Resumen
El tubo endotraqueal (TET) es la interfaz más utilizada para la aplicación de ventilación mecánica invasiva. El conocimiento de las características técnicas (el diámetro, la longitud, el material del que está fabricado, etc.) resulta fundamental para una adecuada utilización del dispositivo e interpretación de la mecánica del sistema respiratorio (flujos, resistencia, parámetros de liberación de la ventilación mecánica, etc.) en pacientes intubados. En la siguiente revisión se realizó una descripción de los TET unilumen, doble lumen y de aquellos con características especiales. A pesar que la mayoría de los pacientes podrían beneficiarse de la utilización de los TET unilumen, resulta relevante el conocimiento de las características particulares del resto de los TET de forma tal de elegir el dispositivo apropiado para los requerimientos del paciente en una situación dada. Dentro de los TET especiales, se realizó una breve revisión de la evidencia de tubos modificados para la prevención de la neumonía asociada a la ventilación mecánica.
Endotracheal tubes are the most common devices used for the application of invasive mechanical ventilation. Knowledge of technical characteristics (diameter, length, material, etc.) is essential for the appropriate utilization of this tubes and interpretation of respiratory mechanics (flow, resistance, weaning parameters, etc.) in intubated patients. In this review we have described single-lumen tubes, double-lumen tubes and tubes with special purposes. Even though most patients will benefit with the use of single-lumen tubes, it seems relevant to be familiar with the wide range of tubes with different features in order to choose the suitable tube for patient´s requirement in a given situation. Within special purposes tubes, we have done a short review of the evidence that supports the utilization of endotracheal tubes designed to prevent ventilator-associated pneumonia.
Citas
<p class="MsoEndnoteText" style="text-align: justify;"><p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">1.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">M. Shapiro, R.K Wilson, G Casar, K. Bloom, Rb Teague. Work of breathing through different sized endotracheal tubes. Critical Care Medicine 1986; 14 (12): 1028-31.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">2.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">M. F. El-Khatib, A. Husari, G. W. Jamaleddine, C. M. Ayoub, P. Bou-Khalil Changes in resistances of endotracheal tubes with reductions in the cross-sectional area. European Journal of Anaesthesiology 2008;25:275–279.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">3.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-AR;">A. G. Flevari, N. Maniatis, T. E. Kremiotis, I. Siempos, A. P. Betrosian, C. Roussos, E. Douzinas, A. Armaganidis. </span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Rohrer’s constant, K2 as a factor of determining inspiratory resistance of common adult endotracheal tubes. Anaesth Intensive Care 2011; 39:410-417. </span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">4.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Jun Oto, Hideaki Imanaka, Emiko Nakataki, Rie Ono, MasajiNishimura.Potential Inadequacy of Automatic Tube Compensation to Decrease Inspiratory Work Load After at Least 48 Hours of Endotracheal Tube Use in the Clinical Setting.Respir Care 2012;57(5):697–703. </span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">5.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">MC Villafane, G Cinnella, F Lofaso, D Isabey, AHarf, F Lemaire, L Brochard. Gradual reduction of endotracheal tube diameter during mechanical ventilation via different humidification devices.Anesthesiology 1996; 85:1341-9.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">6.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">AM.Wilson; DM. Gray; JG. Thomas. Increases in Endotracheal Tube Resistance Are Unpredictable Relative to Duration of Intubation. CHEST 2009; 136:1006–1013.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><strong><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">7.<span style="font-weight: normal; font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span></strong><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">A.W. Gray. Endotracheal tubes.Clin Chest Med 24 (2003) 379–387.<strong></strong></span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">8.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Higenbottam T, Payne J. Glottis narrowing in lung disease. Am Rev Respir Dis 1982;125(6):746–750.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">9.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">A Seymour, N Prakash. A Cadaver Study to Measure the Adult Glottis and Subglottis: Defining a Problem Associated With the Use of Double-Lumen Tubes. Journal of Cardiothoracic and Vascular Anesthesia,Vol 6, No 2, 2002: pp 196-198.</span></p> <p class="MsoListParagraph" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-font-kerning: 18.0pt; mso-ansi-language: EN-US; mso-fareast-language: ES-AR; mso-bidi-font-weight: bold;" lang="EN-US">10.