Movement of the endotracheal tube during laparoscopic hernia repair
Identifieur interne : 005947 ( Istex/Corpus ); précédent : 005946; suivant : 005948Movement of the endotracheal tube during laparoscopic hernia repair
Auteurs : C. Mendonca ; I. Baguley ; A. J. Kuipers ; D. King ; F. Y. LamSource :
- Acta Anaesthesiologica Scandinavica [ 0001-5172 ] ; 2000-05.
English descriptors
- KwdEn :
- Acta, Breoptic, Breoptic bronchoscope, Bronchoscope, Carina, Cholecystectomy, Endobronchial, Endobronchial intubation, Endotracheal, Endotracheal tube, Hernia, Intubation, Laparoscopic, Laparoscopic cholecystectomy, Laparoscopic hernia repair, Laparoscopic surgery, Pneumoperitoneum, Trendelenburg, Trendelenburg position, Trendelenburg tilt.
- Teeft :
- Acta, Breoptic, Breoptic bronchoscope, Bronchoscope, Carina, Cholecystectomy, Endobronchial, Endobronchial intubation, Endotracheal, Endotracheal tube, Hernia, Intubation, Laparoscopic, Laparoscopic cholecystectomy, Laparoscopic hernia repair, Laparoscopic surgery, Pneumoperitoneum, Trendelenburg, Trendelenburg position, Trendelenburg tilt.
Abstract
Background: Laparoscopic surgery is not without its problems, and one of the less known is cephalad displacement of the carina and relative movement of the endotracheal tube in the trachea. The aetiology of this is presumably a consequence of both pneumoperitoneum and the Trendelenburg position frequently adopted during laparoscopic surgery.
Url:
DOI: 10.1034/j.1399-6576.2000.00504.x
Links to Exploration step
ISTEX:B3252849DCD1D7DE13EDE36D78BB369C090ECEE1Le document en format XML
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Kuipers</name><affiliation><mods:affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</mods:affiliation></affiliation></author><author><name sortKey="King, D" sort="King, D" uniqKey="King D" first="D." last="King">D. King</name><affiliation><mods:affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</mods:affiliation></affiliation></author><author><name sortKey="Lam, F Y" sort="Lam, F Y" uniqKey="Lam F" first="F. Y." last="Lam">F. Y. 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King</name><affiliation><mods:affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</mods:affiliation></affiliation></author><author><name sortKey="Lam, F Y" sort="Lam, F Y" uniqKey="Lam F" first="F. Y." last="Lam">F. Y. Lam</name><affiliation><mods:affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Acta Anaesthesiologica Scandinavica</title><title level="j" type="alt">ACTA ANAESTHESIOLOGICA SCANDINAVICA</title><idno type="ISSN">0001-5172</idno><idno type="eISSN">1399-6576</idno><imprint><biblScope unit="vol">44</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="517">517</biblScope><biblScope unit="page" to="519">519</biblScope><biblScope unit="page-count">3</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2000-05">2000-05</date></imprint><idno type="ISSN">0001-5172</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0001-5172</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acta</term><term>Breoptic</term><term>Breoptic bronchoscope</term><term>Bronchoscope</term><term>Carina</term><term>Cholecystectomy</term><term>Endobronchial</term><term>Endobronchial intubation</term><term>Endotracheal</term><term>Endotracheal tube</term><term>Hernia</term><term>Intubation</term><term>Laparoscopic</term><term>Laparoscopic cholecystectomy</term><term>Laparoscopic hernia repair</term><term>Laparoscopic surgery</term><term>Pneumoperitoneum</term><term>Trendelenburg</term><term>Trendelenburg position</term><term>Trendelenburg tilt</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acta</term><term>Breoptic</term><term>Breoptic bronchoscope</term><term>Bronchoscope</term><term>Carina</term><term>Cholecystectomy</term><term>Endobronchial</term><term>Endobronchial intubation</term><term>Endotracheal</term><term>Endotracheal tube</term><term>Hernia</term><term>Intubation</term><term>Laparoscopic</term><term>Laparoscopic cholecystectomy</term><term>Laparoscopic hernia repair</term><term>Laparoscopic surgery</term><term>Pneumoperitoneum</term><term>Trendelenburg</term><term>Trendelenburg position</term><term>Trendelenburg tilt</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background: Laparoscopic surgery is not without its problems, and one of the less known is cephalad displacement of the carina and relative movement of the endotracheal tube in the trachea. The aetiology of this is presumably a consequence of both pneumoperitoneum and the Trendelenburg position frequently adopted during laparoscopic surgery.