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Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
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Design of a Biocompatible Drug-Eluting Tracheal Stent in Mice with Laryngotracheal Stenosis
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Airway stents.

Erik Folch1, Colleen Keyes1

  • 1Division of Pulmonary and Critical Care Medicine, Section of Interventional Pulmonary, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Annals of Cardiothoracic Surgery
|May 1, 2018
PubMed
Summary
This summary is machine-generated.

Airway stents are crucial for malignant obstruction but not a first-line treatment. Understanding stent capabilities and complications is vital for patient care.

Keywords:
Airway stentsairway obstruction/therapybronchi/pathologyprosthesis designprosthesis implantationtracheal neoplasms/therapy

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Area of Science:

  • Pulmonology
  • Interventional Pulmonology
  • Thoracic Surgery

Background:

  • Airway stents and tubes are common interventions for malignant airway obstruction, often caused by bronchogenic carcinoma or external compression.
  • While primarily used in malignant cases, stents are also employed for benign airway diseases.
  • Surgically inoperable malignant airway lesions frequently necessitate palliative treatments like stent placement.

Purpose of the Study:

  • To provide an overview of airway stent technology, including advancements and complications.
  • To address practical and controversial issues surrounding airway stent use.
  • To clarify misconceptions regarding stent removal and applicability in central versus non-central airways.

Main Methods:

  • Review of current literature and clinical practices regarding airway stents.
  • Analysis of the evolution of stent materials (silicone, metallic) and their performance.
  • Discussion of indications, contraindications, and management strategies for airway stents.

Main Results:

  • Significant evolution in stent design and materials over the past 50 years.
  • Variability in the performance and complication profiles of different stent types.
  • Identification of common myths and controversies related to airway stent use and removal.

Conclusions:

  • Airway stents are valuable tools but require a thorough understanding of their capabilities and limitations.
  • Stent selection should consider material (e.g., silicone vs. metallic) and specific clinical scenarios.
  • Stents should be considered after surgical options for curative resection or repair have been excluded, not as a primary treatment.