Document Detail


Which is the safest endotracheal tube for use with the CO2 laser? A comparative study.
MedLine Citation:
PMID:  1610578     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To compare the efficacy of special endotracheal tubes manufactured for carbon dioxide (CO2) laser surgery with foil-wrapped and plain red rubber (RR) endotracheal tubes. SETTING: Research laboratory of a metropolitan, university-affiliated medical center. DESIGN AND INTERVENTIONS: Six types of endotracheal tubes were studied. Each had 5 L/min of oxygen passing through it and was exposed to 69 watts of continuous CO2 laser radiation for 1 minute or until combustion occurred. MEASUREMENTS AND MAIN RESULTS: The plain RR endotracheal tube burned within 15 seconds of laser impact. Aluminum foil-wrapped and copper foil-wrapped RR endotracheal tubes were not affected by the CO2 laser. The shaft of a specially manufactured stainless steel endotracheal tube was not affected by 1 minute of CO2 laser exposure. The shafts of two special endotracheal tubes made of silicone and metal burned vigorously under laser fire. CONCLUSION: Copper foil-wrapped RR tubes, aluminum foil-wrapped RR tubes, or stainless steel tubes are recommended for laser airway surgery.
Authors:
M B Sosis
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  4     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:    1992 May-Jun
Date Detail:
Created Date:  1992-07-30     Completed Date:  1992-07-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  217-9     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612.
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MeSH Terms
Descriptor/Qualifier:
Aluminum
Copper
Fires*
Intubation, Intratracheal / instrumentation*
Laser Therapy*
Rubber
Safety
Silicones
Stainless Steel
Chemical
Reg. No./Substance:
0/Silicones; 12597-68-1/Stainless Steel; 7429-90-5/Aluminum; 7440-50-8/Copper; 9006-04-6/Rubber

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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