Small tubes revisited

Koh, K. F.; Hare, J. D.; Calder, I.

doi:10.1046/j.1365-2044.1998.00290.x

Cited by 6 publications

(9 citation statements)

References 16 publications

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“…However, what patients describe as 'sore throat' encompasses a wide range of conditions including pharyngitis, laryngitis, tracheitis, cough, hoarseness or dysphagia. Smaller tracheal tubes subjectively provide a better view of the passage of the tube through the larynx, which may reduce the trauma associated with laryngoscopy and tube insertion [8].…”

Section: Postoperative Sore Throat Following Tracheal Intubation In Amentioning

confidence: 99%

Postoperative sore throat: a systematic review

2016

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Summary Postoperative sore throat has a reported incidence of up to 62% following general anaesthesia. In adults undergoing tracheal intubation, female sex, younger age, pre‐existing lung disease, prolonged duration of anaesthesia and the presence of a blood‐stained tracheal tube on extubation are associated with the greatest risk. Tracheal intubation without neuromuscular blockade, use of double‐lumen tubes, as well as high tracheal tube cuff pressures may also increase the risk of postoperative sore throat. The expertise of the anaesthetist performing tracheal intubation appears to have no influence on the incidence in adults, although it may in children. In adults, the i‐gel™ supraglottic airway device results in a lower incidence of postoperative sore throat. Cuffed supraglottic airway devices should be inflated sufficiently to obtain an adequate seal and intracuff pressure should be monitored. Children with respiratory tract disease are at increased risk. The use of supraglottic airway devices, oral, rather than nasal, tracheal intubation and cuffed, rather than uncuffed, tracheal tubes have benefit in reducing the incidence of postoperative sore throat in children. Limiting both tracheal tube and supraglottic airway device cuff pressure may also reduce the incidence.

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Section: Postoperative Sore Throat Following Tracheal Intubation In Amentioning

confidence: 99%

Postoperative sore throat: a systematic review

2016

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“…Railroading is facilitated if the laryngoscope is kept in the mouth [50] and the tube is rotated 90°anticlockwise [50,51]. Use of a small tube [52][53][54], reinforced tube [55,56], the tube (Euromedical ILM) supplied with the Intubating Laryngeal Mask [57,58] and the Parker tube [59] have all facilitated railroading in flexible fibreoptic intubation. By analogy, it is probable that these tube factors will facilitate railroading with the Eschmann introducer.…”

Section: Plan A: Initial Tracheal Intubation Planmentioning

confidence: 99%

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Henderson¹,

Popat²,

Latto³

et al. 2012

Anaesthesia

186

254

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“…Railroading is facilitated if the laryngoscope is kept in the mouth [50] and the tube is rotated 90° anticlockwise [50, 51]. Use of a small tube [52–54], reinforced tube [55, 56], the tube (Euromedical ILM) supplied with the Intubating Laryngeal Mask [57, 58] and the Parker tube [59] have all facilitated railroading in flexible fibreoptic intubation. By analogy, it is probable that these tube factors will facilitate railroading with the Eschmann introducer.…”

Section: Plan A: Initial Tracheal Intubation Planmentioning

confidence: 99%

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Henderson¹,

Popat²,

Latto³

et al. 2004

Anaesthesia

882

327

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SummaryProblems with tracheal intubation are infrequent but are the most common cause of anaesthetic death or brain damage. The clinical situation is not always managed well. The Difficult Airway Society (DAS) has developed guidelines for management of the unanticipated difficult tracheal intubation in the non-obstetric adult patient without upper airway obstruction. These guidelines have been developed by consensus and are based on evidence and experience. We have produced flow-charts for three scenarios: routine induction; rapid sequence induction; and failed intubation, increasing hypoxaemia and difficult ventilation in the paralysed, anaesthetised patient. The flowcharts are simple, clear and definitive. They can be fully implemented only when the necessary equipment and training are available. The guidelines received overwhelming support from the membership of the DAS. Disclaimer: It is not intended that these guidelines should constitute a minimum standard of practice, nor are they to be regarded as a substitute for good clinical judgement.

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Small tubes revisited

Cited by 6 publications

References 16 publications

Postoperative sore throat: a systematic review

Postoperative sore throat: a systematic review

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

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