138,108 results match your criteria airway management

Images: Sleep-disordered breathing and hypoventilation in a child with obesity and hypothalamic dysfunction.

J Clin Sleep Med 2021 Sep 17. Epub 2021 Sep 17.

Division of Pediatric Pulmonology and Sleep Medicine, Emory University, Children's Healthcare of Atlanta, Atlanta, GA.

Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation (ROHHAD) is a rare and potentially lethal disorder of respiratory control, autonomic, and hypothalamic dysfunction of unknown etiology. We report a 15-year-old girl with ROHHAD who developed hyperphagia and rapid weight gain of 16kg between 2.5-4 years of age, and cardiorespiratory arrest at 4 years. Read More

View Article and Full-Text PDF
September 2021

Image-guided EBUS bronchoscopy system for lung-cancer staging.

Inform Med Unlocked 2021 13;25. Epub 2021 Jul 13.

School of Electrical Engineering and Computer Science, Penn State University, University Park, PA, United States.

The staging of the central-chest lymph nodes is a major step in the management of lung-cancer patients. For this purpose, the physician uses a device that integrates videobronchoscopy and an endobronchial ultrasound (EBUS) probe. To biopsy a lymph node, the physician first uses videobronchoscopy to navigate through the airways and then invokes EBUS to localize and biopsy the node. Read More

View Article and Full-Text PDF

Endobronchial Intubation to Facilitate Extraluminal Bronchial Blocker Placement in Young Children: A Retrospective Case Series.

J Cardiothorac Vasc Anesth 2021 Aug 22. Epub 2021 Aug 22.

Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC.

Objectives: Extraluminal bronchial blocker placement has become a well-accepted approach to one-lung ventilation in young children. In some cases, technical issues with placement may require alternative approaches to correct bronchial blocker positioning. The primary aim of this study was to review the authors' experience with using endobronchial intubation to facilitate extraluminal bronchial blocker placement in young children. Read More

View Article and Full-Text PDF

Pre-hospital management of penetrating neck injuries: a scoping review of current evidence and guidance.

Scand J Trauma Resusc Emerg Med 2021 Sep 16;29(1):137. Epub 2021 Sep 16.

Emergency Department, St. George's Hospital Trust, Blackshaw Rd., Tooting, London, SW17 0QT, UK.

Penetrating injuries to the neck pose a unique challenge to clinicians due to the proximity of multiple significant anatomical structures with little protective soft tissue coverage. Injuries to this area, whilst low in incidence, are potentially devastating. Respiratory, vascular, gastro-oesophageal and neurological structures may all be involved, either in isolation or combination. Read More

View Article and Full-Text PDF
September 2021

Balloon dilation and rapid maxillary expansion: a novel combination treatment for congenital nasal pyriform aperture stenosis in an infant.

Ital J Pediatr 2021 Sep 16;47(1):189. Epub 2021 Sep 16.

Unit of Dentistry, Bambino Gesù Children's Hospital, 00165, Rome, Italy.

Background: Congenital nasal pyriform aperture stenosis (CNPAS) is a rare condition that may occur alone or as part of a multi-formative syndrome. Management remains difficult. There is no specific treatment protocol. Read More

View Article and Full-Text PDF
September 2021

Airway Management for Emergent Surgeries during COVID-19 Pandemic.

J Coll Physicians Surg Pak 2021 Jan;31(1):S35-S37

Department of Anesthesia, Armed Forces Hospital, Jizan, Kingdom of Saudi Arabia.

Aerosol generating procedures (AGPs) performed in the operating room during general anesthesia and surgery can contaminate the operation room environment putting the anesthetist, surgeons and paramedical staff at risk of infection with the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The polymerase chain reaction (PCR) test for SARS-CoV-2 has low sensitivity and is time-bound. Emergent surgical cases might not give ample time for SARS-CoV-2 evaluation. Read More

View Article and Full-Text PDF
January 2021

Studies on the Correct Length of Nasopharyngeal Airways in Adults: A Literature Review.

