5,039 results match your criteria Tracheal Intubation Surgical Airway Techniques


Difficult extubation of a damaged neural integrity monitor electromyogram tracheal tube: A case report.

Medicine (Baltimore) 2020 Jun;99(25):e20250

Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Introduction: The purpose of a neural integrity monitor electromyogram (EMG) tracheal tube is to reduce the risk of damage to the recurrent laryngeal nerves. Complications associated with the use of EMG tube are ventilatory failure, tracheal injury, and difficult extubation.

Patient Concerns: We encountered a case of difficult extubation of an EMG tube after thyroidectomy and partial tracheal resection in a 73-year-old woman. Read More

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http://dx.doi.org/10.1097/MD.0000000000020250DOI Listing

An affordable videolaryngoscope for use during the COVID-19 pandemic.

Lancet Glob Health 2020 07;8(7):e893-e894

Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal. Electronic address:

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http://dx.doi.org/10.1016/S2214-109X(20)30259-XDOI Listing

An Innovative Way to Achieve Safe Lung Deflation During One-Lung Ventilation in a Potential Coronavirus Disease 2019 Patient: A Case Report.

A A Pract 2020 May;14(7):e01244

From the Department of Anesthesiology, Westchester Medical Center, Valhalla, New York.

A novel coronavirus pandemic may be particularly hazardous to health care workers. Airway management is an aerosol-producing high-risk procedure. To minimize the production of airborne droplets, including pathogens such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), from the endotracheal tube during procedures requiring lung deflation, we devised a technique to mitigate the risk of infection transmission to health care personnel. Read More

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http://dx.doi.org/10.1213/XAA.0000000000001244DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268880PMC

Airway management for COVID-19: a move towards universal videolaryngoscope?

Lancet Respir Med 2020 06 5;8(6):555. Epub 2020 May 5.

Intensive Care Unit and Transplantation, Critical Care and Anesthesia Department, Hôpital Saint-Éloi, Montpellier University Hospital, PhyMed Exp INSERM U1046, 34090 Montpellier, France. Electronic address:

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http://dx.doi.org/10.1016/S2213-2600(20)30221-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200124PMC

Prolonged endotracheal intubation: a feasible option for tracheomalacia after retrosternal goitre surgery.

Ann Palliat Med 2020 May 25. Epub 2020 May 25.

Department of Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250000, China.

Background: Tracheomalacia may be caused by long-standing compression of retrosternal goitre because of destruction of support of tracheal cartilages. Life-threatening airway collapses may occur after surgical removal of goitre. However, available literature on management methods of tracheomalacia is sparse. Read More

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http://dx.doi.org/10.21037/apm-19-552DOI Listing

The role of an overinflated endotracheal tube in the diagnosis of tracheal injuries

Orv Hetil 2020 06;161(25):1063-1068

Általános Orvostudományi Kar, Sebészeti Klinika, Mellkassebészet,Szegedi Tudományegyetem Szeged.

Tracheobronchial injury is an uncommon, but often life-threatening condition. It is mostly caused by blunt thoracic or neck trauma, difficult or prolonged intubation associated with nasogastric tube insertion. An early diagnosis and treatment can be lifesaver. Read More

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http://dx.doi.org/10.1556/650.2020.31743DOI Listing

Long-term intubation and high rate of tracheostomy in COVID-19 patients might determine an unprecedented increase of airway stenoses: a call to action from the European Laryngological Society.

Eur Arch Otorhinolaryngol 2020 Jun 6. Epub 2020 Jun 6.

Department of Otorhinolaryngology, Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy.

Introduction: The novel Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2, may need intensive care unit (ICU) admission in up to 12% of all positive cases for massive interstitial pneumonia, with possible long-term endotracheal intubation for mechanical ventilation and subsequent tracheostomy. The most common airway-related complications of such ICU maneuvers are laryngotracheal granulomas, webs, stenosis, malacia and, less commonly, tracheal necrosis with tracheo-esophageal or tracheo-arterial fistulae.

Materials And Methods: This paper gathers the opinions of experts of the Laryngotracheal Stenosis Committee of the European Laryngological Society, with the aim of alerting the medical community about the possible rise in number of COVID-19-related laryngotracheal stenosis (LTS), and the aspiration of paving the way to a more rationale concentration of these cases within referral specialist airway centers. Read More

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http://dx.doi.org/10.1007/s00405-020-06112-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275663PMC

Successful rescue using tracheal intubation cannula for severe central airway stenosis after tracheotomy: A CARE compliant case report.

