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    4064 results match your criteria Tracheal Intubation Surgical Airway Techniques

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    Practical anesthetic considerations in patients undergoing tracheobronchial surgeries: a clinical review of current literature.
    J Thorac Dis 2016 Nov;8(11):3431-3441
    Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA;; Department of General Anesthesiology, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA.
    Tracheobronchial surgeries require close cooperation and extensive communication between the anesthesia providers and the surgeons. Anesthetic management of tracheal and bronchial pathologies differ basically from regular upper airways management, due access to the patients airway is limited, mostly even practically impossible for the anesthesia providers. As a consequence, the surgeon overtakes responsibility for the airway access from the anesthesia provider in the variety of the cases. Read More

    Airway Management With a Stereotactic Headframe In Situ-A Mannequin Study.
    J Neurosurg Anesthesiol 2017 Jan 4. Epub 2017 Jan 4.
    *Department of Anesthesia †Department of Neurosurgery, Division of Surgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
    Background: Stereotactic headframe-based imaging is often needed for target localization during surgery for insertion of deep brain stimulators. A major concern during this surgery is the need for emergency airway management while an awake or sedated patient is in the stereotactic headframe. The aim of our study was to determine the ease of emergency airway management with a stereotactic headframe in situ. Read More

    Tracheostomy in the Intensive Care Unit: a University Hospital in a Developing Country Study.
    Int Arch Otorhinolaryngol 2017 Jan 26;21(1):33-37. Epub 2016 Jul 26.
    Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Zagazig University, Zagazig, Egypt.
    Introduction Tracheostomy is the commonest surgical procedure in intensive care units (ICUs). It not only provides stable airway and facilitates pulmonary toilet and ventilator weaning, but also decreases the direct laryngeal injury of endotracheal intubation, and improves patient comfort and daily living activity. Objective The objective of this study is to assess the incidence, indications, timing, complications (early and late), and the outcome of tracheostomy on patients in the intensive care units (ICU) at a university hospital in a developing country. Read More

    McGrath Series 5 videolaryngoscope vs Airtraq DL videolaryngoscope for double-lumen tube intubation: A randomized trial.
    Medicine (Baltimore) 2016 Dec;95(51):e5739
    aDepartment of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology bDepartment of Physiology, Hubei University of Chinese Medicine, Wuhan, China.
    Background: Many studies have shown Airtraq videolaryngoscope provided faster tracheal intubation and a higher success rate than other videolaryngoscopes. Recently, different types of videolaryngoscopes have been reported for use in double-lumen tube (DLT) intubation. However, the advantages and disadvantages between them remain undetermined for DLT intubation. Read More

    Intubation without use of stylet for McGrath videolaryngoscopy in patients with expected normal airway: A randomized noninferiority trial.
    Medicine (Baltimore) 2016 Nov;95(48):e5498
    aDepartment of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon bDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea.
    Background: During McGrath videolaryngoscope (VL) intubation, a styletted endotracheal tube maintaining an upward distal tip angle is recommended by some manufacturers. However, a styletted endotracheal tube can elicit rare but potentially serious complications. The purpose of this study was to demonstrate that a nonstyletted tube with exaggerated curvature would be noninferior to a styletted tube for orotracheal intubation using McGrath VL in patients with expected normal airway, by comparing the time to intubation and ease of intubation. Read More

    Can Submandibular Tracheal Intubation Be an Alternative to Tracheotomy During Surgery for Major Maxillofacial Fractures?
    J Oral Maxillofac Surg 2016 Nov 2. Epub 2016 Nov 2.
    Lecturer of Anesthesia, Anesthesia Department, Faculty of Medicine, Sohag University, Sohag, Egypt.
    Purpose: During surgery for major maxillofacial fractures, orotracheal intubation can interfere with some surgical procedures and nasal intubation can be contraindicated or impossible. That is why tracheotomy is presented as a solution, although it carries a relatively high incidence of complications. In this study, the use of submandibular tracheal intubation is basically evaluated as an alternative to tracheotomy in such circumstances. Read More

