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A flexible stilette for replacing damaged tracheal tubes

  • Published: March 1978
  • Volume 25, pages 153–154, (1978)
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Canadian Anaesthetists’ Society Journal Aims and scope Submit manuscript
A flexible stilette for replacing damaged tracheal tubes
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  • Brendan T. Finucane1 &
  • Hilton L. Kupshik1 
  • 383 Accesses

  • 11 Citations

  • 3 Altmetric

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Summary

A simple method to facilitate exchange of a damaged tracheal tube is described. The technique entails the passage of a flexible stilette 4 mm in diameter through a damaged tracheal tube, which is then removed and replaced with a new sterile one passed over the stilette. The technique can be used in conscious or unconscious patients.

A case report is included to illustrate application of the technique.

Résumé

Les auteurs présentent une technique simple facilitant le changement de tubes endotrachéaux. Cette méthode est particulièrement utile dans les cas ďintubation difficile et a été utilisée tant chez des malades conscients qu’inconscients.

Un stylet flexible (ľenveloppe extérieure du cathéter à pression veineuse de Sorenson) de 63 cm de longueur et de 4 mm de diamètre est ďabord inséré dans le tube à changer. Ce dernier est retiré en laissant le stylet en position dans la trachée. Enfin, le nouveau tube endotrachéal est introduit en utilisant le stylet comme guide.

Un cas typique est rapporté.

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References

  1. Gillespie, N.A. Endotracheal anesthesia. Second Edition. Madison, University of Wisconsin Press, p. 9 (1950).

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  2. Salem, M.R., Mathrubhutham, M., &Bennet, E.J. Difficult intubation. N.E.J.M.295: 16, 879–881 (1976).

    Article  CAS  Google Scholar 

  3. Murphy, P. A. fiber optic endoscope used for nasal intubation. Anaesthesia,22: 489–491 (1967).

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Grady Memorial Hospital, Department of Anesthesiology, Emory University School of Medicine, 69 Butler Street, S.E., 30303, Atlanta, Georgia, USA

    Brendan T. Finucane & Hilton L. Kupshik

Authors
  1. Brendan T. Finucane
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  2. Hilton L. Kupshik
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Cite this article

Finucane, B.T., Kupshik, H.L. A flexible stilette for replacing damaged tracheal tubes. Canad. Anaesth. Soc. J. 25, 153–154 (1978). https://doi.org/10.1007/BF03005076

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  • Issue Date: March 1978

  • DOI: https://doi.org/10.1007/BF03005076

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Keywords

  • Tracheal Tube
  • Superior Laryngeal Nerve
  • Left Main Stem
  • Nasal Intubation
  • Innovar
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