3,900 results match your criteria Supraglottic Cancer


Oxygen reserve index (ORi™) contributes to prediction of hypoxemia and patient safety during tracheal stent insertion using rigid bronchoscopy: a case report.

J Clin Monit Comput 2018 Dec 5. Epub 2018 Dec 5.

Department of Anesthesiology and Critical Care Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-Shi, Tochigi-Ken, 329-0498, Japan.

The oxygen reserve index (ORi™) is a new noninvasive and continuous variable, which represents a moderate hyperoxygenation status, with a unitless scale between 0.00 and 1.00. Read More

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December 2018

Supraglottic airway devices for surfactant treatment: systematic review and meta-analysis.

J Perinatol 2018 Dec 5. Epub 2018 Dec 5.

Department of Woman's and Child's Health, University of Padova, Padova, Italy.

Objective: To compare surfactant administration via supraglottic airway device (SAD) vs. nasal CPAP alone or INSURE.

Study Design: A systematic search of PubMed, EMBASE, SCOPUS, Cochrane Central Register of Controlled Trials and Clinicaltrials. Read More

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December 2018
1 Read

Prehospital Airway Management in Iraq and Afghanistan: A Descriptive Analysis.

South Med J 2018 Dec;111(12):707-713

From the US Army Institute of Surgical Research, Joint Base San Antonio-Fort Sam Houston, Texas, the 59th Medical Wing, Joint Base San Antonio-Lackland Air Force Base, Texas, the San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, Texas, the Madigan Army Medical Center, Joint Base Lewis McChord, Washington, and the Army Medical Department Center and School Health Readiness Center of Excellence, Joint Base San Antonio-Fort Sam Houston, Texas.

Objectives: Airway failures are the second leading cause of potentially preventable death on the battlefield. Improvements in airway management depend on identifying current challenges. We sought to build on previously reported data on prehospital, combat airway management. Read More

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December 2018
2 Reads

Laryngeal synovial sarcoma: Report of 2 cases.

J Egypt Natl Canc Inst 2018 Dec 24;30(4):173-176. Epub 2018 Nov 24.

ENT Department, Farhat Hached University Hospital, Sousse, Tunisia.

Synovial sarcoma is a malignant mesenchymal tumor. It most commonly occurs in the lower extremities of young adults. The head and neck are rare sites, accounting for less than 10%. Read More

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December 2018
3 Reads

Ultrasound-Guided Needle Biopsy for Diagnosis of Advanced-Stage Malignancies of the Upper Aerodigestive Tract.

OTO Open 2017 Jan-Mar;1(1):2473974X17690132. Epub 2017 Feb 3.

Department of Otolaryngology, Head & Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA.

Objective: Traditionally, direct laryngoscopy confirms stage and tissue diagnosis prior to treatment planning. Patients who are frail or have tenuous airway anatomy may incur risks while undergoing anesthesia. Further, direct laryngoscopy is scheduled after initial examination, introducing diagnosis delay. Read More

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February 2017

Metastasis of adenoid cystic carcinoma from a submandibular gland to the larynx.

Auris Nasus Larynx 2018 Nov 22. Epub 2018 Nov 22.

Department of Otorhinolaryngology, Head & Neck Surgery, National Sencai Medical Center, Japan.

The present article discusses the first reported case of adenoid cystic carcinoma (ACC) metastasis from a submandibular gland to the larynx. Both treatments of distant metastasis of ACC and secondary laryngeal tumor are challenging. Despite its slow progression, ACC is associated with high rates of local recurrence, distant metastasis, and poor prognosis. Read More

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November 2018
4 Reads

Fibreoptic-guided tracheal intubation through i-gel and LMA Protector supraglottic airway devices - a randomised comparison.

Anaesthesia 2018 Nov 22. Epub 2018 Nov 22.

Nuffield Department of Anaesthetics, Oxford University Hospitals NHS Foundation Trust.

Fibreoptic-guided tracheal intubation using a supraglottic airway device as a conduit is a technique that can be used in anticipated and unanticipated difficult airway management. Although the i-gel supraglottic airway device has been examined for this purpose, the LMA Protector , a recently introduced second-generation supraglottic airway device, has not been evaluated for this use in clinical trials. This prospective, randomised clinical trial compared fibreoptic-guided tracheal intubation via i-gel and LMA Protector supraglottic airway devices in two UK hospitals. Read More

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November 2018

Airway management research: a systematic review.

