A case report of difficult ventilation with the Combitube - valve-like upper airway obstruction confirmed by fibreoptic visualisation
| Autor: | Gunnar Jaehnichen, Markus D. W. Lipp, Nikolaus Golecki |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Emergency Nursing Risk Assessment Laryngeal Masks law.invention law Intensive care Female patient Intubation Intratracheal Medicine Fiber Optic Technology Humans Mask ventilation Equipment Safety Laryngoscopy business.industry Controlled ventilation Airway obstruction medicine.disease Respiration Artificial Surgery Airway Obstruction Combitube Anesthesia Ventilation (architecture) Emergency Medicine Airway management Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Resuscitation. 44(1) |
| ISSN: | 0300-9572 |
| Popis: | This case report describes difficulty with ventilation because of valve-like upper airway obstruction by aryepiglottic folds after uncomplicated insertion of a Combitube™ in a 30-year-old female patient. After correct (oesophageal) placement increased ventilation pressures occurred and a fibreoptic device was used to investigate the cause. Valve-like obstruction was discovered and subsequently observed during controlled ventilation. After removal of the Combitube™ and mask ventilation no valve mechanism was seen. This effect appeared to be due to an increased air stream caused by the obstruction of seven out of eight Combitube™ perforations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect