921 results match your criteria  = 02 mallampati

Evaluation of the correlation between preoperative airway assessment tests, anthropometric measurements, and endotracheal intubation difficulty in obesity class III patients undergoing bariatric surgery.

Medicine (Baltimore) 2021 Sep;100(36):e27188

Department of Anesthesiology, University of Health Sciences, Bagcilar Training and Research Hospital, Istanbul, Turkey.

Abstract: In this study, we investigated the correlation between airway assessment tests, anthropometric measurements, and the Modified Cormack- Lehane Classification (MCLC) assessed by videolaryngoscopy in patients undergoing bariatric surgery.This study included 121 morbidly obese patients undergoing bariatric surgery. The body mass index, Modified Mallampati Score (MMS), thyromental distance, sternomental distance, interincisor distance, and neck, waist, and chest circumferences were recorded. Read More

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September 2021

Comparison of intraoral mask and classic face mask in terms of ventilation success and practitioners' workload assessments: A randomised crossover study.

Int J Clin Pract 2021 Sep 9:e14821. Epub 2021 Sep 9.

Ankara Numune Education and Research Hospital, Ankara, Turkey.

Aim: Providing effective ventilation of the unconscious patient is an essential skill in every specialty dealing with airway management. In this randomised crossover study aimed to compare intraoral and classic face mask in terms of ventilation success of patients, practitioners' workload and anxiety assessments. Also we analysed potential risk factors of difficult mask ventilation for both masks. Read More

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September 2021

Awake fiberoptic intubation and use of bronchial blockers in ankylosing spondylitis patients.

World J Clin Cases 2021 Aug;9(23):6705-6716

Department of Anesthesiology, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.

Background: Patients with ankylosing spondylitis (AS) combined with severe cervical fusion deformity have difficult airways. Awake fiberoptic intubation is the standard treatment for such patients. Alleviating anxiety and discomfort during intubation while maintaining airway patency and adequate ventilation is a major challenge for anesthesiologists. Read More

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A prospective validation and comparison of three multivariate models for prediction of difficult intubation in adult patients.

Braz J Anesthesiol 2021 Aug 16. Epub 2021 Aug 16.

Hospital Lifecenter, Departamento de Anestesiologia, Belo Horizonte, MG, Brazil.

Purpose: Several bedside clinical tests have been proposed to predict difficult tracheal intubation. Unfortunately, when used alone, these tests show less than ideal prediction performance. Some multivariate tests have been proposed considering that the combination of some criteria could lead to better prediction performance. Read More

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Clinical Relevance of Mallampati Grading in Predicting Difficult Intubation in the Era of Various New Clinical Predictors.

Cureus 2021 Jul 14;13(7):e16396. Epub 2021 Jul 14.

Department of Anaesthesiology, Career Institute of Medical Sciences and Hospital, Lucknow, IND.

Background and aims Management of difficult airway can be associated with serious morbidity and mortality and it is a basic and serious concern for anesthesiologists. The preoperative airway assessment is done by using conventional clinical predictors. The present study was conducted to find the correlation of various new clinical predictors with the Cormack-Lehane (CL) grade at the laryngoscopic view in patients undergoing general anesthesia with endotracheal intubation. Read More

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Anesthetic Considerations in Patients With Achondroplasia.

Cureus 2021 Jun 22;13(6):e15832. Epub 2021 Jun 22.

Department of Anesthesiology, Metropolitan Hospital Center, New York, USA.

Anesthetic management of achondroplastic patients warrants special anatomical and physiological considerations due to significant variations in the airway as well as the spine in regional techniques. In this report, we present the case of a 30-year-old morbidly obese male with achondroplasia, end-stage renal disease (ESRD) on hemodialysis, and renal osteodystrophy, who was scheduled for incision and drainage of a rectal abscess. Preoperative evaluation revealed Mallampati IV airway with a short neck and a scoliotic spine with possible atlantoaxial instability. Read More

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A Predictor of Difficult Airway: The Tasli Classification in Transnasal Flexible Laryngoscopy.