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">CC </span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: ES-AR;" lang="EN-US">Eagle. The relationship between a person's height and appropriate endotracheal tube length.</span><span lang="ES"><a title="Anaesthesia and intensive care." href="http://www.ncbi.nlm.nih.gov/pubmed?term=5.%20Eagle%20CC%3A%20The%20relationship%20between%20a%20person%E2%80%99s%20height%20and%20appropriate%20ETT%20length.Anaesth%20Intensive%20Care1992%3B20%3A156%E2%80%9360"><span style="font-size: 11.0pt; line-height: 150%; color: windowtext; mso-ansi-language: EN-US; mso-fareast-language: ES-AR; text-decoration: none; text-underline: none;" lang="EN-US">Anaesth Intensive Care.</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: ES-AR;" lang="EN-US"> 1992 May;20(2):156-60.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">11.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Chen-Hwan Cherng, Chih-Shung Wong, Che-Hao Hsu, Shung-Tai Ho. Airway Length in Adults: Estimation of the Optimal Endotracheal Tube Length for Orotracheal Intubation. Journal of Clinical Anesthesia 14:271–274, 2002.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">12.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">S Evron, M Weisenberg, E Harow, V Khazin, P Szmuk, D Gavish, T Ezri. Proper insertion depth of endotracheal tubes in adults by topographic landmarks measurements. Journal of Clinical Anesthesia (2007)19,15–19.</span></p> <p class="MsoEndnoteText" style="margin-left: 36.0pt; text-indent: -18.0pt; line-height: 150%; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">13.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.anmat.gov.ar/boletin_anmat/mayo_2010/Dispo_2380-10.pdf</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">14.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">D Honeybourne, Jc Costello, C Barham. Tracheal damage after endotracheal intubation: comparison of two types of endotracheal tubes. Thorax 1982;37:500-502.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">15.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Stewart S, Secrest J, Norwood B, Zachary R. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA J 2003; 71 (6): 443-447.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">16.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Sengupta P Sessier DI, Maglinger P, et al. Endotracheal tube cuff pressure in three hospitals and the volume required to produce an appropriate cuff pressure. </span><span lang="ES"><a title="BMC anesthesiology." href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Endotracheal+tube+cuff+pressure+in+three+hospitals+and+the+volume+required+to+produce+an+appropriate+cuff+pressure."><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">BMC Anesthesiol.</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"> 2004 Nov 29;4(1):8.</span></p> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">17.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Young PJ, Pollinson M, Downward G, Henderson S: Leakage of fluid past the tracheal tube cuff in a benchtop model. Br J Anaest 1997; 78:557–62</span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">18.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: PT-BR;" lang="PT-BR">Jaeger JM, Durbin Jr CG. </span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Special purpose endotracheal tubes.Respir Care 1999;44:661–83.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">19.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Burns SM, Shasby DM, Burke PA. Controlled pressure cuffed endotracheal tubes may not be controlled (letter). Chest 1983;83(1): 158–159.</span></p> <p class="MsoListParagraph" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-AR;">20.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Veyckemans F. New developments in the management of the pediatric airway: cuffed or uncuffed tracheal tubes, laryngeal mask airway, cuffed oropharyngeal airway, tracheostomy and one-lung ventilation devices. </span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-AR;">CurrOpinAnaesthesiol 1999;12:315–20.</span></p> <p class="MsoEndnoteText" style="margin-left: 36.0pt; text-indent: -18.0pt; line-height: 150%; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-AR;">21.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">Goodman and Gilman. Las bases farmacológicas de la terapéutica. 11va edición. Capitulo 13: Anestésicos generales. Página 360.</span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-AR;"></span></p> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">22.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-AR;">Weiskopf RB, Campos JH. </span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Current techniques for perioperative operative lung isolation in adults. Anesthesiology 2002;97:1295–301.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">23.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Alliaume BA, Coddens J, Deloof T. Reliability of auscultation in positioning of double-lumen endotracheal tubes. Can J Anesth 1992;39:687–90.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">24.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Weiskopf RB, Campos JH.Current techniques for perioperative lung isolation in adults.Anesthesiology 2002; 97:1295–301.