17,135 results match your criteria laryngoscopy

Preoperative X-ray CCAR is applicable for prediction of difficult laryngoscopy in patients with cervical spondylosis.

BMC Anesthesiol 2021 Apr 12;21(1):111. Epub 2021 Apr 12.

Department of Anesthesiology, Peking University Third Hospital, Peking University Health Science Center, 49 North Garden Road, Haidian District, Beijing, P.R. China.

Background: Airway management is one of the most important techniques in anesthesia practice and inappropriate airway management is related with airway injury, brain hypoxia, and even death. The patients with cervical spondylosis are often confronted with difficult laryngoscopy who are more prone to appear difficult airway, so it is important to figure out valuable predictors of difficult laryngoscopy in these patients.

Methods: We randomly enrolled 270 patients undergoing elective cervical spine surgery and analyzed the cervical mobility data in predicting difficult laryngoscopy. Read More

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Exploring the impact of the COVID-19 pandemic on pediatric surgical services: a scoping review.

Minerva Pediatr (Torino) 2021 Apr 12. Epub 2021 Apr 12.

Department of Cardiovascular Medicine, University of Louisville, Louisville, KY, USA.

Inevitably, along with other healthcare specializations, pediatric surgery was affected by the Coronavirus disease-19 (COVID-19) pandemic. Children were reported to manifest mild to moderate symptoms and mortality was primarily observed in patients aged <1 year and having underlying comorbidities. The majority of the cases were asymptomatic in children, hence, posing a challenge for pediatric surgery centers to take drastic measures to reduce the virus transmission. Read More

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A comparative study of glottis visualization according to the method of lifting the epiglottis in video laryngoscopy: indirect and direct lifting methods.

Anesth Pain Med (Seoul) 2021 Apr 8. Epub 2021 Apr 8.

Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea.

Background: The direct entry of the camera under the epiglottis may provide a better view of the glottis than the indirect lifting of the epiglottis by placing the Macintosh blade tip on the vallecula when using the video laryngoscope. This study aimed to compare the efficiency of two different methods of lifting the epiglottis during the visualization of glottis using video laryngoscopy in the same patient.

Methods: This prospective study enrolled 60 patients who underwent general anesthesia with tracheal intubation. Read More

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Patient Self-Assessment and Acoustic Voice Analysis in Screening of Postoperative Vocal Fold Paresis and Paralysis.

Scand J Surg 2021 Apr 12:14574969211007036. Epub 2021 Apr 12.

Heart Center, Kuopio University Hospital, Kuopio, Finland.

Background And Aims: The aim of this study was to evaluate the utility of two items in vocal fold paresis and paralysis screening after thyroid and parathyroid surgery: patient self-assessment of voice using the Voice Handicap Index and computer-based acoustic voice analysis using the Multi-Dimensional Voice Program.

Materials And Methods: This was a prospective study of 181 patients who underwent thyroid or parathyroid surgery over a 1-year study period (2017). Preoperatively, all patients underwent laryngoscopic vocal fold inspection and acoustic voice analysis, and they completed the Voice Handicap Index questionnaire. Read More

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Conceptualizing intubation sharing: A descriptive qualitative study of videolaryngoscopy for pediatric emergency airway management.

AEM Educ Train 2021 Apr 1;5(2):e10589. Epub 2021 Apr 1.

Division of Emergency Medicine at Boston Children's Hospital Harvard Medical School Boston MA USA.

Background: This study characterizes clinical and educational practices around the use of videolaryngoscopy in pediatric emergency airway management through qualitative exploration.

Methods: This is a descriptive qualitative study using semi-structured interviews of emergency medicine physicians. Physicians were selected by theoretical sampling from urban, tertiary care pediatric hospitals across the United States until theoretical data saturation was achieved. Read More

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The association of rocuronium dosing and first-attempt intubation success in adult emergency department patients.

CJEM 2021 Apr 10. Epub 2021 Apr 10.

Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Background: The recommended rocuronium dose for rapid sequence intubation is 1.0 mg/kg; however, the optimal dose for emergency airway management is not clear. We assessed the relationship between rocuronium dose and first-attempt success among emergency department (ED) patients undergoing rapid sequence intubation. Read More

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Concurrent manifestations of Horner's syndrome and esophageal metastasis of breast cancer: case report of a young woman after a period of non-adherence to treatment: a case report.

J Med Case Rep 2021 Apr 9;15(1):194. Epub 2021 Apr 9.

Division of Surgical Oncology-Department of Surgery, Dr. Sardjito Hospital/Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Jl Kesehatan No. 1, Yogyakarta, 55281, Indonesia.

Background: Esophageal involvement and Horner's syndrome are rare manifestations of breast cancer distant metastases that can pose a significant challenge in diagnosis and treatment. In addition to the more aggressive behavior of breast cancer diagnosed in young women, non-adherence to treatment is associated with increased risk of distant metastasis.

Case Presentation: A 36-year-old Javanese woman presented to our institution with dysphagia, hoarseness, and frequent hiccups. Read More

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Assessment of Vocal Cord Motion Using Laryngeal Ultrasound in Children: A Systematic Review and Meta-Analysis.

Pediatr Crit Care Med 2021 Apr 8. Epub 2021 Apr 8.

Department of Pediatrics, Division of Critical Care Medicine, Stanford University School of Medicine, Stanford, CA. Department of Pediatrics, Division of Critical Care Medicine, McGovern Medical School, Houston, TX. Department of Pediatrics, Division of Critical Care Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA. Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA. Department of Pediatrics, Division of Critical Care Medicine, University of Texas Southwestern Medical Center, Houston, TX.

Objectives: Laryngeal ultrasound is a nonirradiating, noninvasive method for assessing the upper airway in children. This systematic review and meta-analysis examine available evidence for accuracy of laryngeal ultrasound in diagnosing vocal cord immobility in infants and children after surgery and trauma affecting the vocal cords.

Design: Medical subject heading terms were used to search MEDLINE, Embase, Google Scholar, Web of Science, and the Cochrane Library for relevant citations. Read More

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Supraglottic foreign body in a woman with Down's syndrome and congenital heart disease: A case report.

Medicine (Baltimore) 2021 Apr;100(14):e25455

Department of Anesthesiology.

Rationale: An impacted foreign body (FB) in the larynx of an adult is a rare but potentially life-threatening occurrence. Patients with Down's syndrome (DS) are vulnerable to airway FB. However, the anesthesia for FB removal can be challenging. Read More

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Osteonecrosis of Bilateral Mandibular Tori After Direct Laryngoscopy.

Anesth Prog 2020 Mar;68(1):26-28

Professor of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

A 36-year-old man underwent direct laryngoscopy with routine general anesthesia for a knee procedure. Several days later, he experienced pain involving an ulceration along the medial aspect of the right mandible in the floor of the mouth. This evolved to a painful bony mass, and subsequently, a bony sequestrum was spontaneously shed. Read More

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The impact of introducing a videolaryngoscope in the initial training of laryngoscopy for undergraduate medical students: a simulation randomized trial.

Braz J Anesthesiol 2021 Apr 3. Epub 2021 Apr 3.

CET/SBA da Santa Casa de São Paulo, São Paulo, SP, Brazil.

Introduction: Adequate and continuous airway management by health professionals is fundamental to ensure patient safety and protection. Among several techniques, laryngoscopy for orotracheal intubation is considered a basic skill, so it is taught and learned in medical school and used during the future years of professional practice. However, in some clinical scenarios, physical and anatomical characteristics can make laryngoscopy exceedingly difficult. Read More

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Laser plume containment during flexible transnasal laryngoscopy.

Laryngoscope Investig Otolaryngol 2021 Feb 5. Epub 2021 Feb 5.

Department of Occupational and Environmental Health University of Iowa College of Public Health Iowa City Iowa USA.

Objective: To evaluate a negative pressure microenvironment designed to contain laser plume during flexible transnasal laryngoscopy.

