8,938 results match your criteria total intubation

Critical Care Education and Skills Validation Course for Internal Medicine Physicians in the Military.

Mil Med 2021 Jun 23. Epub 2021 Jun 23.

Pulmonary & Critical Care Medicine Service, Department of Medicine, Brooke Army Medical Center, San Antonio, TX 78234, USA.

Introduction: Military internist and internal medicine (IM) subspecialist physicians must be prepared to function in both traditional inpatient and outpatient settings, as well as manage critically ill patients within a deployed austere environment. As many critical care procedures are not performed on a routine basis in general IM practice, many active duty IM physicians experience skills degradation and lack confidence in performing these procedures. In order to address this perceived deficiency, the U. Read More

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Growth Rates of Infants Randomized to CPAP or Intubation After Extremely Preterm Birth.

J Pediatr 2021 Jun 19. Epub 2021 Jun 19.

National Institute of Child Health and Human Development, Bethesda, MD and Department of Global and Community Health, George Mason University, Fairfax, VA.

Objective: To evaluate the effects of early treatment with CPAP on nutritional intake and in-hospital growth rates of extremely preterm (EPT) infants.

Study Design: EPT infants (24-0/7 to 27-6/7 weeks of gestation) enrolled in the Surfactant Positive Airway Pressure and Pulse Oximetry Trial (SUPPORT) were included. EPT infants who died before 36 weeks' postmenstrual age (PMA) were excluded. Read More

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Airway events in obese vs. non-obese elective surgical patients: a cross-sectional observational study.

Anaesthesia 2021 Jun 22. Epub 2021 Jun 22.

University College Hospital London, London, UK.

Obesity is an increasingly prevalent comorbidity within the UK population. The aim of this study was to determine the proportion of obese patients in an elective surgical population. The second aim was to determine the choice of airway equipment and incidence of airway events in obese vs. Read More

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Indicative Factors for 48 or More Hours of Mechanical Ventilation to Optimize the Use of Orotracheal Tubes with Supra-cuff Suction Devices: a Retrospective Study.

SN Compr Clin Med 2021 Jun 16:1-8. Epub 2021 Jun 16.

Multiprofessional Residency Program in Adult Intensive Health in Physiotherapy, São Francisco University, Jardim São José, Bragança Paulista, São Paulo, 12916-900 Brazil.

The objective of this study is to verify the risk factors for invasive mechanical ventilation (IMV) for ≥48h, aiming at the best indication of orotracheal tubes (OTTs) with supra-cuff suction devices. This retrospective and observational study was carried out at the Adult Intensive Care Unit of the University Hospital during a 2-year period. Patients undergoing orotracheal intubation were enrolled. Read More

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Multivariable prediction models for difficult direct laryngoscopy: Systematic review and literature metasynthesis.

Rev Esp Anestesiol Reanim 2021 Jun 18. Epub 2021 Jun 18.

Departamento de Medicina Interna, Universidad Nacional de Colombia, Bogotá, Colombia.

Context: The difficult airway is an important scenario in anaesthesia due to the impact of its potential complications, and the difficulty in predicting its presence in current clinical practice.

Methods: Systematic review of articles in English and Spanish retrieved from MEDLINE (Ovid), LILACS and Embase up to March 2018. The search strategy was defined by the authors. Read More

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The effectiveness of using an abdominal binder during colonoscopy: a randomized, double-blind, sham-controlled trial.

Scand J Gastroenterol 2021 Jun 21:1-8. Epub 2021 Jun 21.

Department of Gastroenterology, Sancaktepe Şehit Prof Dr Ilhan Varank Training and Research Hospital, Istanbul, Turkey.

Background: Prolongation of cecal intubation time (CIT) directly affects the comfort of the patient and the colonoscopist. In this study, the effectiveness of using an abdominal binder (AB) during colonoscopy on procedure time and colonoscopy outcomes was investigated.

Methods: We conducted a parallel randomized double-blind sham-device-controlled study of patients who underwent elective outpatient colonoscopy between 1 May 2020, and 31 August 2020. Read More

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Comparative Efficacy of C-MAC Miller Videolaryngoscope Versus McGrath MAC Size '1' Videolaryngoscope in Neonates and Infants Undergoing Surgical Procedures Under General Anesthesia: A Prospective Randomized Controlled Trial.

