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Journal of Clinical Monitoring and Computing

Erschienen in:

01.10.2013 | Original Research

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

verfasst von: John George Karippacheril, Goneppanavar Umesh, Shetty Nanda

Erschienen in: Journal of Clinical Monitoring and Computing | Ausgabe 5/2013

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Abstract

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.

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Titel: Assessment and confirmation of tracheal intubation when capnography fails: a novel use for an USB camera
verfasst von: John George Karippacheril
Goneppanavar Umesh
Shetty Nanda
Publikationsdatum: 01.10.2013
Verlag: Springer Netherlands
Erschienen in: Journal of Clinical Monitoring and Computing / Ausgabe 5/2013
Print ISSN: 1387-1307
Elektronische ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-013-9458-1

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

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