Anaesthesia 2018 Nov 20. Epub 2018 Nov 20.

Guy's & St Thomas' NHS Foundation Trust, London, UK.

Recent controversy regarding the ethics of conducting airway research in patients led to disagreements concerning the value and frequency of manikin-based investigation. However, no formal examination of the methodology of airway research has been undertaken. We, therefore, performed a systematic bibliometric review of airway management research to describe the conduct, quantify the subjects (patient vs. Read More

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November 2018
4 Reads

Pediatric airway management devices: an update on recent advances and future directions.

Expert Rev Med Devices 2018 Nov 19:1-17. Epub 2018 Nov 19.

a Department of Pediatric Anesthesiology , Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine , Chicago , IL , USA.

Introduction: Structural and physiologic differences between pediatric and adult patients make management of the pediatric airway a challenge. Many initial airway device designs were modeled for adult patients and simply downsized for the pediatric population. This paper reviews the last decade's design improvements in video laryngoscopes and supraglottic airway devices (SGAs), as well as advances in noninvasive oxygenation/ventilation techniques for pediatric airway management. Read More

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November 2018
1 Read

Laryngostroboscopic Exploration of Rough Vocal Effects in Singing and their Statistical Recognizability: An Anatomical and Physiological Description and Visual Recognizability Study of Distortion, Growl, Rattle, and Grunt using laryngostroboscopic Imaging and Panel Assessment.

J Voice 2018 Nov 15. Epub 2018 Nov 15.

Complete Vocal Institute, Denmark.

Objectives: To study vocal effects in singing from the pedagogical method complete vocal technique as related to specific and discrete supraglottic structures and activities by means of laryngostroboscopic imaging and panel testing.

Study Design: This is a case-control study with a double-panel assessment.

Methods: Twenty singers were recorded performing four of the rough vocal effects from the method Complete Vocal Technique. Read More

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November 2018

Chronological change in oropharyngeal leak pressure of pediatric i-gel.

Paediatr Anaesth 2018 Nov 16. Epub 2018 Nov 16.

Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo, Japan.

Sir-The i-gel (Intersurgical, Wokingham, UK) is a single-use supraglottic airway device with a noninflatable cuff made of a soft, gel-like thermoplastic elastomer. It was previously reported that oropharyngeal leak pressure (OLP) of i-gel improved over time after insertion in adults. However, there is limited evidence regarding the change in sealing ability of pediatric i-gel . Read More

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November 2018

Comparison of I-gel for general anesthesia in obese and nonobese patients.

Saudi J Anaesth 2018 Oct-Dec;12(4):535-539

Department of Emergency Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.

Context: I-gel is a second-generation supraglottic airway device. Despite several studies on i-gel, there are very few studies on the use of i-gel in obese patients.

Aims: The aim of the study was to compare the clinical performance of i-gel between obese and nonobese patients. Read More

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November 2018
2 Reads

Impact of Automated External Defibrillator as a Recent Innovation for the Resuscitation of Cardiac Arrest Patients in an Urban City of Japan.

J Emerg Trauma Shock 2018 Jul-Sep;11(3):217-220

Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Tokyo, Japan.

Context/aims: We retrospectively analyzed the characteristics of prehospital care for cardiopulmonary arrest (CPA) to identify the predictors of a good recovery (GR) among the recent changes in the management of Japanese prehospital care.

Settings And Design: This study was a retrospective medical chart review.

Subjects And Methods: We reviewed the transportation records written by emergency medical technicians and the characteristics of prehospital management of out-of-hospital (oh) CPA described by the Sunto-Izu Fire Department from April 2016 to March 2017. Read More

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November 2018
5 Reads

[Vocal Changes and Laryngeal Modifications in the Elderly (Presbyphonia and Presbylarynx)].

Laryngorhinootologie 2018 Nov 7;97(11):772-776. Epub 2018 Nov 7.

