5,459 results match your criteria Tracheal Intubation Laryngeal Mask Airways


Size selection of the Ambu AuraOnce laryngeal mask in Chinese men weighing >70 kg: a pilot study.

J Int Med Res 2021 May;49(5):3000605211016689

Department of Anesthesiology, Jinshan Hospital of Fudan University, Shanghai, China.

Objective: To collect computed tomography data of the laryngeal anatomy of Chinese men and to determine the feasibility of using the size 4 Ambu AuraOnce laryngeal mask (Ambu A/S, Copenhagen, Denmark) in Chinese men weighing >70 kg.

Methods: This prospective study involved men who underwent surgery from May 2018 to January 2019 at Jinshan Hospital. Pharyngeal and laryngeal parameters were measured by computed tomography. Read More

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Management of the Difficult Airway.

Authors:
Thomas Heidegger

N Engl J Med 2021 05;384(19):1836-1847

From the Department of Anesthesia, Spital Grabs, Grabs, and the Department of Anesthesiology and Pain Medicine, Bern University Hospital, University of Bern, Bern - both in Switzerland; and the Private University of the Principality of Liechtenstein, Triesen, Liechtenstein.

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Using supraglottic airways by paramedics for airway management in analogue microgravity increases speed and success of ventilation.

Sci Rep 2021 Apr 29;11(1):9286. Epub 2021 Apr 29.

Department of Anaesthesiology, Critical Care, Emergency Medicine and Pain Therapy, Hospital of Oldenburg, Medical Campus University of Oldenburg, Oldenburg, Germany.

In the next few years, the number of long-term space missions will significantly increase. Providing safe concepts for emergencies including airway management will be a highly challenging task. The aim of the present trial is to compare different airway management devices in simulated microgravity using a free-floating underwater scenario. Read More

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Airway Management in Surgical Patients With Obstructive Sleep Apnea.

Anesth Analg 2021 05;132(5):1321-1327

Department of Anesthesia, Toronto Western Hospital, University of Toronto, Ontario, Canada.

Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder, and the difficult airway is perhaps the anesthesiologists' quintessential concern. OSA and the difficult airway share certain similar anatomical, morphological, and physiological features. Individual studies and systematic reviews of retrospective, case-control, and large database studies have shown a likely association between patients with OSA and the difficult airway; OSA patients have a 3- to 4-fold higher risk of difficult intubation, difficult mask ventilation, or a combination of both. Read More

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LMA® Gastro™: A paediatric experience.

Anaesth Intensive Care 2021 Mar 14;49(2):119-124. Epub 2021 Apr 14.

Department of Children's Anaesthesia, Women's and Children's Hospital, Adelaide, Australia.

The laryngeal mask airway, the LMA® Gastro™ (Teleflex Medical, Athlone, Ireland), is a novel airway device which permits upper gastrointestinal (GI) endoscopy to be performed via a dedicated large calibre oesophageal lumen. It has been validated in adult studies, but to our knowledge, there have been no data published regarding its use in a paediatric population. Following a brief education programme, the LMA Gastro was introduced on a trial basis at our institution and made freely available. Read More

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New evidence to inform decisions and guidelines in difficult airway management.

Br J Anaesth 2021 06 6;126(6):1094-1097. Epub 2021 Apr 6.

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

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Iatrogenic uvular injury related to airway instrumentation: A report of 13 cases from the webAIRS database and a review of uvular necrosis following inadvertent uvular injury.

Anaesth Intensive Care 2021 Mar 8;49(2):133-139. Epub 2021 Apr 8.

Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.

Published reports of uvular necrosis are uncommon and it is possibly an under-reported complication of oropharyngeal manipulation. Uvular necrosis is thought to develop due to ischaemia secondary to mechanical compression of the uvula from oropharyngeal devices. Patients typically present with symptoms of a sore throat within 48 hours postoperatively. Read More

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EVALUATION OF A LARYNGEAL MASK AIRWAY AS AN ALTERNATIVE TO OROTRACHEAL INTUBATION FOR MAINTAINING AIRWAY PATENCY DURING INHALANT ANESTHESIA UNDER SPONTANEOUS VENTILATION IN CAPYBARAS ().

J Zoo Wildl Med 2021 Apr;52(1):276-286

Universidade Estadual Paulista (Unesp), Faculdade de Medicina Veterinária e Zootecnia, Campus de Botucatu, CEP 18618-681, Botucatu, São Paulo, Brazil.

