Assessment and confirmation of tracheal intubation when capnography fails: a novel use for an USB camera.

A 62 year old male with a right pyriform fossa lesion extending to the right arytenoid and obscuring the glottic inlet was planned for laser assisted excision. Direct laryngoscopic assessment after topicalization of the airway, showed a Cormack Lehane grade 3 view. We report a case where, in the abs...

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Publicado en:Journal of Clinical Monitoring & Computing Vol. 27; no. 5; pp. 531 - 534
Autores principales: Karippacheril, John George, Umesh, Goneppanavar, Nanda, Shetty
Formato: case study Journal Article
Publicado: Springer Nature Oct2013
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Assessment and confirmation of tracheal intubation when capnography fails: a novel use for an USB camera.
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          Karippacheril, John George
          Umesh, Goneppanavar
          Nanda, Shetty
        affil: Kasturba Medical College Manipal, Manipal University, Manipal, India.
      sug:
        subj:
          Capnography Methods
          Hypopharyngeal Neoplasms Pathology
          Hypopharyngeal Neoplasms Surgery
          Intubation, Intratracheal Methods
          Laryngoscopy Methods
          Photography Methods
          Videorecording
          Intubation, Intratracheal Equipment and Supplies
          Male
          Middle Age
          Signal Processing, Computer Assisted
          Treatment Outcomes
          Middle Aged: 45-64 years
          Male
      ab: A 62 year old male with a right pyriform fossa lesion extending to the right arytenoid and obscuring the glottic inlet was planned for laser assisted excision. Direct laryngoscopic assessment after topicalization of the airway, showed a Cormack Lehane grade 3 view. We report a case where, in the absence of a fiberscope, a novel inexpensive Universal Serial Bus camera was used to obtain an optimal laryngoscopic view. This provided direct visual confirmation of tracheal intubation with a Laser Flex tube, when capnography failed to show any trace. Capnography may not be reliable as a sole indicator of confirmation of correct endotracheal tube placement. Video laryngoscopy may provide additional confirmation of endotracheal intubation.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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