5,080 results match your criteria Tracheal Intubation Laryngeal Mask Airways


Laryngeal mask airway as a rescue device for failed endotracheal intubation.

Authors:
Mark C Kendall

Eur J Emerg Med 2019 02;26(1):73

Department of Anesthesiology, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MEJ.0000000000000584DOI Listing
February 2019

Application of lower limb nerve block combined with slow induction of light general anesthesia and tracheal induction in elderly hip surgery.

Medicine (Baltimore) 2018 Oct;97(40):e12581

Department of Anesthesiology, People's Hospital of Danyang, Jiangsu, China.

Background: This study aims to evaluate the effectiveness and safety of lower limb nerve block combined with slow induction of light general anesthesia and tracheal intubation in hip surgery in the elderly.

Methods: Thirty elderly patients who underwent hip surgery under the lower limb nerve block were randomly divided into 2 groups: slow induction of light general anesthesia and tracheal intubation group (group M), and laryngeal mask light general anesthesia group (group H). After undergoing total intravenous anesthesia without muscle relaxants, all patients received sciatic nerve, lumbar plexus, and paravertebral nerve blocks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000012581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200549PMC
October 2018
5 Reads

LMA Protector™ Airway: first experience with a new second generation laryngeal mask.

Minerva Anestesiol 2019 Jan 10;85(1):45-52. Epub 2018 Sep 10.

Department for Anesthesiology, Intensive Care Medicine, and Pain Management, Giessen and Marburg University Hospital, Campus Giessen, Giessen, Germany.

Background: The LMA Protector™ Airway (The Laryngeal Mask Company Ltd., Teleflex Incorporated, Athlone, Ireland) is a new supraglottic airway promising a better seal, an improved drainage of gastric secretions and the opportunity of a simplified fiberscopy-guided tracheal intubation. The aim of this study was to present a primary evaluation of the LMA Protector in a clinical setting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23736/S0375-9393.18.12421-7DOI Listing
January 2019
2 Reads

A randomised controlled trial comparing fibreoptic-guided tracheal intubation through two supraglottic devices: Ambu® AuraGain™ laryngeal mask and LMA® Fastrach™.

Anaesth Intensive Care 2018 Sep;46(5):474-479

Clinical Professor, University of Melbourne; Melbourne, Victoria.

The Ambu®AuraGain™ laryngeal mask (LM) (Ambu A/S, Ballerup, Denmark) is one of the few readily available second-generation supraglottic airway devices (SADs) that offer a conduit for fibreoptic-guided endotracheal intubation. We aimed to compare fibreoptic intubation through this device with the LMA® (laryngeal mask airway) Fastrach™ (Teleflex Medical, Co. Westmeath, Ireland), which has been a recommended dedicated rescue device for the management of the unanticipated difficult airway. Read More

View Article

Download full-text PDF

Source
September 2018
10 Reads

Introduction of laryngeal mask airway in Japan, and its rescue use for newborns.

Pediatr Int 2018 Oct;60(10):954-956

Department of Pediatrics, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan.

Background: In neonatal resuscitation, laryngeal mask airway (LMA) is recommended when both face mask ventilation and endotracheal intubation fail. Experience of LMA among obstetricians, nurses and midwives in Japan, however, is limited. The aims of the present study were to (i) offer an LMA training course to professionals dealing with low-risk pregnancies at institutions across Japan; and (ii) assess the subsequent use and value of LMA at the participating institutions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ped.13670DOI Listing
October 2018
10 Reads

Two Cases of Bilateral Vocal Fold Mobility Impairment After LMA Use In 7 Months.

Ann Otol Rhinol Laryngol 2018 Sep 26;127(9):653-656. Epub 2018 Jul 26.

1 Department of Otolaryngology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, USA.

Objectives: To increase awareness of vocal fold mobility impairment secondary to laryngeal mask airway (LMA) use in the operating room.

Methods: We report 2 cases of bilateral vocal fold mobility impairment after LMA use within 7 months of each other. One patient is a 52-year-old female who developed this complication after orthopedic elbow surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0003489418784061DOI Listing
September 2018
4 Reads

[Effect of positive end-expiratory pressure on the cross-sectional area of the internal jugular vein and anatomic relationship between the internal jugular vein and the carotid artery in general anaesthesia of laryngeal mask airway].

