Use of the Cook airway exchange catheter in "bridging" the ... | 合法醫療器材資訊網

由GMoyers著作·2002·被引用28次—Abstract.TheCookairwayexchangecatheter(CAEC)isalong,flexible,hollowtubedesignedtofacilitatetheexchangeofaninsituendotrachealtube ...

The Cook airway exchange catheter (CAEC) is a long, flexible, hollow tube designed to facilitate the exchange of an in situ endotracheal tube. The primary use of the CAEC had been as a tube exchanger in the critical care setting. The unique characteristics of this device led us to use and report the use of the CAEC in the anesthetic management of a morbidly obese patient with significant tracheal deviation secondary to an enlarged thyroid gland. The potential strategies that we considered in this case were (1) extubating the patient in a deep plane of anesthesia; (2) extubating conventionally, with the patient awake; and (3) extubating the patient awake, with a "bridge" to full extubation. After carefully weighing the options, we decided to use the CAEC as a tool that would allow us, if the patient did well, to go forth to full extubation, or, if the patients condition deteriorated, to return to reintubation, or eve...