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">25.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Tagliauia AA, Garland AC. Anesthesia for thoracic surgery. In: Hurford WE, Balin MT, Davison JK, editors. Clinical procedures of the Massachusetts General Hospital. Philadelphia: Lippincott-Raven; 1998. p. 368– 74.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">26.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Brodsky JB,Macario A, Cannon WB, Mark JB. ‘‘Blind’’ placement of plastic left double-lumen tubes.AnaesthIntens Care 1995;23:583– 6.</span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">27.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: PT-BR;" lang="PT-BR">Campos JH, Massa FC, Kernstine KH. </span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">The incidence of right upper-lobe collapse when comparing a rightsided double-lumen tube versus a modified left doublelumen tube for left-sided thoracic surgery. AnesthAnalg 2000;90:535–40.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">28.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span lang="ES"><a href="http://www.lmana.com/files/univent_brochure_-_final.pdf?PHPSESSID=c632107f9afe9568578646a111eef47f"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.lmana.com/files/univent_brochure_-_final.pdf?PHPSESSID=c632107f9afe9568578646a111eef47f</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">29.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span lang="ES"><a href="http://www.cookmedical.com/cc/content/mmedia/C-AEBSP901.pdf"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.cookmedical.com/cc/content/mmedia/C-AEBSP901.pdf</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">30.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Arndt GA, Kranner PW, Rusy DA, Love R. Singlelung ventilation in a critically ill patient using a fiberoptically directed wire-guided endobronchial blocker. Anesthiology 1999;90:1484– 6.</span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">31.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Kabon B, Waltl B, Leitgeb J, Kapral S, Zimpfer M. First experience with fiberoptically directed wireguidedendobronchial blockade in severe pulmonary bleeding in an emergency setting. Chest 2001;120: 1399– 402.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">32.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span lang="ES"><a href="http://www.covidien.com/RMS/pages.aspx?page=OurProducts/EndotrachealTubes/SpecialtyEndotrachealAirways"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.covidien.com/RMS/pages.aspx?page=OurProducts/EndotrachealTubes/SpecialtyEndotrachealAirways</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">33.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Chee WK. Orotracheal intubation with a nasal Ring-Adair-Elwin tube provides an unobstructed view in otolaryngologic procedures. Anesthesiology 1995; 83:1369.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">34.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Roth DM, Benumof JL. Intubation through a laryngeal mask airway with a nasal RAE tube: Stabilization of the proximal end of the tube. Anesthesiology 1996; 85:1220.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">35.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Hoffman CO, Swanson GA. Oral reinforced endotracheal tube crushed and perforated from biting. AnesthAnalg 1989;69:552– 3</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">36.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-AR;">Rodriguez R, Gonzalez H, Carranza A. Intraoralseparation of a reinforcedendotrachealtube. </span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Anesthesiology2000;93:908.</span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">37.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">King KP, Stolp BW, Borel CO. Damage to an armored endotracheal tube introduced via the intubating laryngeal mask airway induced by biting. Anesth Analg1999;89:1324.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">38.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span lang="ES"><a href="http://www.nellcor.com/prod/Product.aspx?id=129"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.nellcor.com/prod/Product.aspx?id=129</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">39.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span lang="ES"><a href="http://www.myrusch.com/images/rusch/docs/A20C.pdf"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.myrusch.com/images/rusch/docs/A20C.pdf</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18.0pt; line-height: 150%; mso-list: l0 level1 lfo1; mso-layout-grid-align: none; text-autospace: none;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">40.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Barnett CC, Moore FA, Moore EE, et al.: Tracheal gas insufflation is a useful adjunct in permissive hypercapnic management of acute respiratory distress syndrome. Am J Surg 1996;172(5):518–522.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">41.