Methods: The Negative Pressure Face Shield (NPFS) was previously reported as well tolerated with initial use on 30 patients. Diagnostic transnasal laryngoscopy was performed on an additional 108 consecutive patients who were evaluated by questionnaires and sequential pulse oximetry. Read More

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February 2021

Difficult tracheal intubation in neonates and infants. NEonate and Children audiT of Anaesthesia pRactice IN Europe (NECTARINE): a prospective European multicentre observational study.

Br J Anaesth 2021 Mar 30. Epub 2021 Mar 30.

Unit for Anaesthesiological Investigations, Department of Anaesthesiology, Pharmacology, Intensive Care, and Emergency Medicine, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.

Background: Neonates and infants are susceptible to hypoxaemia in the perioperative period. The aim of this study was to analyse interventions related to anaesthesia tracheal intubations in this European cohort and identify their clinical consequences.

Methods: We performed a secondary analysis of tracheal intubations of the European multicentre observational trial (NEonate and Children audiT of Anaesthesia pRactice IN Europe [NECTARINE]) in neonates and small infants with difficult tracheal intubation. Read More

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Optical Devices in Tracheal Intubation-State of the Art in 2020.

Diagnostics (Basel) 2021 Mar 22;11(3). Epub 2021 Mar 22.

Department of Anesthesiology and Intensive Medicine, University Hospital Motol, V Úvalu 84, 15000 Praha, Czech Republic.

The review article is focused on developments in optical devices, other than laryngoscopes, in airway management and tracheal intubation. It brings information on advantages and limitations in their use, compares different devices, and summarizes benefits in various clinical settings. Supraglottic airway devices may be used as a conduit for fiberscope-guided tracheal intubation mainly as a rescue plan in the scenario of difficult or failed laryngoscopy. Read More

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Neonatal Respiratory Distress and Airway Emergency: Report of Two Cases.

Children (Basel) 2021 Mar 25;8(4). Epub 2021 Mar 25.

Pediatric Otolaryngology Head Neck Surgery, Children Hospital "ASST Spedali Civili", 25123 Brescia, Italy.

We discuss two cases of congenital airway malformations seen in our neonatal intensive care unit (NICU). The aim is to report extremely rare events characterized by immediate respiratory distress after delivery and the impossibility to ventilate and intubate the airway. The first case is a male twin born at 34 weeks by emergency caesarean section. Read More

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Making the grade: has Cormack and Lehane grading stood the test of time?

Anaesthesia 2021 05;76(5):705-709

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

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Applicability of Selective Electrical Surface Stimulation in Unilateral Vocal Fold Paralysis.

Laryngoscope 2021 Apr 2. Epub 2021 Apr 2.

Department of Otorhinolaryngology, Medical University of Vienna, Vienna, Austria.

Objective: Selective electrical surface stimulation (SES) of the larynx is not yet routinely considered therapy option in treatment of unilateral vocal fold paralysis (UVFP). Goal of this monocentric feasibility study was to provide systematic data on applicability of SES of intrinsic laryngeal muscles in UVFP under consideration of sensitivity and discomfort thresholds and nonselective side effects.

Methods: Thirty-two UVFP patients were included in the study. Read More

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Simultaneous Evaluation of Laryngopharyngeal Reflux and Swallowing Function Using Hypopharyngeal Multichannel Intraluminal Impedance Measurements in Neurologically Impaired Patients.

J Neurogastroenterol Motil 2021 Apr;27(2):198-204

Department of Pediatric Surgery, Kurume University School of Medicine, Fukuoka, Japan.

Background/aims: This study aims to evaluate the presence of laryngopharyngeal reflux (LPR) and to investigate the use of hypopharyngeal baseline impedance (BI) for assessing swallowing dysfunction and gastroesophageal reflux disease (GERD) using hypopharyngeal multichannel intraluminal impedance and pH (HMII-pH) monitoring in neurologically impaired patients (NIPs).

Methods: The study population in this retrospective study comprised 20 NIPs (mean age, 36.1 ± 15. Read More

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Video Laryngoscopy-guided Nasal Intubation: One More Bullet in Our Rifle.

