5,323 results match your criteria Tracheal Intubation Laryngeal Mask Airways


[Comparison of channelled videolaryngoscope and intubating laryngeal mask airway for tracheal intubation in obese patients: a randomised clinical trial].

Rev Bras Anestesiol 2020 May 16. Epub 2020 May 16.

Kocaeli University Medical Faculty, Anesthesiology and Reanimation, Kocaeli, Turkey.

Background: Obesity causes various difficulties in intubation and ventilation, which are confronted due to increased fat tissue in the upper airway and diminished compliance in the chest wall. Videolaryngoscopes and Intubating Laryngeal Mask Airway (ILMA) are good options as recommended by the American Society of Anesthesologists (ASA) difficult airway guidelines. We aimed to compare ILMA and Airtraq (a channeled videolaryngoscope) in obese patients. Read More

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http://dx.doi.org/10.1016/j.bjan.2020.01.008DOI Listing

Does the revised intubating laryngeal tube (ILTS-D2) perform better than the intubating laryngeal mask (Fastrach)? - a randomised simulation research study.

BMC Anesthesiol 2020 May 11;20(1):111. Epub 2020 May 11.

Department of Anaesthesiology, Medical Centre of the Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.

Background: The intubating laryngeal tube (ILTS-D™) and the intubating laryngeal mask (Fastrach™) are devices that facilitate both extraglottic application and blind tracheal intubation. A revised model of the iLTS-D (for scientific reasons called ILTS-D2) has been designed but not yet evaluated. Therefore, we compared the ILTS-D2 with the established Fastrach under controlled conditions in a prospective randomised controlled simulation research study. Read More

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http://dx.doi.org/10.1186/s12871-020-01029-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212614PMC

Comparison of the i-gelTM with the AuraGainTM laryngeal mask airways in patients with a simulated cervical immobilization: a randomized controlled trial.

Minerva Anestesiol 2020 Apr 6. Epub 2020 Apr 6.

Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea -

Background: The use of second generation supraglottic airway devices is recommended for airway rescue in failed tracheal intubation. This study was performed to compare the clinical performance of the i-gel with that of the AuraGain in patients with simulated cervical immobilization.

Methods: We conducted a prospective, randomized controlled trial in 104 patients undergoing general anaesthesia from June to September 2018 at the Seoul National University Hospital. Read More

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http://dx.doi.org/10.23736/S0375-9393.20.14237-8DOI Listing

Current Difficult Airway Management: Not Good Enough!: Comment.

Anesthesiology 2020 05;132(5):1280

NorthShore University HealthSystem, Evanston, Illinois (J.H.M.).

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http://dx.doi.org/10.1097/ALN.0000000000003208DOI Listing

Effects of tracheal intubation and tracheal tube position on regional lung ventilation: an observational study.

Anaesthesia 2020 Mar 3;75(3):359-365. Epub 2019 Dec 3.

Leeds Institute of Biological and Clinical Sciences, University of Leeds, UK.

Anaesthesia and positive pressure ventilation cause ventral redistribution of regional ventilation, potentially caused by the tracheal tube. We used electrical impedance tomography to map regional ventilation during anaesthesia in 10 patients with and without a tracheal tube. We recorded impedance data in subjects who were awake, during bag-mask ventilation, with the tracheal tube positioned normally, rotated 90° to each side and advanced until in an endobronchial position. Read More

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http://dx.doi.org/10.1111/anae.14919DOI Listing

Photoplethysmography Response to Laryngeal Mask Airway Insertion during Propofol-Remifentanil Anethesia.

Conf Proc IEEE Eng Med Biol Soc 2019 07;2019:4664-4668

The present study was aimed to evaluate the abilities of photoplethysmography (PPG)-derived parameters, including sample entropy of PPG (SampEn), amplitude of PPG (PPGA), pulse beat interval (PBI) and diastolic interval (DI) extracted by nonlinear or linear methods, to monitor the balance between nociception and antinociception. 26 ASA I or II patients were randomized into one of the three groups to receive a remifentanil effect-compartment target controlled infusion (Ce) of 1, 3 and 5 ng/ml and an effect-compartment target controlled propofol infusion (Ce) to keep the state entropy (SE) at 50 (40~60). Laryngeal mask airway (LMA) insertion was applied as a noxious stimulus. Read More

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http://dx.doi.org/10.1109/EMBC.2019.8857907DOI Listing

Airway management using laryngeal mask airway (LMA) in a patient in a lateral decubitus position: A case report.

