{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T04:15:58Z","timestamp":1728360958558},"reference-count":23,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>Tracheotomy is occasionally performed to prevent postoperative airway obstruction especially for invasive surgical procedures involving head and neck cancer. When performed under general anesthesia, attention must be paid to avoid rupture of the tracheal tube cuff during the incision into the trachea. In this study, changes in the position of the endotracheal tube tip during extension of the head and neck for a tracheotomy were investigated. Twelve patients underwent placement of a tracheotomy during surgical procedures for oral cancer. After nasal intubation, the distance between the tube tip and the carina was measuring using a fiberoptic scope with the patient's head placed at an angle of 110\u00b0. Patients were repositioned for tracheotomy by placing a pillow under the shoulders and extending the head and neck at an angle of 140\u00b0. The distance measurements were subsequently repeated. The difference between the first and second measurements was calculated and analyzed statistically using a paired <jats:italic>t<\/jats:italic> test. On average the patients were 69.5 \u00b1 9.0 years in age. The distance between the tube tip and the carina at an angle of 140\u00b0 (3.6 \u00b1 1.1 cm) was significantly longer than that at an angle of 110\u00b0 (1.7 \u00b1 1.0 cm) (<jats:italic>p<\/jats:italic> &lt; 0.001). The migration in the positioning of the endotracheal tube tip was 1.9 \u00b1 0.7 cm (range: 0.7\u20133.7 cm) upon extension. In 3 cases, the tube cuff was ruptured during incision of the trachea. The endotracheal tube tip may migrate in the cephalad direction approximately 2 cm as a result of the extension of the patient's head and neck during a tracheotomy. Therefore, consideration should be given to advancing the endotracheal tube tip towards the caudal side and to confirming the position of the tube and cuff during a tracheotomy.<\/jats:p>","DOI":"10.2344\/anpr-66-04-05","type":"journal-article","created":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T18:40:56Z","timestamp":1584643256000},"page":"3-8","source":"Crossref","is-referenced-by-count":3,"title":["Endotracheal Tube Migration Associated With Extension During Tracheotomy"],"prefix":"10.2344","volume":"67","author":[{"given":"Masanori","family":"Tsukamoto","sequence":"first","affiliation":[{"name":"Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Yamanaka","sequence":"additional","affiliation":[{"name":"Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Hitosugi","sequence":"additional","affiliation":[{"name":"Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"key":"i0003-3006-67-1-3-b01","series-title":"J Oral Maxillofac Surg","first-page":"890","article-title":"Retrospective study of tracheostomy indications and perioperative complications on oral and maxillofacial surgery service","volume":"70","author":"Haspel \n              AC,","year":"2012","unstructured":"Haspel \n              AC, \n            \n            \n              Coviello \n              VF, \n            \n            \n              Stevens \n              M. \n            \n          \n          Retrospective study of tracheostomy indications and perioperative complications on oral and maxillofacial surgery service. J Oral Maxillofac Surg. 2012;70:890\u2013895."},{"key":"i0003-3006-67-1-3-b02","series-title":"Head Neck","first-page":"1056","article-title":"Use of nasotracheal intubation in patients receiving oral cavity free flap reconstruction","volume":"32","author":"Moore \n              MG,","year":"2010","unstructured":"Moore \n              MG, \n            \n            \n              Bhrany \n              AD, \n            \n            \n              Francis \n              DO, \n            \n            \n              Yueh \n              B, \n            \n            \n              Futran \n              ND. \n            \n          \n          Use of nasotracheal intubation in patients receiving oral cavity free flap reconstruction. Head Neck. 2010;32:1056\u20131061."},{"key":"i0003-3006-67-1-3-b03","series-title":"Turk J Anaesthesiol Reanim","first-page":"108","article-title":"Airway management of patients undergoing oral cancer surgery: a retrospective analysis of 156 patients","volume":"45","author":"Nikhar \n              SA,","year":"2017","unstructured":"Nikhar \n              SA, \n            \n            \n              Sharma \n              A, \n            \n            \n              Ramdaspally \n              M, \n            \n            \n              Gopinath \n              R. \n            \n          \n          Airway management of patients undergoing oral cancer surgery: a retrospective analysis of 156 patients. Turk J Anaesthesiol Reanim. 2017;45:108\u2013111."},{"key":"i0003-3006-67-1-3-b04","series-title":"Eur J Anaesthesiol","first-page":"510","article-title":"Airway management of patients undergoing oral cancer surgery: a retrospective study","volume":"22","author":"Mishra \n              S,","year":"2005","unstructured":"Mishra \n              S, \n            \n            \n              Bhatnagar \n              S, \n            \n            \n              Jha \n              RR, \n            \n            \n              Singhal \n              AK. \n            \n          \n          Airway management of patients undergoing oral cancer surgery: a retrospective study. Eur J Anaesthesiol. 2005;22:510\u2013514."