| Insertion of a Levine Tube during Anesthesia . |
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Jun Goo Kang, Sung Nyeun Kim |
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Department of Anesthesiology, Catholic Medical College, Seoul, Korea. |
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| Abstract |
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The insertion of a levine tube in the anesthetized or comatose patients who is intubated, is often difficult.
Various methods used to facilitate the procedure have been reported, but none of them are completely reliable. So we are going to describe our method which showed satisfactory results. insertion of well lubricated suction catheter into the oral cavity is made iva the nose and followed by the orossophageal insertion of a Magill tube without cuff under direct laryngoscopy. At the same time, pulling out the suction catheter from the oral cavity is made by using Magill forceps under direct vision. The distal tip of the levine tube is then threaded into the guide Magill tube and advanced into the stomach. After identification of the presence of the tip of levine tube in the stomach by palpation by the surgeon or the aspiration of gastirc contents, the guide Magill tube is withdrawn from the esophagus. Next, connection between the proximal end of Levine tube and the distal tip of the suction catheter is mad and pulled out through the nose by pulling the suction catheter. The levine tube is made held by adhesive tape. |
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