Medicine (Baltimore) 2020 May;99(21):e20117

Emergency Department, the First Hospital of Jilin University, Jilin, China.

Introduction: Central airway stenosis is a life-threating requiring immediate medical intervention. There are several options for treating central airway stenosis, including rigid bronchoscopy, bronchoscopic high-power laser therapy, high-frequency electric needle knife, and balloon-expanding stents. However, interventional techniques may be unavailable in an emergent situation or at smaller local hospitals. Read More

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http://dx.doi.org/10.1097/MD.0000000000020117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249895PMC
May 2020
5.723 Impact Factor

The "BURP" maneuver improves the glottic view during laryngoscopy but remains a difficult procedure.

J Int Med Res 2020 May;48(5):300060520925325

Department of Anesthesiology, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital)Wuhu, China.

Objective: We investigated the "BURP" maneuver's effect on the association between difficult laryngoscopy and difficult intubation, and predictors of a difficult airway.

Methods: Adult patients who underwent general anesthesia and tracheal intubation from September 2016 to May 2018 were included. The "BURP" maneuver was performed when glottic exposure was classified as Cormack-Lehane grade 3 or 4, suggesting difficult laryngoscopy. Read More

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http://dx.doi.org/10.1177/0300060520925325DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273868PMC

Pediatric Peri-Operative Care in the COVID-19 Era.

Surg Infect (Larchmt) 2020 06 13;21(5):399-403. Epub 2020 May 13.

Monroe Carell Jr. Children's Hospital at Vanderbilt University Medical Center, Nashville, Tennessee, USA.

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http://dx.doi.org/10.1089/sur.2020.170DOI Listing

Tracheotomy in Ventilated Patients With COVID-19.

Ann Surg 2020 07;272(1):e30-e32

Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.

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http://dx.doi.org/10.1097/SLA.0000000000003956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224612PMC

Management of the airway and lung isolation for thoracic surgery during the COVID-19 pandemic: Recommendations for clinical practice endorsed by the Association for Cardiothoracic Anaesthesia and Critical Care and the Society for Cardiothoracic Surgery in Great Britain and Ireland.

Anaesthesia 2020 May 5. Epub 2020 May 5.

Department of Cardiothoracic Anaesthesia, Golden Jubilee National Hospital, Glasgow, UK.

Intra-operative aerosol-generating procedures are arguably unavoidable in the routine provision of thoracic anaesthesia. Airway management for such patients during the COVID-19 pandemic including tracheal intubation, lung isolation, one-lung ventilation and flexible bronchoscopy may pose a significant risk to healthcare professionals and patients. That said, there remains a need for timely thoracic surgery for patients with lung cancer or thoracic trauma. Read More

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http://dx.doi.org/10.1111/anae.15112DOI Listing

Tracheal intubation in patients with COVID-19.

CMAJ 2020 06 1;192(22):E607. Epub 2020 May 1.

Departments of Anesthesiology and Pain Medicine (Duggan, Bryson), and Emergency Medicine (Mastoras), University of Ottawa; Clinical Epidemiology Program (Bryson), Ottawa Hospital Research Institute, Ottawa, Ont.

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http://dx.doi.org/10.1503/cmaj.200650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7272202PMC

Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic.

J Otolaryngol Head Neck Surg 2020 Apr 27;49(1):23. Epub 2020 Apr 27.

Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.

Introduction: The performance of tracheotomy is a common procedural request by critical care departments to the surgical services of general surgery, thoracic surgery and otolaryngology - head & neck surgery. A Canadian Society of Otolaryngology - Head & Neck Surgery (CSO-HNS) task force was convened with multi-specialty involvement from otolaryngology-head & neck surgery, general surgery, critical care and anesthesiology to develop a set of recommendations for the performance of tracheotomies during the COVID-19 pandemic.

Main Body: The tracheotomy procedure is highly aerosol generating and directly exposes the entire surgical team to the viral aerosol plume and secretions, thereby increasing the risk of transmission to healthcare providers. Read More

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http://dx.doi.org/10.1186/s40463-020-00414-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184547PMC

Anesthesia and COVID-19: What We Should Know and What We Should Do.