},{"key":"i0003-3006-67-1-3-b05","series-title":"Int J Oral Maxillofac Surg","first-page":"846","article-title":"Development of a tracheostomy scoring system to guide airway management after major head and neck surgery","volume":"38","author":"Cameron \n              M,","year":"2009","unstructured":"Cameron \n              M, \n            \n            \n              Corner \n              A, \n            \n            \n              Diba \n              A, \n            \n            \n              Hankins \n              M. \n            \n          \n          Development of a tracheostomy scoring system to guide airway management after major head and neck surgery. Int J Oral Maxillofac Surg. 2009;38:846\u2013849."},{"key":"i0003-3006-67-1-3-b06","series-title":"Anaesthesia","first-page":"249","article-title":"Nasotracheal intubation for head and neck surgery","volume":"58","author":"Hall \n              CE,","year":"2003","unstructured":"Hall \n              CE, \n            \n            \n              Shutt \n              LE. \n            \n          \n          Nasotracheal intubation for head and neck surgery. Anaesthesia. 2003;58:249\u2013256."},{"key":"i0003-3006-67-1-3-b07","series-title":"Paediatr Anaesth","first-page":"38","article-title":"The future of the cuffed endotracheal tube","volume":"14","author":"Fine \n              GF,","year":"2004","unstructured":"Fine \n              GF, \n            \n            \n              Borland \n              LM. \n            \n          \n          The future of the cuffed endotracheal tube. Paediatr Anaesth. 2004;14:38\u201342."},{"key":"i0003-3006-67-1-3-b08","series-title":"J Clin Anesth","first-page":"54","article-title":"Endotracheal tube displacement during head and neck movements. Observational clinical trial","volume":"32","author":"Tailleur \n              R,","year":"2016","unstructured":"Tailleur \n              R, \n            \n            \n              Bathory \n              I, \n            \n            \n              Dolci \n              M, \n            \n            \n              Frascarolo \n              P, \n            \n            \n              Kern \n              C, \n            \n            \n              Schoettker \n              P. \n            \n          \n          Endotracheal tube displacement during head and neck movements. Observational clinical trial. J Clin Anesth. 2016;32:54\u201358."},{"key":"i0003-3006-67-1-3-b09","series-title":"Br J Anaesth","first-page":"78","article-title":"Shortcomings of cuffed paediatric tracheal tubes","volume":"92","author":"Weiss \n              M,","year":"2004","unstructured":"Weiss \n              M, \n            \n            \n              Dullenkopf \n              A, \n            \n            \n              Gysin \n              C, \n            \n            \n              Dillier \n              CM, \n            \n            \n              Gerber \n              AC. \n            \n          \n          Shortcomings of cuffed paediatric tracheal tubes. Br J Anaesth. 2004;92:78\u201388."},{"key":"i0003-3006-67-1-3-b10","series-title":"Anesth Analg","first-page":"1380","article-title":"Does the Murphy eye reduce the reliability of chest auscultation in detecting endobronchial intubation?","volume":"88","author":"Sugiyama \n              K,","year":"1999","unstructured":"Sugiyama \n              K, \n            \n            \n              Yokoyama \n              K, \n            \n            \n              Satoh \n              K, \n            \n            \n              Nishihara \n              M, \n            \n            \n              Yoshitomi \n              T. \n            \n          \n          Does the Murphy eye reduce the reliability of chest auscultation in detecting endobronchial intubation?\n          Anesth Analg. 1999;88:1380\u20131383."},{"key":"i0003-3006-67-1-3-b11","series-title":"Anaesthesia","first-page":"682","article-title":"Movement of oral and nasal tracheal tubes as a result of changes in head and neck position","volume":"50","author":"Hartrey \n              R,","year":"1995","unstructured":"Hartrey \n              R, \n            \n            \n              Kestin \n              IG. \n            \n          \n          Movement of oral and nasal tracheal tubes as a result of changes in head and neck position. 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Acad Emerg Med. 1997;4:1111\u20131114."},{"key":"i0003-3006-67-1-3-b13","series-title":"Anaesthesia","first-page":"383","article-title":"Tracheal tube fixation: the effect on depth of insertion of midline fixation compared to the angle of the mouth","volume":"64","author":"Sharma \n              K,","year":"2009","unstructured":"Sharma \n              K, \n            \n            \n              Varshney \n              M, \n            \n            \n              Kumar \n              R. \n            \n          \n          Tracheal tube fixation: the effect on depth of insertion of midline fixation compared to the angle of the mouth. Anaesthesia. 2009;64:383\u2013386."},{"key":"i0003-3006-67-1-3-b14","series-title":"Anaesthesia","first-page":"604","article-title":"The impact of head position on the cuff and tube tip position of preformed oral tracheal tubes in young children","volume":"63","author":"Jordi Ritz \n              EM,","year":"2008","unstructured":"Jordi Ritz \n              EM, \n            \n            \n              Von Ungern-Sternberg \n              BS, \n            \n            \n              Keller \n              K, \n            \n            \n              Frei \n              FJ, \n            \n            \n              Erb \n              TO. \n            \n          \n          The impact of head position on the cuff and tube tip position of preformed oral tracheal tubes in young children. Anaesthesia. 