Paediatr Anaesth 2021 Jun 21. Epub 2021 Jun 21.

Department of Anesthesiology, VMMC and Safdarjung Hospital, New Delhi, India.

Background: Various anatomical and physiological factors make intubation in infants challenging. C-MAC videolaryngoscope shows better results as compared to the conventional direct laryngoscopy for intubation in infants. McGrath MAC size-1 with a disposable Macintosh type blade has recently been introduced for use in infants and has not been formally evaluated in this population. Read More

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Surgical outcomes in acute dacryocystitis patients undergoing endonasal endoscopic dacryocystorhinostomy with or without silicone tube intubation.

Int J Ophthalmol 2021 18;14(6):844-848. Epub 2021 Jun 18.

Department of Orbital and Oculoplastic Surgery, Eye Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China.

Aim: To establish the necessity of silicone tube intubation in acute dacryocystitis (AD) patients undergoing endonasal endoscopic dacryocystorhinostomy (En-DCR).

Methods: Patients presenting with unilateral AD were randomly assigned to two treatment groups. En-DCR procedures were performed following lacrimal abscess formation, with the operation being performed with silicone intubation for patients in group B but not group A. Read More

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High-flow nasal cannula implementation has not reduced intubation rates for bronchiolitis in Canada.

Paediatr Child Health 2021 Jul 15;26(4):e194-e198. Epub 2020 Apr 15.

Department of Pediatrics, Schulich School of Medicine and Dentistry, Western University, London, Ontario.

Background And Objective: Bronchiolitis is the most common reason for admission to hospital in the first year of life, with increasing hospitalization rates in Canada. Respiratory support with high-flow nasal cannula (HFNC) is being routinely used in paediatric centres, though the evidence of efficacy is continuing to be evaluated. We examined the impact of HFNC on intubation rates, hospital and paediatric critical care unit (PCCU) length of stay (LOS), and PCCU admission rates in paediatric tertiary centres in Canada. Read More

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Association between time to advanced airway management and neurologically favourable survival during out-of-hospital cardiac arrest.

Anaesth Crit Care Pain Med 2021 Jun 17:100906. Epub 2021 Jun 17.

Department of Emergency and Critical Care Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan; Department of Medical Engineering, University of the Ryukyus Hospital, Okinawa, Japan.

Background: Advanced airway management (AAM) is commonly performed as part of advanced life support. However, there is controversy about the association between the timing of AAM and outcomes after out-of-hospital cardiac arrest (OHCA). This study aimed to determine whether time to AAM is associated with outcomes after OHCA. Read More

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Impact of duloxetine on succinylcholine-induced postoperative myalgia after direct microlaryngoscopic surgeries: Randomized controlled double-blind study.

Pain Pract 2021 Jun 18. Epub 2021 Jun 18.

Department of Anesthesia and Intensive Care, Faculty of Medicine, Assiut University, Egypt.

Background: Succinylcholine is a preferred muscle relaxant for rapid sequence intubation. Postoperative myalgia (POM) is one of its commonest adverse effects with unknown pathogenesis. Various modalities were examined to reduce POM. Read More

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Relationship Between Lactate Levels and Length of Hospital Stay in Infants with Lower Respiratory Tract Infection.

Pediatr Allergy Immunol Pulmonol 2021 Jun;34(2):68-72

Department of Pediatrics, University of Health Sciences, Zeynep Kamil Maternity and Children's Diseases Training and Research Hospital, Istanbul, Turkey.

Increased lactate concentrations are directly related to the severity of shock and mortality rates. There are limited data regarding the prognostic value of lactate among lower respiratory tract infections. We aimed to investigate the impact of lactate levels on admission on the clinical outcomes of children with lower respiratory tract infections. Read More

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Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient.

Can J Anaesth 2021 Jun 18. Epub 2021 Jun 18.

Department of Emergency Medicine, QEII Health Sciences Centre, Dalhousie University, 1796 Summer Street, Halifax, NS, B3H 3A7, Canada.

