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Oliver's sign, or the tracheal tug sign, is an abnormal downward movement of the trachea during systole that can indicate a dilation or aneurysm of the aortic arch.. Oliver's sign is elicited by gently grasping the cricoid cartilage and applying upward pressure while the patient stands with their chin extended upward.
Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs.
Tracheal tubes may also be used as a route for administration of certain medications such as salbutamol, atropine, epinephrine, ipratropium, and lidocaine. Tracheal tubes are commonly used for airway management in the settings of general anesthesia, critical care, mechanical ventilation, and emergency medicine. [3]
Thomas Fienus (1567–1631), Professor of Medicine at the University of Louvain, was the first to use the word "tracheotomy" in 1649, but this term was not commonly used until a century later. [40] Georg Detharding (1671–1747), professor of anatomy at the University of Rostock , treated a drowning victim with tracheostomy in 1714.
Image shows early occurrence of tracheal deviation. Tracheal deviation is a clinical sign that results from unequal intrathoracic pressure within the chest cavity.It is most commonly associated with traumatic pneumothorax, but can be caused by a number of both acute and chronic health issues, such as pneumonectomy, atelectasis, pleural effusion, fibrothorax (pleural fibrosis), or some cancers ...
If the symptoms are severe enough, treatment may be needed. These range from medical management over mechanical ventilation (both continuous positive airway pressure (CPAP) [ 8 ] or bi-level positive airway pressure (BiPAP) [ 9 ] [ 10 ] ), to inserting a tracheal stent [ 8 ] and surgery .
The re-usable models can be autoclaved up to 50 times, while the modified laryngeal tube (Suction) incorporates an extra lumen for inserting a gastric tube or suction system. There are six sizes of the laryngeal tube, ranging from newborn (size 0) to large adult (size 5). The connector of the tube is color-coded for each size.
Cricoid pressure, also known as the Sellick manoeuvre or Sellick maneuver, is a technique used in endotracheal intubation to try to reduce the risk of regurgitation.The technique involves the application of pressure to the cricoid cartilage at the neck, thus occluding the esophagus which passes directly behind it.