The results of treatment of patients with stenosis of the esophagus of unrecognized genesis are discussed. The traditional method of diagnosis, radiological and endoscopic with target biopsy, produced diverse results. The authors describe a method for bougienage of the esophagus by means of an original bougie with which dilatation of the stenosed segment can be combined with collection of bioptic material from the stenosed part and its lower pole. This made it possible to verify the diagnosis and determine the subsequent therapeutic tactics.
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J Educ Teach Emerg Med
April 2020
Western Michigan University Homer Stryker M.D. School of Medicine, Department of Emergency Medicine, Kalamazoo, MI.
Audience: This pulmonary edema intubation simulator is designed to instruct paramedics, medical students, emergency medicine residents, emergency medical services fellows, and attending physicians.
Introduction: Acute pulmonary edema results in respiratory distress and may require endotracheal intubation. On occasion, pulmonary edema can result in copious amounts of pink, frothy sputum in the airway, complicating intubation by hindering the intubator's view.
Emerg Med Australas
June 2007
Department of Emergency Medicine, Waikato Hospital, Hamilton, New Zealand.
Objective: Intubating catheters (e.g. gum-elastic bougie) are an invaluable adjunct in the management of a difficult airway.
View Article and Find Full Text PDFEur Urol
October 2002
Department of Urology and Pediatric Urology, Medical School, Philipps Universität Marburg, Baldingerstreet, 35033 Marburg, Germany.
Objectives: A new lithotriptor for intracorporeal lithotripsy was developed combining the two most effective lithotriptors. A combination of the mechanically driven Lithoclast Master and a new ultrasonic device was constructed. Efficacy was tested in standardized model stones and in patient treatment.
View Article and Find Full Text PDFEur J Anaesthesiol
January 2001
Department of Anaesthesia, Ninewells Hospital, Dundee DD1 9SY, UK.
Background And Aim: This study assessed the accuracy of using capnography with a modified, hollow gum elastic bougie in predicting tracheal intubation, and its effectiveness as a method of apnoeic oxygenation.
Methods: Patients were randomly allocated to having the gum elastic bougie inserted, under anaesthesia, in the trachea or the oesophagus. End-tidal carbon dioxide measurements were made at 10 and 20 s.
Ann Acad Med Singap
January 2000
Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Singapore.
Introduction: Difficult intubation remains a key problem and the value of the gum elastic bougie as a first approach is well recognised.
Materials And Methods: A fine fibre-optic endoscope (Rapiscope, Cook Critical Care) was used in 50 patients to verify placement of a custom-designed hollow plastic bougie prior to "rail-roading" a tracheal tube. Following induction and muscle relaxation, direct laryngoscopy was performed after two-minutes of assisted ventilation.
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