J Spec Oper Med 2021 ;21(3):45-50

The use of a nasopharyngeal airway (NPA) as an adjunct airway device can be critically important in emergency medicine. When placed correctly, the device can prevent upper airway obstruction. The goal of our review was to learn whether there is scientific evidence about the correct length and the insertion depth, and also possible facial landmarks, that can predict the appropriate length of the NPA. Read More

View Article and Full-Text PDF
January 2021

Safety of surgical tracheostomy under continued antithrombotic therapy: a retrospective cohort study.

Clin Otolaryngol 2021 Sep 16. Epub 2021 Sep 16.

Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, the University of Tokyo, Tokyo, Japan.

Objective: Although various guidelines have been established for the management of antithrombotic therapy during surgical treatments, surgical tracheostomy (ST) under continued antithrombotic therapy (CAT) remains a challenge. We investigated the risk factors for complications after ST by focusing on CAT use during ST.

Method: Patients' medical records from 2009 to 2020 were reviewed in this retrospective study. Read More

View Article and Full-Text PDF
September 2021

Sleep Endoscopy Findings in Children With Obstructive Sleep Apnea and Small Tonsils.

Ann Otol Rhinol Laryngol 2021 Sep 16:34894211045645. Epub 2021 Sep 16.

Department of Otolaryngology-Head Neck Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA.

Objective: Obstructive Sleep Apnea (OSA) in children is treated primarily with adenotonsillectomy (AT). When clinical exam demonstrates small tonsils, the success of AT in resolving OSA is uncertain. The purpose of this study is to determine the utility of Drug induced Sleep Endoscopy (DISE) for children with OSA and small tonsils (Brodsky scale 1+) and to identify what obstructive trends exist in this subset of patients and to determine the utility of DISE-directed surgical intervention in patients with small tonsils. Read More

View Article and Full-Text PDF
September 2021

Abnormal hyoid conformation in French Bulldogs: case report and computed tomographic anatomical comparison.

Aust Vet J 2021 Sep 16. Epub 2021 Sep 16.

College of Veterinary Medicine, Murdoch University, Murdoch, Western Australia, 6150, Australia.

Background: Brachycephalic obstructive airway syndrome (BOAS) is common in brachycephalic breeds and comprises multiple anatomic characteristics. Computed tomography (CT) is increasingly used in the preoperative assessment of dogs presenting with BOAS. We describe the case of a French Bulldog with a presumed congenital hyoid malformation and anatomic comparison of hyoid morphology between French Bulldogs and mesaticephalic dogs using CT. Read More

View Article and Full-Text PDF
September 2021

Equipment and procedural setup for interventional pulmonology procedures in the intensive care unit.

J Thorac Dis 2021 Aug;13(8):5331-5342

Division of Pulmonary & Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Procedural setup is an important aspect of any procedure. Interventional pulmonologists provide a procedural practice and have additional expertise in performing high-risk procedures needed in the critically ill patients in intensive care. Taking the time to plan the procedure setup in advance and having all necessary equipment readily available at the patient's bedside is imperative for procedural services. Read More

View Article and Full-Text PDF

State of the art: percutaneous tracheostomy in the intensive care unit.

J Thorac Dis 2021 Aug;13(8):5261-5276

Division of Pulmonary & Critical Care Medicine, Section of Interventional Pulmonology, University of Maryland School of Medicine, Baltimore, MD, USA.

Percutaneous tracheostomy is a commonly performed procedure for patients in the intensive care unit (ICU) and offers many benefits, including decreasing ICU length of stay and need for sedation while improving patient comfort, effective communication, and airway clearance. However, there is no consensus on the optimal timing of tracheostomy in ICU patients. Ultrasound (US) and bronchoscopy are useful adjunct tools to optimize procedural performance. Read More

View Article and Full-Text PDF

Persistent air leak management in critically ill patients.

J Thorac Dis 2021 Aug;13(8):5223-5231

Division of Pulmonary & Critical Care, Medical College of Wisconsin, Milwaukee, WI, USA.