Orotracheal intubation carries greater difficulty in rodents than in most domestic species. The human laryngeal mask airway (LMA) was compared with an endotracheal tube (ET) for maintaining airway patency in anesthetized capybaras (). Six capybaras (24-52 kg) were remotely darted with intramuscular ketamine, midazolam, and acepromazine on two occasions (≥7-day intervals). Read More

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Are there predictive tests that determine the difficulty in Laryngeal Mask Airway Insertion?

J Pak Med Assoc 2021 02;71(2(A)):434-439

Department of Anesthesiology and Reanimation, Bulent Ecevit University, Turkey.

Objective: To determine the predictive tests for difficulty in laryngeal mask airway insertion, and to observe the success rate of insertion in the first attempt.

Methods: The prospective, observational study was conducted at Bülent Ecevit University Hospital, Turkey, from September 2013 to 2014, and comprised patients of American Society of Anaesthesiologists grade I to IV adult patients who underwent elective surgery under general anaesthesia. The supraglottic airway device was randomly selected for each patient, and the laryngeal mask airway was used as per the decision of an anaesthesiologist who was not part of the study. Read More

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February 2021

Safety and Efficacy of a Novel Intubating Laryngeal Mask during the recovery period following Supratentorial Tumour Surgery.

J Int Med Res 2021 Mar;49(3):300060521999768

Department of Anaesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.

Objective: To assess safety and efficacy of a novel intubation laryngeal mask airway (ILMA) during the recovery period following supratentorial tumour surgery.

Methods: Patients who underwent supratentorial tumour surgery at our centre from January 2012 to December 2016 were eligible for this prospective randomised, parallel group study. We developed a novel ILMA using closely fitting laryngeal masks (No. Read More

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Comparison of the Baska Mask® and Endotracheal Tube on Hemodynamic and Respiratory Parameters in Septoplasty Cases.

Prague Med Rep 2021 ;122(1):5-13

Department of Anesthesia and Reanimation, Kafkas University, Kars, Turkey.

Laryngeal mask (LM) types have been used as an airway device for an alternative to the standard endotracheal tube (ETT). One of the novel type of LM, the Baska Mask®, can be a safe alternative among the airway devices. The purpose of this study is to compare the effects of the new generation supraglottic airway device the Baska Mask® and the ETT on hemodynamic parameters (heart rate, mean arterial pressure), airway pressure and end tidal carbon dioxide (EtCO2) in patients undergoing general anesthesia. Read More

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Larynxmaske oder endotracheale Intubation während einer Adenotomie bei Kindern.

Authors:

Laryngorhinootologie 2021 03 26;100(3):163-164. Epub 2021 Feb 26.

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Comparison of airway management without neuromuscular blockers in laparoscopic gynecological surgery.

Medicine (Baltimore) 2021 Feb;100(7):e24676

Department of Obstetrics and Gynecology, School of Medicine, Dokuz Eylul University, Izmir, Turkey.

Abstract: New generation supraglottic airway devices are suitable for airway management in many laparoscopic surgeries. In this study, we evaluated and compared the ventilation parameters of the laryngeal mask airway-supreme (LM-S) and endotracheal tube (ETT) when a neuromuscular blocker (NMB) agent was not used during laparoscopic gynecological surgery. The second outcome was based on the evaluation of the surgical view because it may affect the surgical procedure. Read More

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February 2021

[Different anesthesia management in preterm infants undergoing surgeries for retinopathy of prematurity: A retrospective study].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Oct;53(1):195-199

Department of Anesthesiology, Peking University People's Hospital, Beijing, China, 100044, China.

Objective: To evaluate the effect of different anesthesia management on clinical outcomes in former prematurely born infants undergoing surgeries for retinopathy of prematurity (ROP).

Methods: In this retrospective study, electronic medical record database was searched for all former prematurely born infants (gestational age < 37 weeks and post conceptual age < 60 weeks) who received ROP surgery under inhalational general anesthesia between November 2016 and October 2018. The patients were divided into two groups based on anesthesia management: laryngeal mask airway (LMA) insertion without intravenous muscle relaxant injection and with pressure support ventilation (LMA group) or airway secured with endotracheal tube (ETT) with intravenous muscle relaxant injection and pressure controlled ventilation (ETT group). Read More

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October 2020

Accidental extubation in prone position: Report of two cases and proposal of an algorithm for airway management.