    [Awake video laryngoscopy - an alternative to awake fiberoptic intubation?]
    Anasthesiol Intensivmed Notfallmed Schmerzther 2016 Nov 24;51(11-12):656-663. Epub 2016 Nov 24.
    Department of Anesthesia & Peri-operative Medicine, Western University, London, Ontario, Canada.
    Introduction: Awake video laryngoscopy is a novel option in airway management that is drawing more and more attention as an alternative to awake endoscopic guided intubation.Main issues: Intubation under preserved spontaneous breathing is the safest method to secure the expected difficult airway. In direct comparisons to awake flexible endoscopic intubation, awake video laryngoscopy achieves satisfactory intubation times and a high acceptance of patients and anesthesiologists. Read More

    Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation.
    Cochrane Database Syst Rev 2016 11 15;11:CD011136. Epub 2016 Nov 15.
    Patient Safety Research Department, Royal Lancaster Infirmary, Pointer Court 1, Ashton Road, Lancaster, UK, LA1 1RP.
    Background: Successful tracheal intubation during general anaesthesia traditionally requires a line of sight to the larynx attained by positioning the head and neck and using a laryngoscope to retract the tongue and soft tissues of the floor of the mouth. Difficulties with intubation commonly arise, and alternative laryngoscopes that use digital and/or fibreoptic technology have been designed to improve visibility when airway difficulty is predicted or encountered. Among these devices, a rigid videolaryngoscope (VLS) uses a blade to retract the soft tissues and transmits a lighted video image to a screen. Read More

    Anaesthesia for head and neck surgery: United Kingdom National Multidisciplinary Guidelines.
    J Laryngol Otol 2016 May;130(S2):S23-S27
    Department of Anaesthesia,Queen Elizabeth Hospital,Birmingham NHS Foundation Trust,Birmingham,UK.
    This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. The anaesthetic considerations for head and neck cancer surgery are especially challenging given the high burden of concurrent comorbidity in this patient group and the need to share the airway with the surgical team. This paper provides recommendations on the anaesthetic considerations during surgery for head and neck cancer. Read More

    Giant Cell Tumor of Cervical Spine Presenting as Acute Asphyxia: Successful Surgical Resection after Down-staging with Denosumab.
    Spine (Phila Pa 1976) 2016 Oct 25. Epub 2016 Oct 25.
    *Department of Diagnostic Radiology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas †Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas ‡Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, Texas §Department of Sarcoma Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
    Study Design: Case report and literature review.

    Objective: To describe treatment of a unique case of acute airway obstruction by a large C7 giant cell tumor (GCT) with pre-operative denosumab followed by surgical resection, and review the literature on this rare entity.

    Summary Of Background Data: Standard treatment for GCTs includes surgical resection or curettage and packing. Read More

    Tracheal T-tube: a novel endoscopic insertion technique.
    J Laryngol Otol 2016 Oct;130(10):967-968
    Department of Otorhinolaryngology and Head and Neck Surgery,Faculty of Medicine,Hospital Sultanah Bahiyah,Alor Setar,Malaysia.
    Background: Laryngotracheal stenosis is a complex condition of airway compromise involving either the larynx or trachea, or both.

    Objectives: This paper describes a new method of endoscopically inserting a silicone tracheal T-tube as treatment for laryngotracheal stenosis. The advantages of this method over previously described methods are discussed. Read More

    Effect of sex differences in remifentanil requirements for the insertion of a laryngeal mask airway during propofol anesthesia: A prospective randomized trial.
    Medicine (Baltimore) 2016 Sep;95(39):e5032
    aDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, World Cup-ro, Yeongtong-gu, Suwon bDepartment of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Namdong-gu, Incheon, Republic of Korea.
    Background: Remifentanil can improve insertion of a laryngeal mask airway (LMA) during induction with propofol. Recently, it has been suggested that there is a sex difference in opioid requirements for this procedure. The purposes of this study were to determine the effective effect-site concentration (Ce) of remifentanil for the facilitation of LMA insertion in male and female patients during propofol anesthesia without neuromuscular blockade and to evaluate whether there are sex differences in the Ce of remifentanil required for successful LMA insertion. Read More