Authors:
D X Fu B Lu J P Chen

Zhonghua Yi Xue Za Zhi 2018 Jul;98(26):2078-2082

Department of Anesthesiology, Ningbo NO.2 Hospital, Ningbo 315010, China.

To investigate the effect of positive end-expiratory pressure(PEEP) on the cross-sectional area (CSA) of the internal jugular vein (IJV) and anatomic relationship between the IJV and the common carotid artery (CCA) in general anaesthesia of laryngeal mask airway(LMA). Sixty American Society of Anesthesiologists (ASA) Ⅰ or Ⅱ grade patients undergoing elective operation received general anaesthesia using LMA from May to November 2017, aged 20-65, were included in this study and randomly divided into 4 groups: group P0 (PEEP: 0 cmH(2)O), group P5 (PEEP: 5 cmH(2)O), group P10 (PEEP: 10 cmH(2)O), group P15 (PEEP: 15 cmH(2)O). Following the induction of anesthesia, LMA was inserted, and mechanical ventilation was started while the right cervical vessels was imaged by ultrasonography after applying 4 different PEEPs in random order. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.26.004DOI Listing
July 2018
9 Reads

Postoperative diffuse alveolar haemorrhage: insidious negative pressure or sevoflurane induced?

BMJ Case Rep 2018 Jul 10;2018. Epub 2018 Jul 10.

Respiratory Medicine, St Mary's Hospital, Paddington, London, UK.

Negative pressure pulmonary oedema is well described in the literature as an uncommon but recognised complication of general anaesthe sia; negative pressure diffuse alveolar haemorrhage is a rarer consequence. We report a case of massive haemoptysis following elective general anaesthesia using a laryngeal mask airway device and sevoflurane anaesthetic maintenance. The patient had no obvious signs of laryngospasm or other cause of upper airway obstruction perioperatively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2017-222010DOI Listing
July 2018
2 Reads

Postoperative Airway Obstruction in a Low Resource Setting: A Case Report.

A A Pract 2018 Aug;11(4):112-113

Department of Surgery, Kibuye Hope Hospital, Burundi, East Africa.

A 2-month-old girl with abnormal facial features and malnutrition presented for placement of a gastrostomy tube. The surgery was performed under general anesthesia using a laryngeal mask airway (LMA); however, after removal of the LMA, the patient had recurrent airway collapse, requiring repeated insertion of the LMA. The authors describe the management of this problem with the use of a tongue suture and anterior traction in the postoperative period in a resource-limited setting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/XAA.0000000000000833DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085126PMC
August 2018
2 Reads

Safety Comparison of Laryngeal Mask Use With Endotracheal Intubation in Patients Undergoing Dacryocystorhinostomy Surgery.

Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):324-328

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham.

Purpose: This study will determine the safety of laryngeal mask airway (LMA) compared with endotracheal tube (ETT) in patients undergoing general anesthesia for dacryocystorhinostomy (DCR) surgery.

Methods: In this retrospective cohort study, intraoperative and postoperative outcomes of patients who underwent DCR at UAB Callahan Eye Hospital using either LMA or ETT were compared.

Results: Over a period of 52 months, 429 patients underwent external DCR surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/IOP.0000000000000969DOI Listing
August 2018
3 Reads

Supraglottic airway device versus a channeled or non-channeled blade-type videolaryngoscope for accidental extubation in the prone position: A randomized crossover manikin study.

Medicine (Baltimore) 2018 Jun;97(25):e11190

Department of Anesthesiology, Mizonokuchi Hospital, Teikyo University School of Medicine, Kawasaki.

Background: It is very rare but challenging to perform emergency airway management for accidental extubation in a patient whose head and neck are fixed in the prone position when urgently turning the patient to the supine position would be unsafe. The authors hypothesized that tracheal intubation with a videolaryngoscope would allow effective airway rescue in this situation compared with a supraglottic airway device and designed a randomized crossover manikin study to test this hypothesis.

Methods: The authors compared airway rescue performances of the 3 devices-the ProSeal laryngeal mask airway (PLMA; Teleflex Medical, Westmeath, Ireland) as a reference; the Pentax AWS (AWS; Nihon Kohden, Tokyo, Japan) as a channeled blade-type videolaryngoscope; and the McGRATH videolaryngoscope (McGRATH; Medtronic, Minneapolis, MN) as a nonchanneled blade type in a manikin fixed to the operating table in the prone position. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00005792-201806220-0007
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000011190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023683PMC
June 2018
13 Reads

Are the King LTS Laryngeal Tube and the Ambu AuraOnce Laryngeal Mask Useful Airway Adjuncts for Military Medics?