Semin Cardiothorac Vasc Anesth 2020 Jun 27;24(2):127-137. Epub 2020 Apr 27.

Harvard Medical School, Boston, MA, USA.

Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2), was first reported in Wuhan, Hubei, China, and has spread to more than 200 other countries around the world. COVID-19 is a highly contagious disease with continuous human-to-human transmission. The origin of the virus is unknown. Read More

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http://dx.doi.org/10.1177/1089253220921590DOI Listing

Airway management at Level 1 trauma center in the era of video laryngoscopy.

Int J Crit Illn Inj Sci 2020 Jan-Mar;10(1):20-24. Epub 2020 Mar 6.

Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami Miller School of Medicine, Miami, FL, USA.

Background: Rapid sequence induction and tracheal intubation through direct laryngoscopy (DL) has been the most common approach to secure the airway in trauma patients. The introduction of video laryngoscopy (VL) has changed airway management in many clinical settings. In this retrospective study, we assessed if immediate availability of VL in the trauma suite has changed the approach and outcomes of airway management during acute resuscitation at a dedicated trauma center. Read More

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http://dx.doi.org/10.4103/IJCIIS.IJCIIS_14_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170343PMC

Comparison of tracheal intubation with controlled ventilation and laryngeal mask airway with spontaneous ventilation for thoracoscopic bullectomy.

Medicine (Baltimore) 2020 Apr;99(16):e19704

Department of Thoracic Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

General anesthesia with double-lumen endobronchial intubation is considered mandatory for thoracoscopic bullectomy. We assessed the safety and feasibility of thoracoscopic bullectomy for treatment of primary spontaneous pneumothorax (PSP) under intubating laryngeal mask airway (ILMA) with spontaneous breathing sevoflurane anesthesia combined with thoracic paravertebral block (TPB).From January 2018 to December 2018, some 34 consecutive patients with PSP were treated by thoracoscopic bullectomy under ILMA with spontaneous breathing sevoflurane anesthesia combined with TPB (study group). Read More

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http://dx.doi.org/10.1097/MD.0000000000019704DOI Listing

Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2).

Surg Infect (Larchmt) 2020 May 20;21(4):301-308. Epub 2020 Apr 20.

Division of Trauma, Surgical Critical Care and Emergency Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated viral infection (coronavirus disease 2019, COVID-19) is a virulent, contagious viral pandemic that is affecting populations worldwide. As with any airborne viral respiratory infection, surgical and non-surgical patients may be affected. Review and synthesis of pertinent English-language literature pertaining to COVID-19 infection among adult patients. Read More

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http://dx.doi.org/10.1089/sur.2020.101DOI Listing

Pediatric Airway Management in COVID-19 Patients: Consensus Guidelines From the Society for Pediatric Anesthesia's Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society.

Anesth Analg 2020 07;131(1):61-73

Department of Clinical Anesthesiology & Critical Care, Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

The severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) pandemic has challenged medical systems and clinicians globally to unforeseen levels. Rapid spread of COVID-19 has forced clinicians to care for patients with a highly contagious disease without evidence-based guidelines. Using a virtual modified nominal group technique, the Pediatric Difficult Intubation Collaborative (PeDI-C), which currently includes 35 hospitals from 6 countries, generated consensus guidelines on airway management in pediatric anesthesia based on expert opinion and early data about the disease. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004872DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173403PMC
July 2020
3.472 Impact Factor

Pre-Intubation Veno-Venous Extracorporeal Membrane Oxygenation in Patients at Risk for Respiratory Decompensation.

J Extra Corpor Technol 2020 Mar;52(1):52-57

Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has emerged as a potential life-saving treatment for patients with acute respiratory failure. Given the accumulating literature supporting the use of VV-ECMO without therapeutic levels of anticoagulation, it might be feasible to use it for planned intubation before surgical procedures. Here, we report consecutive series of patients who underwent planned initiation of VV-ECMO, without anticoagulation, before induction of general anesthesia for anticipated difficult airways or respiratory decompensation. Read More

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http://dx.doi.org/10.1182/JECT-1900035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138124PMC

Patient and surgery factors associated with the incidence of failed and difficult intubation.

Anaesthesia 2020 06 31;75(6):756-766. Epub 2020 Mar 31.

Monash University Accident Research Centre, Melbourne, Vic., Australia.