    Use of the GlideScope video laryngoscope for intubation during ex utero intrapartum treatment in a fetus with a giant cyst of the 4th branchial cleft: A case report.
    Medicine (Baltimore) 2016 Sep;95(39):e4931
    aDepartment of Anesthesiology and Pain Medicine bDepartment of Obstetrics and Gynecology, School of Medicine, Catholic University of Daegu, Daegu, Republic of Korea.
    Introduction: In fetuses who are predicted to be at risk of catastrophic airway obstruction at delivery, the ex utero intrapartum treatment (EXIT) procedure is useful for securing the fetal airway while maintaining fetal oxygenation via placental circulation. Factors, including poor posture of the fetus and physician, narrow visual field, and issues of contamination in the aseptic surgical field, make fetal intubation during the EXIT procedure difficult. Herein, we report our experience of the usefulness of the GlideScope video laryngoscope (GVL) for intubation during the EXIT procedure. Read More

    Does end-tidal capnography confirm tracheal intubation in fresh-frozen cadavers?
    Emerg Med J 2016 Sep 23. Epub 2016 Sep 23.
    Surgical and Anatomical Science Facility, University of Technology, Sydney, New South Wales, Australia.
    Background: Life-like end-tidal capnography (ETCO2) waveforms have been demonstrated in recently deceased and fresh-frozen cadavers following tracheal intubation, offering potential for high fidelity airway simulation training. As the mechanism for carbon dioxide production is not fully understood, it is possible that oesophageal intubation may also generate a capnograph. Our aim was to measure ETCO2 levels following (1) oesophageal and (2) tracheal intubation in fresh-frozen cadavers, and to observe the size, shape and duration of any capnographic waveform. Read More

    Intraoperative ventilatory management of adult tracheoesophageal fistula.
    J Pak Med Assoc 2016 Sep;66(9):1176-1178
    Department of Anaesthesiology, Aga Khan University Hospital, Karachi.
    Iatrogenic Tracheo Esophageal Fistula (TEF) in adults is a rare complication occurring secondary to trauma and prolonged intubation. There is very scarce data regarding its airway management and that too is from the paediatric age group. We describe the case of a young male undergoing TEF repair. Read More

    The Effect of Green Tea Gargle Solution on Sore Throat After Coronary Artery Bypass Grafting: A Randomized Clinical Trial.
    Anesth Pain Med 2016 Jun 9;6(3):e32108. Epub 2016 May 9.
    Department of Anesthesiology, School of Paramedical, Mazandaran University of Medical Sciences, Sari, Iran.
    Background: Tracheal intubation is an essential method of keeping the airway open in patients under general anesthesia. Sore throat is a prevalent complication after endotracheal intubation.

    Objectives: The aim of this study was to investigate the effect of green tea gargling on sore throat after coronary artery bypass grafting (CABG). Read More

    Submandibular intubation as an alternative for intra-operative airway management in maxillofacial fractures - our institutional experience.
    Indian J Anaesth 2016 Aug;60(8):573-7
    Department of Anaesthesilogy, JLN Hospital and RC, Bhilai, Chhattisgarh, India.
    Background And Aims: Airway management in anaesthesia for maxillofacial surgical procedures is tricky at times when the nasal/oral routes are contraindicated or are impossible. Tracheostomy as an alternative inherits its own complications. We present a case series of the submandibular route for tracheal intubation as an alternative. Read More

    Transtracheal jet ventilation in the 'can't intubate can't oxygenate' emergency: a systematic review.
    Br J Anaesth 2016 Sep;117 Suppl 1:i28-i38
    Department of Anesthesia, Pharmacology and Therapeutics and Department of Medicine, Division of Critical Care Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.
    Background: Transtracheal jet ventilation (TTJV) is recommended in several airway guidelines as a potentially life-saving procedure during the 'Can't Intubate Can't Oxygenate' (CICO) emergency. Some studies have questioned its effectiveness.

    Methods: Our goal was to determine the complication rates of TTJV in the CICO emergency compared with the emergency setting where CICO is not described (non-CICO emergency) or elective surgical setting. Read More

    A Unique Surgical Technique for Tracheostomy in Heterotopic Ossification: A Case Report.
    Ann Otol Rhinol Laryngol 2016 Nov 23;125(11):943-946. Epub 2016 Aug 23.
    Department of Otolaryngology-Head & Neck Surgery, Loyola University Medical Center, Maywood, IL, USA.
    Objective: To describe a technique for tracheostomy in heterotopic ossification that has not yet been described in the literature.