J Spec Oper Med Summer 2018;18(2):90-96

Background: Airway management is a critical skill that may be essential in the battlefield. The aim of this study was to determine if combat life savers and medics with no or limited clinical experience could provide airway control using the disposable laryngeal suction tube (LTS-D) and the Ambu® AuraOnce ™ disposable laryngeal mask (LMA).

Methods: Eight military medics with limited clinical experience and no airway management experience secured the airway on 19 intrahospital anesthetized patients using the LTS-D and the LMA. Read More

View Article

Download full-text PDF

Source
October 2018
9 Reads

Unique Challenges to the Approach and Management of Pediatric Headscarf Pin Aspiration.

J Laparoendosc Adv Surg Tech A 2018 Oct 6;28(10):1243-1247. Epub 2018 Jun 6.

1 Department of General Surgery and Urology, Faculty of Medicine, King Abdullah University Hospital, Jordan University of Science and Technology , Irbid, Jordan .

Background: Headscarf use is becoming more common throughout the world. Many articles describe the problem of aspirated headscarf pins but few if any give technical details for retrieval or innovative methods of removal if traditional bronchoscopy fails particularly in the pediatric population. Herein, we describe our method of deep sedation with laryngeal mask airway (LMA) and flexible bronchoscopy (FB) and retrieval with a stepwise algorithm if traditional FB fails. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/lap.2018.0101DOI Listing
October 2018
5 Reads
1.190 Impact Factor

Comparison of ventilation effectiveness of the bag valve mask and the LMA Air-Q SP in nurses during simulated CPR.

Pol Merkur Lekarski 2018 May;44(263):223-226

Medical University of Łódź, Poland: Chair of Anesthesiology and Intensive Care.

In a case of sudden cardiac arrest (SCA) in a health facility there is a procedure to summon a resuscitation team. Nurses are obliged to begin cardiopulmonary resuscitation with chest compressions and implement ventilation using the bag valve mask of 30:2 compressionventilation ratio. Nurses are not allowed to implement methods of advanced airway management. Read More

View Article

Download full-text PDF

Source
May 2018
8 Reads

[Impacts of different methods in laryngeal mask airway positioning on the airway management of elderly patients with general anesthesia].

Zhonghua Yi Xue Za Zhi 2018 May;98(18):1424-1429

Department of Anesthesiology, Yuyao People's Hospital of Zhejiang Province, Yuyao 315400, China.

By observing the clinical effect of ultrasound, fiberoptic bronchoscopy and traditional standard in positioning the general anesthesia of laryngeal mask ventilation in elderly patients, the superiority of laryngeal mask positioning with visualization technique of ultrasound and fiberoptic bronchoscope on airway management in elderly patients with general anesthesia was analyzed. One hundred and twenty cases of elderly patients with general anesthesia of laryngeal mask ventilation from the People's Hospital of Yuyao city from October 2016 to October 2017 were selected and randomly divided into 3 groups(=40)according to American Society of Anesthesiologists (ASA) grading criteria Ⅰ-Ⅲ. Group A: traditional standard positioning laryngeal mask group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.18.011DOI Listing
May 2018
1 Read

Achieving Full Neurological Recovery in Snakebite using Best Supportive Care.

BMJ Case Rep 2018 May 14;2018. Epub 2018 May 14.

Magbenteh Community Hospital, Makeni, Sierra Leone.

A 29-year-old woman presented to a community hospital in Sierra Leone 2 hours after being bitten by an unknown snake. On arrival, she was agitated though alert, however deteriorated into respiratory arrest. There was no local availability of antivenom. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2017-223765DOI Listing
May 2018
5 Reads

Desaturation times between dogs preoxygenated via face mask or flow-by technique before induction of anesthesia.

Vet Anaesth Analg 2018 Jul 10;45(4):452-458. Epub 2018 Apr 10.

Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

Objective: To compare time to desaturation after induction of anesthesia following administration of oxygen via face mask or flow-by for 3 minutes.

Study Design: Randomized crossover study.

Animals: A group of six healthy adult dogs weighing 15. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.vaa.2018.03.004DOI Listing
July 2018
1 Read

Response to 'The use of laryngeal mask airway for adenoidectomy'.