Estimates of the rate and risk-factors for difficult airway rarely include a denominator for the number of anaesthetics. Approaches such as self-reporting and crowd-sourcing of airway incidents may help identify specific lessons from clinical episodes, but the lack of denominator data, biased reporting and under-reporting does not allow a comprehensive population-based assessment. We used an established state-wide dataset to determine the incidence of failed and difficult intubations between 2015 and 2017 in the state of Victoria in Australia, along with associated patient and surgical risk-factors. Read More

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http://dx.doi.org/10.1111/anae.14997DOI Listing

Classification of tracheal stenosis in children based on computational aerodynamics.

J Biomech 2020 May 19;104:109752. Epub 2020 Mar 19.

Department of Otolaryngology, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA.

Tracheal stenosis is a health condition in which local narrowing of the upper trachea can cause breathing difficulties and increased incidence of infection, among other symptoms. Occurring most commonly due to intubation of infants, tracheal stenosis often requires corrective surgery. It is challenging to determine the most effective surgical strategy for a given patient as current clinical methods used to assess tracheal stenosis are simplistic and subjective, and are not rigorously based on aerodynamic considerations. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109752DOI Listing

Anticipated difficult airway during obstetric general anaesthesia: narrative literature review and management recommendations.

Anaesthesia 2020 07 6;75(7):945-961. Epub 2020 Mar 6.

Department of Anaesthesia, St Michael's Hospital, Bristol, UK.

We reviewed the literature on management of general and regional anaesthesia in pregnant women with anticipated airway difficulty. We identified 138 publications comprising 158 cases; these either described equipment or techniques for the provision of general anaesthesia, or the management of women with regional analgesia or anaesthesia, with the aim of avoiding general anaesthesia. Most of the former group described women requiring caesarean section alone, or in combination with other surgery, which was sometimes airway-related. Read More

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http://dx.doi.org/10.1111/anae.15007DOI Listing

The Safety and Efficacy of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Laryngologic Surgery.

Laryngoscope 2020 Feb 20. Epub 2020 Feb 20.

Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, Stanford, CA, USA.

Objectives: Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) is an intraoperative ventilatory technique that allows avoidance of tracheal intubation (TI) or jet ventilation (JV) in selected laryngologic surgical cases. Unimpeded access to all parts of the glottis may improve surgical precision, decrease operative time, and potentially improve patient outcomes. The objective of this prospective, randomized, patient-blinded, 2-arm parallel pilot trial was to investigate the safety and efficacy of THRIVE use for adult patients undergoing nonlaser laryngologic surgery of short-to-intermediate duration. Read More

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http://dx.doi.org/10.1002/lary.28562DOI Listing
February 2020

Cricoid Chondronecrosis: Case Report and Review of Literature.

Ann Otol Rhinol Laryngol 2020 Jul 18;129(7):662-668. Epub 2020 Feb 18.

University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Objective: Cricoid chondronecrosis is a rare entity that has significant consequences for patients. Reports of its occurrence are scattered in the literature and currently there is no comprehensive review to help guide providers.

Methods: A case report from our institution is presented. Read More

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http://dx.doi.org/10.1177/0003489420904974DOI Listing

[Out-of-hospital tracheal intubation and alternatives in the prehospital setting].

Rev Med Suisse 2020 Feb;16(681):325-330

Service des urgences, Hôpital cantonal, Hôpital fribourgeois HFR, 1708 Fribourg.

The purpose of this article is to review the main airway devices available to the emergency physician in a prehospital setting. Since the risk of difficult intubation is increased under pre-hospital conditions; the emergency physician should be aware of alternatives to direct tracheal intubation such as supraglottic devices, video laryngoscopes and cricothyroidotomy. These different techniques and devices must be integrated into a strategy for the management of the upper airway. Read More

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February 2020

[THE INFLUENCE OF NASOTRACHEAL INTUBATION ON NASAL RESISTANCE].

Harefuah 2020 Feb;159(1):113-116

Otolaryngology Head.

Introduction: Tracheal intubation is a vital and common procedure during surgical care. The tracheal tube may be inserted orally or trans-nasally. Nasal intubation enables a non-restricted approach for oral and oropharyngeal regions. Read More

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February 2020

Spontaneous breathing anesthesia for cervical tracheal resection and reconstruction.