Persistent air leak (PAL) is a challenging clinical entity, particularly in the setting of critical illness. It is a significant cause of morbidity, health care expenditure, and resource utilization. Data on its prevalence in the critically ill patient population are limited. Read More

View Article and Full-Text PDF

An evolving role for endobronchial ultrasonography in the intensive care unit.

J Thorac Dis 2021 Aug;13(8):5183-5194

Section of Interventional Pulmonology, Pulmonary Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Endobronchial ultrasound (EBUS) bronchoscopy is an established minimally-invasive modality for visualization, characterization, and guidance of sampling of paratracheal and parabronchial structures and tissues. In the intensive care unit (ICU), rapidly obtaining an accurate diagnosis is paramount to the management of critically ill patients. In some instances, diagnosing and confirming terminal illness in a critically ill patient provides needed closure for patients and their loved ones. Read More

View Article and Full-Text PDF

The intersection of bronchoscopy and extracorporeal membrane oxygenation.

J Thorac Dis 2021 Aug;13(8):5176-5182

Division of Allergy, Pulmonary, and Critical Care Medicine, University of Wisconsin, Madison, WI, USA.

Central airway obstruction (CAO), which results from malignant, benign or iatrogenic etiologies, causes significant morbidity and mortality and can be seen in both the pediatric and adult patient population. Patients frequently present to the hospital with dyspnea, stridor, and respiratory distress, indicating impending respiratory failure. Heliox is used to help alleviate symptoms while procedural planning takes place. Read More

View Article and Full-Text PDF

Management of life-threatening hemoptysis in the ICU.

J Thorac Dis 2021 Aug;13(8):5139-5158

Division of Pulmonary and Critical Care Medicine, Section of Interventional Pulmonology, University of Maryland School of Medicine, Baltimore, MD, USA.

Life-threatening hemoptysis is commonly encountered in the ICU and its management can be challenging even for experienced clinicians. Depending on the etiology and severity, one can tailor the treatment modality and therapeutic intervention(s). The grading of severity of hemoptysis varies greatly in the literature; however, unlike hemorrhage in other scenarios, small amounts of blood can significantly impair oxygenation and ventilation leading to cardiovascular collapse. Read More

View Article and Full-Text PDF

Therapeutic bronchoscopy facilitates liberation from mechanical ventilation and improves quality of life for critically ill patients with central airway obstruction.

Bryan S Benn

J Thorac Dis 2021 Aug;13(8):5135-5138

Division of Pulmonary and Critical Care, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.

Central airway obstruction (CAO) remains a challenging disease for both patients who are suffering from it and for physicians who are managing it. Patients will frequently present with acute symptoms of respiratory failure that require management in an intensive care unit (ICU). While the true prevalence and incidence of CAO in the ICU setting is unknown, recent estimates suggest that approximately 20-30% of patients with a cancer diagnosis may present with CAO or develop it after diagnosis. Read More

View Article and Full-Text PDF

Managing Exacerbations in Thunderstorm Asthma: Current Insights.

J Inflamm Res 2021 8;14:4537-4550. Epub 2021 Sep 8.

Department of Clinical Immunology and Allergy, Royal Melbourne Hospital, Parkville, Victoria, Australia.

Epidemic thunderstorm asthma (ETSA) occurs following a thunderstorm due to the interaction of environmental and immunologic factors. Whilst first reported in the 1980s, the world's largest event in Melbourne, Australia, on November 21, 2016 has led to a wealth of clinical literature seeking to identify its mechanisms, susceptibility risk factors, and management approaches. Thunderstorm asthma (TA) typically presents during an aeroallergen season in individuals sensitized to perennial rye grass pollen (RGP) in Australia, or fungus in the United Kingdom, in combination with meteorological factors such as thunderstorms and lightning activity. Read More

View Article and Full-Text PDF
September 2021

Ketamine versus propofol for rapid sequence induction in trauma patients: a retrospective study.

Scand J Trauma Resusc Emerg Med 2021 Sep 15;29(1):136. Epub 2021 Sep 15.

Department of Anaesthesia, Section 6011, Centre of Head and Orthopaedics, Rigshospitalet, University of Copenhagen, Inge Lehmanns Vej 6, Section 6011, 2100, Copenhagen, Denmark.