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Valentini I, Tonveronachi E, Gregoretti C, et al. Different Tracheotomy Tube Diameters Influence Diaphragmatic Effort and Indices of Weanability in Difficult to Wean Patients.Respir Care 2012;57(12):2012–2018.</span></p> <p class="MsoListParagraph" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">42.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Horan TC, White JW, Jarvis WR, Emori TG, Culver DH, Munn VP, et al. Nosocomial infection surveillance, 1984. Morbidity & Mortality Weekly Report 1986;35: 17SS–29SS.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">43.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Institute for Healthcare Improvement. http://www.ihi.org</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">44.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">C Wip, L Napolitano. Bundles to prevent ventilator-associated pneumonia: how valuable are they? Current Opinion in Infectious Diseases2009,22:159–166.</span></p> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">45.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">S Deem, M Treggiari. New Endotracheal Tubes Designed to Prevent Ventilator- associated Pneumonia: Do They Make a Difference? Respiratory Care 2010 (55)8: 1046- 1055.</span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">46.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: ES-AR;">E Diaz, A H Rodríguez and J Rello. </span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Ventilator-Associated Pneumonia: Issues Related to the Artificial Airway. Respiratory Care, July 2005 Vol 50 No 7 900-909.</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">47.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">J. F. Fernandez; S. M. Levine and M. I. Restrepo.Technologic Advances in Endotracheal Tubes for Prevention of Ventilator-Associated Pneumonia. CHEST 2012; 142(1):231–238</span></p> <p class="MsoEndnoteText" style="margin-left: 36.0pt; text-indent: -18.0pt; line-height: 150%; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">48.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.teleflex.com/emea/documentLibrary/documents/940202-000013_Airways_1206.pdf</span></p> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">49.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Kollef MH, Skubas NJ, Sundt TM. A randomized clinical trial of continuous aspiration of subglottic secretions in cardiac surgery patients. Chest 1999;116(5):1339-1346.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">50.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Smulders K, van der Hoeven H, Weers-Pothoff I, Vandenbroucke- Grauls C. A randomized clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation. Chest2002;121(3):858-862.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">51.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Dullenkopf A, Gerber A, Weiss M. Fluid leakage past tracheal tube cuffs: evaluation of the new Microcuff endotracheal tube. Intensive Care Med 2003;29(10):1849-1853.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">52.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Poelaert J, Depuydt P, De Wolf A, Van de Velde S, Herck I, Blot S. Polyurethane cuffed endotracheal tubes to prevent early postoperative pneumonia after cardiac surgery: a pilot study. J ThoracCardiovascSurg 2008;135(4):771-776.</span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">53.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Miller MA, Arndt JL, Konkle M, Chenoweth CE, Flaherty KR, Hyzy RC. Polyurethane cuff endotracheal tube to prevent ventilator-associated pneumonia in an academic hospital (abstract). Am J RespirCritCareMed2009:179;A1731. </span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">54.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Lorente L, Lecuona M, Jimenez A, Mora ML, Sierra A. Influence of an endotracheal tube with polyurethane cuff and subglottic secretion drainage on pneumonia. Am J RespirCrit Care Med 2007;176(11):1079-1083.</span></p> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">55.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span lang="ES"><a href="http://www.kchealthcare.com/us/healthcare/home/products/respiratory-health/kimvent-microcuff-adult-and-pediatric-endotracheal-tubes/kimvent-microcuff-adult-endotracheal-tube.aspx"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.kchealthcare.com/us/healthcare/home/products/respiratory-health/kimvent-microcuff-adult-and-pediatric-endotracheal-tubes/kimvent-microcuff-adult-endotracheal-tube.aspx</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">56.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span lang="ES"><a href="http://www.nellcor.com/prod/Product.aspx?S1=AIR&S2=&id=325"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.nellcor.com/prod/Product.aspx?S1=AIR&S2=&id=325</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p> <p class="MsoEndnoteText" style="margin-left: 36.0pt; text-indent: -18.0pt; line-height: 150%; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">57.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://www.covidien.com/imageServer.aspx/doc225078.pdf?contentID=23979&contenttype=application/pdf</span></p> <p class="MsoEndnoteText" style="margin-left: 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">58.