In about 20 % of the population older than 60 years of age, voice problems (presbyphonia) are manifest, often combined with hearing deficits (presbyacusis), swallowing disorders (presbyphagia), dizziness (presbyvertigo) and/or impaired vision (presbyopia).The singing voice is afflicted more often, earlier and more severely than the speaking voice. But it is not just the vocal quality and capacity that are affected. Read More

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November 2018
4 Reads

Shar Pei Larynx: Supraglottic and Postcricoid Mucosal Redundancy and Its Association With Medical Comorbidities.

Ann Otol Rhinol Laryngol 2018 Nov 7:3489418810893. Epub 2018 Nov 7.

1 Department of Otolaryngology - Head & Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Objectives:: The aim of this study is to describe a clinical entity the authors term "Shar Pei larynx," characterized by redundant supraglottic and postcricoid mucosa that the authors hypothesize coexists in patients with obstructive sleep apnea, laryngopharyngeal reflux, and obesity. By exploring this hypothesis, the authors hope to set the foundation for future research with the goal of identifying whether Shar Pei larynx is a marker for untreated sleep apnea or other diseases.

Study Design:: Retrospective chart review. Read More

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November 2018
4 Reads

[The morphplogical and its influencing factors research after supracricoid partial laryngectory with cricohyoidoepiglottopexy].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Oct;32(20):1584-1587

Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China.

The aim of this study for observing laryngeal morphology, and motion characteristics after supracricoid partial laryngectomy with cricohyoidoepiglottopexy(SCPL-CHEP),exploring the relevant factors affecting the morphology of new laryngeal. Choose 46 cases of patients with laryngeal cancer for SCPL-CHEP as the object of study, dynamic laryngoscope were performed in all the patients, to observe the movement of laryngeal pronunciation (neoglottis closure , supraglottic situation) . Combined with the patient's clinical data, the relevant factors that may affect the pronunciation and movement characteristics of the new throat were analyzed. Read More

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October 2018
3 Reads

AuraGain and i-Gel laryngeal masks in general anesthesia for laparoscopic cholecystectomy. Performance characteristics and effects on hemodynamics.

Saudi Med J 2018 Nov;39(11):1082-1089

Department of Anesthesiology and Reanimation, Yuksek Ihtisas Research and Educational Hospital, Health Sciences University, Ankara, Turkey. E-mail.

Objectives:   To evaluate and compare the performances of new types of supraglottic airway devices (SADs) with endotracheal intubation regarding their ease of insertions, perioperative complications, and effects on hemodynamic parameters and peak airway pressures in laparascopic cholecystectomy (LC).  Methods: One hundred and fourteen patients with ASA 1-2 physical status scheduled for elective LC were recruited for this prospective randomized controlled trial. The study was completed between January  2016 and January 2017 in Adiyaman University Research and Educational Hospital, Adiyaman, Turkey. Read More

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November 2018
5 Reads

Supraglottic airway devices as a strategy for unassisted tracheal intubation: A network meta-analysis.

PLoS One 2018 5;13(11):e0206804. Epub 2018 Nov 5.

Department of Anaesthesiology and Pain Medicine, InJe University Seoul Paik Hospital, Seoul, Korea.

We aimed to compare the effectiveness of supraglottic airway devices as a strategy for unassisted tracheal intubation. Accordingly, we searched the OVID-MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, KoreaMed, and Google Scholar databases to identify all relevant randomized controlled trials (RCTs) on supraglottic airway devices as a strategy for tracheal intubation published until May 2017. The primary outcome was the overall success rate of intubation by the intention to treat (ITT) strategy. Read More

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November 2018
5 Reads

A survey of practice of rapid sequence induction for caesarean section in England.

Int J Obstet Anesth 2018 Nov 1;36:3-10. Epub 2018 Jun 1.

Department of Anaesthetics, University Hospital Coventry, Clifford Bridge Road, CV2 2DX Coventry, United Kingdom.

Background: In view of newer techniques of preoxygenation and laryngoscopy and recent obstetric guidelines concerning the management of difficult intubation, we aimed to evaluate the current practice of rapid sequence induction for caesarean section in England.

