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    4145 results match your criteria Tracheal Intubation Surgical Airway Techniques

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    A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients.
    Indian J Anaesth 2017 Apr;61(4):321-325
    Department of Anesthesiology, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India.
    Background And Aims: Video Stylet (VS) is a new intubating modality that provides real-time video of endotracheal intubation (ETI). This device does not need alignment of the oral, pharyngeal and tracheal axes to view glottis and can be used in patients with limited mouth opening. The aim of this study was to compare flexible fibre-optic (FO) bronchoscope with VS in elective surgical patients in apparently normal airway patients requiring oral ETI. Read More

    Ventilation via the 2.4 mm internal diameter Tritube(®) with cuff - new possibilities in airway management.
    Acta Anaesthesiol Scand 2017 Apr 23. Epub 2017 Apr 23.
    Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
    Background: A small tube may facilitate tracheal intubation and improve surgical access. We describe our initial experience with the Tritube(®) that is a novel cuffed endotracheal tube with a 2.4 mm internal diameter. Read More

    Airway Problems in Neonates-A Review of the Current Investigation and Management Strategies.
    Front Pediatr 2017 30;5:60. Epub 2017 Mar 30.
    Pediatric and Neonatal Intensive Care Units, Critical Care Division, Great Ormond Street Hospital for Children, London, UK.
    Airway problems in the neonatal population are often life threatening and raise challenging issues in diagnosis and management. The airway problems can result from congenital or acquired lesions and can be broadly classified into those causing obstruction or those due to an abnormal "communication" in the airway. Many different investigations are now available to identify the diagnosis and quantify the severity of the problem, and these tests can be simple or invasive. Read More

    Delayed bilateral vocal cord paresis after a continuous interscalene brachial plexus block and endotracheal intubation: A lesson why we should use low concentrated local anesthetics for continuous blocks.
    Medicine (Baltimore) 2017 Apr;96(15):e6598
    Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
    Rationale: Recurrent laryngeal nerve block is an uncommon complication that can occur after an interscalene brachial plexus block (ISB), which may lead to vocal cord palsy or paresis. However, if the recurrent laryngeal nerve is blocked in patients with a preexisting contralateral vocal cord palsy following neck surgery, this may lead to devastating acute respiratory failure. Thus, ISB is contraindicated in patients with contralateral vocal cord lesion. Read More

    The safety and efficacy of the use of the flexible laryngeal mask airway with positive pressure ventilation in elective ENT surgery: a 15-year retrospective single-center study.
    Minerva Anestesiol 2017 Mar 28. Epub 2017 Mar 28.
    Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
    Background: The use of flexible laryngeal mask airway (FLMA) in elective ear, nose and throat (ENT) surgery offers significant advantages, but is frequently considered inferior to tracheal intubation (TI) for ventilation and airway protection. We investigated the safety and success rate of intraoperative FLMA use with positive pressure ventilation (PPV), and the factors responsible for FLMA failure.

    Methods: A 15-year single center retrospective study. Read More

    Direct Two-Minute Unassisted Breathing Evaluation (DTUBE) Is an Attractive Alternative to Longer Spontaneous Breathing Trials: A Prospective Observational Study.
    Am Surg 2017 Mar;83(3):308-313
    We sought to identify a simple bedside method to predict successful extubation outcomes that might be used during rounds. We hypothesized that a direct 2-minute unassisted breathing evaluation (DTUBE) could replace a longer spontaneous breathing trial (SBT). Data were prospectively collected on all patients endotracheally intubated for >48 hours nearing extubation in a tertiary center's mixed trauma/surgical intensive care unit from August 2012 to August 2013. Read More

    Recent trends in airway management.
    F1000Res 2017 17;6:159. Epub 2017 Feb 17.
    Oregon Health & Science University, Portland, OR, USA.
    Tracheal intubation remains a life-saving procedure that is typically not difficult for experienced providers in routine conditions. Unfortunately, difficult intubation remains challenging to predict and intubation conditions may make the event life threatening. Recent technological advances aim to further improve the ease, speed, safety, and success of intubation but have not been fully investigated. Read More

    Airway Management in Patients with Tracheal Compression Undergoing Thyroidectomy: A Retrospective Analysis.
    Anesth Essays Res 2017 Jan-Mar;11(1):110-116
    Department of Anesthesiology, Government Medical College, Kozhikode, Kerala, India.
    Background: Airway management in large and retrosternal goiters with tracheal compression is often fraught with challenges and is a source of apprehension among anesthesiologists globally.