Purpose: Since the last Canadian Airway Focus Group (CAFG) guidelines were published in 2013, the literature on airway management has expanded substantially. The CAFG therefore re-convened to examine this literature and update practice recommendations. This first of two articles addresses difficulty encountered with airway management in an unconscious patient. Read More

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COVID-19 and post-traumatic stress disorder among nurses: a descriptive cross-sectional study in a COVID hospital.

Med Lav 2021 Jun 15;112(3):241-249. Epub 2021 Jun 15.

Department of Clinical Psychology, Crema Hospital, Italy.

Background: In March 2020, the World Health Organisation (WHO) declared the novel coronavirus (COVID-19) outbreak a global pandemic. Healthcare professionals directly involved in diagnosing, treating and caring for patients with COVID-19 are at risk of developing post-traumatic stress disorder (PTSD).

Objective: This study investigated the prevalence of PTSD among nurses working in a COVID hospital and evaluated associated factors. Read More

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Impact of Scope Exchange from a Long Single Balloon Enteroscope to a Gastroscope during Enteroscopy-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients with Surgically Altered Anatomy.

Gut Liver 2021 Jun 22. Epub 2021 Jun 22.

Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.

Background/aims: : Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy (SAA) is challenging to gastrointestinal endoscopists. The aim of this study was to evaluate the impact of scope exchange from a long single balloon enteroscope (SBE) to a gastroscope during SBE-assisted ERCP (SBE-ERCP) in patients with SAA.

Methods: Patients who underwent SBE-ERCP between February 2019 and October 2020 were retrospectively identified. Read More

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[Risk factors for the first ventilator weaning failure in preterm infants receiving invasive mechanical ventilation].

Zhongguo Dang Dai Er Ke Za Zhi 2021 Jun;23(6):569-574

Department of Neonatology, Peking University Third Hospital, Beijing 100191, China.

Objective: To study the risk factors for the first ventilator weaning failure and the relationship between the weaning failure and prognosis in preterm infants receiving invasive mechanical ventilation.

Methods: A retrospective analysis was performed for the preterm infants who were admitted to the Neonatal Intensive Care Unit of Peking University Third Hospital and received mechanical ventilation within 72 hours after birth. According to whether reintubation was required within 72 hours after the first weaning, the infants were divided into a successful weaning group and a failed weaning group. Read More

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Comparison of intragastric pressure between endotracheal tube and supraglottic airway devices in laparoscopic hepatectomy: A randomized, controlled, non-inferiority study.

Medicine (Baltimore) 2021 Jun;100(24):e26287

Department of Anaesthesiology and Pain Medicine.

Background: Supraglottic airway (SGA) devices do not definitively protect the airway from regurgitation of gastric contents. Increased gastric pressure and long operation time are associated with development of complications such as aspiration pneumonia. The aim of this study was to compare intragastric pressure between second-generation SGA and endotracheal tube (ETT) devices during long-duration laparoscopic hepatectomy. Read More

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Cost-effectiveness of the i-gel Supraglottic Airway Device compared to Tracheal Intubation During Out-of-Hospital Cardiac Arrest: Findings from the AIRWAYS-2 Randomised Controlled Trial.

Resuscitation 2021 Jun 11. Epub 2021 Jun 11.

Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK; Oxford NIHR Biomedical Research Centre, Oxford, UK. Electronic address:

Aim: Optimal airway management during out-of-hospital cardiac arrest (OHCA) is uncertain. Complications from tracheal intubation (TI) may be avoided with supraglottic airway (SGA) devices. The AIRWAYS-2 cluster randomised controlled trial (ISRCTN08256118) compared the i-gel SGA with TI as the initial advanced airway management (AAM) strategy by paramedics treating adults with non-traumatic OHCA. Read More

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[Manikin-based comparison of the use of different supraglottic airways by laypersons].

Med Klin Intensivmed Notfmed 2021 Jun 14. Epub 2021 Jun 14.

Abteilung für Anästhesie, Krankenhaus der Barmherzigen Brüder, Trier, Deutschland.