Methods: In 2017, 316 questionnaire surveys were posted to all 158 hospitals with caesarean section capabilities in England. At each hospital, one questionnaire was to be completed by the obstetric anaesthetic consultant lead and one by an anaesthetic trainee. Read More

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November 2018
7 Reads

Utility of Routine Spirometry Measures for Surveillance of Idiopathic Subglottic Stenosis.

JAMA Otolaryngol Head Neck Surg 2018 Nov 1. Epub 2018 Nov 1.

Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville.

Importance: Because of the recurrent nature of idiopathic subglottic stenosis, routine follow-up is necessary for monitoring progression of stenosis. However, no easily accessible, standardized objective measure exists to monitor disease progression.

Objective: To determine whether peak expiratory flow (PEF) can be used as a reliable and easily accessible biometric indicator of disease progression relative to other validated spirometry measures in patients with idiopathic subglottic stenosis. Read More

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November 2018
2 Reads

Supraglottic airway devices in pediatric airway simulation.

Authors:
Mark C Kendall

Eur J Pediatr 2018 Oct 31. Epub 2018 Oct 31.

Department of Anesthesiology, Rhode Island Hospital, Warren Alpert Medical School of Brown University, 593 Eddy Street, Providence, RI, 02903, USA.

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October 2018

Prehospital Airway Management Examined at Two Pediatric Emergency Centers.

Prehosp Disaster Med 2018 Oct;33(5):532-538

1Trauma Services,Children's Health,Dallas,TexasUSA.

IntroductionRoutine advanced airway usage by Emergency Medical Services (EMS) has had conflicting reports of being the secure airway of choice in pediatric patients.Hypothesis/ProblemThe primary objective was to describe a pediatric cohort requiring airway management upon their arrival directly from the scene to two pediatric emergency departments (PEDs). A secondary objective included assessing for associations in EMS airway management and patient outcomes. Read More

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October 2018
1 Read

Laryngeal mask airway Unique™ position in paediatric patients undergoing magnetic resonance imaging (MRI): prospective observational study.

BMC Anesthesiol 2018 Oct 24;18(1):153. Epub 2018 Oct 24.

Department of Paediatric Anaesthesia and Intensive care, University Hospital Brno, Faculty of medicine, Brno, Czech Republic.

Background: Laryngeal mask UNIQUE® (LMAU) is supraglottic airway device with good clinical performance and low failure rate. Little is known about the ideal position of the LMAU on the magnetic resonance imaging (MRI) and whether radiological malposition can be associated with clinical performance (audible leak) in children. The primary aim of the study was to evaluate incidence of the radiologic malposition of the LMAU according to size. Read More

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October 2018
4 Reads

[Supraglottic airway devices and intraosseous access in the treatment of patients after out-of-hospital cardiac arrest : Do we use the wrong tool too often?]

Med Klin Intensivmed Notfmed 2018 Oct 23. Epub 2018 Oct 23.

Medizinische Klinik II, Schwerpunkt Kardiologie und Angiologie, Marien Hospital Herne, Ruhr-Universität Bochum, Hölkeskampring 40, 44625, Herne, Deutschland.

Introduction: Only a little is known about the frequency of use of supraglottic airway devices (SADs) and intraosseous (IO) access in patients who have had out-of-hospital cardiac arrest (OHCA).

Materials And Methods: We analyzed data from all patients who had had OHCA admitted to our hospital between 1 January 2008 and 31 December 2017.

Results: A total of 135 (33. Read More

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October 2018
5 Reads

Radiation Therapy for Tracheobronchial Metastases from Head and Neck Squamous Cell Carcinoma.

Cureus 2018 Aug 15;10(8):e3151. Epub 2018 Aug 15.

Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, USA.

Tracheobronchial metastases from head and neck squamous cell carcinoma (HNSCC) represent a rare occurrence, with few reported cases in the literature. Here, we present two patients with HNSCC who developed tracheobronchial metastases at different time points in their disease course. Patient 1 presented with a localized tonsillar primary, underwent tonsillectomy and post-operative radiation therapy to the tumor bed and bilateral neck, and experienced multiple subsequent metastases in different locations throughout the tracheobronchial tree. Read More

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August 2018
7 Reads

Radiation-Associated Chronic Dysphagia Assessment by Flexible Endoscopic Evaluation of Swallowing (FEES) in Head and Neck Cancer Patients: Swallowing-Related Structures and Radiation Dose-Volume Effect.