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>endotracheal</json:string><json:string>endotracheal tube</json:string><json:string>carina</json:string><json:string>laparoscopic</json:string><json:string>trendelenburg</json:string><json:string>hernia</json:string><json:string>intubation</json:string><json:string>trendelenburg tilt</json:string><json:string>pneumoperitoneum</json:string><json:string>endobronchial</json:string><json:string>endobronchial intubation</json:string><json:string>laparoscopic hernia repair</json:string><json:string>bronchoscope</json:string><json:string>trendelenburg position</json:string><json:string>breoptic bronchoscope</json:string><json:string>breoptic</json:string><json:string>cholecystectomy</json:string><json:string>laparoscopic cholecystectomy</json:string><json:string>laparoscopic surgery</json:string><json:string>acta</json:string></teeft></keywords><author><json:item><name>C. Mendonca</name><affiliations><json:string>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</json:string></affiliations></json:item><json:item><name>I. Baguley</name><affiliations><json:string>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</json:string></affiliations></json:item><json:item><name>A. J. Kuipers</name><affiliations><json:string>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</json:string></affiliations></json:item><json:item><name>D. King</name><affiliations><json:string>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</json:string></affiliations></json:item><json:item><name>F. Y. Lam</name><affiliations><json:string>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Endotracheal tube</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>surgery: laparoscopic hernia repair</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>position: Trendelenburg</value></json:item></subject><articleId><json:string>AAS504</json:string></articleId><arkIstex>ark:/67375/WNG-K2QHQ76N-T</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background: Laparoscopic surgery is not without its problems, and one of the less known is cephalad displacement of the carina and relative movement of the endotracheal tube in the trachea. The aetiology of this is presumably a consequence of both pneumoperitoneum and the Trendelenburg position frequently adopted during laparoscopic surgery.</abstract><qualityIndicators><score>3.993</score><pdfWordCount>1393</pdfWordCount><pdfCharCount>8562</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>3</pdfPageCount><pdfPageSize>595 x 794 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>50</abstractWordCount><abstractCharCount>343</abstractCharCount><keywordCount>3</keywordCount></qualityIndicators><title>Movement of the endotracheal tube during laparoscopic hernia repair</title><pmid><json:string>10786734</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Acta Anaesthesiologica Scandinavica</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1399-6576</json:string></doi><issn><json:string>0001-5172</json:string></issn><eissn><json:string>1399-6576</json:string></eissn><publisherId><json:string>AAS</json:string></publisherId><volume>44</volume><issue>5</issue><pages><first>517</first><last>519</last><total>3</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2000</json:string></date><geogName></geogName><orgName></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Male</json:string></persName><placeName></placeName><ref_url></ref_url><ref_bibl><json:string>Lobato et al.</json:string><json:string>C. Mendonca et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-K2QHQ76N-T</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - anesthesiology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - anesthesiology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Anesthesiology and Pain Medicine</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - General Medicine</json:string></scopus></categories><publicationDate>2000</publicationDate><copyrightDate>2000</copyrightDate><doi><json:string>10.1034/j.1399-6576.2000.00504.x</json:string></doi><id>B3252849DCD1D7DE13EDE36D78BB369C090ECEE1</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/B3252849DCD1D7DE13EDE36D78BB369C090ECEE1/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/B3252849DCD1D7DE13EDE36D78BB369C090ECEE1/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/B3252849DCD1D7DE13EDE36D78BB369C090ECEE1/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Movement of the endotracheal tube during laparoscopic hernia repair</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2000-05"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Movement of the endotracheal tube during laparoscopic hernia repair</title><title level="a" type="short">Endotracheal tube movement</title><author xml:id="author-0000"><persName><forename type="first">C.</forename><surname>Mendonca</surname></persName><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">I.</forename><surname>Baguley</surname></persName><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">A. J.</forename><surname>Kuipers</surname></persName><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">D.</forename><surname>King</surname></persName><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">F. Y.