Authors:
Lee P Smith

Int J Pediatr Otorhinolaryngol 2018 06 30;109:186. Epub 2018 Mar 30.

Cohen Children's Medical Center, Hofstra Northwell School of Medicine, 430 Lakeville Road, New Hyde Park, NY 11042, United States. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2018.03.033DOI Listing
June 2018
5 Reads

The use of laryngeal mask airway for adenoidectomy.

Authors:
Fatma Caylakli

Int J Pediatr Otorhinolaryngol 2018 06 4;109:185. Epub 2018 Apr 4.

Baskent University School of Medicine, Otorhinolaryngology Head and Neck Surgery Department, Ankara, Turkey. Electronic address:

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01655876183016
Publisher Site
http://dx.doi.org/10.1016/j.ijporl.2018.03.034DOI Listing
June 2018
13 Reads

Oropharyngeal Stenosis Leading to an Unanticipated Difficult Airway in a Patient After Uvulopalatopharyngoplasty: A Case Report and Review of the Literature.

A A Pract 2018 Sep;11(5):124-127

From the Departments of Anesthesiology and Perioperative Medicine.

Oropharyngeal stenosis can manifest as a rare complication after surgery for obstructive sleep apnea or tonsillectomy. Scar tissue formation from oropharyngeal stenosis may impede tracheal intubation or laryngeal mask airway insertion. We report the case of an asymptomatic adult woman found to have oropharyngeal stenosis after induction of anesthesia and discuss the management of this challenging scenario. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/XAA.0000000000000758DOI Listing
September 2018

Performance and skill retention of five supraglottic airway devices for the pediatric difficult airway in a manikin.

Eur J Pediatr 2018 Jun 5;177(6):871-878. Epub 2018 Apr 5.

Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Supraglottic airway devices (SADs) have been introduced to assist medical professionals in emergency situations with limited experience in securing airways via conventional endotracheal intubation (ETI). Literature on the use of SADs for securing an airway during pediatric critical settings is scarce, and there is a lack of studies comparing different SADs to each other and to conventional ETI. We conducted a study comparing five different SADs to ETI with regard to success rate, time to first ventilation, and personal rating in a pediatric manikin under simulated physiologic and pathologic airway conditions in 41 pediatricians of varying clinical experience and training. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00431-018-3134-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958163PMC
June 2018
8 Reads

Corrected QT interval prolongation during anesthetic induction for laryngeal mask airway insertion with or without cisatracurium.

J Int Med Res 2018 May 27;46(5):1990-2000. Epub 2018 Mar 27.

1 Department of Anesthesiology, The 377382 First Hospital of Jilin University , Changchun, Jilin 130021, China.

Objective This study was performed to observe the occurrence of corrected QT (QTc) interval prolongation during anesthetic induction for laryngeal mask airway insertion and the effects of cisatracurium administration on the QTc interval. Methods Eighty-eight patients were assigned to two groups: the cisatracurium administration group (n = 45) and non-cisatracurium administration group (n = 43). The QTc interval was continuously recorded by a 12-lead Holter electrocardiogram beginning in the hospital ward and continuing until after anesthetic induction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0300060518764185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991250PMC
May 2018
6 Reads

Epiglottis folding double with supraglottic airway devices.

Br J Anaesth 2018 04 12;120(4):884-885. Epub 2018 Feb 12.

Brisbane, Australia.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bja.2018.01.015DOI Listing

Laryngeal mask airway and transient hypercapnic hyperpnea for video-endoscopic assessment of unilateral laryngeal paralysis in dogs.

Vet Surg 2018 May 23;47(4):543-548. Epub 2018 Mar 23.

Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.

Objective: To evaluate the ability to assess laryngeal function and to diagnose unilateral laryngeal paralysis (uLP) via airway endoscopy and carbon dioxide (CO ) stimulation.

Study Design: Experimental study.

Animals: Six healthy, adult beagles. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/vsu.12784DOI Listing
May 2018
2 Reads

Predictive risk factors of failed laryngeal mask airway insertion at first attempt.

J Int Med Res 2018 May 23;46(5):1973-1981. Epub 2018 Mar 23.

Department of Anesthesiology, Beijing Jishuitan Hospital, Beijing, P.R. China.