Ann Otol Rhinol Laryngol 2018 Oct 20:3489418804260. Epub 2018 Oct 20.

1 Faculty of Medicine, Department of Radiation Oncology, Ege University, Ankara Street, Izmir, Turkey.

Purpose We aimed to restore dose-volume parameters of swallowing-related structures (SRSs) by evaluating long-term swallowing dysfunctions after radiotherapy (RT) in head and neck cancer patients (HNCPs). Materials and Methods Head and neck cancer patients whose pharyngeal region was involved in RT portal and treated with definitive RT/chemoradiotherapy (CRT) were included in the analyses. Patients underwent objective swallowing assessment by flexible endoscopic evaluation of swallowing (FEES). Read More

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October 2018
10 Reads

Clinical performance of airway management with the i-gel and laryngeal mask airway supreme in geriatric patients: a prospective and randomized study.

Korean J Anesthesiol 2018 Oct 22. Epub 2018 Oct 22.

Department of Anaesthesiology and Pain medicine, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.

Background: Geriatric patients are susceptible to respiratory and hemodynamic adverse events during endotracheal intubation and extubation due to anatomic and physiological changes with aging. Supraglottic airway devices (SADs) provide reduced airway morbidity and increased hemodynamic stability in adults. However, studies that have compared the clinical performance of SADs in elderly patients are limited. Read More

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October 2018
5 Reads

From evidence based on practice to evidence-based practice: time for a difficult airway management research strategy.

Anaesthesia 2018 Oct 17. Epub 2018 Oct 17.

Guy's and St Thomas' NHS Foundation Trust and Honorary Senior Lecturers, King's College London, London, UK.

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October 2018

Office-based laryngology: Technical and visual optimization by patient-positioning maneuvers.

Laryngoscope 2018 Oct 16. Epub 2018 Oct 16.

Department of Otolaryngology-Head and Neck Surgery, the University of North Carolina School of Medicine, Chapel Hill, North Carolina, U.S.A.

Objective/hypothesis: To qualitatively and quantitatively assess the effect of discrete head postures/maneuvers during flexible laryngoscopy on visualization of specific anatomical structures within the laryngopharynx.

Study Design: Prospective, observational study.

Methods: Flexible laryngoscopy was performed on 18 sequential patients. Read More

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October 2018
3 Reads

Neuromuscular blockers and reversal agents and their impact on anesthesia practice.

Best Pract Res Clin Anaesthesiol 2018 Jun 2;32(2):203-211. Epub 2018 Jul 2.

Department of Anesthesiology and Critical Care, The University of Chicago, Chicago, USA. Electronic address:

Neuromuscular blockers have long been an intricate part of the anesthesia regimen. The scientific progress in pharmacology and physiology has strengthened their clinical relevance, has helped to delineate with precision their medical role, and has enhanced the safety and effectiveness of their use. New frontiers in research will define further the role of these agents in modern anesthesia practice and guide their expanding and discrete clinical applications. Read More

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June 2018
3 Reads

Prospective, Randomized Comparison of the i-gel and the Self-Pressurized air-Q Intubating Laryngeal Airway in Elderly Anesthetized Patients.

Anesth Analg 2018 Oct 12. Epub 2018 Oct 12.

From the Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.

Background: Age-related changes in upper airway anatomy may affect the overall performance of supraglottic airways significantly. The clinical performance of the i-gel and the self-pressurized air-Q intubating laryngeal airways with noninflatable cuffs for elderly populations remains unknown, unlike in children. Thus, we performed a prospective, randomized comparison of these 2 supraglottic airways in elderly patients undergoing general anesthesia. Read More

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October 2018
3 Reads

A comparison of supraglottic devices in pediatric patients.

Med Devices (Auckl) 2018 1;11:361-365. Epub 2018 Oct 1.

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA,

Background: When managing patients with a difficult airway, supraglottic airways (SGAs) have been used as rescue devices or to serve as a conduit for endotracheal intubation. The current study compares various clinical outcomes, including the bronchoscopic view of the glottis when using 2 SGAs, the Air-Q laryngeal mask airway (LMA) and the i-gel SGA, in pediatric patients.