J Voice 2021 Jul 24. Epub 2021 Jul 24.

Kütahya University of Health Sciences, Evliya Celebi Training and Research Hospital, Department of Otolaryngology, Head and Neck Surgery, Kütahya, Turkey.

Introduction: Difficult airway is defined as difficulty or failure in one or more steps in upper airway management. Evaluation of the upper airway with physical examination methods and endoscopic devices is crucial in predicting difficult airway. The aim of this study was to evaluate bedside tests, Cormack Lehane (CL) and Tasli Classification (TC) scores of the patients and it was aimed to reveal the role of TC which will be performed preoperatively as a predictor of difficult tracheal intubation (DTI). Read More

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Multivariate Analysis of the Failure Risk of First Tracheal Intubation Attempt in a Population of Patients Scheduled for Bariatric Surgery.

Obes Surg 2021 Jul 23. Epub 2021 Jul 23.

Department of Anesthesiology and Critical Care Medicine, Cochin University Hospital, Paris Descartes University, Assistance Publique-Hôpitaux de Paris, Paris, France.

Background: Airway management during the administration of anesthesia to patients undergoing bariatric surgery is challenging. The goal is to avoid multiple intubation attempts because the risk of complications increases with the number of attempts. The objective of this study was to determine the failed first intubation attempt rate, as well as variables associated with this failure, in patients undergoing bariatric surgery. Read More

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Predictive model for difficult laryngoscopy using machine learning: retrospective cohort study.

Braz J Anesthesiol 2021 Jul 9. Epub 2021 Jul 9.

Kangwon National University, College of Medicine, Department of Anesthesiology and Pain Medicine, Chuncheon, South Korea.

Background: Both predictions and predictors of difficult laryngoscopy are controversial. Machine learning is an excellent alternative method for predicting difficult laryngoscopy. This study aimed to develop and validate practical predictive models for difficult laryngoscopy through machine learning. Read More

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Strategies for Nonpolar Aerosol Collection and Heavy Metals Analysis of Inhaled Cannabis Products.

ACS Omega 2021 Jul 21;6(26):17126-17135. Epub 2021 Jun 21.

Medicine Creek Analytics, 3700 Pacific Highway East, Fife, Washington 98424, United States.

The rapid growth of inhalable cannabis concentrates raises questions about the safety of acute and chronic exposure to these aerosol mixtures. Due to the nonpolar nature of the aerosol mixture created from cannabis vapor cartridges, traditional aqueous-based capture methods used in e-cigarette or tobacco cigarette studies for analysis of metals are insufficient. Moreover, hydrophobic cannabis concentrates are not miscible with dilute aqueous acids and therefore not ideal for metal spiking unlike electronic nicotine delivery systems. Read More

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Comparative Study of Clinical and Ultrasound Parameters for Defining a Difficult Airway in Patients with Obesity.

Obes Surg 2021 Sep 5;31(9):4118-4124. Epub 2021 Jul 5.

São Domingos Hospital, São Luís, Brazil.

Introduction: Patients with obesity have anatomical changes due to increased adipose tissue that negatively affect airway accessibility, making it difficult to establish an advanced airway through orotracheal intubation. This article aims to evaluate the correlation of clinical and sonographic parameters as predictors of difficult airway management (DAM) in patients with obesity and to establish the predictive value of the skin-epiglottis distance as an indicator of a probable DAM.

Methods: This is an observational, prospective study of 100 patients with obesity who underwent bariatric surgery over a 12-month period. Read More

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September 2021

Acoustic parameter changes after bariatric surgery.

Logoped Phoniatr Vocol 2021 Jul 2:1-6. Epub 2021 Jul 2.

Department of Otorhinolaryngology, University of Health Science, Ankara Numune Training and Research Hospital, Ankara, Turkey.