    Methods: We report a case of difficult tracheostomy while using conventional techniques in a 68-year-old patient who underwent mitral valve replacement requiring warfarin therapy three months prior. Imaging revealed heterotopic ossification overlying the trachea. Read More

    Comparison between supraglottic airway devices and endotracheal tubes in patients undergoing laparoscopic surgery: A systematic review and meta-analysis.
    Medicine (Baltimore) 2016 Aug;95(33):e4598
    aDepartment of Anesthesiology and Pain Medicine, College of Medicine bMedical Course, Jeju National University School of Medicine, Jeju National University, Jeju cDepartment of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine dDepartment of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.
    Background: Comparisons between the efficacies of supraglottic airway devices (SGAs) and endotracheal tubes (ETTs) in patients undergoing laparoscopic surgeries have yielded conflicting results. Therefore, in this meta-analysis, we compared the clinical performance and incidence of complications between SGAs and ETT intubation in laparoscopic surgery.

    Methods: A comprehensive search was conducted using MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, and Google Scholar to identify randomized controlled trials that compared SGAs with ETTs in laparoscopic surgery. Read More

    [Successful One-lung Ventilation with a Right-sided Double-lumen Tube in a Patient with a Right Upper Tracheal Bronchus, who Underwent Left Pneumonectomy for Left Hilar Lung Cancer].
    Masui 2016 Jun;65(6):594-8
    A 60-year-old male patient with left hilar lung cancer was scheduled to undergo left pneumonectomy or left sleeve lower lobectomy. Preoperative computer tomographic and bronchoscopic examinations revealed that the bronchus (B1) to the right apical segment (S1) was a tracheal bronchus (TB) originating from the trachea approximately 10 mm above the carina. Because the left main bronchus was to be dissected, a right-sided double-lumen tube (DLT) was selected to completely protect the right lung from spillage of secretions or cancer cells from the left lung. Read More

    Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority Trial.
    Anesthesiol Res Pract 2016 10;2016:7318595. Epub 2016 Jul 10.
    Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada N6A 5A5.
    Introduction. The study aims to test whether flexible silicone tubes (FST) improve performance and provide similar intubation success through I-Gel as compared to ILMA. Our trial is registered in CTRI and the registration number is "CTRI/2016/06/006997. Read More

    Emergency surgical airway management in Denmark: a cohort study of 452 461 patients registered in the Danish Anaesthesia Database.
    Br J Anaesth 2016 Sep 28;117 Suppl 1:i75-i82. Epub 2016 Jul 28.
    Department of Anaesthesiology, Copenhagen University Hospital, Capital region of Denmark, Nordsjællands Hospital, Dyrehavevej 29, 3400 Hillerød, Denmark.
    Background: The emergency surgical airway (ESA) is the final option in difficult airway management. We identified ESA procedures registered in the Danish Anaesthesia Database (DAD) and described the performed airway management.

    Methods: We extracted a cohort of 452 461 adult patients undergoing general anaesthesia and tracheal intubation from the DAD from June 1, 2008 to March 15, 2014. Read More

    Do Not Burn Your Airway Bridge: A Technique to Safely Exchange a Tracheostomy Tube for a Tracheal Tube.
    A A Case Rep 2016 Oct;7(7):155-7
    From the *Escuela de Medicina, Universidad de Antioquia, Medellin, Colombia; and †Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX.
    Tracheostomy is one of the most ancient and commonly performed surgical procedures. When tracheostomized patients require a subsequent intervention, it is usually necessary to exchange the tracheostomy tube for a tracheal tube, which can be dangerous. These potential complications may be overlooked or underestimated by the anesthesia providers. Read More

    One-Lung Ventilation for Lung Lobectomy Using Endobronchial Blocker Through Adjustable Silicon Hyperflex Tracheostomy Tube in Postlaryngectomy Patient.
    A A Case Rep 2016 Sep;7(6):132-4
    From the Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.
    One-lung ventilation is challenging in patients with difficult airway who require lung surgery. The choice of airway technique remains limited in patients with permanent tracheostomy after total laryngectomy. Conventional airway management techniques and available airway equipment have limited the options for securing airway in such patients, and dedicated airway equipment is not available for the management of such patients. Read More