Methods: Patients ≤18 years of age were prospectively randomized to receive either the Air-Q LMA or the i-gel SGA. Read More

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October 2018
5 Reads

Predictive value of globus pharyngeus in patients with functional dysphonia versus organic dysphonia.

Laryngoscope 2018 Oct 12. Epub 2018 Oct 12.

Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

Objectives/hypothesis: This is a retrospective study investigating the prevalence of globus pharyngeus in patients with dysphonia.

Study Design: Retrospective chart review.

Methods: The study examined the prevalence of globus pharyngeus in patients presenting with history of dysphonia at the American University of Beirut Medical Center Voice Center was performed. Read More

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October 2018
2 Reads

Ambu® Aura Gain™ versus Ambu® Aura Once™ in children: a randomized, crossover study assessing oropharyngeal leak pressure and fibreoptic position.

Can J Anaesth 2018 Oct 12. Epub 2018 Oct 12.

Department of Anaesthesia and Intensive Care, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Purpose: The Ambu® Aura Gain™ is a new second-generation supraglottic airway device that-because of a wider curvature and a wide airway tube-allows fibreoptic intubation. The purpose of this study was to assess the oropharyngeal leak pressure of the Ambu® Aura GainTM compared with the Ambu® Aura Once™.

Methods: In this randomized non-blinded crossover trial with 50 patients aged 18 months to six years (10-20 kg), we compared the Ambu® Aura Gain™ and the Ambu® Aura Once™ for airway maintenance in anesthetized, non-paralyzed participants. Read More

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October 2018
1 Read

A retrospective study of the impact of supraglottic airway devices on the appearance of neck masses in children undergoing serial magnetic resonance imaging.

Paediatr Anaesth 2018 Dec 9;28(12):1123-1128. Epub 2018 Oct 9.

Department of Radiology, University of Pennsylvania Perelman School of Medicine and Children's Hospital Of Philadelphia, Philadelphia, Pennsylvania.

Background: General anesthesia and sedation are used routinely for magnetic resonance imaging (MRI) studies in children to optimize image quality. Airway devices such as supraglottic airways (SGAs) can alter the appearance of cervical soft tissue regions on an MRI and increase the risk of misdiagnosis. This phenomenon has not been well described in vivo. Read More

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December 2018
3 Reads
1.740 Impact Factor

Advanced airway management in out of hospital cardiac arrest: A systematic review and meta-analysis.

Am J Emerg Med 2018 Dec 26;36(12):2298-2306. Epub 2018 Sep 26.

Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia; Sydney Clinical School, University of Notre Dame, Sydney, NSW, Australia; Wagga Wagga Rural Referral Hospital, Wagga Wagga, NSW, Australia.

Objectives: To assess the difference in survival and neurological outcomes between endotracheal tube (ETT) intubation and supraglottic airway (SGA) devices used during out-of-hospital cardiac arrest (OHCA).

Methods: A systematic search of five databases was performed by two independent reviewers until September 2018. Included studies reported on (1) OHCA or cardiopulmonary resuscitation, and (2) endotracheal intubation versus supraglottic airway device intubation. Read More

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December 2018
2 Reads

[Clinical analysis of malignant salivary gland tumors of the larynx].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;53(9):684-687

Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital of Fudan University, Shanghai 200031, China.

To evaluate the clinical features, treatments and prognoses of malignant salivary gland tumors of the larynx. A total of 14 patients with malignant salivary gland tumors of the larynx diagnosed and treated in our hospital between 2003 and 2014 were analyzed retrospectively, and were compared with 62 patients from the Surveillance, Epidemiology, and End (SEER) database of American for survival rates. Results Among 14 patients from our hospital, 9 males and 5 females, with a median of 66. Read More

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September 2018
10 Reads

[Management of the difficult airway : Overview of the current guidelines].

Anaesthesist 2018 Oct;67(10):725-737

Departement für Anästhesie, Intensivmedizin und Reanimation, Spitalregion Rheintal, Werdenberg, Sarganserland, Schweiz.