Medicine (Baltimore) 2019 Dec;98(51):e18287

Department of Anesthesiology and Pain Medicine, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.

Rationale: Airway management of patients in a lateral decubitus position (LDP), who cannot lie supine is challenging for anesthesiologists. In a previous study, laryngeal mask airway (LMA) was found to be superior to conventional endotracheal intubation in LDP.

Patient Concerns: A 38-year-old man diagnosed with type I neurofibromatosis presented with pain caused by a large hematoma (28 × 8 cm) located in the left upper back. Read More

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http://dx.doi.org/10.1097/MD.0000000000018287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940134PMC
December 2019

Feasibility of non-intubated anesthesia and regional block for thoracoscopic surgery under spontaneous respiration: a prospective cohort study.

Braz J Med Biol Res 2020 20;53(1):e8645. Epub 2019 Dec 20.

Department of Anesthesiology, Zhujiang Hospital of Southern Medical University, Guangzhou, Guangdong, China.

Data about the feasibility and safety of thoracoscopic surgery under non-intubated anesthesia and regional block are limited. In this prospective study, 57 consecutive patients scheduled for thoracoscopic surgery were enrolled. Patients were sedated with dexmedetomidine and anesthetized with propofol and remifentanil. Read More

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http://dx.doi.org/10.1590/1414-431X20198645DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915876PMC
February 2020

Nonoperating Room Anesthesia for Interventional Neuroangiographic Procedures: Outcomes of 105 Patients.

J Stroke Cerebrovasc Dis 2020 Feb 2;29(2):104495. Epub 2019 Dec 2.

Department of Neurology, Faculty of Medicine, Osmangazi University, Eskişehir, Turkey.

Background And Aim: Accurate anesthesia management is of great importance for the success of interventional neuroangiographic procedures (INPs). General anesthesia with endotracheal intubation is the most commonly preferred anesthetic method for these procedures. However, whether laryngeal mask airway (LMA) anesthesia is a suitable and safe option for such cases is unclear. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.104495DOI Listing
February 2020

Use of a Laryngeal Mask Airway Decreases Radiation Exposure During Computed Tomography-Guided Percutaneous Glycerol Rhizotomy for Trigeminal Neuralgia.

World Neurosurg 2020 Mar 30;135:e230-e236. Epub 2019 Nov 30.

Department of Neurosurgery, University of Wisconsin Hospitals and Clinics, Madison, USA. Electronic address:

Background: We have been using computed tomography (CT) guidance for percutaneous glycerol rhizotomy (PGR) for the last 7 years. As a quality improvement exercise, we recently began using general anesthesia (GA) with the use of a laryngeal mask airway (LMA) because of our perception that the procedure went faster and that there was less radiation exposure because of less patient movement. We aim to compare PGR radiation exposure and procedural time between patients receiving local anesthetic with sedation and those receiving GA/LMA. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.11.136DOI Listing

Ultrasound as a new tool in the assessment of airway difficulties: An observational study.

Eur J Anaesthesiol 2019 Jul;36(7):509-515

From the Department of Anaesthesia and Critical Care Medicine (FA, GA, EP, CB, RB, MVR, FB), Department of Radiology (CA) and Department of Infectious Disease, Medical Statistics and Public Health, University of Rome 'Sapienza', Policlinico Umberto I, Rome, Italy (DAF).

Background: Prediction of difficult mask ventilation (DMV) is as challenging as difficult laryngoscopy. Ultrasound could be a helpful tool in the prediction of these difficulties.

Objectives: The purpose of this study was to evaluate the ability of pre-operative ultrasound assessment of neck anatomy in predicting DMV and difficult laryngoscopy in patients undergoing during elective surgery requiring tracheal intubation. Read More

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http://dx.doi.org/10.1097/EJA.0000000000000989DOI Listing

Isoflurane alone versus small dose propofol with isoflurane for removal of laryngeal mask airway in children-a randomized controlled trial.

