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Tactile Orotracheal Intubation

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1. Tactile Orotracheal Intubation

Tactile Orotracheal Intubation Tactile Orotracheal Intubation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Tactile Orotracheal (...) Intubation Tactile Orotracheal Intubation Aka: Tactile Orotracheal Intubation , Digital Intubation , Tactile Intubation II. Indications in deeply comatose patient AND Difficult airway Blood or secretions prevent adequate visualization C- interferes with visualization Difficult positioning (e.g. on-scene of MVA in over-turned vehicle) Confirm placement III. Precautions caution with sharp teeth or with patients with variable mental status Epiglottis may be more difficult to reach in tall, thin men IV

2018 FP Notebook

2. Tactile Orotracheal Intubation

Tactile Orotracheal Intubation Tactile Orotracheal Intubation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Tactile Orotracheal (...) Intubation Tactile Orotracheal Intubation Aka: Tactile Orotracheal Intubation , Digital Intubation , Tactile Intubation II. Indications in deeply comatose patient AND Difficult airway Blood or secretions prevent adequate visualization C- interferes with visualization Difficult positioning (e.g. on-scene of MVA in over-turned vehicle) Confirm placement III. Precautions caution with sharp teeth or with patients with variable mental status Epiglottis may be more difficult to reach in tall, thin men IV

2015 FP Notebook

3. Does McGRATH® MAC Videolaryngoscope Decrease the Number of People Required to Perform Intubation During Anesthesia ?

and the intubation characteristics can be seen on the video. Secondary Outcome Measures : Cooperation between members of the anesthesiology team during intubation [ Time Frame: 30 minutes ] Based on the video recording: Use of the Kraus Scale (based on "Kraus M, Huang C, Keltner D: Tactile Communication, Cooperation and Performance. Emotion, 2010, 10, 745−9") evaluating communication and gestures within the team Intubation difficulty Scale (IDS) [ Time Frame: 30 minutes ] Number of hands necessary for tracheal (...) contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Aged 18 years old minimum Requiring general anesthesia and orotracheal intubation with a single lumen tube Having signed an inform consent form Having a telephone and agreeing to communicate their phone number

2016 Clinical Trials

4. Glottic Visualization & Ease of Intubation With Different Laryngoscope Blades

Hospital Study Details Study Description Go to Brief Summary: Orotracheal intubation the commonest method used to secure and maintain airway during anaesthesia. A variety of methods are available for orotracheal intubation such as digital or tactile method, use of lighted orotracheal intubating stylet, use of intubating LMA (which is becoming increasing popular, particularly in cased of anticipated difficult intubation), fibreoptic endoscopic orotracheal intubation (also used when a difficulty (...) is predicted), and conventional and most common method, direct laryngoscopy. Orotracheal intubation is most commonly achieved after visualization of laryngeal inlet with direct laryngoscopy following induction of general anaesthesia and muscle relaxation achieved by administration of a muscle relaxant. Due to the hazards seen with failed intubation, anaesthetists are also on the lookout for techniques which will improve visualization of the laryngeal inlet, i.e. glottis. View obtained during laryngoscopy

2011 Clinical Trials

5. Use of Preoperative Gabapentin in Patients Undergoing Laparoscopic Cholecystectomy

with intravenous fentanyl 1 to 3 µg/kg and propofol 1 to 3 mg/Kg. Muscle relaxation is achieved with rocuronium 0.5 to 1,2 mg/Kg and orotracheal intubation is performed when TOF count had reached 0. Anesthesia is maintained with Desflurane and Air/Oxygen, titrated to maintain the BIS value between 40-60. Muscle relaxation is maintained with rocuronium bolus (10mg), when more than two responses are detected in TOF stimulation. The lungs are mechanically ventilated and adjusted to maintain end-tidal carbon (...) -treatment with gabapentin blocks the development of hyperalgesia and tactile allodynia for up to two days. The aim of this study is to evaluate postoperative analgesic benefit in patients administered with 600mg oral gabapentin as premedication for laparoscopic cholecystectomy under general anesthesia, with respect to postoperative pain scores and total postoperative requirements of morphine and/or tramadol. In the preoperative period, consent is requested for patients who meet the inclusion criteria

2018 Clinical Trials

6. Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia Background Paper

airway equipment. Australian coroners’ cases involving “cannot intubate, cannot ventilate” (CICV) scenarios with tragic outcomes have highlighted the need for better management of airway emergencies. 2,3 Deficiencies in equipment have been identified in coroners’ reports. One coroner noted that “the importance of appropriately functioning equipment in an emergency does not just rest in the fact of the equipment itself, but also in the psychological support it provides to those dealing (...) with the emergency”. 2 In the Australian Incident Monitoring Study (AIMS), equipment deficiencies, which were mainly due to “failure to check”, contributed to five of the 14 factors that were identified in the 85 difficult intubation reports. 4 The 1000 anaesthesia incidents reported to this study from 2002-2006 showed an appreciable increase in difficult and failed intubations compared with the first 2000 reports. 5 A review from the American Society of Anesthesiologists (ASA) closed claims database comparing

2012 Australian and New Zealand College of Anaesthetists

8. Guided tactile probing: a modified blind orotracheal intubation technique for the problem-oriented difficult airway. (PubMed)

Guided tactile probing: a modified blind orotracheal intubation technique for the problem-oriented difficult airway. We present 'tactile probing', a guided approach to blind orotracheal intubation to secure a problem-oriented anticipated difficult airway in a 55-year-old male patient scheduled for elective surgical tracheostomy for a postradiotherapy translaryngeal carcinoma. Standard techniques to gain the airway were inapplicable in this case and awake flexible fiberoscopy-aided intubation

2005 Acta Anaesthesiologica Scandinavica

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