J Thorac Dis 2019 Dec;11(12):5336-5342

Department of Anesthesiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

Background: Spontaneous breathing anesthesia (SBA) may have advantages over general anesthesia for cervical tracheal resection and reconstruction (TRR), avoiding the difficulties and complication caused by endotracheal intubation and surgical cross-field intubation. This prospective study evaluates SBA for cervical TRR.

Methods: Date was obtained from 35 patients who had cervical TRR under SBA from May 2015 to March 2019. Read More

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http://dx.doi.org/10.21037/jtd.2019.11.70DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988036PMC
December 2019

Intravenous lidocaine to prevent postoperative airway complications in adults: a systematic review and meta-analysis.

Br J Anaesth 2020 Mar 28;124(3):314-323. Epub 2020 Jan 28.

Department of Anesthesia, McGill University, Montreal, QC, Canada.

Background: In surgical patients undergoing general anaesthesia, coughing at the time of extubation is common and can result in potentially dangerous complications. We performed a systematic review and meta-analysis to assess the efficacy and safety of i.v. Read More

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http://dx.doi.org/10.1016/j.bja.2019.11.033DOI Listing

Video Laryngoscopy Compared to Augmented Direct Laryngoscopy in Adult Emergency Department Tracheal Intubations: A National Emergency Airway Registry (NEAR) Study.

Acad Emerg Med 2020 02 20;27(2):100-108. Epub 2020 Jan 20.

Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA.

Objective: The objective was to compare first-attempt intubation success using direct laryngoscopy augmented by laryngeal manipulation, ramped patient positioning, and use of a bougie (A-DL) with unaided video laryngoscopy (VL) in adult emergency department (ED) intubations.

Methods: This study was a secondary analysis of a multicenter prospective observational database of ED intubations from the National Emergency Airway Registry (NEAR). We compared all VL procedures to seven exploratory permutations of A-DL using multivariable regression models. Read More

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http://dx.doi.org/10.1111/acem.13851DOI Listing
February 2020

Embracing the robotic revolution into anaesthetic practice.

Anaesthesia 2020 07 16;75(7):848-851. Epub 2020 Jan 16.

Department of Anaesthesia, Guy's and St Thomas NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1111/anae.14986DOI Listing

Airway anomalies in cases of anomalous pulmonary venous connection - A single-center experience.

Ann Card Anaesth 2020 Jan-Mar;23(1):14-19

Department of Cardiothoracic Surgery, SSSIHMS, Bengaluru, Karnataka, India.

Background: Patients with congenital heart defects may present with concomitant defects involving other organ systems. Roughly 4 percent of this nature are airway anomalies. Presence of anomalous airways summon major challenge before the anesthesiologist, surgeon, and intensivist in the perioperative management of such patients. Read More

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http://dx.doi.org/10.4103/aca.ACA_43_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034199PMC
January 2020

Tracheal intubation in microgravity: a simulation study comparing direct laryngoscopy and videolaryngoscopy.

Br J Anaesth 2020 07 6;125(1):e47-e53. Epub 2020 Jan 6.

Space Medicine Group, European Society of Aerospace Medicine, Cologne, Germany; Department of Surgery and Cancer, Imperial College London, London, UK.

Background: The risk of severe medical and surgical events during long-duration spaceflight is significant. In space, many environmental and psychological factors may make tracheal intubation more difficult than on Earth. We hypothesised that, in microgravity, tracheal intubation may be facilitated by the use of a videolaryngoscope compared with direct laryngoscopy. Read More

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http://dx.doi.org/10.1016/j.bja.2019.11.029DOI Listing

A comparative randomized trial of intubation success in difficult intubation cases: the use of a Frova intubation catheter versus a Bonfils intubation fiberoscope.

Wideochir Inne Tech Maloinwazyjne 2019 Dec 14;14(4):486-494. Epub 2019 Mar 14.

Department of Anesthesiology and Reanimation, Medical Faculty, Selcuk University, Konya, Turkey.

Introduction: A difficult airway is one of the main causes of morbidity and mortality in patients who undergo surgical interventions. Therefore, many devices and algorithms have been developed for the management of a difficult airway. However no study has been conducted comparing Frova catheter (FC) and a Bonfils fiberoscope (BF) to date. Read More

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http://dx.doi.org/10.5114/wiitm.2019.83610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939218PMC
December 2019

Three-year experience with immediate extubation in pediatric patients after congenital cardiac surgery.