J Pak Med Assoc 2019 Nov;69(11):1596-1600

Department of Anesthesia, Aga Khan University, Karachi, Pakistan.

Objective: To compare the safety of laryngeal mask airway removal using two different deep anaesthesia techniques in paediatric patients.

Methods: The Randomized Control Trial was conducted at Aga Khan University Hospital, Karachi, from April 2012 to November 2013, and comprised patients aged 2-10 years scheduled for infraumbilical surgeries. Anaesthesia was induced with sevoflurane and later it was maintained by is oflurane, oxygen and nitrous oxide. Read More

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http://dx.doi.org/10.5455/JPMA.296240.DOI Listing
November 2019

Die Larynxmaske – Schritt für Schritt.

Pneumologie 2019 11 12;73(11):686-691. Epub 2019 Nov 12.

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http://dx.doi.org/10.1055/a-0947-3446DOI Listing
November 2019

Laryngeal Mask Airway Versus Tracheal Intubation for Laparoscopic Hernia Repair in Children: Analysis of Respiratory Complications.

J Laparoendosc Adv Surg Tech A 2020 Jan 15;30(1):76-80. Epub 2019 Oct 15.

School of Medicine, University of Split, Split, Croatia.

The aim of this study was to compare the perioperative and postoperative respiratory complications between laryngeal mask (LM) airway and tracheal intubation (TI) in children undergoing percutaneous internal ring suturing (PIRS) for inguinal hernia. From October 2015 to February 2019, 135 pediatric patients (97 males and 38 females) with median age of 4 years, who underwent PIRS for inguinal hernia, were included in study. Patients were divided in two groups. Read More

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http://dx.doi.org/10.1089/lap.2019.0382DOI Listing
January 2020
1 Read

Should paralysis take place before or after checking facemask ventilation?

Br J Hosp Med (Lond) 2019 Oct;80(10):622

ST7 Anaesthesia and Intensive Care Medicine, Department of Anaesthesia, University College London Hospitals NHS Foundation Trust National Hospital for Neurology and Neurosurgery, London WC1N 3BG.

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http://dx.doi.org/10.12968/hmed.2019.80.10.622DOI Listing
October 2019

Complications Related to Laryngeal Mask Airway Use and a Postoperative Diagnosis of Reinke Edema: A Case Study.

AANA J 2018 Dec;86(6):443-445

is a staff otorhinolaryngologist at Naval Hospital Jacksonville.

This case report describes a partial airway obstruction encountered with the use of a laryngeal mask airway and the inability to deliver adequate tidal volumes despite manipulation and device exchange. The patient later received a diagnosis of Reinke edema, a polypoid degeneration of the true vocal folds, which caused a ball-valve effect intermittently obstructing the glottic aperture with ventilation from excessive bulk and redundancy of the true vocal folds. This condition classically results in dysphonia without airway obstruction demonstrable in awake and spontaneous ventilating patients but became apparent and was readily diagnosed with initiation of positive pressure ventilation, causing an obstruction of flow. Read More

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December 2018
1 Read

Comparison of the Baska and I-gel supraglottic airway devices: a randomized controlled study.

Ann Saudi Med 2019 Sep-Oct;39(5):302-308. Epub 2019 Oct 3.

From the Department of Anesthesiology and Reanimation, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.

Background: Laryngeal masks are increasingly used in place of endotracheal intubation or face masks for maintaining the airway during surgery.

Objectives: Compare the insertion time and other features of the Baska and I-gel masks in patients undergoing general anesthesia for urological surgery.

Design: Randomized-controlled, single-blind study. Read More

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http://www.annsaudimed.net/doi/10.5144/0256-4947.2019.302
Publisher Site
http://dx.doi.org/10.5144/0256-4947.2019.302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832321PMC
February 2020
1 Read

Supraglottic devices for airway management in awake craniotomy.

Medicine (Baltimore) 2019 Oct;98(40):e17473

Department of Anesthesiology and Intensive Care Medicine.