    Aims: In this study we attempt to delineate the preferred techniques of airway management of such cases in our institution and also to assess whether airway management was unnecessarily complicated.

    Setting And Design: Retrospective analysis. Read More

    Evaluation of Initial Respiratory Support Strategies in VLBW Neonates with RDS.
    Arch Iran Med 2017 Mar;20(3):158-164
    Mehdieh Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
    Background: Non-invasive ventilation (NIV) has brought about a significant change in care and treatment of respiratory distress syndrome (RDS) in very low birth weight (VLBW) neonates. The present study was designed and conducted to evaluate different strategies of initial respiratory support (IRS) in VLBW neonates hospitalized in the neonatal intensive care unit (NICU).

    Methods: This prospective study was conducted over three years (March 21, 2011 to March 20, 2014). Read More

    Surgery and perioperative management for post-intubation tracheoesophageal fistula: case series analysis.
    J Thorac Dis 2017 Feb;9(2):278-286
    Thoracic Surgery Unit, Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
    Background: Post-intubation tracheoesophageal fistula (PITEF) is an often mistreated, severe condition. This case series reviewed for both the choice and timing of surgical technique and outcome PITEF patients.

    Methods: This case series reviewed ten consecutive patients who had undergone esophageal defect repair and airway resection/reconstruction between 2000 and 2014. Read More

    The novel video-assisted intubating laryngeal mask Totaltrack compared to the intubating laryngeal mask Fastrach - a controlled randomized manikin study.
    Acta Anaesthesiol Scand 2017 Apr;61(4):381-389
    Department of Anaesthesiology, Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
    Background: The novel Totaltrack combines a supraglottic airway device with video laryngoscopic tracheal intubation. The intubation laryngeal mask Fastrach is an established device without visual control of intubation. We hypothesized that supraglottic ventilation success with Totaltrack would be similar to Fastrach, but intubation would be performed faster due to visual control of the procedure. Read More

    Laryngeal Mask Airway for Cesarean Delivery: A 5-Year Retrospective Cohort Study.
    Chin Med J (Engl) 2017 02;130(4):404-408
    Department of Anesthesiology, Peking University First Hospital, Beijing 100034, China.
    Background: The laryngeal mask airway (LMA) is the most commonly used rescue airway in obstetric anesthesia. The aim of this retrospective cohort study was to evaluate the application of the LMA in parturients undergoing cesarean delivery (CD) for 5 years in our hospital. As a secondary objective, we investigated the incidence of airway-related complication in obstetric general anesthesia (GA). Read More

    Challenging Airway Secondary to Purpura Fulminans With Face and Neck Bullae in a Premature Infant: A Case Report.
    A A Case Rep 2017 Feb;8(4):70-71
    From the Departments of Pediatric Anesthesiology and Pediatric Plastic Surgery, Children's Memorial Hermann Hospital, McGovern Medical School, Houston, Texas.
    A former 25-week-old neonate presented at 34 weeks postconceptual age with necrotizing fasciitis and purpura fulminans because of Group B Streptococcus infection. He was septic and coagulopathic when he was intubated, and the endotracheal tube was secured with adhesives. When he subsequently developed large purpuric, bullous lesions on the face and neck, he presented to the operating room for excision and debridement of his facial lesions. Read More

    Treatment of bronchial foreign body aspiration with extracorporeal life support in a child: A case report and literature review.
    Int J Pediatr Otorhinolaryngol 2017 Mar 12;94:82-86. Epub 2017 Jan 12.
    Department of Cardiac Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, 150006, China. Electronic address:
    We present a case in which extracorporeal life support treatment of a 6-year-old girl asphyxiated by aspiration of an elliptic plastic ball is described. The attempts for extraction of the foreign body by conventional bronchoscopy under critically ill conditions had failed. Thus, a skin incision was made in the midline, and an emergency open-chest cardiopulmonary bypass (CPB) with aortic, superior vena cava and inferior vena cava cannulation was performed for circulatory support. Read More

