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"Endotracheal Tube" OR "Laryngeal Mask Airway" OR "Oropharyngeal Airway" OR "Nasopharyngeal Airway" OR "Bougie"

Chang-Hoon Koo, Sun Young Lee, Seung Hyun Chung, Jung-Hee Ryu
The purpose of this study was to compare the incidence of airway complications between extubation under deep anesthesia (deep extubation) and extubation when fully awake (awake extubation) in pediatric patients after general anesthesia. A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) statement standards. The review protocol was registered with the International Prospective Register of Systematic Reviews (registration number: CRD 42018090172)...
October 14, 2018: Journal of Clinical Medicine
Habib Md Reazaul Karim, Manish Keshwani
Use of nitrous oxide (N2 O) as an anaesthetic gas has been on contradicting views for various reasons; operating room (OR) pollution and occupational exposure is one of those controversies. The present pilot experiment was planned to analyze the anaesthesia gas waste at the machine end of scavenging outlet and calculate the probable portion of N2 O in the OR air, which is likely to help us in informed decision making. Anaesthesia gas waste was sampled at the machine end of scavenging outlet and was connected directly and analyzed using a gas analyzer attached to Mindray A7 anaesthesia workstation...
July 2018: Medical Gas Research
Senthil G Krishna, Faizaan Syed, Mohammed Hakim, Mumin Hakim, Dmitry Tumin, Giorgio C Veneziano, Joseph D Tobias
Background: When managing patients with a difficult airway, supraglottic airways (SGAs) have been used as rescue devices or to serve as a conduit for endotracheal intubation. The current study compares various clinical outcomes, including the bronchoscopic view of the glottis when using 2 SGAs, the Air-Q® laryngeal mask airway (LMA) and the i-gel® SGA, in pediatric patients. Methods: Patients ≤18 years of age were prospectively randomized to receive either the Air-Q® LMA or the i-gel® SGA...
2018: Medical Devices: Evidence and Research
Anthony M-H Ho, Adrienne K Ho, Glenio B Mizubuti
BACKGROUND: Efficient airway management is paramount in emergency medicine. Our experience teaching tracheal intubation has consistently identified gaps in the understanding of important issues. Here we discuss the importance of the endotracheal tube (ETT) bevel in airway management. DISCUSSION: The ETT bevel orientation is the main determinant of which mainstem bronchus the ETT enters when advanced too distally, despite a common belief that attributes a higher incidence of right mainstem bronchial intubation to the straighter angle sustained by the right mainstem bronchus...
October 10, 2018: Journal of Emergency Medicine
Patricia Gomez-Bougie, Sophie Maiga, Benoît Tessoulin, Jessie Bourcier, Antoine Bonnet, Manuel S Rodriguez, Steven Le Gouill, Cyrille Touzeau, Philippe Moreau, Catherine Pellat-Deceunynck, Martine Amiot
BH3-mimetics are promising drugs for hematologic malignancies that trigger cell death by promoting the release of pro-apoptotic BCL2 family members from anti-apoptotic proteins. Multiple myeloma is considered to be a disease dependent mainly on MCL1 for survival based mostly on studies using cell lines. We used a BH3-mimetic toolkit to study the dependency on BCL2, BCLXL or MCL1 in malignant plasma cells from 60 patients. Dependencies were analyzed using an unbiased BH3-mimetics cell-death clustering by k-means...
October 11, 2018: Blood
Andrew J Groberg, Jay M Dintaman
No abstract text is available yet for this article.
October 10, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
Christopher T Stephens, Johanna B De Haan, Sam D Gumbert, Evan G Pivalizza
No abstract text is available yet for this article.
October 8, 2018: Anesthesia and Analgesia
Allan F Simpao, Vladislav Obsekov, Jorge A Gálvez, Rebecca S Isserman, Mohamed A Rehman, Erin S Schwartz
BACKGROUND: General anesthesia and sedation are used routinely for magnetic resonance imaging (MRI) studies in children to optimize image quality. Airway devices such as supraglottic airways (SGAs) can alter the appearance of cervical soft tissue regions on an MRI and increase the risk of misdiagnosis. This phenomenon has not been well described in vivo. AIMS: We conducted this retrospective study to determine how often SGAs affected the appearance of neck masses in children who received multiple anesthetics for MRIs with and without an SGA...