Background: Rapid Sequence Induction (RSI) is used for emergency tracheal intubation to minimise the risk of pulmonary aspiration of stomach contents. Ketamine and propofol are two commonly used induction agents for RSI in trauma patients. Yet, no consensus exists on the optimal induction agent for RSI in the trauma population. Read More

View Article and Full-Text PDF
September 2021

Management and referral of acute laryngotracheitis - Croup: The New South Wales Neonatal and Paediatric Emergency Transport Service experience.

J Paediatr Child Health 2021 Sep 15. Epub 2021 Sep 15.

Newborn and Paediatric Emergency Transport Service, Sydney Children's Hospitals Network, Sydney, New South Wales, Australia.

Aim: To evaluate the experience of NETS (The Newborn and paediatric Emergency Transport Service) New South Wales (NSW) with children referred with a provisional diagnosis of croup. To examine the adherence of referral hospitals to NSW Health policy guidelines and to establish criteria for the need to transfer and the level of escort required for a child with croup to a higher level of care.

Methods: A retrospective audit of all children with a provisional diagnosis of croup referred to NETS over the epoch: 2005-2015. Read More

View Article and Full-Text PDF
September 2021

Use of stylet and airway management procedure in critically ill patients. Author's reply.

Intensive Care Med 2021 Sep 14. Epub 2021 Sep 14.

Department of Anesthesia and Intensive Care Unit, Regional University Hospital of Montpellier, St-Eloi Hospital, University of Montpellier, PhyMedExp, INSERM U1046, CNRS UMR, 9214, Montpellier Cedex 5, France.

View Article and Full-Text PDF
September 2021

Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report.

Ann Maxillofac Surg 2021 Jan-Jun;11(1):169-172. Epub 2021 Mar 24.

Servicio de Cirugía Oral y Maxilofacial. Hospital General de Castellón, Avenida de Benicassim, Castellón, Spain.

Rationale: Sublingual hematoma is a potentially lethal complication following mandibular implant placement. Due to the scarce cases reported, the management is controversial. In this article, a case is discussed focusing on the different treatment options to establish an orientative guideline. Read More

View Article and Full-Text PDF

Respiratory Symptoms and Pulmonary Function of Workers in the Waste Management Industry.

Cureus 2021 Aug 9;13(8):e17027. Epub 2021 Aug 9.

Department of Occupational & Industrial Hygiene, National School of Public Health, Athens, GRC.

Introduction: Waste handling workers are exposed to air pollutants and toxic compounds produced during waste management and processing that can cause respiratory symptoms and lung function impairment. This study aimed to evaluate the respiratory health of exposed workers in a waste management plant in Attica, Greece.

Methods: 50 field workers exposed to outdoor pollutants (exposure group) and 32 office clerks with no exposure (control group) were evaluated. Read More

View Article and Full-Text PDF

Otorhinolaryngological Management in Taiwanese Patients with Mucopolysaccharidoses.

Int J Med Sci 2021 25;18(15):3373-3379. Epub 2021 Jul 25.

Department of Pediatrics, MacKay Memorial Hospital, Taipei, Taiwan.

Mucopolysaccharidoses (MPSs) are lysosomal storage disorders wherein glycosaminoglycans accumulate because the enzymes that degrade them are insufficient. The earliest symptoms, which are the main reasons for seeking consultation, are otorhinolaryngological and commonly occur in MPS I, II, IV, and VI. This retrospective study aimed to determine the occurrence of otorhinolaryngological manifestations in MPS patients in Taiwan and to analyze the prognosis of surgical intervention, including its effect on symptoms. Read More

View Article and Full-Text PDF

Asthma COPD overlap: Insights into cellular and molecular mechanisms.

Mol Aspects Med 2021 Sep 11:101021. Epub 2021 Sep 11.