Objective: To investigate the acoustic parameter changes after weight loss in bariatric surgery patients.

Materials And Methods: This prospective, longitudinal study was conducted with 15 patients with planned bariatric surgery, who were evaluated pre-operatively and at 6 months post-operatively. Fundamental frequency (F0), Formant frequency (F1, F2, F3, and F4), Frequency perturbation (Jitter), Amplitude perturbation (Shimmer) and Noise-to-Harmonics Ratio (NHR) parameters were evaluated for /a/, /e/, /i/, /o/, and /u/ vowels. Read More

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Risk of adverse events in gastrointestinal endoscopy: Zero-inflated Poisson regression mixture model for count data and multinomial logit model for the type of event.

PLoS One 2021 30;16(6):e0253515. Epub 2021 Jun 30.

Anesthesia & Intensive Care, S. Raffaele Hospital, Milano, Italy.

Background And Aims: We analyze the possible predictive variables for Adverse Events (AEs) during sedation for gastrointestinal (GI) endoscopy.

Methods: We consider 23,788 GI endoscopies under sedation on adults between 2012 and 2019. A Zero-Inflated Poisson Regression Mixture (ZIPRM) model for count data with concomitant variables is applied, accounting for unobserved heterogeneity and evaluating the risks of multi-drug sedation. Read More

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Hypertensive crisis in patients with obstructive sleep apnea-induced hypertension.

BMC Cardiovasc Disord 2021 06 23;21(1):310. Epub 2021 Jun 23.

Department of Medicine, Faculty of Medicine, Khon Kaen University, 123 Mitraparp Road, Khon Kaen, 40002, Thailand.

Background: Hypertensive crisis is an urgent/emergency condition. Although obstructive sleep apnea (OSA) in resistant hypertension has been thoroughly examined, information regarding the risk factors and prevalence of hypertensive crisis in co-existing OSA and hypertension is limited. This study thus aimed to determine prevalence of and risk factors for hypertensive crisis in patients with hypertension caused by OSA. Read More

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Preoperative predictors of difficult oropharyngeal exposure for transoral robotic surgery: The Pharyngoscore.

Head Neck 2021 Oct 16;43(10):3010-3021. Epub 2021 Jun 16.

Humanitas University, Department of Biomedical Sciences, Milan, Italy.

Background: Insufficient exposure may require termination of procedure in transoral robotic surgery (TORS). The aim of study was to develop a "Pharyngoscore" to quantify the risk of difficult oropharyngeal exposure (DOE) before TORS.

Methods: Three-hundred six patients undergoing any surgical procedure at one Academic Hospital were prospectively enrolled. Read More

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October 2021

Incidental identification of inv(16)(p13.1q22)/- variant transcript in a patient with therapy-related acute myeloid leukemia by routine leukemia translocation panel screen: implications for diagnosis and therapy.

Cold Spring Harb Mol Case Stud 2021 06 11;7(3). Epub 2021 Jun 11.

Department of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas 77030, USA.

A 52-yr-old woman presented with therapy-related acute myeloid leukemia. A bone marrow biopsy showed 21% blasts with a myeloid phenotype and no other notable features such as abnormal eosinophils. Routine nanofluidics-based reverse transcriptase polymerase chain reaction (PCR) leukemia translocation panel designed to screen for recurrent genetic abnormalities in acute leukemia detected an inversion 16 transcript variant E. Read More

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Ratio of height to thyromental distance: a comparison with mallampati and upper lip bite test for predicting difficult intubation in Pakistani population.

J Pak Med Assoc 2021 Jun;71(6):1570-1574

Departments of Anaesthesiology,Aga Khan University Hospital, Karachi.

Objective: To compare the accuracy of three diagnostic tests in predicting difficult laryngoscopy using Cormack and Lehane grade as the gold standard.