October 9, 2018: Paediatric Anaesthesia
Virendra Vadher, C H Sudheer Kumar, Vaibhav Khare, Ravi S Nande, Sonia Sharma, Versha Jain
Aim: This study aimed to determine the correlation between orofacial structure and oropharyngeal airway space. Materials and Methods: It comprised of 160 individuals aged 14-24 years (males: 80 and females: 80), in which digital lateral cephalograms were taken. Linear and cephalometric analyses were performed in all cases. Results: Ba-PNS, apw2-ppw2, hy-apw2, distance between tongue and posterior pharyngeal wall (t-ppw), and Hormion perpendicular and anterior nasal spine-posterior nasal spine (ANS-PNS) showed significant difference between males and females ( P < 0...
September 2018: Contemporary Clinical Dentistry
Leigh White, Thomas Melhuish, Rhys Holyoak, Thomas Ryan, Hannah Kempton, Ruan Vlok
OBJECTIVES: To assess the difference in survival and neurological outcomes between endotracheal tube (ETT) intubation and supraglottic airway (SGA) devices used during out-of-hospital cardiac arrest (OHCA). METHODS: A systematic search of five databases was performed by two independent reviewers until September 2018. Included studies reported on (1) OHCA or cardiopulmonary resuscitation, and (2) endotracheal intubation versus supraglottic airway device intubation...
September 26, 2018: American Journal of Emergency Medicine
Raymond J Devlin, David Kalil
Sepsis is a life-threatening response to infection often times requiring endotracheal intubation in critically ill patients. Etomidate is routinely used as an intravenous induction agent to provide sedation and amnesia before placing an endotracheal tube. Although etomidate has many favorable qualities, there is a major concern regarding the predictable adrenal insufficiency that follows its use. Controversy continues to this day as to whether etomidate should be avoided in the setting of sepsis or septic shock...
September 2018: Critical Care Nursing Clinics of North America
Alan R Bielsky, Peter G Fuhr, Julie A Parsons, Myron Yaster
INTRODUCTION: Spinal muscular atrophy is characterized by loss of motor neurons in the anterior horn of the spinal cord with resultant proximal muscle weakness. Intrathecal nusinersen has revolutionized the treatment of spinal muscular atrophy. We reviewed the perioperative care of 61 anesthetics performed on eight patients with spinal muscular atrophy type 2 who received nusinersen over 30 months in conjunction with nusinersen's phase 3 clinical trials. METHODS: Anesthesia was induced in all patients with sevoflurane, nitrous oxide, and oxygen (30%) via facemask...
October 4, 2018: Paediatric Anaesthesia
T Wesley Templeton, Eduardo J Goenaga-Díaz, Christopher M Runyan, Eleanor P Kiell, Amy J Lee, Leah B Templeton
BACKGROUND: Airway management in children with Pierre Robin sequence in the infantile period can be challenging and frequently requires specialized approaches. AIM: The aim of this study was to review our experience with a multistage approach to oral and nasal intubation in young infants with Pierre Robin sequence. METHODS: After IRB approval, we reviewed 13 infants with Pierre Robin sequence who underwent a multistage approach to intubation in the operating room for mandibular distractor or gastrostomy tube placement...
October 4, 2018: Paediatric Anaesthesia
Rajesh Kesavan, Sindhu Balakrishnan, Sunil Rajan, Shyam S Purushothaman, Rekha Varghese, Lakshmi Kumar
Background: Apneic mass movement of oxygen by applying continuous positive airway pressure (CPAP) is possible only when the airway is kept patent which helps to reduce the rate of desaturation. Aims: The aim of this study was to check the efficiency of preoxygenation and apneic oxygenation by assessing the drop in partial pressure of arterial oxygen (PaO2 ) during apnea with and without keeping an oropharyngeal airway to maintain the patency of airway. Settings and Design: This prospective observational study was conducted at a tertiary care center...