Objectives A failed first attempt at laryngeal mask airway (LMA) insertion could increase the risk of laryngospasm, hypoxemia, and postoperative sore throat. This study was performed to investigate the risk factors for failed first-attempt LMA placement. Methods In total, 461 patients who underwent general anesthesia with a Supreme LMA (Teleflex Medical, Shanghai, China) and who had an American Society of Anesthesiologists (ASA) physical status of I to III were prospectively enrolled. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0300060518762666DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991247PMC
May 2018
5 Reads
1.090 Impact Factor

Success rates of pre-hospital difficult airway management: a quality control study evaluating an in-hospital training program.

Int J Emerg Med 2018 Mar 16;11(1):19. Epub 2018 Mar 16.

University of Stavanger, Stavanger, Norway.

Background: Competence in emergency airway management is key in order to improve patient safety and outcome. The scope of compulsory training for emergency physicians or paramedics is quite limited, especially in Austria. The purpose of this study was to review the difficult airway management performance of an emergency medical service (EMS) in a region that has implemented a more thorough training program than current regulations require, comprising 3 months of initial training and supervised emergency practice and 3 days/month of on-going in-hospital training as previously reported. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12245-018-0178-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856681PMC
March 2018
16 Reads

Laryngeal mask airway versus bag-mask ventilation or endotracheal intubation for neonatal resuscitation.

Cochrane Database Syst Rev 2018 03 15;3:CD003314. Epub 2018 Mar 15.

Northern Alberta Neonatal Program, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, AB, Canada, T5H 3V9.

Background: Providing effective positive pressure ventilation is considered to be the single most important component of successful neonatal resuscitation. Ventilation is frequently initiated manually with bag and face mask (BMV) followed by endotracheal intubation if respiratory depression continues. These techniques may be difficult to perform successfully resulting in prolonged resuscitation or neonatal asphyxia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD003314.pub3DOI Listing
March 2018
6 Reads

Effectiveness and Safety of a Novel Approach for Management of Patients with Potential Difficult Mask Ventilation and Tracheal Intubation: A Multi-center Randomized Trial.

Chin Med J (Engl) 2018 Mar;131(6):631-637

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China.

Background:: Patients with potential difficult mask ventilation (DV) and difficult intubation (DI) are often managed with awake intubation, which can be stressful for patients and anesthesiologists. This prospective randomized study evaluated a new approach, fast difficult airway evaluation (FDAE). We hypothesized that the FDAE approach would reduce the need for awake intubation. Read More

View Article

Download full-text PDF

Source
http://www.cmj.org/text.asp?2018/131/6/631/226897
Publisher Site
http://dx.doi.org/10.4103/0366-6999.226897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865306PMC
March 2018
14 Reads
1 Citation
1.020 Impact Factor

[Application of sevoflurane and laryngeal mask in cesarean section in women with heart disease].

Nan Fang Yi Ke Da Xue Xue Bao 2018 Feb;38(2):229-233

Department of Anesthesiology, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China. E-mail:

Objective: To compare the safety of sevoflurane anesthesia with laryngeal mask and tracheal intubation in cesarean section in women with heart disease.

Methods: Fifty-two pregnant women with heart diseases undergoing cesarean section were randomized into laryngeal mask (LAM) group and tracheal intubation group. In LAM group, 6% sevoflurane was given at the rate of 6 L/min for induction with a maintenance sevoflurane concentration of 3%. Read More

View Article

Download full-text PDF

Source
February 2018
2 Reads

The use of laryngeal mask airway for adenoidectomy.

Int J Pediatr Otorhinolaryngol 2018 Apr 31;107:42-44. Epub 2018 Jan 31.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra University, Hempstead, NY 11549, USA; Division of Pediatric Otolaryngology, Steven and Alexandra Cohen Children's Medical Center of New York, 430 Lakeville Road, New Hyde Park, NY 11042, USA. Electronic address:

Objectives: Airway management during adenoidectomy is traditionally performed through endotracheal intubation (ETT). Laryngeal mask airway (LMA) may be less stimulating to the airway and allow for shorter overall operating room time. Previous studies report LMA use during adenotonsillectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2018.01.034DOI Listing
April 2018
5 Reads

Effect of Bag-Mask Ventilation vs Endotracheal Intubation During Cardiopulmonary Resuscitation on Neurological Outcome After Out-of-Hospital Cardiorespiratory Arrest: A Randomized Clinical Trial.

JAMA 2018 02;319(8):779-787

AP-HP, SAMU 93, Hôpital Avicenne, Inserm U942, Bobigny, France.