Methods: The cross-sectional study was conducted at the Aga Khan University Hospital, Karachi, from August 2014 to August 2015, and comprised patients who required endotracheal intubation for elective surgical procedures. The primary investigator used ratio of height to thyromental distance, upper lip bite test and the modified Mallampati test for assessing the airway correlated with laryngoscopic view based on Cormack and Lehane grading. Read More

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Study comparing different airway assessment tests in predicting difficult laryngoscopy: A prospective study in geriatric patients.

Indian J Anaesth 2021 Apr 15;65(4):309-315. Epub 2021 Apr 15.

Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi, India.

Background And Aims: Limited studies are available comparing diagnostic accuracy of various airway predictors in geriatric patients. We conducted this study with primary aim to evaluate and validate the predictive value of 'standard airway predictors' like modified Mallampati test, thyromental distance (TMD), sternomental distance, neck movement (NM), mouth opening (MO), dentition and 'new airway predictors' like upper lip bite test (ULBT), ratio of height to thyromental distance and thyromental height test (TMHT) for predicting difficult laryngoscopy in geriatric patients.

Methods: This prospective, observational study was conducted on 140 patients above 65 years of age of either sex, scheduled for elective surgery under general anaesthesia requiring endotracheal intubation. Read More

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The Association Between Upper Airway Patency and Speaking Valve Trial Tolerance for Patients With Tracheostomy: A Clinical Retrospective Study and an In Vitro Study.

Am J Speech Lang Pathol 2021 07 31;30(4):1728-1736. Epub 2021 May 31.

Department of Otorhinolaryngology, Rush University Medical Center, Chicago, IL.

Purpose Upper airway patency is crucial in a patient's ability to tolerate a one-way speaking valve (SV). Traditional assessment of airway patency is mainly subjective. We developed four noninvasive methods to assess patency (leak volume, transtracheal pressure [TTP], end-tidal CO, and Mallampati score) in our institution. Read More

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Airway Management in Substernal Goiter Surgery.

Ann Otol Rhinol Laryngol 2021 May 25:34894211014794. Epub 2021 May 25.

Department of Otolaryngology-Head & Neck Surgery, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.

Objective(s): To review the experience of 3 hospitals with airway management during surgery for substernal goiter and identify preoperative factors that predict the need for advanced airway management techniques.

Methods: A retrospective chart review between 2009 and 2017 of patients with substernal goiter treated surgically at 1 of 3 hospitals was performed.

Results: Of the 179 patients included in the study, 114 (63. Read More

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Cherubism and anaesthesia.

Anaesthesiol Intensive Ther 2021 ;53(3):286-287

Department of Anesthesiology, CHP Saint-Grégoire, Saint-Grégoire, France.

Respiratory complications are one of the main problems in paediatric anaesthesia. Cherubism is a rare fami-lial disease causing enlargement of the mandible that may be associated with difficult intubation [1, 2]. A 5-year-old, 20 kg, ASA 1, healthy girl was evaluated for anaesthesia requested for the removal of mandibular lesions (Figure 1). Read More

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January 2021

Safety and sedation-associated adverse event reporting among patients undergoing endoscopic cholangiopancreatography: a comparative systematic review and meta-analysis.

Surg Endosc 2021 May 8. Epub 2021 May 8.

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

Background And Aim: There is wide variation in choice of sedation and airway management for endoscopic retrograde cholangiopancreatography (ERCP). The aim of this study was to perform a systematic review and meta-analysis to investigate safety outcomes of deep sedation with monitored anesthesia care (MAC) versus general endotracheal anesthesia (GETA).

Methods: Individualized search strategies were performed in accordance with PRISMA and MOOSE guidelines. Read More

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Modified Mallampati Class Rating Before and After Cesarean Delivery: A Prospective Observational Study.

Asian J Anesthesiol 2021 06 30;59(2):51-57. Epub 2021 Apr 30.