</forename><surname>Lam</surname></persName><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom<address><country key="GB"></country></address></affiliation></author><idno type="istex">B3252849DCD1D7DE13EDE36D78BB369C090ECEE1</idno><idno type="ark">ark:/67375/WNG-K2QHQ76N-T</idno><idno type="DOI">10.1034/j.1399-6576.2000.00504.x</idno><idno type="unit">AAS504</idno><idno type="supplier">aas8o251</idno><idno type="toTypesetVersion">file:AAS.AAS504.pdf</idno></analytic><monogr><title level="j" type="main">Acta Anaesthesiologica Scandinavica</title><title level="j" type="alt">ACTA ANAESTHESIOLOGICA SCANDINAVICA</title><idno type="pISSN">0001-5172</idno><idno type="eISSN">1399-6576</idno><idno type="book-DOI">10.1111/(ISSN)1399-6576</idno><idno type="book-part-DOI">10.1111/aas.2000.44.issue-5</idno><idno type="product">AAS</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">44</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="517">517</biblScope><biblScope unit="page" to="519">519</biblScope><biblScope unit="page-count">3</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2000-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Background:</hi> Laparoscopic surgery is not without its problems, and one of the less known is cephalad displacement of the carina and relative movement of the endotracheal tube in the trachea. The aetiology of this is presumably a consequence of both pneumoperitoneum and the Trendelenburg position frequently adopted during laparoscopic surgery.</p>
Method:
<p>We studied 30 patients undergoing laparoscopic hernia repair utilising 10° of Trendelenburg position and an intra‐abdominal inflation pressure of between 12 and 15 mm Hg (mean 13.6 mm Hg). We measured the distance between the tip of the endotracheal tube and the carina using a fibreoptic bronchoscope.</p>
Result:
<p>This distance decreased only slightly, from a mean (SD) of 39.6 (13) mm after intubation, to 38.9 (12.6) mm after adoption of Trendelenburg tilt and pneumoperitoneum. This did not represent a statistically significant change (<hi rend="italic">P</hi>=0.09).</p><p><hi rend="bold">Conclusion:</hi> We conclude that the endotracheal tube does not routinely migrate towards the carina when laparoscopic hernia repair is performed under these conditions.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">Endotracheal tube</term><term xml:id="k2">surgery: laparoscopic hernia repair</term><term xml:id="k3">position: Trendelenburg</term></keywords><keywords rend="tocHeading1"><term>General Anaesthesia</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/B3252849DCD1D7DE13EDE36D78BB369C090ECEE1/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Copenhagen</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1399-6576</doi><issn type="print">0001-5172</issn><issn type="electronic">1399-6576</issn><idGroup><id type="product" value="AAS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="ACTA ANAESTHESIOLOGICA SCANDINAVICA">Acta Anaesthesiologica Scandinavica</title></titleGroup></publicationMeta><publicationMeta level="part" position="05005"><doi origin="wiley">10.1111/aas.2000.44.issue-5</doi><numberingGroup><numbering type="journalVolume" number="44">44</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="2000-05">May 2000</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0051700" status="forIssue"><doi origin="wiley">10.1034/j.1399-6576.2000.00504.x</doi><idGroup><id type="unit" value="AAS504"></id><id type="supplier" value="aas8o251"></id></idGroup><countGroup><count type="pageTotal" number="3"></count></countGroup><titleGroup><title type="tocHeading1">General Anaesthesia</title></titleGroup><eventGroup><event type="firstOnline" date="2008-07-12"></event><event type="publishedOnlineFinalForm" date="2008-07-12"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-02-24"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2013-12-28"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-14"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="517">517</numbering><numbering type="pageLast" number="519">519</numbering></numberingGroup><linkGroup><link type="toTypesetVersion" href="file:AAS.AAS504.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received 30 July, accepted for publication 15 November 1999</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="10"></count><count type="wordTotal" number="1514"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Movement of the endotracheal tube during laparoscopic hernia repair</title><title type="shortAuthors">C. Mendonca et al.</title><title type="short">Endotracheal tube movement</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>C.</givenNames><familyName>Mendonca</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>I.</givenNames><familyName>Baguley</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1"><personName><givenNames>A. J.</givenNames><familyName>Kuipers</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#aff-1-1"><personName><givenNames>D.</givenNames><familyName>King</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#aff-1-1"><personName><givenNames>F. Y.