    Shikani Optical Stylet versus Macintosh Laryngoscope for Intubation in Patients Undergoing Surgery for Cervical Spondylosis: A Randomized Controlled Trial.
    Chin Med J (Engl) 2017 02;130(3):297-302
    Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China.
    Background: Airway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Stylet (SOS) has become increasingly popular in difficult airway. We compared the effects of intubation with SOS versus Macintosh laryngoscope (MLS) in patients undergoing surgery for cervical spondylosis. Read More

    Novel Airway Training Tool that Simulates Vomiting: Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) System.
    West J Emerg Med 2017 Jan 8;18(1):117-120. Epub 2016 Nov 8.
    University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin.
    Introduction: We present a novel airway simulation tool that recreates the dynamic challenges associated with emergency airways. The Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) simulation system trains providers to use suction to manage emesis and bleeding complicating intubation.

    Methods: We modified a standard difficult-airway mannequin head (Nasco, Ft. Read More

    A Case Report: Establishing a Definitive Airway in a Trauma Patient With a King Laryngeal Tube In Situ in the Presence of a Closed Head Injury and Difficult Airway: "Between the Devil and the Deep Blue Sea".
    A A Case Rep 2017 Mar;8(6):139-141
    From the *Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada; and †Department of Otolaryngology, Queen's University, Hotel Dieu Hospital, Kingston, Ontario, Canada.
    Airway management in trauma is a crucial skill, because patients are at risk of aspiration, hypoxia, and hypoventilation, all of which may be fatal in the setting of increased intracranial pressure. The King Laryngeal Tube reusable supraglottic airway (King Systems, Noblesville, IN) allows for temporary management of a difficult airway but poses a challenge when an attempt is made to exchange the device for an endotracheal tube, often managed by emergency tracheostomy. We describe a novel fiberoptic, video laryngoscope-assisted approach to intubation in a difficult trauma airway with an in situ King Laryngeal Tube. Read More

    Airway management of the cardiac surgical patients: Current perspective.
    Ann Card Anaesth 2017 Jan;20(Supplement):S26-S35
    Department of Cardiac Anaesthesia, CTC, AIIMS, New Delhi, India.
    The difficult airway (DA) is a common problem encountered in patients undergoing cardiac surgery. However, the challenge is not only just establishment of airway but also maintaining a definitive airway for the safe conduct of cardiopulmonary bypass from initiation to weaning after surgical correction or palliation, de-airing of cardiac chambers. This review describes the management of the DA in a cardiac theater environment. Read More

    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

    Application of paclitaxel as adjuvant treatment for benign cicatricial airway stenosis.
    J Huazhong Univ Sci Technolog Med Sci 2016 Dec 7;36(6):817-822. Epub 2016 Dec 7.
    Department of Pulmonary Medicine, Beijing Tian Tan Hospital, Capital Medical University, Beijing, 100050, China.
    Benign cicatricial airway stenosis (BCAS) is a potentially life-threatening disease. Recurrence occurs frequently after endoscopic treatment. Paclitaxel is known to prevent restenosis, but its clinical efficacy and safety is undetermined. 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 2017 Mar 2;75(3):508.e1-508.e7. 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

    Continuous ventilation during intubation through a supraglottic airway device guided by fiberoptic bronchoscopy: a observational assessment.
    Acta Anaesthesiol Scand 2017 Jan 3;61(1):23-30. Epub 2016 Nov 3.
    Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
    Introduction: supraglottic airway devices remain, despite advances in video laryngoscopy, important tools in the management of unexpected difficult airways. Intubation through a functioning supraglottic airway device with the aid of a fiberoptic bronchoscope is a well-known technique usually performed in apnoea. With a simple modification, the patient can be ventilated during this procedure. Read More

    Anesthesia in pregnant women with HELLP syndrome: case report.
    Braz J Anesthesiol 2016 Nov - Dec;66(6):657-660. Epub 2016 Oct 1.
    Centro de Ensino e Treinamento em Anestesiologia (CET-SBA) da Clínica de Anestesiologia de Ribeirão Preto (CARP), Ribeirão Preto, SP, Brazil.
    Background And Objectives: HELLP syndrome, characterized by hemolysis, high levels of liver enzyme, and low platelet count, is an advanced clinical stage of pre-eclampsia, progressing to high maternal (24%) and perinatal (up 40%) mortality, despite childbirth care in a timely manner. The goal is to describe the anesthetic management of a case with indication to emergency cesarean.