Several national airway task forces have recently updated their recommendations for the management of the difficult airway in adults. Routinely responding to airway difficulties with an algorithm-based strategy is consistently supported. The focus is increasingly not on tools and devices but more on good planning, preparation and communication. Read More

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October 2018
3 Reads

Comparison of blind intubation via supraglottic airway devices versus standard intubation during different airway emergency scenarios in inexperienced hand: Randomized, crossover manikin trial.

Medicine (Baltimore) 2018 Oct;97(40):e12593

Lazarski University, Warsaw, Poland.

Background: Securing the airway and enabling adequate oxygenation and ventilation is essential during cardiopulmonary resuscitation (CPR). The aim of the study was to evaluate the success rate of blind intubation via the I-Gel and the Air-Q compared with direct laryngoscopy guided endotracheal intubation by inexperienced physician and to measure time to successful intubation.

Methods: The study was designed as a randomized, cross-over simulation study. Read More

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October 2018
6 Reads

Supraglottic airway devices in difficult airway management: a retrospective cohort study of 658,104 general anaesthetics registered in the Danish Anaesthesia Database.

Anaesthesia 2018 Oct 4. Epub 2018 Oct 4.

University of Copenhagen, Denmark.

Indications for using supraglottic airway devices have widened over time and they now hold a prominent role in guidelines for difficult airway management. We aimed to describe the use of supraglottic airway devices in difficult airway management. We included adult patients undergoing general anaesthesia registered in the Danish Anaesthesia Database from 2008 to 2012 whose airway management had been recorded as difficult, defined as: ≥ 3 tracheal intubation attempts; failed tracheal intubation; or difficult facemask ventilation. Read More

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October 2018
1 Read

Is obstructive sleep apnea associated with difficult airway? Evidence from a systematic review and meta-analysis of prospective and retrospective cohort studies.

PLoS One 2018 4;13(10):e0204904. Epub 2018 Oct 4.

Department of Anesthesia and Pain Medicine, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.

Background: Difficult airway management and obstructive sleep apnea may contribute to increased risk of perioperative morbidity and mortality. The objective of this systematic review and meta-analysis (SRMA) is to evaluate the evidence of a difficult airway being associated with obstructive sleep apnea (OSA) patients undergoing surgery.

Methods: The standard databases were searched from 1946 to April 2017 to identify the eligible articles. Read More

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October 2018
2 Reads

A generalized multistage approach to oral and nasal intubation in infants with Pierre Robin sequence: A retrospective review.

Paediatr Anaesth 2018 Nov 4;28(11):1029-1034. Epub 2018 Oct 4.

Section on Pediatric Anesthesia, Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Background: Airway management in children with Pierre Robin sequence in the infantile period can be challenging and frequently requires specialized approaches.

Aims: The aim of this study was to review our experience with a multistage approach to oral and nasal intubation in young infants with Pierre Robin sequence.

Methods: After IRB approval, we reviewed 13 infants with Pierre Robin sequence who underwent a multistage approach to intubation in the operating room for mandibular distractor or gastrostomy tube placement. Read More

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November 2018
2 Reads

Use of Butorphanol, Fentanyl, and Ketamine as Co-Induction Agents with Propofol for Laryngeal Mask Airway Insertion: A Comparative Study.

Anesth Essays Res 2018 Jul-Sep;12(3):729-734

Department of Anaesthesiology, Thanjavur Medical College, Thanjavur, Tamil Nadu, India.

Background: Management of airway is of great importance in the practice of anesthesia. Supraglottic airway devices, such as laryngeal mask airway (LMA), have greatly revolutionized the management of airway both in terms of ease and degree of invasiveness. Propofol, by its inherent property of decreasing airway reflexes, is used to aid in LMA insertion. Read More

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October 2018
3 Reads

Clinical Evaluation of the Cricoid Pressure Effect on Bag Mask Ventilation, ProSeal Laryngeal Mask Airway Placement and Ventilation.

Turk J Anaesthesiol Reanim 2018 Sep 17;46(5):381-387. Epub 2018 Aug 17.