J Cardiothorac Surg 2020 Jan 6;15(1). Epub 2020 Jan 6.

Division of Cardiovascular Surgery, Nicklaus Children's Hospital, Miami, USA.

Background: In pediatric cardiac anesthesiology, there is increased focus on minimizing morbidity, ensuring optimal functional status, and using health care resources sparingly. One aspect of care that has potential to affect all of the above is postoperative mechanical ventilation. Historically, postoperative ventilation was considered a must for maintaining patient stability. Read More

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http://dx.doi.org/10.1186/s13019-020-1051-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6945478PMC
January 2020

[Indication of tracheostomy extubation in patients with severe neuropathy: a Meta-analysis].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2019 Nov;31(11):1378-1383

Department of Encephalopathy, the First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230038, Anhui, China. Corresponding author: Zhang Bo, Email:

Objective: To analyze the extubation indications of tracheotomy patients with severe neuropathy by Meta-analysis in order to determine the effective indication parameters for successful extubation.

Methods: The literatures in databases including China National Knowledge Infrastructure (CNKI), Wanfang, VIP, Web of Science, PubMed and Cochrane Library were retrieved from their establishment to April 2019. The literatures were case-control studies, cohort studies, randomized controlled trials (RCTs) or surveys related to indication parameters for successful extubation in patients with severe neuropathy. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2019.11.013DOI Listing
November 2019

Anesthesia for shared airway surgery in children.

Paediatr Anaesth 2020 03 20;30(3):288-295. Epub 2020 Jan 20.

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.

Shared airway surgery in children is a complex, high-risk undertaking that requires continuous communication and cooperation between the anesthetic and surgical teams. Airway abnormalities commonly seen in children, the surgical options, and the anesthetic techniques that can be used to care for this vulnerable population are discussed. Many of these procedures were traditionally carried out using jet ventilation, or intermittent tracheal intubation, but increasingly spontaneously breathing "tubeless" techniques are being used. Read More

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http://dx.doi.org/10.1111/pan.13815DOI Listing

[The Correlation of Fast-track Extubation Ultrasound Score and Clinical Multi-organ Information Indicators of Postoperative of Cardiac Surgery].

Sichuan Da Xue Xue Bao Yi Xue Ban 2019 Dec;50(6):808-814

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

Objective: To evaluate the correlation of Fast-track extubation ultrasound score (FTEUS) and clinical multi-organ information indicators in post-cardiac surgery patients.

Methods: prospectively recruit post-cardiac surgery patients who were about to extubating from Febuary 2019 to September 2019. A fast-track extubation ultrasound score protocol (FTE-USP) was developed on the basis of the conventional fast-track extubation standard precisely and individualized. Read More

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December 2019

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

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

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

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

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

Airway management and perioperative adverse events in children with mucopolysaccharidoses and mucolipidoses: A retrospective cohort study.

Paediatr Anaesth 2020 02 27;30(2):181-190. Epub 2020 Jan 27.

Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Background: Children suffering from mucopolysaccharidoses (subtypes I, II, III, IV, VI, and VII) or mucolipidoses often require anesthesia, but are at high risk for perioperative adverse events. However, the impact of the disease subtype and the standard of care for airway management are still unclear.

Aims: This study aimed to assess independent risk factors for perioperative adverse events in individuals with mucopolysaccharidoses/mucolipidoses and to analyze the interaction with the primary airway technique implemented. Read More

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http://dx.doi.org/10.1111/pan.13787DOI Listing
February 2020

Minimally invasive surfactant therapy versus intubation for surfactant administration in very low birth weight infants with respiratory distress syndrome.

Pediatr Neonatol 2020 04 13;61(2):210-215. Epub 2019 Nov 13.

Division of Neonatology, Department of Pediatrics, Changhua Christian Children's Hospital, Changhua City, Taiwan; Institute of Medicine, Chung-Shan Medical University, Taichung, Taiwan. Electronic address:

Background: Minimally invasive surfactant therapy (MIST) is a new mode of surfactant administration without intubation to spontaneously breathing preterm infants with respiratory distress syndrome (RDS). The aims of this study were to assess the feasibility, efficacy and safety of using MIST to give surfactant for very low birth weight (VLBW) infants with RDS.