Background: Supraglottic airways (SGA) are an established method of airway management both in prehospital medicine and clinical settings. Endotracheal intubation is the gold standard, but SGA offer advantages in terms of faster application learnability.

Objectives: In the present study it was investigated whether the time until the first sufficient ventilation in the three examined SGAs applied by bystander differed significantly. Read More

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Comparison of Respiratory Support After Delivery in Infants Born Before 28 Weeks' Gestational Age: The CORSAD Randomized Clinical Trial.

JAMA Pediatr 2021 Jun 14. Epub 2021 Jun 14.

Department of Neonatology, Karolinska University Hospital, Stockholm, Sweden.

Importance: Establishing stable breathing is a key event for preterm infants after birth. Delivery of pressure-stable continuous positive airway pressure and avoiding face mask use could be of importance in the delivery room.

Objective: To determine whether using a new respiratory support system with low imposed work of breathing and short binasal prongs decreases delivery room intubations or death compared with a standard T-piece system with a face mask. Read More

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Rate of Decompensation of Normoxic Emergency Department Patients with SARS-CoV-2.

West J Emerg Med 2021 Apr 2;22(3):580-586. Epub 2021 Apr 2.

Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania.

Introduction: As of October 30, 2020, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected over 44 million people worldwide and killed over 1.1 million people. In the emergency department (ED), patients who need supplemental oxygen or respiratory support are admitted to the hospital, but the course of normoxic patients with SARS-CoV-2 infection is unknown. Read More

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Useful Ultrasonographic Parameters to Predict Difficult Laryngoscopy and Difficult Tracheal Intubation-A Systematic Review and Meta-Analysis.

Front Med (Lausanne) 2021 28;8:671658. Epub 2021 May 28.

School of Medicine, Life and Health Sciences Research Institute (ICVS), University of Minho, Braga, Portugal.

Unexpected difficult airway management can cause significant morbidity and mortality in patients admitted for elective procedures. Ultrasonography is a promising tool for perioperative airway assessment, nevertheless it is still unclear which sonographic parameters are useful predictors of difficult laryngoscopy and tracheal intubation. To determine the ultrasonographic predictors of a difficult airway that could be applied for routine practice, a systematic review and meta-analysis was conducted. Read More

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Airway Management in Singers: A Cross-sectional Survey.

J Voice 2021 Jun 10. Epub 2021 Jun 10.

Department of Otolaryngology Head & Neck Surgery, Medical College of Georgia at Augusta University, Augusta, GA , USA.

Objective: To review and establish current practices regarding airway management in vocal professionals undergoing surgery.

Study Design: Cross-sectional survey SETTING: The setting included practitioners that treat vocal professionals across international sub-specialty societies.

Subjects And Methods: A twenty-one-item survey was sent to practitioners that routinely treat vocal professionals including the American Broncho-Esophagological Association, European Laryngological Society, and 2017 Fall Voice Conference attendees. Read More

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Long-Term Proton Pump Inhibitor Use is a Risk Factor for Mortality in Patients Hospitalized for COVID-19.

Turk J Med Sci 2021 Jun 10. Epub 2021 Jun 10.

Aim: The aim of this study is to evaluate whether the long-term (?4 weeks) use of proton pump inhibitors (PPIs) is a risk factor for intubation requirement and mortality in patients hospitalized for COVID-19.

Methods: In this multicentric retrospective study, a total of 382 adult patients (?18 years of age) with confirmed COVID?19 who were hospitalized for treatment were enrolled. The patients were divided into two groups according to the periods during which they used PPIs: the first group included patients who were not on PPI treatment, and the second group included those who have used PPIs for more than 4 weeks. Read More

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Neonatal unplanned extubations: an unsolved safety issue.

Bol Med Hosp Infant Mex 2021 Jun 9. Epub 2021 Jun 9.

Servicio de Neonatología del Área de Gestión Clínica de Pediatría, Hospital Universitario Central de Asturias, Oviedo, España.

Background: Unplanned extubations are safety events relatively frequent in the neonatal intensive care units (NICU). This study aimed to describe the frequency and characteristics of unplanned extubations in a NICU.