    Case Report: Female patient, 36 years old, gestational age of 24 weeks, with hypertensive crisis (BP 180/100mmHg) and severe headache, was admitted to the operating room for a cesarean section after diagnosis of HELLP syndrome. Read More

    Giant Cell Tumor of Cervical Spine Presenting as Acute Asphyxia: Successful Surgical Resection After Down-Staging With Denosumab.
    Spine (Phila Pa 1976) 2017 May;42(10):E629-E632
    *Department of Diagnostic Radiology, The University of Texas M.D. Anderson Cancer Center, Houston, TX †Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX ‡Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX §Department of Sarcoma Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
    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 preoperative 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

    Preoperative and Intraoperative Predictive Factors of Immediate Extubation After Neonatal Cardiac Surgery.
    Ann Thorac Surg 2016 Nov 18;102(5):1588-1595. Epub 2016 Jun 18.
    Division of Cardiovascular Surgery, University of Nebraska College of Medicine and Children's Hospital & Medical Center, Omaha, Nebraska.
    Background: We sought to identify preoperative and intraoperative predictors of immediate extubation (IE) after open heart surgery in neonates. The effect of IE on the postoperative intensive care unit (ICU) length of stay (LOS), cost of postoperative ICU care, operating room turnover, and reintubation rates was assessed.

    Methods: Patients younger than 31 days who underwent cardiac surgery with cardiopulmonary bypass (January 2010 to December 2013) at a tertiary-care children's hospital were studied. Read More

    Comparison of 4 Laryngoscopes in 2 Difficult Airway Scenarios: A Randomized Crossover Simulation-Based Study.
    Simul Healthc 2016 Oct;11(5):304-308
    From the Department of Anesthesiology (D.A., T.O.-S., M.O.-S., N.S., E.C.), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
    Introduction: The performance of laryngoscopes that have been developed for difficult airways can vary widely. The aim of the study was to compare Macintosh, McCoy, McGrath MAC, and C-MAC laryngoscopes in cervical immobilization and tongue edema scenarios in a mannequin, primarily to evaluate the time to intubation.

    Methods: In this randomized crossover study, 41 anesthesiology residents used 4 laryngoscopes in a mannequin (SimMan 3G) in 2 different scenarios. Read More

    [Perioperative adverse respiratory events in overweight and obese children].
    Anaesthesist 2016 Dec 10;65(12):911-916. Epub 2016 Oct 10.
    Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland.
    Background: Overweight and obesity are increasing problems in pediatric anesthesia. This observational study was designed to examine how airway-related complications occur in overweight children and adolescents during general anesthesia and if this is a relevant problem in Germany.

    Methods: From October 2008 until August 2009, at the university clinic in Leipzig, 504 in- and outpatients, aged 2-18 years, ASA I-III, undergoing elective procedures (ENT and pediatric surgery), were observed. Read More

    King Vision video laryngoscope versus Lightwand as an intubating device in adult patients with Mallampatti grade III and IV patients.
    J Clin Anesth 2016 Nov 15;34:483-9. Epub 2016 Jul 15.
    Dept of Anesthesiology, Jawaharlal, Nehru Medical College, A.M.U., Aligarh., U.P., India.
    Study Objective: Anticipated and unanticipated difficult airways are often encountered by anesthesiologists in their clinical practice. There are various devices available in such situations. We aim to compare King Vision video laryngoscope and Lightwand for their performance as an intubating device in predicted difficult intubation. 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 2017 May 23;34(5):315-317. 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

