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العنوان
Diagnostic guide of capnography for blind nasal intubation in isoflurane anaesthetized patients /
الناشر
Hosam Ibrahim El-Said Saber,
المؤلف
Saber, Hosam Ibrahim El-Said.
هيئة الاعداد
باحث / حسام إبراهيم السعيد صابر
مشرف / فادى يوسف يعقوب
مشرف / الفت مصطفى إسماعيل
مناقش / فادى يوسف يعقوب
الموضوع
Isoflurane-- Physiological effect.
تاريخ النشر
2001 .
عدد الصفحات
86 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2001
مكان الإجازة
جامعة المنصورة - كلية الطب - قسم التخدير
الفهرس
Only 14 pages are availabe for public view

from 83

from 83

Abstract

Blind nasal intubation is important skill for anesthesiologist, emergency physician, and critical care physician. With the advances in modern anesthetic pharmacology (muscle relaxants), the practice of this technique has become less common. Despite this, it remains an important acUunct in the management of the difficult airway. Many aids to this technique have been described. Capnography is the only monitor, when used correctly, that will reliably detect oesophageal intubation with a few breaths.
This study was conducted on thirty adult patients, classified into two equal groups, to test the usefulness of the end-tidal carbon dioxide monitor (Capnography) in facil i tating bI i nd nasotrachenI intubation. After induction of anesthesia by sodium thiopentone and isoflurane [ace mask with N20/02, blind nasotracheal intubation was started either with the aid of capnography (group II) or with the traditional technique (group I).
The c1ata used for assessement include, heart rate, arterial blood pressure (S,D, and M), end-tidal carbon dioxide tension, oxygen saturation, time of intubations, number of attempts, visual analog scale, conditions for intubation and complications (epistaxis).
The results of this study revealed that, the time ofintubation, number of attempts, visual analog scale, conditions [or intubations was improved when using capnography during intubations and this revealed that capnography is useful and valuable in faci)itating blind n3sotracheal intubation.