Methods: We conducted a retrospective observational study of unplanned extubations in the NICU of a tertiary regional referral hospital. Read More

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Evaluation of Modified ATRIA Risk Score in Predicting Mortality in Hospitalized Patients with COVID-19.

Am J Med Sci 2021 Jun 6. Epub 2021 Jun 6.

Department of Cardiology, Istanbul Medeniyet University and Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey. Electronic address:

As the Modified Anticoagulation and Risk Factors in Atrial Fibrillation Risk Score (M-ATRIA-RS) encompasses prognostic risk factors of novel coronavirus-2019 (COVID-19), it may be used to predict in-hospital mortality. We aimed to investigate whether M-ATRIA-RS was an independent predictor of mortality in patients hospitalized for COVID-19 and compare its discrimination capability with CHADS, CHA2DS2-VASc, and modified CHA2DS2-VASc (mCHA2DS2-VASc)-RS. A total of 1,001 patients were retrospectively analyzed and classified into three groups based on M-ATRIA-RS, designed by changing sex criteria of ATRIA-RS from female to male: Group 1 for points 0-1 (n=448), Group 2 for points 2-4 (n=268), and Group 3 for points ≥5 (n=285). Read More

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Comparison of direct and video laryngoscope endotracheal intubations by pediatric residents: A study of a child model with normal airway.

Turk Arch Pediatr 2021 1;56(3):224-229. Epub 2021 May 1.

Pediatric Emergency Clinic, University of Health Sciences Tepecik Training and Research Hospital Izmir, Turkey.

Objective: This study aimed to compare the efficacy of direct and videolaryngoscopy procedures performed by pediatric residents who had limited experience of direct endotracheal intubation and had not previously used video laryngoscopes in a normal airway child manikin.

Material And Methods: The endotracheal intubations performed by pediatric residents with a direct laryngoscope and Storz C-MAC videolaryngoscope on a pediatric manikin with a normal airway were compared. Theoretical and practical training was given before the study. Read More

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Evaluation of a novel colonoscope offering flexibility adjuster - a retrospective observational study.

Therap Adv Gastroenterol 2021 30;14:17562848211013494. Epub 2021 May 30.

Interdisciplinary Endoscopy, First Medical Department, University Medical Center Mainz, Mainz, Germany.

Background: Although colonoscopy is the gold standard for colorectal cancer screening, colonic looping may make complete colonoscopy challenging. Commonly available stiffening device colonoscopy has been described as helpful but not effective enough to prevent looping. In this context the effect on cecal intubation time and rate was described differently in various studies and in some studies had no impact on cecal intubation time at all. Read More

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Post operative sore throat: Comparison between Macintosh versus Video Laryngoscope in patients intubated by trainee anaesthetists - A Randomised Control Trial.

Pak J Med Sci 2021 May-Jun;37(3):764-769

Amir Raza Statistician, Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.

Objectives: Postoperative sore throat (POST) is a common complication related to endotracheal intubation. The aim of this study was to compare the incidence of POST in patients intubated by trainee anaesthetist using Video Laryngoscope™ (VDL) or Conventional Macintosh Laryngoscope (CL).

Methods: Total 110 patient scheduled for elective laparoscopic cholecystectomy were included from main operating room of Aga Khan University Hospital between June 2017-2018. Read More

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Evaluation of superinfection, antimicrobial usage, and airway microbiome with metagenomic sequencing in COVID-19 patients: A cohort study in Shanghai.

J Microbiol Immunol Infect 2021 Apr 6. Epub 2021 Apr 6.

Departments of Infectious Diseases, Zhongshan Hospital of Fudan University, People's Republic of China. Electronic address:

Background: In COVID-19 patients, information regarding superinfection, antimicrobial assessment, and the value of metagenomic sequencing (MS) could help develop antimicrobial stewardship.

Method: This retrospective study analyzed 323 laboratory-confirmed COVID-19 patients for co-infection rate and antimicrobial usage in the Shanghai Public Health Clinical Center (SPHCC) from January 23rd to March 14th 2020. The microbiota composition was also investigated in patients with critically severe COVID-19. Read More

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