Importance: Bag-mask ventilation (BMV) is a less complex technique than endotracheal intubation (ETI) for airway management during the advanced cardiac life support phase of cardiopulmonary resuscitation of patients with out-of-hospital cardiorespiratory arrest. It has been reported as superior in terms of survival.

Objectives: To assess noninferiority of BMV vs ETI for advanced airway management with regard to survival with favorable neurological function at day 28. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jama.2018.0156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838565PMC
February 2018
39 Reads

[INJURY PREVENTION WHILE ENSURING THE AIRWAY DURING SURGERY IN THE NOSE AND SINUSES.]

Authors:
E V Ivlev E A Ruben

Anesteziol Reanimatol 2017 Sep;61:168-172

The Aim: A comparative analysis of the injuries of upper airways flexible reinforced laryngeal mask and endotracheal intubation by examining the stress response reaction of the cardiovascular system, as well as the frequency and variety of complications. Blood pressure, heart rate, glucose and cortisol, and complications of airway management in children were analyzed.

Methods: The influence of the method of airway management with surgery in nose and sinuses in children in the stress response, hemodynamics, injuries of the airway were studied. Read More

View Article

Download full-text PDF

Source
September 2017
1 Read

Deep or awake removal of laryngeal mask airway in children at risk of respiratory adverse events undergoing tonsillectomy-a randomised controlled trial.

Br J Anaesth 2018 Mar 27;120(3):571-580. Epub 2018 Jan 27.

Department of Anaesthesia and Pain Management, Princess Margaret Hospital for Children, Perth, Australia; Medical School, Division of Anaesthesiology and Pain Medicine, University of Western Australia, Perth, Australia. Electronic address:

Background: Laryngeal mask airways (LMA) are widely used during tonsillectomies. Contrasting evidence exists regarding the timing of the removal and the risk of perioperative respiratory adverse events. We assessed whether the likelihood of perioperative respiratory adverse events is influenced by the timing of LMA removal in children with at least one risk factor for these events. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bja.2017.11.094DOI Listing
March 2018
2 Reads

Removal of a supraglottic airway in children with increased risk of respiratory complications: is timing of removal not important?

Br J Anaesth 2018 03 31;120(3):440-442. Epub 2017 Dec 31.

Department of Anesthesiology, Dokkyo Medical University, Saitama Medical Centre, Koshigaya, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bja.2017.12.001DOI Listing

I-Gel versus laryngeal mask airway (LMA) classic as a conduit for tracheal intubation using ventilating bougie.

J Anaesthesiol Clin Pharmacol 2017 Oct-Dec;33(4):467-472

Department of Anaesthesiology, Medical College and S.S.G. Hospital, Vadodara, Gujarat, India.

Background And Aims: Supraglottic airways (SGAs) are generally used for airway management; but can also be used as a conduit for tracheal intubation. Our primary aim was to evaluate i-Gel and laryngeal mask airway (LMA) classic as conduits for tracheal intubation using ventilating bougie by assessing number of attempts and time for insertion of SGAs, ventilating bougie and endotracheal tube (ETT), and total intubation time.

Material And Methods: A randomized clinical trial was carried out in 58 patients requiring general anesthesia and endotracheal intubation for planned surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/joacp.JOACP_113_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791259PMC
February 2018
3 Reads

Efficacy of a new dual channel laryngeal mask airway, the LMAGastro™ Airway, for upper gastrointestinal endoscopy: a prospective observational study.

Br J Anaesth 2018 Feb 1;120(2):353-360. Epub 2017 Dec 1.

Department of Anaesthesia and Perioperative Medicine, Royal Hobart Hospital, Hobart, Tasmania, Australia; School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.

Background: Significant cardiorespiratory events are frequent in patients undergoing gastrointestinal endoscopy. Central to the occurrence of respiratory events is an unsecured airway. This study sought to determine the efficacy of a new laryngeal mask airway, the LMAGastro Airway (Teleflex Medical, Athlone, Ireland), in patients undergoing upper gastrointestinal endoscopy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bja.2017.11.075DOI Listing
February 2018
4 Reads

Modified supraglottic airway for gastroscopy: an advance in patient safety?

Br J Anaesth 2018 02 24;120(2):209-211. Epub 2017 Nov 24.

