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Care of Intubated Patients in Triage
Published in Kajal Jain, Nidhi Bhatia, Acute Trauma Care in Developing Countries, 2023
Shalvi Mahajan, Komal A Gandhi
Suctioning of tracheal secretions. Suctioning is an application of negative pressure to the trachea through the distal part of the ETT to clear excess or abnormal secretions with the help of a suction catheter with or without disconnecting the ETT from the mechanical ventilator circuit (open or closed suctioning, respectively).
Technics of Touch
Published in Michael van Manen, The Birth of Ethics, 2020
There are technological artifices directly connected to the child: intravenous lines, breathing tube, and monitoring wires. There are other devices placed for caring: syringes, suction catheter, and stethoscope. In this way, the phenomenality of the isolette is not just to enclose the child but also to unite the child with the technological: clinical monitoring, artificial nutrition, and various medical therapies. In a Heideggerian sense, the isolette not only gathers what it concretely contains; there are also ‘things’ that are immaterially gathered, as the technology seems to open the parent and others into a technical way of being with the child (Heidegger, 1971). The gathering is an existential assembling, a bringing together, of the child with the technomedical environment itself. For the prematurely born newborn, the technological sustains the child in a clinical place, affording the premature transition from womb-world to isolette-world.
Acute airway conditions
Published in S. Musheer Hussain, Paul White, Kim W Ah-See, Patrick Spielmann, Mary-Louise Montague, ENT Head & Neck Emergencies, 2018
Panagiotis Asimakopoulos, Mary-Louise Montague
Suspension laryngoscopy using an age-appropriate Parson’s laryngoscope (Figure 24.4) with optical forceps (Figure 24.5) is the method of choice for FB removal in infants with small airways. A fine suction catheter is used to remove secretions and deliver adrenaline to decongest the inflamed or oedematous airway mucosa.
Effect evaluation on use of bedside fiber bronchoscope in treating stroke-associated pneumonia
Published in Topics in Stroke Rehabilitation, 2018
Qiu Han, Chun Chen, Hai-qin Hu, Jun Shen, Guang Yang, Bin Chen, Lei Xia
Recently, fiber bronchoscope has been widely used in the diagnosis and treatment of respiratory disease, showing its strong advantages over regular treatment methods.8 Generally, use of conventional suction catheter is unable to reach the deep respiratory tract, and it could not distinguish the lesion from other healthy tissues during an operation, which may cause further injuries in the respiratory tract. Fiber bronchoscope can go into lumen of 3–4 degree of bronchiole, reaching to the bronchia with lesion purposefully for suction of the foreign matter and the secretion of patients. For the pulmonary atelectasis resulting from block of bronchia with sputum or blood scab, the fiber bronchoscope can be used to relieve airway obstruction at a short time by washing and sucking. Meanwhile, fiber bronchoscope can improve pulmonary ventilation and function of pulmonary gas exchange, correcting the hypoxic condition and avoiding the pain of trachea cannula or tracheotomy. In addition, alveolar wash dilutes the airway secretion and stimulates coughing, which is convenient for the discharge of the secretion to clean the airway and eliminate the allergen, inflammatory cell, and inflammatory mediator simultaneously,9 playing a good assistant effect in treating the lower respiratory infection.10 In this study, patients with SAP were focused on to observe the clinical effects of using bedside fiber bronchoscope in sputum suction and alveolar lavage for adjuvant treatment of SAP, with the use of conventional suction catheter serving as a control.
Indications and complications of rigid bronchoscopy
Published in Expert Review of Respiratory Medicine, 2018
Massive hemoptysis is often life-threatening. When bronchoscopy is indicated, rigid bronchoscopy is often necessary for management of massive hemoptysis. A rigid bronchoscope allows for large volume suction, maintenance of adequate ventilation, and isolation of the bleeding lung by selective intubation of the main stem bronchus [54,55]. In cases of proximal hemorrhage, rigid bronchoscopy can help directly tamponade the site of bleeding. The large working channel of a rigid bronchoscope allows for use of other instruments alongside a suction catheter for large volume suctioning. Measures that have been shown to control the source of bleeding include application of ice-cold saline or epinephrine and use of thermal techniques to ablate the source of bleeding, e.g. a central airway tumor [56]. Other techniques such as the use of rigid bronchoscopy with topical hemostatic tamponade therapy using oxidized regenerated cellulose mesh, tranexamic acid, thrombin, balloon tamponade, endobronchial stent placement, and airway blockage with biocompatible glue have been shown to be effective in the management of life-threatening hemoptysis [57].
Transesophageal echocardiography guidance for atrial-caval thrombus removal with the AngioVac system
Published in Baylor University Medical Center Proceedings, 2020
Scott D. Miller, Daniel C. Lee, Bradley T. Dollar, Shawn R. Schepel, Alexander Shestopalov, William C. Culp
Directed suction catheter devices are primarily indicated for the removal of acute, soft emboli. Prior studies have found that directed suction catheter use has successfully treated iliocaval thrombosis that was resistant to thrombolytics, secondary congenital thrombophilias, and secondary to inferior vena cava filters, indicating suction catheters’ potential to treat chronic venous thrombosis.8,9 Given the technical challenge of aspirating hard thrombus, TEE real-time guidance may be even more valuable in patients with chronic lesions by facilitating precise positioning of the suction catheter.