Abstract：
:This study aimed to evaluate the 50% and 95% effective paratracheal forces for occluding the esophagus in anesthetized patients. In 46 anesthetized patients, the upper esophagus was examined using ultrasonography, and the lower paratracheal area over the esophagus just above the clavicle was marked. Manual paratracheal force was applied over that area using a novel pressure sensing device set-up. In the first patient, a 20 N paratracheal force was applied, and the patency of the esophagus was assessed by advancing the esophageal stethoscope. Unsuccessful advancement of the esophageal stethoscope was considered an effective paratracheal force. If advancement of the esophageal stethoscope was successful, the paratracheal force was increased by 2 N for the next patient, and if it was unsuccessful, the force was decreased by 2 N for the next patient. These sequential tests were performed using 12- and 18-Fr esophageal stethoscopes, respectively. According to Dixon and Mood method, the 50% effective paratracheal force (confidence interval) was 18.4 (17.5‒19.3) N with the use of a 12-Fr esophageal stethoscope and 12.8 (11.0‒14.6) N with the use of an 18-Fr esophageal stethoscope. Using probit regression analysis, the 50% and 95% effective paratracheal forces were 18.4 (16.8‒19.6) N and 20.6 (19.4‒27.9) N, respectively, with the use of a 12-Fr esophageal stethoscope, and 12.4 (8.3‒14.4) N and 16.9 (14.7‒37.3) N, respectively, with the use of an 18-Fr esophageal stethoscope. Our findings suggest a guide for applying paratracheal force during rapid sequence induction and tracheal intubation.
journal_name
J Clin Monit Computjournal_title
Journal of clinical monitoring and computingauthors
Kim H,Mondal S,Choi CG,Hwang JYdoi
10.1007/s10877-021-00652-wsubject
Has Abstractpub_date
2021-01-26 00:00:00eissn
1387-1307issn
1573-2614pii
10.1007/s10877-021-00652-wpub_type
杂志文章abstract：:Univent tube (UT) and EZ-blocker were used for one-lung ventilation (OLV). UT is a single lumen tube with a small separate lumen containing a bronchial blocker. EZ-blocker differs with its unique y-shaped double-cuffed distal end. We aimed to compare these two airway devices effects on airway pressures, oxygenation, v...
journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10877-017-0028-9
更新日期：2018-04-01 00:00:00
abstract：:Heart failure is the main cause of poor outcome following open heart surgery and experimental studies have demonstrated that glucose-insulin-potassium (GIK) infusion exerts cardioprotective effects by reducing myocardial ischemia-reperfusion injuries. This randomized controlled trial was designed to assess the effects...
journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-019-00280-5
更新日期：2020-02-01 00:00:00
abstract：:The American Society of Neurophysiological Monitoring (ASNM) is developing position statements aimed at assisting practitioners and others in making decisions regarding neurophysiological monitoring practice. This paper describes the procedures used in drafting these documents. ...
journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-005-9000-1
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abstract：:Near-infrared spectrophotometry assesses cerebral oxygen saturation (ScO2) based on the absorption spectra of oxygenated and deoxygenated hemoglobin, and the translucency of biological tissue, in the near-infrared band. There is increasing evidence that optimising cerebral oxygenation, guided by ScO2, is associated wi...
journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-014-9642-y
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abstract：:Perioperative goal-directed therapy is considered to improve patient outcomes after high-risk surgery. The association of compliance with perioperative goal-directed therapy protocols and postoperative outcomes is unclear. The purpose of this study is to determine the effect of protocol compliance on postoperative out...
journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-020-00585-w
更新日期：2020-09-12 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-009-9181-0
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10877-013-9453-6
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-019-00436-3
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journal_title：Journal of clinical monitoring and computing
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-006-9021-4
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1023/a:1009978414365
更新日期：1998-07-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-015-9814-4
更新日期：2017-02-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-019-00366-0
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journal_title：Journal of clinical monitoring and computing
pub_type： 社论
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-018-0123-6
更新日期：2018-12-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-019-00291-2
更新日期：2020-02-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-016-9882-0
更新日期：2017-06-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-008-9144-x
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journal_title：Journal of clinical monitoring and computing
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章,多中心研究
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-020-00587-8
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-020-00598-5
更新日期：2020-10-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1023/a:1007457829405
更新日期：1998-02-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-013-9481-2
更新日期：2013-12-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-016-9877-x
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
doi：10.1007/s10877-016-9966-x
更新日期：2017-12-01 00:00:00
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journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章,评审
doi：10.1007/s10877-012-9383-8
更新日期：2012-10-01 00:00:00
abstract：:To determine the effect of implementing an algorithm of fluid and blood administration based on continuous monitoring of hemoglobin (SpHb) and PVI (plethysmography variability index) on mortality and transfusion on a whole hospital scale. This single-center quality program compared transfusion at 48 h and mortality at...
journal_title：Journal of clinical monitoring and computing
pub_type： 杂志文章
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更新日期：2020-08-01 00:00:00