Department of Anaesthesia, St. James's Hospital, Dublin, Ireland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bja.2017.10.014DOI Listing
February 2018

[Meta-analysis of the effects between endotracheal intubation and laryngeal mask airway for patients with out-of-hospital cardiac arrest].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2018 Feb;30(2):128-133

Department of Neurology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China (Tao XJ, Dong KS, Wang Y); Department of Emergency, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China (Gu W); Department of Endocrinology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China (Liu XJ); Department of Cardiology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China (Ding S). Corresponding author: Ding Shu, Email:

Objective: To comprehensively evaluate the resuscitation effect of endotracheal intubation (ETI) ventilation and laryngeal mask airway (LMA) for out-of-hospital cardiac arrest (OHCA).

Methods: Databases such as Cochrane Library, PubMed, Embase, Ebsco, Elsevier, OVID, Springer, Proquest, and China biomedical literature database (CBMdisc), CNKI, Wanfang database, Chinese Science and Technology Journal Full-text Database, VIP Chinese biomedical journal database were searched from the establishment of literature database to December 2017 to study the difference of effects between ETI and LMA for patients with OHCA. The effect determination indexes included the return of spontaneous circulation (ROSC) rate, 1-month survival and 1-month neurological recovery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2018.02.007DOI Listing
February 2018
7 Reads

Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.

PLoS One 2018 12;13(1):e0190589. Epub 2018 Jan 12.

Department of Anesthesiology, Buddhist Tzu Chi General Hospital and Tzu Chi University School of Medicine, Hualien, Taiwan.

Background: Lingual nerve injury or neuropraxia is a rare but potentially serious perioperative complication following airway instrumentation during general anesthesia. This study explored the the incidence and perioperative risk factors for lingual nerve injury in patients receiving laryngeal mask (LMA) or endotracheal (ETGA) general anesthesia in a single center experience.

Methods And Results: All surgical patients in our hospital who received LMA or ETGA from 2009 to 2013 were included, and potential perioperative risk factors were compared. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0190589PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5766107PMC
February 2018
17 Reads

Trauma patients presenting with a King laryngeal tube™ in place can be safely intubated in the emergency department.

Am J Emerg Med 2018 03 7;36(3):503-504. Epub 2017 Dec 7.

Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2017.12.016DOI Listing
March 2018
6 Reads

Airway Management by Laryngeal Mask Airways for Cervical Tracheal Resection and Reconstruction: A Single-Center Retrospective Analysis.

Anesth Analg 2018 Apr;126(4):1257-1261

From the Departments of Anesthesiology and Intensive Care Medicine.

Background: Supraglottic airway devices (SADs) may have advantages over endotracheal intubation for tracheal resection and reconstruction in cases of severe and proximally located subglottic stenosis. This retrospective case series examines the feasibility of using SADs as a novel approach to airway management in tracheal resections.

Methods: All patients who were managed with SADs for cervical tracheal resection and reconstruction during the study period (2010-2015) in our university hospital were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/ANE.0000000000002753DOI Listing
April 2018
20 Reads

Unanticipated difficult airway management in children - the consensus statement of the Paediatric Anaesthesiology and Intensive Care Section and the Airway Management Section of the Polish Society of Anaesthesiology and Intensive Therapy and the Polish So.

Anaesthesiol Intensive Ther 2017;49(5):336-349

Department of Paediatric Anaesthesiology and Intensive Care, University Clinical Hospital, Opole, Poland.

Tracheal intubation may be defined as an artificial airway established in order to provide mechanical ventilation of the lungs during surgical procedures under general anaesthesia, treatment in an intensive care unit, as well as in emergency situations. Difficulties encountered during intubation may cause hypoxia, hypoxic brain injury and, in extreme situations, may result in the patient's death. There may be unanticipated and anticipated difficult airway. Read More

View Article

Download full-text PDF

Source
https://journals.viamedica.pl/anaesthesiology_intensivethera
Publisher Site
http://dx.doi.org/10.5603/AIT.2017.0079DOI Listing
November 2018
13 Reads

Comparison of Arndt-endobronchial blocker plus laryngeal mask airway with left-sided double-lumen endobronchial tube in one-lung ventilation in thoracic surgery in the morbidly obese.

Braz J Med Biol Res 2017 Dec 18;51(2):e6825. Epub 2017 Dec 18.

Department of Anesthesiology, the Cangzhou Central Hospital, Cangzhou, Hebei, China.