Awake craniotomy is a unique technique utilized for mapping neuro and motor function during neurosurgical procedures close to eloquent brain tissue. Since active communication is required only during surgical manipulation of eloquent brain tissue and the patient is "sedated" during other parts of the procedure, different methods for anesthesia management have been explored. Furthermore, airway management ranges from spontaneous breathing to oro or nasotracheal intubation. Read More

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http://dx.doi.org/10.1097/MD.0000000000017473DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6783250PMC
October 2019
3 Reads

Airway devices in paediatric anaesthesia.

Indian J Anaesth 2019 Sep;63(9):721-728

Department of Anaesthesiology and Critical Care, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.

Airway devices were first used in children since 1940 and thereafter an increasingly large number of paediatric airway devices have come into our armamentarium. To control and protect the airway in children during anaesthesia, in intensive care unit or in emergency department either tracheal intubation is performed under direct or indirect visualization of vocal cords with the help of laryngoscopes or video-laryngoscopes respectively or it can be done blindly or by using special instruments such as fiberoptic laryngoscope, lighted stylet or Bullard laryngoscope to name a few. Airway also can be maintained with the help of Laryngeal mask airways, oropharyngeal and nasopharyngeal airways. Read More

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http://dx.doi.org/10.4103/ija.IJA_550_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761777PMC
September 2019
2 Reads

Emergency Airway Management with a Laryngeal Mask Airway in a Patient with Massive Cervical Lipomas.

Anesthesiology 2019 10;131(4):895

From the Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas (O.A., C.A.) the Parkland Health and Hospital System, Dallas, Texas (B.M.).

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http://dx.doi.org/10.1097/ALN.0000000000002762DOI Listing
October 2019
3 Reads

Reinforced Laryngeal Mask in Pediatric Laparoscopic Surgery.

J Coll Physicians Surg Pak 2019 Oct;29(10):915-918

Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, China.

Objective: To determine the frequency of reflux and aspiration in children subjected to reinforced laryngeal mask during laparoscopic surgery in the Trendelenburg position, and evaluate its feasibility.

Study Design: A descriptive study.

Place And Duration Of Study: Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, from January 2017 to May 2018. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.10.915DOI Listing
October 2019
2 Reads
0.318 Impact Factor

Comparison of clinical performance of i-gelⓇ and Baska MaskⓇ during laparoscopic cholecystectomy.

Korean J Anesthesiol 2019 12 20;72(6):576-582. Epub 2019 Aug 20.

Department of Anesthesiology and Pain Medicine, Dong-A University College of Medicine, Busan, Korea.

Background: The supraglottic airway device is an appropriate alternative to tracheal intubation in laparoscopic surgery. We compared the Baska MaskⓇ with i-gelⓇ by measuring the oropharyngeal leak pressure (OLP) and hemodynamic and respiratory parameters during laparoscopic cholecystectomy.

Methods: A total of 97 patients were randomly allocated to either i-gel group (n = 49) or Baska Mask group (n = 48). Read More

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http://dx.doi.org/10.4097/kja.19195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6900424PMC
December 2019
3 Reads

Increasing the Scope on Difficult Airways: What About Mask Ventilation?

Anesth Analg 2019 09;129(3):e109

Department of Anaesthesia & Pain Management, Concord Repatriation General Hospital, Concord, New South Wales, Australia,

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http://dx.doi.org/10.1213/ANE.0000000000004285DOI Listing
September 2019
2 Reads

Another Nail in the Coffin of the Practice of Checking Mask Ventilation Before Administration of a Muscle Relaxant.

Anesth Analg 2019 09;129(3):e103-e104

Department of Anesthesiology and Critical Care, Medical Center University of Freiburg, Freiburg, Germany,

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http://dx.doi.org/10.1213/ANE.0000000000004260DOI Listing
September 2019

Comment on: Laryngeal mask airway for general anesthesia in interventional neuroradiology procedures.

Saudi Med J 2019 08;40(8):849

Department of Anesthesia, King Fahad Military Medical Complex, Dhahran, Kingdom of Saudi Arabia. E-mail.