</givenNames><familyName>Lam</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1" countryCode="GB"><unparsedAffiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Endotracheal tube</keyword><keyword xml:id="k2">surgery: laparoscopic hernia repair</keyword><keyword xml:id="k3">position: Trendelenburg</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><section xml:id="sec-sum-1"><p><b>Background:</b> Laparoscopic surgery is not without its problems, and one of the less known is cephalad displacement of the carina and relative movement of the endotracheal tube in the trachea. The aetiology of this is presumably a consequence of both pneumoperitoneum and the Trendelenburg position frequently adopted during laparoscopic surgery.</p></section><section xml:id="abs1-1"><title type="main">Method:</title><p>We studied 30 patients undergoing laparoscopic hernia repair utilising 10° of Trendelenburg position and an intra‐abdominal inflation pressure of between 12 and 15 mm Hg (mean 13.6 mm Hg). We measured the distance between the tip of the endotracheal tube and the carina using a fibreoptic bronchoscope.</p></section><section xml:id="abs1-2"><title type="main">Result:</title><p>This distance decreased only slightly, from a mean (SD) of 39.6 (13) mm after intubation, to 38.9 (12.6) mm after adoption of Trendelenburg tilt and pneumoperitoneum. This did not represent a statistically significant change (<i>P</i>=0.09).</p><p><b>Conclusion:</b> We conclude that the endotracheal tube does not routinely migrate towards the carina when laparoscopic hernia repair is performed under these conditions.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Movement of the endotracheal tube during laparoscopic hernia repair</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Endotracheal tube movement</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Movement of the endotracheal tube during laparoscopic hernia repair</title></titleInfo><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Mendonca</namePart><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I.</namePart><namePart type="family">Baguley</namePart><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A. J.</namePart><namePart type="family">Kuipers</namePart><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.</namePart><namePart type="family">King</namePart><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F. Y.</namePart><namePart type="family">Lam</namePart><affiliation>Department of Anaesthesia, Royal Shrewsbury Hospital NHS Trust, Shrewsbury, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Copenhagen</placeTerm></place><dateIssued encoding="w3cdtf">2000-05</dateIssued><edition>Received 30 July, accepted for publication 15 November 1999</edition><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">0</extent><extent unit="formulas">0</extent><extent unit="references">10</extent><extent unit="linksCrossRef">0</extent><extent unit="words">1514</extent></physicalDescription><abstract>Background: Laparoscopic surgery is not without its problems, and one of the less known is cephalad displacement of the carina and relative movement of the endotracheal tube in the trachea. The aetiology of this is presumably a consequence of both pneumoperitoneum and the Trendelenburg position frequently adopted during laparoscopic surgery.</abstract><abstract>We studied 30 patients undergoing laparoscopic hernia repair utilising 10° of Trendelenburg position and an intra‐abdominal inflation pressure of between 12 and 15 mm Hg (mean 13.6 mm Hg). We measured the distance between the tip of the endotracheal tube and the carina using a fibreoptic bronchoscope.</abstract><abstract>This distance decreased only slightly, from a mean (SD) of 39.6 (13) mm after intubation, to 38.9 (12.6) mm after adoption of Trendelenburg tilt and pneumoperitoneum. This did not represent a statistically significant change (P=0.09). Conclusion: We conclude that the endotracheal tube does not routinely migrate towards the carina when laparoscopic hernia repair is performed under these conditions.</abstract><subject lang="en"><genre>keywords</genre><topic>Endotracheal tube</topic><topic>surgery: laparoscopic hernia repair</topic><topic>position: Trendelenburg</topic></subject><relatedItem type="host"><titleInfo><title>Acta Anaesthesiologica Scandinavica</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0001-5172</identifier><identifier type="eISSN">1399-6576</identifier><identifier type="DOI">10.1111/(ISSN)1399-6576</identifier><identifier type="PublisherID">AAS</identifier><part><date>2000</date><detail type="volume"><caption>vol.</caption><number>44</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>517</start><end>519</end><total>3</total></extent></part></relatedItem><identifier type="istex">B3252849DCD1D7DE13EDE36D78BB369C090ECEE1</identifier><identifier type="ark">ark:/67375/WNG-K2QHQ76N-T</identifier><identifier type="DOI">10.1034/j.1399-6576.2000.00504.x</identifier><identifier type="ArticleID">AAS504</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/B3252849DCD1D7DE13EDE36D78BB369C090ECEE1/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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