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Mulier J et al. Tracheal cuff leak in morbilidly obese patients intubated with a Taperguard, HiLo cuffed or a Hi Lo cuffed and lubricated tracheal tube. 63<sup>rd</sup> Annual Postr graduate assembly abstract p 9108, NewYorkNy, December 2009.</span></p> <h1 style="margin: 0cm 0cm 0.0001pt 36pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">59.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Dave%20MH%5BAuthor%5D&cauthor=true&cauthor_uid=22833049"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">Dave MH</span></a><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Spielmann%20N%5BAuthor%5D&cauthor=true&cauthor_uid=22833049"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">Spielmann N</span></a><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Mauch%20J%5BAuthor%5D&cauthor=true&cauthor_uid=22833049"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">Mauch J</span></a><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Weiss%20M%5BAuthor%5D&cauthor=true&cauthor_uid=22833049"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">Weiss M</span></a><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">. Effect of <span class="highlight">Lanz</span> Pressure Regulating <span class="highlight">Valve</span> on Self-sealing Mechanism and Air Leakage Across the Tracheal Tube Cuffs in a Benchtop Model. </span><a title="Journal of intensive care medicine." href="http://www.ncbi.nlm.nih.gov/pubmed/22833049"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US">J Intensive Care Med.</span></a><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; font-weight: normal; mso-bidi-font-weight: bold;" lang="EN-US"> 2012 Jul 24.</span></h1> <p class="MsoListParagraphCxSpFirst" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">60.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Adair CG, Gorman SP, Feron BM, Byers LM, Jones DS, Goldsmith CE, et al. Implications of endotracheal tube biofilm for ventilator-associated pneumonia. Intensive Care Med 1999;25:1072– 6.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">61.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span lang="ES"><a href="http://bardmedical.com/AGENTOI.C.EndotrachealTube"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">http://bardmedical.com/AGENTOI.C.EndotrachealTube</span></a></span><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">62.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">US Food and Drug Administration. Public health notice: potential hypersensitivity reactions to chlorhexidine-impregnated medical devices. March 11, 1998. http://www.fda.gov/medicaldevices/safety/ alertsandnotices/publichealthnotifications/ucm062306.</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">63.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Olson ME, Harmon BG, Kollef MH. Silver-coated endotracheal tubes associated with reduced bacterial burden in the lungs of mechanically ventilated dogs. Chest 2002;121:863–70 [r].</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18.0pt; line-height: 150%; mso-list: l0 level1 lfo1; mso-layout-grid-align: none; text-autospace: none;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">64.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Pacheco-Fowler V, Gaonkar T, Wyer PC, Modak S: Antiseptic impregnated endotracheal tubes for the prevention of bacterial colonization. J Hosp Infect 2004; 57:170–4</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">65.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Kollef MH, Afessa B, Anzueto A, Veremakis C, Kerr KM, Margolis BD, et al. Silver-coated endotracheal tubes and incidence of ventilator- associated pneumonia: the NASCENT randomized trial. JAMA2008;300(7):805-813</span></p> <p class="MsoListParagraphCxSpMiddle" style="text-indent: -18.0pt; line-height: 150%; mso-list: l0 level1 lfo1; mso-layout-grid-align: none; text-autospace: none;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">66.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Kolobow T, Berra L, LiBassi G, Curto F: Novel system for complete removal of secretions within the endotracheal tube: The Mucus Shaver. ANESTHESIOLOGY2005; 102:1063–5</span></p> <p class="MsoListParagraphCxSpLast" style="text-indent: -18.0pt; line-height: 150%; mso-list: l0 level1 lfo1; mso-layout-grid-align: none; text-autospace: none;"><!--[if !supportLists]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">67.<span style="font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><!--[endif]--><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US">Berra l, Curto F, Li Bassi G, Laquerriere P, Baccarelli A, Kolobow T: Antibacterial-coated tracheal tubes cleaned with the Mucus Shaver. A novel method to retain long-term bactericidal activity of coated tracheal tubes. Intensive Care Med 2006; 32:888.</span></p> <p class="MsoNormal"><span lang="ES"> </span></p></p></p><p class="MsoEndnoteText" style="text-align: justify; line-height: 150%;"><span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US;" lang="EN-US"></span></p>
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