Eur J Anaesthesiol 2021 Mar;38(3):319-322

From the Servei d'Anestesiologia, Reanimació i Terapèutica del Dolor (LB, SP, LC, LG) and Institut Mar d'Investigacions Mèdiques (IMIM), Universitat Autònoma de Barcelona, Barcelona, Spain (LB, SP, LC, LG).

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Moving past Mallampati: airway ultrasound in predicting difficult face mask ventilation.

Minerva Anestesiol 2021 01;87(1):4-6

Department of Anesthesiology and Critical Care Medicine, University of New Mexico, Albuquerque, NM, USA -

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January 2021

Thyroid cancer diagnosis with transdermal probe 22G U/S versus EBUS-convex probe TBNA-B 22G and 19G: pros and cons.

Expert Rev Med Devices 2021 Feb 29;18(2):197-201. Epub 2021 Jan 29.

Surgery Department, ``Genesis`` Private Hospital, Thessaloniki, Greece.

Introduction: Thyroid cancer is usually diagnosed both with imaging techniques and transdermal biopsy. Laboratory tests are also included in the initial work-up.

Patients And Methods: One hundred and thirty patients were included in our study with pathological imaging findings in the thyroid region. Read More

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February 2021

Reply to: Supraglottic airway and aerosol generation: Reality or simulation?

Resuscitation 2021 03 19;160:174-175. Epub 2021 Jan 19.

Department of Anesthesia and Perioperative Medicine, Complejo Hospitalario Universitario de A Coruña, A Coruña, Galicia, Spain. Electronic address:

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Supraglottic airway and aerosol generation: Reality or simulation?

Resuscitation 2021 03 19;160:172-173. Epub 2021 Jan 19.

Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at University of Pennsylvania, Philadelphia, USA.

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Extraglottic Airway Device Misplacement: A Novel Classification System and Findings in Postmortem Computed Tomography.

Ann Emerg Med 2021 03 15;77(3):285-295. Epub 2021 Jan 15.

Department of Emergency Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM; Department of Anesthesiology, University of New Mexico Health Sciences Center, Albuquerque, NM.

Study Objective: Extraglottic airway devices are frequently used during cardiac arrest resuscitations and for failed intubation attempts. Recent literature suggests that many extraglottic airway devices are misplaced. The aim of this study is to create a classification system for extraglottic airway device misplacement and describe its frequency in a cohort of decedents who died with an extraglottic airway device in situ. Read More

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Exposure and confidence across critical airway procedures in pediatric emergency medicine: An international survey study.

Am J Emerg Med 2021 04 31;42:70-77. Epub 2020 Dec 31.

Paediatric Research in Emergency Departments International Collaborative (PREDICT), Australia and New Zealand; Paediatric Emergency Department, Monash Medical Centre, Melbourne, Australia; Department of Paediatrics, School of Clinical Sciences at Monash Health, Monash University, Australia.

Background: Airway management procedures are critical for emergency medicine (EM) physicians, but rarely performed skills in pediatric patients. Worldwide experience with respect to frequency and confidence in performing airway management skills has not been previously described.

Objectives: Our aims were 1) to determine the frequency with which emergency medicine physicians perform airway procedures including: bag-mask ventilation (BMV), endotracheal intubation (ETI), laryngeal mask airway (LMA) insertion, tracheostomy tube change (TTC), and surgical airways, and 2) to investigate predictors of procedural confidence regarding advanced airway management in children. Read More

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A New Standard Intubating Position?

Anesth Analg 2021 02;132(2):e33

University of Pittsburgh Medical Center Department of Anesthesiology and Perioperative Medicine, Pittsburgh, Pennsylvania,

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February 2021

Ventilating the Bearded: A Randomized Crossover Trial Comparing a Novel Bag-Valve-Guedel Adaptor to a Standard Mask.

Mil Med 2020 08;185(7-8):e1300-e1308

Institute for Research in Military Medicine (IRMM) of the Faculty of Medicine, The Hebrew University of Jerusalem, Israel and the Israel Defense Forces Medical Corps, Israel.

Introduction: Emergency field ventilation using bag-valve face mask devices can be difficult to perform, especially in bearded individuals. In view of the increasing numbers of servicemen and civilians sporting a beard or moustache, the issue of finding a technical solution for ventilation in this population has gained importance. We therefore developed a novel adaptor that enables the direct connection of a bag-valve device to a Guedel-type oropharyngeal airway device thereby directly connecting the oral airway to the bag valve, eliminating the need for a face mask. Read More

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Supraglottic airway versus tracheal intubation and the risk of postoperative pulmonary complications.