Methods: In total, 53 VLBW infants who were born before 32 gestational weeks with spontaneous breathing, respiratory distress, and requiring surfactant therapy were divided into two groups. Read More

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http://dx.doi.org/10.1016/j.pedneo.2019.11.002DOI Listing

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

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

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

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

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

Biodegradable electrospun patch containing cell adhesion or antimicrobial compounds for trachea repair in vivo.

Biomed Mater 2020 02 17;15(2):025003. Epub 2020 Feb 17.

Stephenson School of Biomedical Engineering, University of Oklahoma, Norman, OK 73019, United States of America.

Difficulty breathing due to tracheal stenosis (i.e. narrowed airway) diminishes the quality of life and can potentially be life-threatening. Read More

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http://dx.doi.org/10.1088/1748-605X/ab5e1bDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065275PMC
February 2020

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

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

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

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

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

Comparison of Laryngoscopic Views betweenC-MAC™ and Conventional Laryngoscopy in Patients with Multiple Preoperative Prognostic Criteria of Difficult Intubation. An Observational Cross-Sectional Study.

Medicina (Kaunas) 2019 Nov 27;55(12). Epub 2019 Nov 27.

Department of Anesthesia and Critical Care, AHEPA University Hospital, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.

: Video laryngoscopy has been proven useful under difficult airway scenarios, but it is unclear whether anticipated improvement of visualization is related to specific difficult intubation prognostic factors. The present study evaluated the change in laryngoscopic view between conventional and C-MAC laryngoscopy and the presence of multiple difficult intubation risk factors. Patients scheduled for elective surgery with >2 difficult intubation factors, (Mallampati, thyromental distance (TMD), interinscisor gap, buck teeth, upper lip bite test, cervical motility, body mass index (BMI)) were eligible. Read More

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http://dx.doi.org/10.3390/medicina55120760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955852PMC
November 2019

Feasibility of Spontaneous Ventilation in Secondary Contralateral Thoracic Surgery.

Med Sci Monit 2019 Nov 29;25:9085-9093. Epub 2019 Nov 29.

Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China (mainland).

BACKGROUND A secondary contralateral thoracic surgery is a challenging procedure and is rarely indicated. We retrospectively compared the perioperative values to find out whether video-assisted thoracoscopic surgery under spontaneous ventilation is feasible for this surgery. MATERIAL AND METHODS Patients were retrospectively collected from January 1, 2015 to December 30, 2018 who underwent secondary contralateral video-assisted thoracoscopic surgeries with mechanical ventilation (MV-VATS group) or spontaneous ventilation (SV-VATS group). Read More

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http://dx.doi.org/10.12659/MSM.918232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902315PMC
November 2019

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

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

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

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

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

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

Awake Fiberoptic Intubation in Cervical Spine Injury: A Comparison between Atomized Local Anesthesia versus Airway Nerve Blocks.

Kathmandu Univ Med J (KUMJ) 2018 Oct.-Dec.;16(64):323-327

Department of Anesthesia, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.

Background In cooperative patients with cervical spine injury, awake fiberoptic intubation is an excellent option for elective and semi urgent situations. It allows documentation of neurologic examination before and after intubation and surgical positioning. We have compared anesthesia of airway by nerve block and the local anesthesia atomizer undergoing awake fiberoptic intubation in cervical spine injury patients, in terms of the intubation time and discomfort. Read More

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November 2019

The suction-assisted laryngoscopy assisted decontamination technique toward successful intubation during massive vomiting simulation: A pilot before-after study.

Medicine (Baltimore) 2019 Nov;98(46):e17898

Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital.

This study demonstrated a training program of the suction-assisted laryngoscopy assisted decontamination (S.A.L. Read More

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http://dx.doi.org/10.1097/MD.0000000000017898DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6867733PMC
November 2019

Ultrasound for predicting difficult airway in obstetric anesthesia: Protocol and methods for a prospective observational clinical study.

Medicine (Baltimore) 2019 Nov;98(46):e17846

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education.

Background: Failed intubation and ventilation during cesarean deliveries are important causes of anesthetic-related maternal mortality. Due to the physiological changes in airway anatomy, parturient had higher incidences of difficult airway than non-obstetric population. Accurate airway assessment is the first step and the most important in airway management. Read More

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http://dx.doi.org/10.1097/MD.0000000000017846DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6867770PMC
November 2019
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