening should be avoided.
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the parker flex tip tube for Nasotracheal Intubation the influence on nasal mucosal trauma
Anaesthesia, 2010Co-Authors: Takuro Sanuki, M Hirokane, Saori Sugioka, Y. Matsuda, Junichiro KotaniAbstract:Summary We tested our hypothesis that use of the Parker Flex-Tip™ tracheal tube could reduce the incidence of nasal mucosal trauma during Nasotracheal Intubation when compared with a conventional tip tracheal tube. One hundred and two patients, who were scheduled for elective oral surgery in which Nasotracheal Intubation was indicated to optimise the surgical approach, were recruited into this study. Either a Flex-Tip tracheal tube or a conventional tip tracheal tube was chosen randomly for each Nasotracheal Intubation. The incidence of epistaxis using the Flex-Tip tracheal tube (6 (11.8%)) was significantly lower than that with the conventional tip tracheal tube (18 (35.3%); p = 0.009). Nasal pain due to Intubation, rated on a 100-mm visual analogue scale, was less intense with the Flex-Tip tracheal tube (median, (10th–90th percentile) 19 (12–28) mm compared with the conventional tip tracheal tube (30 (22–35) mm; p < 0.001). The Flex-Tip tracheal tube thus appeared to reduce the incidence of nasal mucosal trauma during Nasotracheal Intubation and the incidence of post-Intubation nasal pain, compared with the conventional tip tracheal tube.
Takuro Sanuki - One of the best experts on this subject based on the ideXlab platform.
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Thermosoftening of the Parker Flex-TipTM Tracheal Tube in Preparation for Nasotracheal Intubation
Anesthesia progress, 2013Co-Authors: Takuro Sanuki, Junichiro KotaniAbstract:The Parker Flex-Tip tracheal tube (PFTT, Parker Medical, Highlands Ranch, Colo) has a soft, flexible, curved tip with double Murphy eyes. Previous studies have shown that the PFTT reduces the incidence of epistaxis during Nasotracheal Intubation and the incidence of postIntubation nasal pain, as compared to conventional tracheal tubes. Although thermosoftening is a well-known and effective technique for reducing epistaxis during Nasotracheal Intubation with conventional tracheal tubes, we occasionally encounter difficulties with advancing the tube through the nasal passage when the PFTT is thermosoftened prior to Nasotracheal Intubation. Consequently, when using the PFTT for Nasotracheal Intubation, the procedure of thermosoftening should be avoided.
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the parker flex tip tube for Nasotracheal Intubation the influence on nasal mucosal trauma
Anaesthesia, 2010Co-Authors: Takuro Sanuki, M Hirokane, Saori Sugioka, Y. Matsuda, Junichiro KotaniAbstract:Summary We tested our hypothesis that use of the Parker Flex-Tip™ tracheal tube could reduce the incidence of nasal mucosal trauma during Nasotracheal Intubation when compared with a conventional tip tracheal tube. One hundred and two patients, who were scheduled for elective oral surgery in which Nasotracheal Intubation was indicated to optimise the surgical approach, were recruited into this study. Either a Flex-Tip tracheal tube or a conventional tip tracheal tube was chosen randomly for each Nasotracheal Intubation. The incidence of epistaxis using the Flex-Tip tracheal tube (6 (11.8%)) was significantly lower than that with the conventional tip tracheal tube (18 (35.3%); p = 0.009). Nasal pain due to Intubation, rated on a 100-mm visual analogue scale, was less intense with the Flex-Tip tracheal tube (median, (10th–90th percentile) 19 (12–28) mm compared with the conventional tip tracheal tube (30 (22–35) mm; p < 0.001). The Flex-Tip tracheal tube thus appeared to reduce the incidence of nasal mucosal trauma during Nasotracheal Intubation and the incidence of post-Intubation nasal pain, compared with the conventional tip tracheal tube.
Leeshy Feldman - One of the best experts on this subject based on the ideXlab platform.
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telescoping tracheal tubes into catheters minimizes epistaxis during Nasotracheal Intubation in children
Anesthesiology, 2007Co-Authors: Stacey Watt, Don Pickhardt, Jerrold Lerman, James Armstrong, Paul Creighton, Leeshy FeldmanAbstract:Background: Numerous strategies have been used to reduce epistaxis after Nasotracheal Intubation. The authors compared the severity of epistaxis after Nasotracheal Intubation in children with tubes at room temperature, warm tubes, and tubes telescoped into catheters. Methods: Children who were scheduled for elective dental surgery were randomly assigned to undergo Nasotracheal Intubation using a tube at room temperature (control), warmed in saline, or whose distal end had been telescoped into a red rubber catheter. After an inhalational induction and intravenous propofol, a lubricated tube or red rubber catheter was inserted into the right naris. Tracheal Intubation was achieved by direct laryngoscopy and tube placement using Magill forceps. The pharynx was swabbed for blood by an observer who was blind to the treatment. The severity of bleeding was rated using reference figures. Data were analyzed using Kruskal-Wallis and Fisher exact tests. P 40% of the gauze area covered in blood) in the catheter group (5%) was significantly less than in the control (56%) and warm (39%) groups. The incidence of no detectable blood in the catheter group (59%) was significantly greater than in the control (21%) and warm (26%) groups. Conclusions: Telescoping the endotracheal tube into a catheter significantly reduces epistaxis in children undergoing Nasotracheal Intubation.
Liu Yun-lon - One of the best experts on this subject based on the ideXlab platform.
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Clinical Application of Suction Catheter-Guided Nasotracheal Intubation in ICU
Chinese Journal of General Practice, 2012Co-Authors: Liu Yun-lonAbstract:Objective To study the clinical application of suction catheter-guided Nasotracheal Intubation in critical illness patients in ICU.Methods Seventy eight critical patients with respiratory failure underwent mechanical ventilation in which the artificial airway was established by suction catheter-guided Nasotracheal Intubation in ICU from may 2009 to may 2011.The successful rate of Intubation and complications were observed.Results The successful rate of first attempt was 90%(70/78),Intubation time was 20-60 seconds.4 patients needed the tracheal Intubation wrench,3 patients switch to orotracheal Intubation,1 patients switch to tracheotomy.All of the patients did not appear laryngospasm,serious arrhythmia,bronchospasm,massive hemoptysis or cardiac arrest;3 patients were with a few nasal bleeding.Conclusion By using suction catheter-guided Nasotracheal Intubation we can create a artificial airway quickly,and the method is,with a high successful rate and few complications,simple and safe.
Michael J. Vanrooyen - One of the best experts on this subject based on the ideXlab platform.
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Suction catheter-assisted Nasotracheal Intubation.
Academic Emergency Medicine, 2008Co-Authors: Edward P. Sloan, Michael J. VanrooyenAbstract:This case series illustrates the use of a suction catheter to guide the passage of an endotracheal (ET) tube through the glottis, a technique modification which can be used when standard Nasotracheal Intubation is unsuccessful. The technique is appropriate for patients in whom airway management is urgent, but not emergent. Catheter-assisted Nasotracheal Intubation is useful when Intubation is difficult because of excessive patient resistance to movement of the ET tube within the oropharynx. The clinical use of this technique is described for the following scenarios: overdose with obtundation, multiple trauma with agitation, and respiratory failure from pneumonia and pulmonary edema.