[No Abstract Available]. Read More

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http://dx.doi.org/10.15537/smj.2019.8.24435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6718860PMC
August 2019
2 Reads

Comparison Between the Protector™ Laryngeal Mask Airway and the Endotracheal Tube for Minimally Invasive Thyroid and Parathyroid Surgery.

World J Surg 2019 11;43(11):2822-2828

1st Propedeutic Department of Surgery, AHEPA University Hospital, Thessaloniki, Greece.

Background: Pharyngolaryngeal symptoms are a main concern after neck surgery. The Protector™ LMA is a new supraglottic airway device. The main purpose of this study was to evaluate whether application of the LMA Protector™ causes fewer pharyngolaryngeal symptoms than application of the endotracheal tube after minimally invasive total thyroidectomy and parathyroidectomy. Read More

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http://dx.doi.org/10.1007/s00268-019-05122-8DOI Listing
November 2019
3 Reads

Non-intubated subxiphoid uniportal video-assisted thoracoscopic thymectomy.

Interact Cardiovasc Thorac Surg 2019 11;29(5):742-745

Department of Anaesthesia, Nanjing Chest Hospital, Nanjing, China.

This report describes a non-intubated, subxiphoid, uniportal approach to video-assisted thoracoscopic thymectomy. A laryngeal mask was used as a safety precaution for ventilatory management, and thymectomy was accomplished through a single transverse incision below the lower edge of the xiphoid. Patients were uneventfully discharged with fast recovery. Read More

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http://dx.doi.org/10.1093/icvts/ivz181DOI Listing
November 2019

Does bag-mask ventilation between induction and laryngoscopy reduce the incidence of hypoxemia during intubation of critically ill patients?

CJEM 2019 11;21(6):713-714

Department of Emergency Medicine, University of Calgary, Calgary, AB.

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http://dx.doi.org/10.1017/cem.2019.384DOI Listing
November 2019
1 Read

Retention of Basic Neonatal Resuscitation Skills and Bag-Mask Ventilation in Pediatric Residents Using Just-in-Place Simulation of Varying Frequency and Intensity: A Pilot Randomized Controlled Study.

Hosp Pediatr 2019 09 1;9(9):681-689. Epub 2019 Aug 1.

Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.

Objectives: Pediatric residents quickly lose neonatal resuscitation (NR) skills after initial training. Helping Babies Breathe is a skills-based curriculum emphasizing basic NR skills needed within the "Golden Minute" after birth. With this pilot study, we evaluated the feasibility of implementing a Golden Minute review and the impact on overall performance and bag-mask ventilation (BMV) skills in pediatric interns during and/or after their NICU rotation, with varying frequency and/or intensity of "just-in-place" simulation. Read More

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http://dx.doi.org/10.1542/hpeds.2018-0219DOI Listing
September 2019

Current Difficult Airway Management-Not Good Enough!

Anesthesiology 2019 10;131(4):774-776

From the Department of Anesthesiology, Dokkyo Medical University Saitama Medical Center, Saitama, Japan (T.A.) the Faculty of Health and Medical Sciences, Surgery, University of Western Australia, Perth, Australia (D.H.).

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http://dx.doi.org/10.1097/ALN.0000000000002885DOI Listing
October 2019

Neonatal resuscitation using a supraglottic airway device for improved mortality and morbidity outcomes in a low-income country: study protocol for a randomized trial.

Trials 2019 Jul 19;20(1):444. Epub 2019 Jul 19.

Centre for International Health, University of Bergen, Årstadveien 21, Box 7804, 5020, Bergen, Norway.

Background: Intrapartum-related death is the third leading cause of under-5 mortality. Effective ventilation during neonatal resuscitation has the potential to reduce 40% of these deaths. Face-mask ventilation performed by midwives is globally the most common method of resuscitating neonates. Read More

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http://dx.doi.org/10.1186/s13063-019-3455-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642595PMC
July 2019
2 Reads
2.117 Impact Factor

The Critical Response Team in Airway Emergencies.

Perm J 2019 7;23. Epub 2019 Jun 7.

General Surgery, Fresno Medical Center, CA.