Department of Anaesthesia and Intensive Care, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Objective: Supraglottic airway devices can be life-saving in the 'cannot intubate, cannot oxygenate' situation. The cricoid pressure (CP) is considered critical in the prevention of aspiration. The aim of this self-controlled study was to evaluate the effect of CP on the bag mask ventilation (BMV), and the placement of and the ventilation through, the ProSeal laryngeal mask airway (LMA). Read More

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September 2018
6 Reads

Intraoperative angioedema induced by angiotensin II receptor blocker: a case report.

Patient Saf Surg 2018 20;12:27. Epub 2018 Sep 20.

2Faculty of Medicine, Jordan University of Science and Technology, P.O.Box: 953, Irbid, 21110 Jordan.

Background: Angiotensin II receptor blockers are a class of antihypertensive agent that is developed to exclude the adverse effects of angiotensin converting enzyme inhibitors. However, as angiotensin II receptor blockers have begun to be more widely prescribed, cases of angiotensin II receptor blocker-induced angioedema have been reported. Rare cases of angioedema following surgery in patients using angiotensin converting enzyme inhibitors have been published. Read More

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September 2018
1 Read

Spontaneous Giant Laryngeal Granuloma in the Absence of Laryngeal Injury.

J Voice 2018 Sep 19. Epub 2018 Sep 19.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA. Electronic address:

The etiology of laryngeal granuloma can typically be attributed to endotracheal intubation, vocal abuse, or gastroesophageal reflux disease. There is a strong male predominance, except in cases due to intubation, where incidence is higher in women. We report a case of spontaneous development of multiple granulomas in a female with no history of intubation who presented with hoarseness and massive bilateral supraglottic masses obscuring her glottis. Read More

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September 2018

Updates in emergency airway management.

Curr Opin Crit Care 2018 Dec;24(6):525-530

Department of Emergency Medicine, University of Texas Health Science Center at Houston, Houston, Texas, USA.

Purpose Of Review: Historically, most evidence supporting emergency airway management strategies have been limited to small series, retrospective analyses and extrapolation from other settings (i.e. the operating room). Read More

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December 2018
2 Reads

CO Transoral Microsurgery for Supraglottic Squamous Cell Carcinoma.

Front Oncol 2018 4;8:321. Epub 2018 Sep 4.

Unit of Otorhinolaryngology, Department of Surgery, Azienda Ospedaliero-Universitaria di Cagliari, University of Cagliari, Cagliari, Italy.

The present study analyzed the results of the endoscopic approach to T1, T2 and selected T3 supraglottic carcinoma with the aim of reviewing functional and oncologic outcomes after different types of endoscopic supraglottic laryngectomies. This is a retrospective clinical study of 42 consecutive patients (mean age of 61.8 years, 33 males, 9 females) treated by the senior author for supraglottic squamous cell carcinoma with a transoral CO laser approach and reviewed from November 2010 to September 2017. Read More

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September 2018
6 Reads

Oropharyngeal leak pressure of the LMA Protector™ vs the LMA Supreme™; a prospective, randomized, controlled clinical trial.

Acta Anaesthesiol Scand 2018 Sep 19. Epub 2018 Sep 19.

Department of Anaesthesia, Schulthess Clinic, Zurich, Switzerland.

Background: Clinical characteristics such as oropharyngeal leak pressure (OLP) and ventilation peak pressure are important factors for successful use of supraglottic airway devices in general anaesthesia. We hypothesized that the LMA Protector™ compared to the LMA Supreme™ may develop a higher OLP, which could be of clinical significance.

Methods: Ninety-six patients were randomized to the LMA Protector™ or LMA Supreme™ groups. Read More

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September 2018

Analysing the efficacy of the I-gel supraglottic airway device in the supine and lateral decubitus positions.

Anaesthesiol Intensive Ther 2018 17;50(4):259-262. Epub 2018 Sep 17.

Department of Anesthesiology and Intensive Therapy in Istanbul Bilim University Medical School, Turkey.

Background: The advantages of the I-gel supraglottic airway device include ease and speed of insertion, reduced trauma incidence, an integral bite block, gastric access, a non-inflatable cuff and superior seal pressure. The primary goal of this study was to compare airway leak pressures and the fibreoptic view in the supine and lateral positions. Our secondary aim was to analyse the effects of I-gel insertion on haemodynamic parameters. Read More

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September 2018
4 Reads