2008;63:604\u2013609."},{"key":"i0003-3006-67-1-3-b15","series-title":"Tanaffos","first-page":"107","article-title":"Investigation of the mechanical properties of the human tracheal cartilage","volume":"16","author":"Safshekan \n              F,","year":"2017","unstructured":"Safshekan \n              F, \n            \n            \n              Tafazzoli-Shadpour \n              M, \n            \n            \n              Abdouss \n              M, \n            \n            \n              Behgam Shadmehr \n              M, \n            \n            \n              Ghorbani \n              F. \n            \n          \n          Investigation of the mechanical properties of the human tracheal cartilage. Tanaffos. 2017;16:107\u2013114."},{"key":"i0003-3006-67-1-3-b16","series-title":"Materials (Basel)","first-page":"456","article-title":"Mechanical characterization and constitutive modeling of human trachea: age and gender dependency","volume":"9","author":"Safshekan \n              F,","year":"2016","unstructured":"Safshekan \n              F, \n            \n            \n              Tafazzoli-Shadpour \n              M, \n            \n            \n              Abdouss \n              M, \n            \n            \n              Shadmehr \n              MB. \n            \n          \n          Mechanical characterization and constitutive modeling of human trachea: age and gender dependency. Materials (Basel). 2016;9:456."},{"key":"i0003-3006-67-1-3-b17","series-title":"Biomaterials","first-page":"106","article-title":"A novel tissue-engineered trachea with a mechanical behavior similar to native trachea","volume":"62","author":"Park \n              JH,","year":"2015","unstructured":"Park \n              JH, \n            \n            \n              Hong \n              JM, \n            \n            \n              Ju \n              YM, \n            \n            et al. \n          A novel tissue-engineered trachea with a mechanical behavior similar to native trachea. Biomaterials. 2015;62:106\u2013115."},{"key":"i0003-3006-67-1-3-b18","series-title":"Acta Anaesthesiol Scand","first-page":"1383","article-title":"Changes in nasotracheal tube depth in response to head and neck movement in children","volume":"62","author":"Yamanaka \n              H,","year":"2018","unstructured":"Yamanaka \n              H, \n            \n            \n              Tsukamoto \n              M, \n            \n            \n              Hitosugi \n              T, \n            \n            \n              Yokoyama \n              T. \n            \n          \n          Changes in nasotracheal tube depth in response to head and neck movement in children. Acta Anaesthesiol Scand. 2018;62:1383\u20131388."},{"key":"i0003-3006-67-1-3-b19","series-title":"Br J Anaesth","first-page":"870","article-title":"Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope: incidence, causes and solutions","volume":"92","author":"Asai \n              T,","year":"2004","unstructured":"Asai \n              T, \n            \n            \n              Shingu \n              K. \n            \n          \n          Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope: incidence, causes and solutions. Br J Anaesth. 2004;92:870\u2013881."},{"key":"i0003-3006-67-1-3-b20","series-title":"Anaesthesia","first-page":"1069","article-title":"Effect of head posture on tracheal tube position in children","volume":"59","author":"Olufolabi \n              AJ,","year":"2004","unstructured":"Olufolabi \n              AJ, \n            \n            \n              Charlton \n              GA, \n            \n            \n              Spargo \n              PM. \n            \n          \n          Effect of head posture on tracheal tube position in children. Anaesthesia. 2004;59:1069\u20131072."},{"key":"i0003-3006-67-1-3-b21","series-title":"Br J Anaesth","first-page":"486","article-title":"Tracheal tube-tip displacement in children during head-neck movement\u2013a radiological assessment","volume":"96","author":"Weiss \n              M,","year":"2006","unstructured":"Weiss \n              M, \n            \n            \n              Knirsch \n              W, \n            \n            \n              Kretschmar \n              O, \n            \n            et al. \n          Tracheal tube-tip displacement in children during head-neck movement\u2013a radiological assessment. Br J Anaesth. 2006;96:486\u2013491."},{"key":"i0003-3006-67-1-3-b22","series-title":"Can J Anaesth","first-page":"751","article-title":"Head rotation, flexion, and extension alter endotracheal tube position in adults and children","volume":"56","author":"Kim \n              JT,","year":"2009","unstructured":"Kim \n              JT, \n            \n            \n              Kim \n              HJ, \n            \n            \n              Ahn \n              W, \n            \n            et al. \n          Head rotation, flexion, and extension alter endotracheal tube position in adults and children. Can J Anaesth. 2009;56:751\u2013756."},{"key":"i0003-3006-67-1-3-b23","series-title":"Anaesth Intensive Care","first-page":"150","article-title":"Airway fire during elective tracheostomy","volume":"25","author":"Lim \n              HJ,","year":"1997","unstructured":"Lim \n              HJ, \n            \n            \n              Miller \n              GM, \n            \n            \n              Rainbird \n              A. \n            \n          \n          Airway fire during elective tracheostomy. 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