Doctor insights on:
Correct Placement Of Et Tube
Respiratory Failure: Adequate oxygen exchange through the lungs is necessary for survival. In pregnancy, oxygen is passed thru the placenta & the lungs are not tested until after delivery. Babies can retain fluid in their lungs at birth, develop respiratory distress syndrome, pneumonia or sepsis. All may be so taxing on the newborns system that they will not survive without supplemental oxygen thru a tube. ...Read more
Listening / X-ray: The standard method of verifying tube placement includes listening to breath sides on both sides after placement. After securing the tube in place it is routine to have do an x-ray to verify the position. Occasionally, placing a gas monitor to verify exhaled co2 is used in some situations. ...Read more
Risks: Risks of inserting endotracheal tube (et) include damaging vocal cords, teeth, or back of throat when using laryngoscope. Worse, the tube could accidentally be placed in the esophagus instead of the trachea, which results in hypoxia -- also potentially vomiting stomach contents into lungs. Placing et too deeply might ventilate only one lung -- possibly resulting in pneumothorax and hypoxia. ...Read more
Mainstem: An endotracheal tube is inserted down the throat, sometimes down the nose, but always into the mainstem bronchus and above the carina or the point at which the mainstem bronchus branches in to those branches that head on towards the right and left lungs. ...Read more
We miss something??: This insures an adequate airway and allows for delivery of oxygen and or medications to a baby who is not breathing adequately on their own. Did you have some specific concern? This site is not a chat room, so if there is another part of this question we have not addressed, please start over. Your questions are not linked, so each must have enough background info for us to go on. ...Read more
Yes!: An endotracheal tube is one of the ways that upper airway obstruction can be managed in an emergency, because it goes into the windpipe (trachea) and provides a route for air exchange. However, it's important to identify the cause of the obstruction: obesity, sleep apnea, enlarged tonsils, cancer, or a large thyroid gland are among possible causes. Finding and treating the cause is key. ...Read more
Low: It is theoretically low. Risk of HIV infection is dependent on the amount of viral load and the method of transmission. Unless it was bloody emesis, the viral load should be low. Although the eye is covered by mucous membrane, there are antibodies in the tear film that theoretically can help prevent viral. Contact your infectious disease service and ask what prophylactic medication you should take at this point. ...Read more
Yes: Inserting endotracheal tubes is included in the paramedics' job description. Positioning needs to be checked, though, just as it does when a physician places it. ...Read more
(closed nose reduction) if the doctor has told me that he will use general anesthesia, what else will he use? (iv, endotracheal tube)
ENT: Yes you should have intravenous access. No, you don't require intubation. ...Read more
Can I have a endotracheal tube inserted while completely awake for nose job to protect airway if I want? Getting nose job done under local anesthesia
Endotracheal tube: Endotracheal tube cannot be inserted when you're fully awake because you would not be able to tolerate anything down your airways without coughing and laryngospasm (spasm of your voicebox). Only when the muscles are paralyzed by anesthetic or when you are out of it due to a respiratory distress you can have endotracheal tube placed. ...Read more
See your doctor: Symptoms and concerns like these mandate a thorough evaluation by your doctor. Only after such an evaluation, which may include labs and radiographic examinations, can he/she let you know what's going on and how best to help you. ...Read more
Not That I Know Of: A fallopian tube transplant would probably not be very effective, cost-wise or functionally. Presumably you'd want one to achieve pregnancy and that can be done more reliably with ivf (in-vitro fertilization). See an rei specialist for details & careful if you do find someone who will "transplant an artificial fallopian tube". Take care. ...Read more
How long till after tube placement in both ears do I regain full hearing? Everything sounds so far away or the a wall. Also pain when will that leave
Something wrong: Ventilation tubes inserted into the tympanic membranes should not hurt and if most of the middle ear fluid has been removed, your hearing should immediately improve. I am assuming that you had a middle ear effusion. You should not have pain and if your hearing is not improved, then either you did not have fluid or all of the fluid was not removed. Not uncommon for adults to have residual fluid. ...Read more
Today 7/12/16 I had an NJ tube placed. Hospitalized and unable to eat from pancreatitis. I am worried my body is rejecting the NJ tube. Post placement I've had increased nausea, pain and am running a fever of 102.any other signs to watch for?
Pancreatitis: Acute pancreatitis is a serious condition. I prefer a team approach including an internist or gastroenterologist and an abdominal surgeon following you. They will let you know when you can start liquids by mouth. Iv fluids are very important. Antibiotics may be prescribed in view of the fever. With these specialists following you closely any complications requiring intervention will be detected. ...Read more
What is to be expected during the removal of a child's adenoids and tonsils along with placement of ear tubes?
Improvement: You may be surprised to know that this is wrong in my opinion. There are better ways of treatment. Tonsils and adenoids are very important parts of the immune system. Removing them is too simplistic. I have found repeatedly that diet comes into the picture. Remove the "junk"! ...Read more
Why do I keep getting Kidney infections and UTI's??? I have had a Nurphrostomy Tube and a Phois Hitch and Have had 6 Stent Placement Surgeries? Wow
Need more history: U must have a complex problem if nephrostomy tube & 6 stents were required. U will always be at risk 4 kidney infections with stent in place. Psoas hitch means that ureter was reimplanted & too short without hitch. Would consider 2nd opinion from a different urology practice. U have not been "fixed" & possibly have ureteral stricture, if U still require stent. My sympathies & good luck. ...Read more
Not 100%: No, it's not 100% accurate, but it's pretty good. There might be tubal spasms preventing the dye from passing through the tube. I believe you just had surgery, and it can take 2-3 months for healing to be complete. This might effect the results. If the HSG shows blocked tubes 3 months after your surgery, that would be concerning. A laparoscopy could be performed and a dye test done. ...Read more
My gfs tubes are tied not burned or clipped jus tied how long wil it take 4 them to come untied? She said 5 to 7 years is that correct? Its been 4 yrs.
No: It is an urban myth that tubes come untied after 5-7 years. Tubal ligation is considered to be permanent no matter what method is employed to tie them. The longer without a failure (pregnancy) the less likely it is that you will become pregnant without some intervention like tubal reanastamosis (surgery to put them back together) or IVF. Hope this helps. ...Read more
I have blocked fallopian tubes at the end is there surgery to correct this if so what is the name of the surgery?
Several surgeries: There are several surgical techniques that can be done to open fallopian tubes. Sometimes it is best to proceed directly to in vitro fertilization. Each case must be analyzed individually. Some of the surgeries are tubal cannulation, Fimbrioplasty, salpingostomy, tubal reanastomosis and others. ...Read more
If an ovulation test shows im ovulating that means an egg has been released into my fallopian tube already correct?
Bypass tubes: The cost may be an issue but tube reversal is possible but not always successful. A fertility center can harvest some of your eggs and fertilize them with dads sperm. The resulting combo can be placed in your womb at the appropriate time after your body has been prepared to receive the embryos. ...Read more
No symptoms: If your tubal ligation failed (fortunately highly unlikely) there are no symptoms except pregnancy to tell you! If you are concerned you can see your gynecologist about getting an hsg (hysterosalpingogram). This is an x-ray study done by injection of dye into the uterus to see if it flows backwards into the tubes. ...Read more