Retrospective Review of the Reduction of Oral Pressure Ulcers in Mechanically Ventilated Patients

Zaratkiewicz, Sunniva; Teegardin, Christopher; Whitney, JoAnne D.

doi:10.1097/cnq.0b013e3182542de3

Cited by 26 publications

(30 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4 This concern has been highlighted by The Joint Commission's national patient safety goal of pressure ulcer prevention. 5 Ideally, an endotracheal tube (ETT)-securing device is easy to clean and allows for easy repositioning of the tube in the mouth to reduce pressure sores and prevent dislodgement.…”

Section: Securing the Airwaymentioning

confidence: 99%

Management of the Artificial AirwayDiscussion

2014

View full text Add to dashboard Cite

Management of the artificial airway includes securing the tube to prevent dislodgement or migration as well as removal of secretions. Preventive measures include adequate humidification and appropriate airway suctioning. Monitoring airway patency and removing obstruction are potentially life-saving components of airway management. Cuff pressure management is important for preventing aspiration and mucosal damage as well as assuring adequate ventilation. A number of new monitoring techniques have been introduced, and automated cuff pressure control is becoming more common. The respiratory therapist should be adept with all these devices and understand the appropriate application and management.

show abstract

Section: Securing the Airwaymentioning

confidence: 99%

Management of the Artificial AirwayDiscussion

2014

View full text Add to dashboard Cite

show abstract

“…Our hospital uses an Anchor Fast Oral Endotracheal Tube Fastener (Hollister Incorporated, Libertyville, Illinois, USA) for patients requiring intubation longer than 2 days. This device has the advantage of reducing ventilator-associated pneumonia and oral pressure ulcers caused by oral intubation 9 10. However, it also partially conceals the patient's cheeks, nose and mouth.…”

Section: Discussionmentioning

confidence: 99%

Cephalic tetanus as a differential diagnosis of facial nerve palsy

Kotani¹,

Kubo

Otsu

et al. 2017

BMJ Case Reports

View full text Add to dashboard Cite

Cephalic tetanus is defined as a combination of trismus and paralysis of one or more cranial nerves. Since it is a rare cause of facial nerve palsy, it is often overlooked as a differential diagnosis. We present the case of a 75-year-old man admitted to our emergency department with left facial nerve palsy, left ptosis and dysphagia 2 weeks after a head laceration. Soon after admission, he was orally intubated because of massive aspiration. A delayed diagnosis of cephalic tetanus was reached only when he was extubated and trismus and risus sardonicus were identified in addition to facial nerve palsy. The patient was re-intubated and successfully extubated on day 20 postadmission. In orally intubated patients, trismus and risus sardonicus may be overlooked, and although rare, cephalic tetanus should be considered to be a differential diagnosis of facial nerve palsy.

show abstract

“…The universal bite block has an advantage over the oral bite block because it exerts less pressure on the tongue, palate, and lip. 4 However, the space relationship between the universal bite block and pilot tube causes universal bite block malpositioning, resulting in pilot tube dysfunction. Here, we report a case of acute respiratory failure in which the cuff-leak test yielded a positive result during ventilator weaning.…”

Section: Introductionmentioning

confidence: 99%

Identifying and Managing a Malpositioned Endotracheal Tube Bite Block in an Orotracheally Intubated Patient

Chou¹,

Ruan

Wu³

2016

Medicine

View full text Add to dashboard Cite

The universal bite block is increasingly used in orotracheally intubated patients. Here, we report a case of pilot tube dysfunction caused by a malpositioned universal bite block in an orotracheally intubated patient. We summarize the key points on identifying and managing a malpositioned universal bite block from this case and literature review.A 74-year-old woman was emergently intubated during an episode of hyperkalemia-related cardiac arrest. A universal bite block was used for fixing the endotracheal tube. After her condition stabilized, ventilator weaning was attempted; however, a positive cuff-leak test result was observed.The cuff-leak test revealed a lack of elasticity of the pilot balloon, which was completely deflated after 2 mL of air was removed. Pilot tube dysfunction was highly suspected. The bite block was slightly pulled out, and 8 mL of air was aspirated from the pilot tube. The patient was successfully extubated without stridor and respiratory distress.Our case highlighted that a malpositioned bite block may obstruct the pilot tube, causing unfavorable consequences. While fixing the bite block on an endotracheal tube, it is crucial to ensure that the takeoff point of the pilot tube is located within the C-notch of the bite block.

show abstract

Retrospective Review of the Reduction of Oral Pressure Ulcers in Mechanically Ventilated Patients

Cited by 26 publications

References 9 publications

Management of the Artificial AirwayDiscussion

Management of the Artificial AirwayDiscussion

Cephalic tetanus as a differential diagnosis of facial nerve palsy

Identifying and Managing a Malpositioned Endotracheal Tube Bite Block in an Orotracheally Intubated Patient

Contact Info

Product

Resources

About