Indian J Crit Care Med 2021 Mar;25(3):351

Department of Anesthesia and Intensive Care, Maurizio Bufalini Hospital, Cesena, Emilia Romagna, Italy.

Cittadini A, Marsigli F, Sica A, Santonastaso DP, Russo E, Gamberini E, Video Laryngoscopy-guided Nasal Intubation: One More Bullet in Our Rifle. Indian J Crit Care Med 2021;25(3):351. Read More

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Endotracheal intubation of COVID-19 patients by paramedics using a box barrier: A randomized crossover manikin study.

PLoS One 2021 31;16(3):e0248383. Epub 2021 Mar 31.

Pediatric Emergency Department, Rambam Health Care Campus, Haifa, Israel.

Background: In the prehospital setting, endotracheal intubation (ETI) may be required to secure the coronavirus disease 2019 (COVID-19) patient airway. It has been suggested that the use of a protective barrier can reduce possible aerosol delivery from patients to clinicians during ETI. We sought to assess the performance of ETI by paramedics wearing personal protective equipment with and without the use of a box barrier. Read More

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A Case of a 13-Year-Old Adolescent with Burkitt's Lymphoma Presented With Dysphonia: Common Complaint Yet Uncommon Presentation.

Clin Lymphoma Myeloma Leuk 2021 Mar 4. Epub 2021 Mar 4.

Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center, Petach Tikva, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

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Use of cuffed endotracheal tubes in infants less than 5 Kilograms: A retrospective cohort study.

J Pediatr Surg 2021 Mar 4. Epub 2021 Mar 4.

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio USA; Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio USA. Electronic address:

Background: Improved understanding of airway anatomy and refinement of equipment have led to the increased use of cuffed endotracheal tubes (ETTs) in infants and children. Despite expanded evidence on the potential advantages of cuffed ETTs in pediatric patients, there remains limited data on their use in infants less than 5 kilograms (kg). The current study retrospectively evaluates the perioperative use of cuffed ETTs in infants weighing 2-5 kg. Read More

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Delayed Tracheal Perforation Following Total Thyroidectomy.

Laryngoscope 2021 Mar 30. Epub 2021 Mar 30.

Department Otolaryngology Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.

Delayed tracheal rupture following total thyroidectomy (TT) is rare and represents a potential airway emergency. A 34-year-old female with Felty Syndrome underwent TT for Hashimoto's thyroiditis. On post-operative day 10, she presented with subcutaneous emphysema and an anterolateral tracheal perforation on CT scan. Read More

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Vocal cord dysfunction detected by a three-dimensional image of dynamic change in respiratory resistance in a patient with difficult-to-treat asthma: A case report.

J Asthma 2021 Mar 29:1-10. Epub 2021 Mar 29.

Department of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Vocal cord dysfunction (VCD) often coexists with asthma and exacerbates respiratory symptoms. A non-invasive method could be considered beneficial for the detection and follow-up of VCD complicated by asthma. Here, we report a case of VCD complicated by asthma, highlighting the effectiveness of colored three-dimensional (3-D) imaging of respiratory impedance using a broadband frequency forced oscillation technique (MostGraph). Read More

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A Novel Test, the Sternomental Distance Ratio, Used as a Predictor of Difficult Laryngoscopy in a Normal Population and in Thyroid Tumor Surgery Patients: A Preliminary Study.

Acta Med Acad 2020 Dec;49(3):249-254

Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Greece.

Objective: The aim of the present preliminary study was to assess whether the sternomental distance ratio (SMDR) could be suitable as a predictor of difficult laryngoscopy, in both normal surgical patients and patients scheduled to undergo thyroid tumor surgery.

Methods: Two hundred and twenty-one consecutive adult patients (among them 122 patients with presumed normal airways and 33 patients with thyroid tumors), scheduled to undergo elective surgery under general anesthesia, were included in this study. Physical and airway characteristics, SMDR, difficult laryngoscopy (using Cormack-Lehane scale) and any kind of assisted intubation were assessed. Read More

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December 2020