    Surgicric 2: A comparative bench study with two established emergency cricothyroidotomy techniques in a porcine model.
    Br J Anaesth 2016 Aug;117(2):236-42
    Department of Anaesthesia, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.
    Background: 'Can't Intubate, Can't Oxygenate' is a rare but life threatening event. Anaesthetists must be trained and have appropriate equipment available for this. The ideal equipment is a topic of ongoing debate. Read More

    Comparison of ProSeal laryngeal mask airway (PLMA) with cuffed and uncuffed endotracheal tubes in infants.
    Bosn J Basic Med Sci 2016 Nov 10;16(4):286-291. Epub 2016 Nov 10.
    Department of Anesthesiology and ICM, Ankara University Faculty of Medicine, Ankara University, Ankara, Turkey.
    We aimed to compare cuffed and uncuffed endotracheal tubes (ETTs) with ProSealTM laryngeal mask airway (PLMA) in terms of airway security and extubation, starting out from the hypothesis that PLMA will provide alternative airway safety to the endotracheal tubes, and that airway complications will be less observed. After obtaining approval from the local Ethics Committee and parental informed consent, 120 pediatric patients 1-24 months old, American Society of Anesthesiologists physical status I-II, requiring general anesthesia for elective lower abdominal surgery, were randomized into PLMA (Group P, n = 40), cuffed ETT (Group C, n = 40), and uncuffed ETT (Group UC, n = 40) groups. The number of intubation or PLMA insertion attempts was recorded. Read More

    COMPARISON OF INDIRECT VIDEO LARYNGOSCOPES IN CHILDREN YOUNGER THAN TWO YEARS OF AGE: A RANDOMIZED TRAINEE EVALUATION STUDY.
    Middle East J Anaesthesiol 2016 Feb;23(4):401-10
    Background: Gaining proficiency with various airway management tools is an important goal for anesthesiology training. Indirect video laryngoscopes facilitate tracheal intubation in adults, but it is not clear whether these findings translate to children. This study evaluates the total time to successful intubation when performed by anesthesiology trainees using GlideScope Cobalt® video laryngoscopy (GlideScope), Storz DCI® video laryngoscopy (Storz), or direct laryngoscopy (Direct) in children <2 years old with normal airway anatomy. Read More

    Ease of insertion of the laryngeal mask airway in pediatric surgical patients: Predictors of failure and outcome.
    Saudi J Anaesth 2016 Jul-Sep;10(3):295-300
    Department of Public Health, Qena Faculty of Medicine, South Valley University, Qena, Egypt.
    Background: Laryngeal mask airway (LMA) is an useful alternative to endotracheal tube for airway management. The risk of life-threatening adverse respiratory events during its use is rare, but we need to know about the risk-adjusted prediction of its insertion failure requiring rescue tracheal intubation and its impact on patient outcome.

    Materials And Methods: Five hundred patients; 6 months to 12-year-old, American Society of Anesthesiologists I and II scheduled to undergo elective surgical procedures that require general anesthesia were included in this study. Read More

    Anesthetic management in patient with neurofibromatosis: a case report and literature review.
    Acta Anaesthesiol Belg 2016 ;67(1):48-52
    Objective: We report the anesthesia management of a 15 years-old patient with neurofibromatosis type 1, scheduled for resection of a tumor located in the occipitocervical region. In addition, we review the pertaining literature, emphasizing the anesthetic implications of neurofibromatosis manipulation. CASE : A 15-years-old female patient, with Neurofibromatosis type 1 was diagnosed with a large tumor in occipitocervical region suggestive of a plexiform neurofibroma. Read More

    Site-directed topical lidocaine spray attenuates perioperative respiratory adverse events in children undergoing elective surgery.
    J Surg Res 2016 Jun 11;203(1):206-10. Epub 2016 Mar 11.
    Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
    Background: Perioperative respiratory adverse events (PRAEs) are a major cause of morbidity and mortality associated with pediatric anesthesia. Topical lidocaine administration reduces risk of PRAE in children undergoing elective endotracheal intubation. However, definitive evidence of its efficacy remains elusive, due, in part, to the wide variability in the methodology for spraying topical lidocaine. Read More