Br J Anaesth 2021 03 5;126(3):571-574. Epub 2021 Jan 5.

Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, Portland, OR, USA.

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Comment on: A simple method against spread of COVID-19 when using a supraglottic airway for intermittent positive pressure ventilation during general anesthesia.

Authors:
Sohan L Solanki

Minerva Anestesiol 2021 05 17;87(5):618-619. Epub 2020 Dec 17.

Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India -

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Baska mask versus endotracheal tube in laparoscopic cholecystectomy surgery: a prospective randomized trial.

Expert Rev Med Devices 2021 Feb 31;18(2):203-210. Epub 2020 Dec 31.

Department of Anaesthesiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

: Supraglottic airway devices have increasingly been used as the airway technique of choice in laparoscopic surgeries. This study compared the efficacy and safety of the Baska Mask with endotracheal tube (ETT) in patients undergoing elective laparoscopic cholecystectomy.: This single-center, prospective, randomized controlled trial recruited 60 patients aged 18-75 years with American Society of Anesthesiologists' classifications I to III. Read More

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February 2021

A Co-Induction Technique Utilizing 4% Sevoflurane Followed by 0.75 mg/kg Propofol in Elderly Patients Undergoing Minimally Invasive Procedures: A Prospective Randomized Control Study.

Medicina (Kaunas) 2020 Dec 10;56(12). Epub 2020 Dec 10.

Department of Urology, School of Medicine, The University of Jordan, Amman 11942, Jordan.

Elderly patients constitute a large segment of healthcare receivers. Considering the functional deterioration of multiple organ systems with aging, achieving a safe perioperative approach is challenging. Our aim is to study the safety and effectiveness of a genuinely regimented co-induction technique in order to minimize anesthesia-related complications. Read More

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December 2020

A Randomized Trial of Laryngeal Mask Airway in Neonatal Resuscitation.

N Engl J Med 2020 11;383(22):2138-2147

From the Center for International Health (N.J.P., S.M.H., T.T.) and the Center for Intervention Science in Maternal and Child Health (T.T.), University of Bergen, Bergen, and the Department of Anesthesiology and Intensive Care, Stavanger University Hospital (H.E.), and the Faculty of Health Sciences, University of Stavanger (H.E.), Stavanger - both in Norway; Sachs' Children and Youth Hospital (N.J.P., S.M.H., T.A.) and the Departments of Global Public Health (N.J.P., S.M.H., T.A.) and Clinical Science, Technology, and Intervention (M.B.), Karolinska Institutet, and the Department of Neonatal Medicine, Karolinska University Hospital (M.B.) - all in Stockholm; Mulago National Referral Hospital (J.B., C.L., J.N.) and the Departments of Obstetrics and Gynecology (J.B.) and Pediatrics and Child Health (J.N.), College of Health Sciences, Makerere University, Kampala, Uganda; and independent statistician, Solagna (F.C.), and the Department of Women's and Children's Health, Padua University, Padua (D.T.) - both in Italy.

Background: Face-mask ventilation is the most common resuscitation method for birth asphyxia. Ventilation with a cuffless laryngeal mask airway (LMA) has potential advantages over face-mask ventilation during neonatal resuscitation in low-income countries, but whether the use of an LMA reduces mortality and morbidity among neonates with asphyxia is unknown.

Methods: In this phase 3, open-label, superiority trial in Uganda, we randomly assigned neonates who required positive-pressure ventilation to be treated by a midwife with an LMA or with face-mask ventilation. Read More

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November 2020

Laryngeal mask airway surfactant administration: case series of 60 infants.

Arch Dis Child Fetal Neonatal Ed 2021 May 27;106(3):342. Epub 2020 Nov 27.

Neonatal Unit, Royal Hospital for Children, Glasgow, UK.

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Blind intubation through an i-gel® in the prone position: A prospective cohort study.

Anaesth Intensive Care 2020 11 22;48(6):439-443. Epub 2020 Nov 22.

Department of Anesthesiology, Haaglanden Medical Center, The Hague, The Netherlands.

Accidental extubation in the prone position is a medical emergency in which quick and low resource demanding airway management is required. Regaining oxygenation is the primary goal, but sometimes intubation may be required to regain oxygenation. Blind intubation through an i-gel® (Intersurgical Ltd, Wokingham, Berkshire, UK) may be a quick and low resource demanding method. Read More

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November 2020