A prospective study of the safety of tracheal extubation using a pediatric airway exchange catheter for patients with a known difficult airway.

@article{Loudermilk1997APS,
  title={A prospective study of the safety of tracheal extubation using a pediatric airway exchange catheter for patients with a known difficult airway.},
  author={E. Loudermilk and M. Hartmannsgruber and D. Stoltzfus and P. Langevin},
  journal={Chest},
  year={1997},
  volume={111 6},
  pages={
          1660-5
        }
}
STUDY OBJECTIVE To determine the usefulness of routinely inserting a hollow airway exchange catheter (jet stylet) prior to tracheal extubation of adult patients with risk factors for difficult tracheal intubation. DESIGN Prospective, 1-year study of 40 consecutive patients undergoing mechanical ventilation who had one or more risk factors for difficult tracheal reintubation. SETTING Surgical ICU of a tertiary university medical center. INTERVENTIONS Study patients at risk for difficult… Expand
Utility of airway exchange catheters in pediatric patients with a known difficult airway
  • L. Wise-Faberowski, C. Nargozian
  • Medicine
  • Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
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TLDR
In children with a known difficult airway who are at risk for a difficult reintubation, the CAEC is a useful tool for a trial of extubation in the intensive care unit. Expand
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  • Anesthesia and analgesia
  • 2007
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The indwelling AEC appears to increase the first-pass success rate in patients with known or suspected difficult airways and decrease the incidence of complications in patients intolerant of extubation and requiring tracheal reintubation. Expand
Complications using a hollow fiber airway exchange catheter for tracheal tube exchange in critically ill patients
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Complications occurred more often in patients with difficult airways (four out of seven patients vs. one out of nine patients without signs for a difficult airway) and simultaneous provisions be made for surgical airway operations in Patients with an expected difficultAirway. Expand
A prospective study of the safety of tracheal extubation using endotracheal ventilation catheter in patients undergoing maxillofacial surgery.
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Endotracheal ventilation catheter is a safe and easy to use device for extubation, and patients can tolerate it well, and therefore, it is recommend the use of this type of exchange catheter for theextubation of patients undergoing maxillofacial surgery. Expand
The routine use of pediatric airway exchange catheter after extubation of adult patients who have undergone maxillofacial or major neck surgery: a clinical observational study
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The PAEC can be a life-saving device during reintubation of patients with risk factors for difficult reintubsation such as laryngeo-pharyngeal oedema due to surgical manipulation or airway obstruction resulting from haematoma and anatomic changes. Expand
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Using the Cook Staged Extubation Set may be inferior to using an airway exchange catheter for reintubation, as its reliability for intubation and ease of use is not reported in the literature. Expand
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This prospective cohort study examines patients’ tolerance of the guidewire and its impact on clinical status around tracheal extubation in the intensive care unit. Expand
Safety and efficacy of a Staged-Extubation-Set in patients with difficult airway: a prospective multicenter study.
TLDR
This study showed a relatively satisfactory success rate with a relatively high number of re-intubations failure and a low incidence of complications when using a SES in a cohort of difficult airway patients, all failures due to guidewire dislodgement during or after extubation. Expand
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Owing to the high failure rate of PAEC-guided intubation in patients with simulated cervical spine immobilization, use of a PAEC is not recommended for maintaining continuous airway access in adult patients with cervical immobility or instability. Expand
Use of an Airway Exchange Catheter-Assisted Extubation With Continuous End-Tidal Carbon Dioxide Monitoring in a Pediatric Patient With a Known Difficult Airway: A Case Report.
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A case of using an airway exchange catheter-assisted extubation with continuous end-tidal carbon dioxide monitoring for a pediatric patient with a known difficult airway is reported. Expand
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