Successful outcomes of airway emergencies (AEs) in the hospital depend on rapid recognition and intervention before patients become unstable. We describe our medical center's experience with a coordinated rapid response to AEs, including an illustrative case. This approach emphasizes early recognition of impending AEs and instantaneous activation of a team of specialists and operating room personnel to rapidly respond to AEs anywhere in our medical center. Read More

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http://dx.doi.org/10.7812/TPP/18-219DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636511PMC

Comparison of new generation baska mask with i-gel and classical laryngeal mask in outpatient urological interventions.

Saudi Med J 2019 Jul;40(7):694-700

Department of Anesthesiology,Turkey Yüksek Ihtisas Training and Research Hospital, Sihhiye, Ankara, Turkey. E-mail.

Objectives: To compare the clinical performance of the baska mask (PTY Ltd, Australia), i-gel (Intersurgical Ltd, UK) and classic laryngeal mask airway (cLMA) in adult patients undergoing outpatient urologic interventions.

Methods: One hundred fifty patients with American Society of Anesthesiologists I-III physical status were enrolled between January 2017 and September 2017 in Yuksek Ihtisas Research and Educational Hospital, Ankara, Turkey for elective urological surgery for this prospective randomized controlled trial. There were 50 patients in each of the following groups: baska mask, i-gel, and cLMA. Read More

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http://dx.doi.org/10.15537/smj.2019.7.23824DOI Listing

Comparing the insertion and ventilation of laryngeal mask airway according to the patient's head position and muscle relaxation use. A prospective clinical trial.

Saudi Med J 2019 Jul;40(7):687-693

Department of Anesthesiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. E-mail.

Objectives: To assess the insertion and ventilation of the laryngeal mask airway (LMA) classic while using different head positions with or without muscle relaxant.

Methods: This is a double-blind randomized clinical trial. Patients scheduled for ureteral calculus surgery at Shanghai General Hospital, Shanghai, China were recruited between November 2017 and November 2018. Read More

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http://dx.doi.org/10.15537/smj.2019.7.24299DOI Listing

Association of Mallampati scoring on airway outcomes in women undergoing general anesthesia with Supreme™ laryngeal mask airway in cesarean section.

BMC Anesthesiol 2019 07 8;19(1):122. Epub 2019 Jul 8.

Department of Women's Anaesthesia, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, Singapore.

Background: Obstetric dfficult airway is a leading cause of maternal morbidity and mortality. The laryngeal mask airway (LMA) is often used as a rescue airway device after failed intubation, however, little is known about predictors of difficult LMA insertion, particularly in obstetrics. Since Mallampati scores of III/IV has been associated with difficult tracheal intubation, our present study aims to investigate if Mallampati score (MP) could predict airway outcomes for LMA use in obstetrics. Read More

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http://dx.doi.org/10.1186/s12871-019-0796-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615162PMC
July 2019
11 Reads
1.333 Impact Factor

Comparison of Supreme laryngeal mask airway versus endotracheal intubation for airway management during general anesthesia for cesarean section: a randomized controlled trial.

BMC Anesthesiol 2019 07 8;19(1):123. Epub 2019 Jul 8.

Department of Women's Anaesthesia, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, Singapore.

Background: The obstetric airway is a significant cause of maternal morbidity and mortality. Endotracheal intubation is considered the standard of care but the laryngeal mask airway (LMA) has gained acceptance as a rescue airway and has been incorporated into the obstetric airway management guidelines. In this randomized controlled equivalence trial, we compared the Supreme LMA (SLMA) with endotracheal intubation (ETT) in managing the obstetric airway during cesarean section. Read More

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http://dx.doi.org/10.1186/s12871-019-0792-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615212PMC
July 2019
5 Reads
1.333 Impact Factor

A prospective, randomized comparison of the LMA-protector™ and i-gel™ in paralyzed, anesthetized patients.

BMC Anesthesiol 2019 07 4;19(1):118. Epub 2019 Jul 4.

Department of Anesthesiology and Pain Medicine, SMG-SNU Boramae Medical Center, Boramae-ro, Dongjak-gu, Seoul, 156-707, Republic of Korea.

Background: In the present study, we compare the LMA-Protector™ and the i-gel™ in terms of adequacy of the airway seal, insertion time, ease and accuracy of insertion, and the incidence of postoperative sore throat.