Quebec Heart and Lung Institute - Université Laval, Canada; Department of Medicine, Université Laval, Québec, Canada. Electronic address:

Although there is still no consensus on the definition of Asthma-COPD Overlap (ACO), it is generally accepted that some patients with airway disease have features of both asthma and COPD. Just as its constituents, ACO consists of different phenotypes, possibly depending on the predominance of the underlying asthma or COPD-associated pathophysiological mechanisms. The clinical picture is influenced by the development of airway inflammatory processes either eosinophilic, neutrophilic or mixed, in addition to glandular changes leading to mucus hypersecretion and a variety of other airway structural changes. Read More

View Article and Full-Text PDF
September 2021

Factors influencing lower respiratory tract infection in older patients after general anesthesia.

J Int Med Res 2021 Sep;49(9):3000605211043245

Department of Anesthesiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.

Objective: Pulmonary complication is common in older patients after surgery. We analyzed risk factors of lower respiratory tract infection after general anesthesia among older patients.

Methods: In this retrospective investigation, we included older patients who underwent surgery with general anesthesia. Read More

View Article and Full-Text PDF
September 2021

[Five cases of the failure and complications of percutaneous dilatation tracheotomy].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Aug;56(8):866-868

Department of Otolaryngology Head and Neck Surgery,Tianjin Huanhu Hospital,Tianjin 300350,China.

View Article and Full-Text PDF

Gender differences in non-cystic fibrosis bronchiectasis severity and bacterial load: the potential role of hormones.

Ther Adv Respir Dis 2021 Jan-Dec;15:17534666211035311

College of Health, Medicine and Life Sciences, Brunel University London, Mary Seacole Building, Kingston Lane, Uxbridge, UB8 3PH, UK.

Non cystic-fibrosis bronchiectasis (NCFB) is a complex chronic respiratory disease, characterised by excessive sputum production and abnormal permanent dilation of bronchi. Mucus accumulation leads to recurrent bacterial infections and increased bacterial load, causing vicious cycles of structural damage and decreased lung function. Respiratory physiotherapy management of NCFB includes airway clearance techniques and use of nebulised, hypertonic saline. Read More

View Article and Full-Text PDF
September 2021

Pediatric Tracheostomy-Related Complications: A Cross-sectional Analysis.

Otolaryngol Head Neck Surg 2021 Sep 14:1945998211046527. Epub 2021 Sep 14.

Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Objective: To determine the rate of tracheostomy-related complications in pediatric patients from nationally representative databases.

Study Design: Cross-sectional analysis.

Setting: 2016 Kids' Inpatient Database and 2016 Nationwide Readmission Database. Read More

View Article and Full-Text PDF
September 2021

Electroconvulsive Therapy in Canada During the First Wave of COVID-19: Results of the "What Happened" National Survey.

J ECT 2021 Sep 13. Epub 2021 Sep 13.

From the Interventional Psychiatry Program, Mental Health and Addictions Service, St Michael's Hospital Temerty Centre for Therapeutic Brain Intervention, Centre for Addiction and Mental Health Department of Psychiatry, University of Toronto Institute of Medical Science, University of Toronto Centre for Mental Health, University Health Network Library and Information Services, University Health Network, Toronto, Ontario, Canada Department of Psychiatry, University of California San Diego, San Diego, CA Department of Anesthesia and Pain Management, University Health Network Department of Anesthesiology and Pain Medicine Institute of Health Policy, Management, and Evaluation, University of Toronto Department of Anesthesia Centre for Clinical Ethics, St Michael's Hospital Dalla Lana School of Public Health, University of Toronto Department of Infection Prevention and Control, University Health Network Department of Psychiatry, North York General Hospital, Toronto, Ontario, Canada Department of Psychiatry, University of Michigan, Ann Arbor, MI.

Objectives: The COVID-19 pandemic has disrupted the provision of essential and potentially life-saving procedural treatments such as electroconvulsive therapy (ECT). We surveyed ECT providers across Canada to understand how the first wave of the pandemic affected ECT delivery between mid-March 2020 and mid-May 2020.

Methods: The survey was administered to ECT team members and decision makers at 107 Canadian health care centers with a focus on 5 domains: operations, decision-making, hospital resources, ECT procedure, and patient impact. Read More

View Article and Full-Text PDF
September 2021