This study aimed to evaluate the feasibility and performance of Arndt-endobronchial blocker (Arndt) combined with laryngeal mask airway (LMA) compared with left-sided double-lumen endobronchial tube (L-DLT) in morbidly obese patients in one-lung ventilation (OLV). In a prospective, randomized double-blind controlled clinical trial, 80 morbidly obese patients (ASA I-III, aged 20-70) undergoing general anesthesia for elective thoracic surgeries were randomly allocated into groups Arndt (n=40) and L-DLT (n=40). In group Arndt, a LMA™ Proseal was placed followed by an Arndt-endobronchial blocker. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1414-431X20176825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5734186PMC
December 2017
11 Reads

Supreme™ laryngeal mask airway use in general Anesthesia for category 2 and 3 Cesarean delivery: a prospective cohort study.

BMC Anesthesiol 2017 Dec 19;17(1):169. Epub 2017 Dec 19.

Department of Women's Anaesthesia, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.

Background: The Supreme™ laryngeal mask airway (SLMA) is a single-use LMA with double lumen design that allows separation of the respiratory and the alimentary tract, hence potentially reducing the gastric volume and risk of aspiration. The purpose of this prospective cohort study is to evaluate the the role of the SLMA as an airway technique for women undergoing category 2 and 3 Cesarean delivery under general anesthesia.

Methods: We recruited 584 parturients who underwent category 2 or 3 Cesarean delivery under general anesthesia, in which 193 parturients underwent category 2 and 391 parturients underwent category 3 Cesarean delivery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12871-017-0460-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735892PMC
December 2017
15 Reads

Extraglottic Airways in Tactical Combat Casualty Care: TCCC Guidelines Change 17-01 28 August 2017.

J Spec Oper Med Winter 2017;17(4):19-28

Extraglottic airway (EGA) devices have been used by both physicians and prehospital providers for several decades. The original TCCC Guidelines published in 1996 included a recommendation to use the laryngeal mask airway (LMA) as an option to assist in securing the airway in Tactical Evacuation (TACEVAC) phase of care. Since then, a variety of EGAs have been used in both combat casualty care and civilian trauma care. Read More

View Article

Download full-text PDF

Source
March 2018
9 Reads

Timing of focused cardiac ultrasound during advanced life support - A prospective clinical study.

Resuscitation 2018 03 12;124:126-131. Epub 2017 Dec 12.

Department of Anaesthesiology and Intensive Care Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark; Research & Development, Prehospital Emergency Medical Services, Central Denmark Region, Olof Palmes Allé 34, 1st Floor, 8200 Aarhus N, Denmark.

Introduction: Focused cardiac ultrasound can potentially identify reversible causes of cardiac arrest during advanced life support (ALS), but data on the timing of image acquisition are lacking. This study aimed to compare the quality of images obtained during rhythm analysis, bag-mask ventilations, and chest compressions.

Methods: Adult patients in cardiac arrest were prospectively included during 23 months at a Danish community hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.resuscitation.2017.12.012DOI Listing
March 2018
1 Read

Can Transesophageal Echocardiography Be Performed Safely Using a Laryngeal Mask Airway During Atrial Fibrillation Ablation?

J Cardiothorac Vasc Anesth 2018 04 2;32(2):790-795. Epub 2017 Nov 2.

London AF Centre, London Bridge Hospital, London, England; Barts Heart Centre, St. Bartholomew's Hospital, West Smithfield, London, England; William Harvey Research Institute, Queen Mary University London, London, England. Electronic address:

Objective: To investigate the feasibility and safety of using a laryngeal mask airway (LMA) compared with a cuffed oral endotracheal tube (COETT) for atrial fibrillation (AF) ablation with transesophageal echocardiography (TEE).

Design: Prospective, cohort study.

Setting: A single-center inner-city hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.jvca.2017.10.040DOI Listing
April 2018
10 Reads

Air-Q versus LMA Fastrach™ for fiberoptic-guided intubation: A randomized cross-over manikin trial.

Rev Esp Anestesiol Reanim 2018 Mar 6;65(3):135-142. Epub 2017 Dec 6.

Servicio de Anestesiología, Reanimación y terapéutica del dolor, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address:

Introduction: Airway management is still a major cause of anesthesia-associated morbidity and mortality. Supraglottic devices are recommended in difficult airway management guidelines. The aim of this study was to compare the performance of the Air-Q and the LMA Fastrach™ for fiberoptic guided tracheal intubation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.redar.2017.09.011DOI Listing
March 2018
2 Reads