    Hyomental distance in the different head positions and hyomental distance ratio in predicting difficult intubation.
    Bosn J Basic Med Sci 2016 Aug 14;16(3):232-6. Epub 2016 Jun 14.
    School of Medicine, University of Belgrade.
    The hyomental distance ratio (HMDR) is the ratio between the hyomental distance (HMD) (the distance between the hyoid bone and the tip of the chin) at the extreme of head extension (HMDe) and the one in the neutral position (HMDn). The objective of the study was to examine the predictive value, sensitivity, and specificity of HMDe, HMDn, and HMDR in predicting difficult endotracheal intubation (DI). A prospective study included 262 patients that underwent elective surgical operations. Read More

    LARYNGEAL CHONDROSARCOMA: SUCCESSFUL USE OF VIDEO LARYNGOSCOPE IN ANTICIPATED DIFFICULT AIRWAY MANAGEMENT.
    Acta Clin Croat 2016 Mar;55 Suppl 1:108-11
    Laryngeal chondrosarcoma is a rare mesenchymal tumor, most frequently affecting cricoid cartilage. The objective of this report is to present successful video laryngoscope usage in a patient with anticipated difficult airway who refused awake fiberoptic endotracheal intubation (AFOI). A 59-year-old male patient was admitted in our hospital due to difficulty breathing and swallowing. Read More

    MOEBIUS SYNDROME: CHALLENGES OF AIRWAY MANAGEMENT.
    Acta Clin Croat 2016 Mar;55 Suppl 1:94-7
    Moebius syndrome is a rare nonprogressive congenital neurological disorder with a wide range of severity and variability of symptoms. This diversity is a consequence of dysfunction of different cranial nerves (most often facial and abducens nerves), accompanying orofacial abnormalities, musculoskeletal malformations, congenital cardiac diseases, as well as specific associations of Moebius and other syndromes. The authors present anesthesia and airway management during the multiple tooth extraction surgery in a 10-year-old girl with Moebius syndrome associated with Poland and trigeminal trophic syndromes. Read More

    AIRWAY MANAGEMENT WITH DIRECT LARYNGOSCOPY IN A CHILD WITH GOLDENHAR SYNDROME.
    Acta Clin Croat 2016 Mar;55 Suppl 1:90-3
    Goldenhar syndrome, also known as oculoauriculovertebral dysplasia, is a rare congenital condition characterized by facial, cranial, vertebral, ocular, auricular and cardiac abnormalities. This syndrome is associated with hemifacial microsomia due to inadequate growth of the mandible and vertebral anomaly of the cervical part of the spine. For anesthesiologists, airway management is of great interest because of facial and oral abnormalities such as mandibular hypoplasia and limitation of neck movement. Read More

    UPPER AIRWAY BLOCKS FOR AWAKE DIFFICULT AIRWAY MANAGEMENT.
    Acta Clin Croat 2016 Mar;55 Suppl 1:85-9
    Airway anesthesia is pivotal for successful awake intubation provided either topically or by blocks. Airway blocks are considered technically more difficult to perform and carry a higher risk of complications. However, in experienced hands, they can be useful as they provide excellent intubating conditions. Read More

    CHALLENGES OF OBSTETRIC ANESTHESIA: DIFFICULT LARYNGEAL VISUALIZATION.
    Acta Clin Croat 2016 Mar;55 Suppl 1:68-72
    Obstetric anesthesia is one of the high risk subspecialties of anesthesia practice. Anesthesia related complications are the sixth leading cause of maternal mortality. Difficult or failed intubation following induction of general anesthesia for CS remains the major contributory factor to anesthesia-related maternal complications. Read More

    SIMPLE, TIMELY, SAFELY? LARYNGEAL MASK AND PEDIATRIC AIRWAY.
    Acta Clin Croat 2016 Mar;55 Suppl 1:55-61
    Laryngeal mask airway (LMA) was a useful, powerful airway management device for routine pediatric airway management, pediatric difficult airway, and in pediatric emergency situations. Over years, various designs, induction and insertion techniques have been described. LMA provides ease of placement and removal as compared with endotracheal intubation, less traumatism for the respiratory tract, better tolerability by patients, improved hemodynamic stability during emergency, less coughing, less sore throat, avoidance of laryngoscopy, and hands free airway. Read More