    Is retrograde intubation more successful than direct laryngoscopic technique in difficult endotracheal intubation?
    Am J Emerg Med 2016 Dec 30;34(12):2384-2387. Epub 2016 Aug 30.
    Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital Mahidol University, Bangkok, Thailand. Electronic address:
    Background: Difficult airway intubation is an emergency condition both at the emergency department (ED) and in out-of-hospital situations. Retrograde intubation (RI) is another option for difficult airway management. There are limited data regarding the successful rate of RI compared with direct laryngoscopy (DL) intubation, the commonly used method in the ED. Read More

    [CHAOS in neonatal emergency care? : Tracheal agenesis in the obstetric theatre].
    Anaesthesist 2016 Oct;65(10):763-767
    Klinik für Kinderchirurgie, Evangelisches Krankenhaus Bielefeld gGmbH, Bielefeld, Deutschland.
    Tracheal agenesis (TA) is a very rare congenital malformation of unknown aetiology. It is often associated with polymalformative syndromes; the neonates commonly present a critical condition during post-natal treatment. Pathology revolves around the triad of aphonia, respiratory distress syndrome and impossibility of endotracheal intubation. 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

    Awake insertion of a Laryngeal Mask Airway-Proseal™ as alternative to awake fiberoptic intubation in management of anticipated difficult airway in ambulatory surgery.
    Braz J Anesthesiol 2016 Sep-Oct;66(5):539-42. Epub 2014 May 1.
    Department of Anesthesiology, Hospital Clinic, Barcelona, Spain.
    Background And Objectives: The decision whether to manage an ambulatory patient with a previously documented difficult airway with a supraglottic device remain controversial. We report an awake insertion of a Laryngeal Mask Airway Proseal™ in a patient with known difficult airway scheduled for ambulatory surgery.

    Case Report: A 46-yr-old woman was programmed as a day case surgery for breast nodule resection. Read More

    Association between off-hour presentation and endotracheal-intubation-related adverse events in trauma patients with a predicted difficult airway: A historical cohort study at a community emergency department in Japan.
    Scand J Trauma Resusc Emerg Med 2016 Aug 30;24(1):106. Epub 2016 Aug 30.
    Department of Anesthesiology, Ohta General Hospital Foundation, Ohta Nishinouchi Hospital, 2-5-20 Nishinouchi, Koriyama, Fukushima, 963-8558, Japan.
    Background: A reduction in medical staff such as occurs in hospitals during nights and weekends (off hours) is associated with a worse outcome in patients with several unanticipated critical conditions. Although difficult airway management (DAM) requires the simultaneous assistance of several appropriately trained medical caregivers, data are scarce regarding the association between off-hour presentation and endotracheal intubation (ETI)-related adverse events, especially in the trauma population. The aim of this study was to determine whether off-hour presentation was associated with ETI complications in injured patients with a predicted difficult airway. Read More

    Early extubation reduces respiratory complications and hospital length of stay following repair of abdominal aortic aneurysms.
    J Vasc Surg 2017 Jan 27;65(1):58-64.e1. Epub 2016 Aug 27.
    Department of Surgery, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Boston, Mass. Electronic address:
    Background: Early extubation after cardiac surgery is associated with decreased hospital stay and resource savings with similar mortality and has led to the widespread use of early extubation protocols. In the Vascular Quality Initiative, there is significant regional variation in the frequency of extubation in the operating room (endovascular aneurysm repair [EVAR], 77%-97%; open repair, 30%-70%) after repair of intact abdominal aortic aneurysms (AAAs). However, the effects of extubation practices on patient outcomes after repair of AAAs are unclear. 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

    Does laryngoscopic view after intubation predict laryngoscopic view before intubation?
    J Clin Anesth 2016 Sep 16;33:469-75. Epub 2016 Jul 16.
    Department of Anesthesia, Foothills Medical Centre, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada. Electronic address:
    Study Objective: To determine if an endotracheal (ET) tube will distort the laryngeal view obtained with direct laryngoscopy measuring with the modified Cormack-Lehane scale (MCL).

    Design: Observational single-arm study.

    Setting: The University of Calgary teaching hospitals. Read More

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