Department of Anesthesiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Background: The modified Mallampati classification (MMC) provides an estimate of the tongue size relative to the oral cavity size, and is a usual screening tool for predicting difficult laryngoscopy. Previous studies have indicated an increase of MMC during the progression of pregnancy, but there is no comprehensive study in pregnant women undergoing cesarean delivery. The primary aim of this study was to evaluate the MMC before and after cesarean delivery. Read More

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Evaluation of super-obesity and super-super-obesity as risk factors for difficult intubation in patients undergoing bariatric surgery.

Surg Obes Relat Dis 2021 Jul 6;17(7):1279-1285. Epub 2021 Apr 6.

Department of Anesthesia and Critical Care Medicine, Cairo University, Cairo, Egypt.

Background: Super-obesity is a serious disorder which requires bariatric surgery. The association of super-obesity and difficult intubation was not adequately established.

Objectives: To determine if super-obesity and super-super-obesity are associated with difficult intubation or not. Read More

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Comparison of different size left-sided double-lumen tubes for thoracic surgery.

Ann Card Anaesth 2021 Jan-Mar;24(1):42-46

Department of Anesthesiology, University of Mississippi Medical Center, Jackson, MS 39216, USA.

Study Objective: The aim of this study is to see if there are any clinical differences between using 35 F DLT for all patients versus using patient height regardless of gender to estimate appropriate DLT size.

Design: Prospective randomized study.

Setting: University Hospital. Read More

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Twin Vaginal Deliveries in Labor Rooms: A Cost-Effectiveness Analysis.

Am J Perinatol 2021 Apr 20. Epub 2021 Apr 20.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of California, Los Angeles, California.

Objective:  Twin vaginal deliveries (VDs) are often performed in the operating room (OR) given the theoretical risk of conversion to cesarean delivery (CD) for the aftercoming twin. We aim to evaluate the cost-effectiveness of performing VDs for twin gestations in the labor and delivery room (LDR) versus OR.

Study Design:  We conducted a cost-effectiveness analysis using a decision-analysis model that compared the costs and effectiveness of two strategies of twin deliveries undergoing a trial of labor: (1) intended delivery in the LDR and 2) delivery in the OR. Read More

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Comparison of laser microsurgery and open partial laryngectomy for T1-2 laryngeal cancer treatment.

Ann Transl Med 2021 Mar;9(6):464

Department of Otolaryngology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Background: This study aims to investigate the clinical efficacy of transoral laser microsurgery and open partial laryngectomy (OPL) in treating T1-2 laryngeal cancer.

Methods: A retrospective analysis was conducted of 182 patients with T1-2 cancer with anterior vocal commissure (AVC) involvement. The local control (LC), disease-free survival (DFS) and overall survival (OS) rates at 5-year follow-up and the influencing factors were analyzed. Read More

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Preoperative X-ray CCAR is applicable for prediction of difficult laryngoscopy in patients with cervical spondylosis.

BMC Anesthesiol 2021 04 12;21(1):111. Epub 2021 Apr 12.

Department of Anesthesiology, Peking University Third Hospital, Peking University Health Science Center, 49 North Garden Road, Haidian District, Beijing, P.R. China.

Background: Airway management is one of the most important techniques in anesthesia practice and inappropriate airway management is related with airway injury, brain hypoxia, and even death. The patients with cervical spondylosis are often confronted with difficult laryngoscopy who are more prone to appear difficult airway, so it is important to figure out valuable predictors of difficult laryngoscopy in these patients.

Methods: We randomly enrolled 270 patients undergoing elective cervical spine surgery and analyzed the cervical mobility data in predicting difficult laryngoscopy. Read More

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"PUSH" as a mnemonic for Modified Mallampati classification.

J Anaesthesiol Clin Pharmacol 2020 Oct-Dec;36(4):568-569. Epub 2021 Jan 18.

Department of Anaesthesia and Intensive Care, Govt. Medical College and Hospital, Sector 32, Chandigarh, India.

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January 2021