Methods: In 110 anesthetized and paralyzed adult patients, the i-gel™ (n = 55) or the LMA-Protector™ (n = 55) was inserted. The primary outcome was airway leak pressure. Read More

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http://dx.doi.org/10.1186/s12871-019-0785-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6610917PMC

Advances in Emergent Airway Management in Pediatrics.

Emerg Med Clin North Am 2019 Aug 10;37(3):473-491. Epub 2019 May 10.

Division of Emergency Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. Electronic address:

Airway management is the cornerstone to resuscitation efforts for many critically ill pediatric patients presenting for emergency care. Pediatric endotracheal intubation is uncommon in emergency medicine, making it challenging to maintain comfort with this critical procedure. This article offers strategies to facilitate pediatric airway management by addressing predictable anatomic and physiologic differences in children. Read More

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http://dx.doi.org/10.1016/j.emc.2019.03.006DOI Listing
August 2019
11 Reads

A safe strategy for anesthesia induction and airway management in morbidly obese patients.

Chin Med J (Engl) 2019 Jul;132(14):1747-1748

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

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http://dx.doi.org/10.1097/CM9.0000000000000320DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6759101PMC
July 2019
1 Read

Comparison of early postoperative recovery between laryngeal mask airway and endotracheal tube in laparoscopic cholecystectomy: A randomized trial.

Medicine (Baltimore) 2019 Jun;98(25):e16022

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Gangnam-Gu, Seoul, South Korea.

Background: Laryngeal mask airway (LMA) insertion provokes fewer stress responses than endotracheal intubation. This study aimed to evaluate the LMA Protector for assessing improvements in intraoperative hemodynamic stability and to reduce postoperative discomfort compared with endotracheal intubation in laparoscopic cholecystectomy.

Methods: Fifty-six patients who underwent laparoscopic cholecystectomy while under sevoflurane-based general anesthesia were randomly allocated to airway management using LMA (LMA group) or endotracheal tube (ETT group). Read More

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http://dx.doi.org/10.1097/MD.0000000000016022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636935PMC
June 2019
21 Reads

Severe bradycardia caused by the deviation of the laryngeal mask airway Supreme: A case report.

Medicine (Baltimore) 2019 Jun;98(24):e15904

Department of Anesthesiology, First Hospital of Jilin University, Changchun, Jilin, China.

Rationale: Classic laryngeal mask airway (LMA) has long been used for airway management. The LMA Supreme is a modified single-use version of the LMA Proseal, but it still remains some deficits such as the instable positioning that lead to easily sliding and the mask bowl full of air might lead to the reduced blood flow of the internal carotid artery. The carotid sinus is a baroreceptor that responds to the stretching of the arterial wall. Read More

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http://dx.doi.org/10.1097/MD.0000000000015904DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587568PMC
June 2019
7 Reads

Comparison of standard versus 90° rotation technique for LMA Flexible™ insertion: a randomized controlled trial.

BMC Anesthesiol 2019 06 7;19(1):95. Epub 2019 Jun 7.

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

Background: Insertion of a flexible laryngeal mask airway (LMA Flexible) is known to be more difficult than that of a conventional laryngeal mask airway. The 90° rotation technique can improve the success rate with a conventional laryngeal mask airway but its effect with the LMA Flexible remains unknown. We assessed whether the 90° rotation technique increased the first-attempt success rate of LMA Flexible insertion versus the standard technique. Read More

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http://dx.doi.org/10.1186/s12871-019-0773-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6555754PMC
June 2019
1 Read

Airway management research and the need for consensus.

Authors:
P A Ward M G Irwin

Anaesthesia 2019 07;74(7):942

University of Hong Kong, Hong Kong, Hong Kong.

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http://dx.doi.org/10.1111/anae.14624DOI Listing
July 2019
16 Reads

Capnography and bag-mask ventilation.

Anaesthesia 2019 07;74(7):945

Dumfries and Galloway Royal Infirmary, Dumfries, Scotland.