    FIBEROPTIC BRONCHOSCOPY VERSUS VIDEO LARYNGOSCOPY IN PEDIATRIC AIRWAY MANAGEMENT.
    Acta Clin Croat 2016 Mar;55 Suppl 1:51-4
    The primary goal of pediatric airway management is to ensure oxygenation and ventilation. Routine airway management in healthy pediatric patients is normally easy in experienced hands. Really difficult pediatric airway is rare and usually is associated with anatomically and physiologically important findings such as congenital abnormalities and syndromes, trauma, infection, swelling and burns. Read More

    CHALLENGES IN THE USE OF VIDEO LARYNGOSCOPES.
    Acta Clin Croat 2016 Mar;55 Suppl 1:41-50
    Despite the lack of uniformity and the need of further investigation, video laryngoscopy continues to gain popularity both inside and outside the operating room. It has quickly become a first line strategy for potential and/or encountered difficult intubation. It is well established that video laryngoscope improves laryngeal view as compared with direct laryngoscopy in patients with suspected difficult intubation and simulated difficult airway scenarios. Read More

    Advanced airway management in an anaesthesiologist-staffed Helicopter Emergency Medical Service (HEMS): A retrospective analysis of 1047 out-of-hospital intubations.
    Resuscitation 2016 Aug 27;105:66-9. Epub 2016 May 27.
    Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland; Departments of Outcomes Research and General Anesthesiology, Cleveland Clinic, Cleveland, USA(2). Electronic address:
    Introduction: Airway management in the out-of-hospital emergency setting is challenging. Failed and even prolonged airway management is associated with serious clinical consequences, such as desaturation, bradycardia, airway injuries, or aspiration. The overall success rate of tracheal intubation ranges between 77% and 99%, depending on the level of experience of the provider. Read More

    Laparoscopic Nissen fundoplication with Baska Mask(®) laryngeal mask.
    Rev Esp Anestesiol Reanim 2016 Dec 18;63(10):599-603. Epub 2016 May 18.
    Servicio Anestesia, Reanimación y Unidad del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, España.
    Tracheal intubation has historically been considered the ideal technique to handle the airway in laparoscopic surgical procedures. The introduction of such procedures in ambulatory surgery requires the use of anesthetic techniques that offer optimal and early postoperative recovery under strict security conditions. Laryngeal mask is proposed as a suitable alternative to tracheal intubation, even in high risk patients due to new devices which have been modified to improve their characteristics, becoming great alternatives in the overall management of the airway. Read More

    Standard versus Rotation Technique for Insertion of Supraglottic Airway Devices: Systematic Review and Meta-Analysis.
    Yonsei Med J 2016 Jul;57(4):987-97
    Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
    Purpose: Supraglottic airway devices have been widely utilized as an alternative to tracheal intubation in various clinical situations. The rotation technique has been proposed to improve the insertion success rate of supraglottic airways. However, the clinical efficacy of this technique remains uncertain as previous results have been inconsistent, depending on the variable evaluated. Read More

    [Comparison of the Effectiveness of Different Supraglottic Ventilation Methods during Bronchial Thermoplasty].
    Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2016 Apr;38(2):131-5
    Department of Anesthesiology,Beijing 100029,China.
    Objective: To compare the effectiveness of high-frequency jet ventilation via Wei jet nasal airway and controlled ventilation with improved laryngeal mask airway during bronchial thermoplasty.

    Methods: Twenty-eight patients undergoing bronchial thermoplasty were equally divided into two groups: group A (high-frequency jet ventilation through Wei jet nasal airway) and group B (controlled ventilation with improved laryngeal mask airway). Pulse oxygenation,heart rate,and mean arterial blood pressure were recorded after entering the operating room (T0), 1 minute after administration/induction (T1), bronchoscope inserting (T2), 15 minutes (T3)/30 minutes (T4)/45 minutes (T5) after ventilation,at the end of the operation (T6), and at the recovery of patients' consciousness (T7). Read More

    Preoperative airway assessment - experience gained from a multicentre cluster randomised trial and the Danish Anaesthesia Database.
    Dan Med J 2016 May;63(5)
    Difficulties with airway management in relation to general anaesthesia have been a challenge for the anaesthesiologist since the birth of anaesthesia. Massive landmark improvements have been made and general anaesthesia is now regarded as a safe procedure. However, rare, difficult airway management still occurs and it prompts increased risk of morbidity and mortality - especially when not anticipated. Read More

