Effect of extraluminal oxygen on carbon dioxide laser ignition of endotracheal tubes
Autor: | Allan L. Allphin, James E. Arnold |
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Rok vydání: | 1992 |
Předmět: |
Atmosphere Exposure Chambers
medicine.medical_treatment chemistry.chemical_element Oxygen Fires law.invention chemistry.chemical_compound Natural rubber law Intubation Intratracheal Medicine Humans Tube (fluid conveyance) Composite material Child business.industry technology industry and agriculture General Medicine Carbon dioxide laser Ignition system Polyvinyl chloride Otorhinolaryngology chemistry visual_art Anesthesia visual_art.visual_art_medium Room air distribution Surgery Limiting oxygen concentration Laser Therapy Larynx Safety business |
Zdroj: | Archives of otolaryngology--headneck surgery. 118(7) |
ISSN: | 0886-4470 |
Popis: | • Ignition times of endotracheal tubes used in laser surgery have been determined in room air with oxygen flowing through the tube. Using uncuffed endotracheal tubes in children, we measured the oxygen level around the endotracheal tube at the vocal cords and found that it closely approximates the inspired oxygen concentration. We then tested Rusch red rubber and polyvinyl chloride endotracheal tubes while varying the external oxygen concentration. Little difference in ignition time was found for the polyvinyl chloride tube. The red rubber tube ignited significantly faster as the ambient oxygen levels were increased to as little as 30%. Our tests indicate that uncuffed red rubber tubes are not safer than polyvinyl chloride tubes when used with the carbon dioxide laser. All endotracheal tubes used with the laser should be tested for ignition at various extraluminal oxygen concentrations. ( Arch Otolaryngol Head Neck Surg. 1992;118:722-724) |
Databáze: | OpenAIRE |
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