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http://dx.doi.org/10.1111/anae.14712DOI Listing
July 2019
8 Reads

A randomised controlled trial of the effect of laryngeal mask airway manometry on postoperative sore throat in spontaneously breathing adult patients presenting for surgery at a university teaching hospital.

Afr Health Sci 2019 Mar;19(1):1705-1715

Department of Anaesthesia, Aga Khan University, East Africa.

Background: Laryngeal mask airways (LMAs) are widely used in anaesthesia and are considered to be generally safe. Postoperative sore throat (POST) is a frequent complication following LMA use and can be very distressing to patients. The use of an LMA cuff pressure of between 30 and 32cm of HO in alleviating post-operative sore throat has not been investigated. Read More

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http://dx.doi.org/10.4314/ahs.v19i1.47DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531935PMC
March 2019
4 Reads

Effect of positive end-expiratory pressure on gastric insufflation during induction of anaesthesia when using pressure-controlled ventilation via a face mask: A randomised controlled trial.

Eur J Anaesthesiol 2019 Sep;36(9):625-632

From the Department of Anaesthesia and Intensive Care, Faculty of Medicine and Health Örebro University, Örebro (PC), Department of Anaesthesia and Intensive Care, Västmanland Hospital, Västerås (LE), Department of Anaesthesia and Intensive Care, Faculty of Medicine and Health (RA), Clinical Epidemiology and Biostatistics, Faculty of Medicine and Health (AM), and Department of Anaesthesia and Intensive Care, Sahlgrenska University Hospital, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (AdL).

Background: Face mask ventilation (FMV) during induction of anaesthesia is associated with risk of gastric insufflation that may lead to gastric regurgitation and pulmonary aspiration. A continuous positive airway pressure (CPAP) has been shown to reduce gastric regurgitation. We therefore hypothesised that CPAP followed by FMV with positive end-expiratory pressure (PEEP) during induction of anaesthesia would reduce the risk of gastric insufflation. Read More

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http://dx.doi.org/10.1097/EJA.0000000000001016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688779PMC
September 2019
2 Reads

Respiratory Care of Patients With Neuromuscular Disease.

Authors:
Joshua O Benditt

Respir Care 2019 Jun;64(6):679-688

Pulmonary and Critical Care Medicine, University of Washington Medical Center, Seattle, Washington.

Neuromuscular diseases are a heterogeneous group of neurologic diseases that affect a number of neural structures including the motor nerves, neuromuscular junctions, or the muscles themselves. Although many of the diseases are rare, the total number of individuals who present to a pulmonologist or respiratory care provider is significant. Approaches to care include regular and careful clinical follow-up of symptoms of sleep-disordered breathing, daytime hypoventilation, as well as cough and swallowing effectiveness. Read More

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http://dx.doi.org/10.4187/respcare.06827DOI Listing
June 2019
18 Reads

Face-mask ventilation: the neglected essentials?

Anaesthesia 2019 10 20;74(10):1227-1230. Epub 2019 May 20.

Oregon Health and Science University, Portland, Oregon.

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http://dx.doi.org/10.1111/anae.14703DOI Listing
October 2019
3 Reads

The DIFFMASK score for predicting difficult facemask ventilation: a cohort study of 46,804 patients.

Anaesthesia 2019 Oct 20;74(10):1267-1276. Epub 2019 May 20.

Department of Anaesthesiology and Intensive care, Nordsjaellands Hospital, Hillerød, Denmark.

Facemask ventilation is an essential part of airway management. Correctly predicting difficulties in facemask ventilation may reduce the risk of morbidity and mortality among patients at risk. We aimed to develop and evaluate a weighted risk score for predicting difficult facemask ventilation during anaesthesia. Read More

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http://dx.doi.org/10.1111/anae.14701DOI Listing
October 2019
5 Reads

LMA Gastro Airway Seen Through the Eyes of a Cardiac Anesthesiologist.

J Cardiothorac Vasc Anesth 2019 08 20;33(8):2365-2366. Epub 2019 Apr 20.

Department of Anesthesia, University Hospital Center CHU-Charleroi, Charleroi, Belgium.

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http://dx.doi.org/10.1053/j.jvca.2019.04.014DOI Listing
August 2019
1 Read