    [Effects of intubating laryngeal mask airway in prevention of extubation responses in patients with hypertensive cerebral hemorrhage during general anesthesia recovery period].
    Zhonghua Yi Xue Za Zhi 2016 Apr;96(16):1281-4
    Department of Anesthesiology, Affiliated First Municipal Hospital, Fujian Medical University, Quanzhou 362000, China; #Department of Anesthesiology, Fujian Province Quanzhou Municipal Children Hospital & Women Healthcare Hospital, Quanzhou 362000, China.
    Objective: To evaluate the effects of intubating laryngeal mask airway (ILMA) in prediction of extubation responses in patients with hypertensive cerebral hemorrhage during general anesthesia recovery period.

    Methods: A total of 120 patients with hypertensive cerebral hemorrhage aged 47-71 years, with Glasgow Coma Scale (GCS)11-15 scores and American Society of Anesthesiologists (ASA) physical status Ⅰ or Ⅱ, undergoing craniotomy surgery from December 2012 to December 2014 in the Affiliated First Municipal Hospital of Fujian Medical University were randomly divided into 2 groups (n=60): tracheal intubation (Group T) and intubating laryngeal mask airway (Group I), by using a random number table. Variations of invasive arterial blood pressure and responses of endotracheal extubation were compared between two groups before and after extubation. Read More

    Anterograde catheterization of severe tracheal stenosis as a difficult airway management option, followed by emergent tracheostomy (a case report).
    J Cardiothorac Surg 2016 Apr 26;11(1):70. Epub 2016 Apr 26.
    Ahvaz Jundishapur University of Medical Sciences, Ahwaz, Iran.
    Background: To describe the successful management of a patient with severe dyspnea and hypoxia due to tracheal stenosis by the application of a novel bridging technique-anterograde tracheal catheterization-prior to tracheostomy.

    Case Presentation: A 55-year-old woman entered the Emergency Department with severe dyspnea, tachypnea, and stridor and a pulse oximetry reading of 60 %. An attempt at intubation failed because of tracheal stenosis discovered 3-4 cm distal to the vocal cords, which had been formed as a complication of intubation the previous month. Read More

    Airway accidents in critical care unit: A 3-year retrospective study in a Public Teaching Hospital of Eastern India.
    Indian J Crit Care Med 2016 Feb;20(2):91-6
    Department of Critical Care, Behrampore, West Bengal, India.
    Background: Although tracheal tubes are essential devices to control and protect airway in a critical care unit (CCU), they are not free from complications.

    Aims: To document the incidence and nature of airway accidents in the CCU of a government teaching hospital in Eastern India.

    Methods: Retrospective analysis of all airway accidents in a 5-bedded (medical and surgical) CCU. Read More

    Intraoperative Extracorporeal Carbon Dioxide Removal During Apneic Oxygenation with an EZ-Blocker in Tracheal Surgery.
    A A Case Rep 2016 Jun;6(11):358-61
    From the Department of Anesthesia and Intensive Care, AORN dei Colli Vincenzo Monaldi Hospital, Naples, Italy.
    Tracheal surgery requires continued innovation to manage the anesthetic during an open airway phase. A common approach is apneic oxygenation with continuous oxygen flow, but the lack of effective ventilation causes hypercapnia, with respiratory acidosis. We used extracorporeal carbon dioxide removal for intraoperative decapneization during apneic oxygenation in a 64-year-old woman who was scheduled for tracheal surgery because of tracheal stenosis caused by long-term intubation. Read More

    Acute emergency care and airway management of caustic ingestion in adults: single center observational study.
    Scand J Trauma Resusc Emerg Med 2016 Apr 11;24:45. Epub 2016 Apr 11.
    Emergency Department, University Hospital Leipzig, Leipzig, Germany.
    Background: Caustic ingestions are rare but potentially life-threatening events requiring multidisciplinary emergency approaches. Although particularly respiratory functions may be impaired after caustic ingestions, studies involving acute emergency care are scarce. The goal of this study was to explore acute emergency care with respect to airway management and emergency department (ED) infrastructures. Read More

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