July 2018: Anesthesia, Essays and Researches
Palanisamy Nagalakshmi, Sundararajan Leo, S Uthirapathi
Background: Management of airway is of great importance in the practice of anesthesia. Supraglottic airway devices, such as laryngeal mask airway (LMA), have greatly revolutionized the management of airway both in terms of ease and degree of invasiveness. Propofol, by its inherent property of decreasing airway reflexes, is used to aid in LMA insertion. In this study, we have evaluated the LMA insertion conditions and hemodynamic stability, comparing butorphanol, fentanyl, and ketamine as co-induction agents with propofol...
July 2018: Anesthesia, Essays and Researches
Cho Kosai, Minami Takeya, Okuno Yoshinori, Kakuda Youhei, Tsutsumi Takahiko, Kogame Toshiaki, Ohtsuru Shigeru, Sato Norio, Koike Kaoru
Hyperbaric oxygen therapy (HBOT) for carbon monoxide (CO) poisoning is widely performed to prevent delayed neuropsychiatric syndrome. Although HBOT can generally be performed with safety, the appropriate management of HBOT still remains unestablished. A 31-year-old man was transferred to our facility to undergo HBOT in a multiplace chamber with a diagnosis of CO poisoning. The first HBOT session ended uneventfully. During the second HBOT session, the patient suddenly experienced convulsive seizures. The accompanying doctor administered intravenous propofol to stop the convulsion and terminated the HBOT...
2018: Journal of Medical Investigation: JMI
Kentaro Okuno, Hitomi Minagi Ono, Kazuki Ikai, Erika Matsumura Ai, Etsuko Takai, Hikari Fukatsu, Yurika Uchida, Takayoshi Sakai
BACKGROUND: Obstructive sleep apnea (OSA) is characterized by recurrent episodes of partial or complete upper airway collapse during sleep and is highly prevalent in the general population. The nasopharyngeal airway stent (Nastent) is a specifically designed, preformed silicone tube that intends to maintain the upper airway patency during sleep and reduce snoring and sleep apnea. OBJECTIVE: The purpose of this study is to determine the efficacy of Nastent treatment and examine predictors for Nastent treatment outcomes in patients with OSA...
October 3, 2018: Journal of Oral Rehabilitation
Y Zhao, C Li, D Zhang, L Zhou, X Liu, S Li, T Wang, G Dionigi, H Sun
BACKGROUND: Needle electrodes placed on the thyroid cartilage (TC) are an alternative to endotracheal tube (ET) electrodes for assessing recurrent laryngeal nerve (RLN) function during thyroid surgery. Needle electrodes placed on the TC were evaluated in an experimental porcine model. METHODS: Continuous intraoperative neuromonitoring was used to record the electromyogram. Each TC side was delineated into nine areas to determine the optimal placement of the electrode, and needle electrode area, depth and orientation for optimal electromyographic (EMG) amplitudes were evaluated...
October 1, 2018: British Journal of Surgery
S Cristofari, B Bertrand, S Leuzzi, K Rem, J Rausky, M Revol, M Atlan, A Stivala
In primary male to female (MTF) sex reassignment surgery (SRS), the most frequent postoperative functional complications using the penoscrotal skin technique remain neovaginal stenosis, urinary meatal stenosis and secondary revision surgery. We aimed to retrospectively analyze postoperative functional and anatomical complications, as well as secondary procedures required after MTF SRS by penile skin inversion. All patients operated on for MTF SRS, using the inverted technique, from June 2006 to July 2016, were retrospectively reviewed...
September 27, 2018: Annales de Chirurgie Plastique et Esthétique
Kan Zhang, Rui-Jing Ma, Ji-Jian Zheng, Yi-Qi Chen, Ma-Zhong Zhang
It remains to be discovered whether a formula predicting the subglottic transverse diameter measured by ultrasound (SGDformula ) for the selection of an appropriate endotracheal tube (ETT) for children without congenital heart disease (CHD) is useful for children with CHD. A formula for predicting SGD was established after assessing 60 children ≤ 8 years without CHD and validated on 60 children with CHD. We selected the cuffed ETT size based on the SGD by ultrasound (SGDultra ). Subsequently, the fit of the ETT cuff in 60 children with CHD was examined via air-leak test...
September 28, 2018: Journal of Clinical Monitoring and Computing
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