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

Mami Shiraishi, Katsuaki Mishima, Hirotsugu Umeda
BACKGROUND: Russell-Silver syndrome (RSS) is characterized by intrauterine growth retardation, short stature without postnatal catch-up growth, and an inverted triangular face with relative macrocephaly. There have been few case reports of RSS with cleft palate, in which perioperative problems such as difficult intubation due to trismus and impossibility to wear a mouth gag due to growth failure of the mandible were described. The case of a female RSS patient with cleft palate who underwent palatoplasty is reported...
December 4, 2018: Oral and Maxillofacial Surgery
Steven G Schauer, Jason F Naylor, Joseph K Maddry, Denise M Beaumont, Cord W Cunningham, Megan B Blackburn, Michael D April
OBJECTIVES: Airway failures are the second leading cause of potentially preventable death on the battlefield. Improvements in airway management depend on identifying current challenges. We sought to build on previously reported data on prehospital, combat airway management. METHODS: We used a series of emergency department procedure codes to identify patients within the Department of Defense Trauma Registry from January 2007 to August 2016. This is a subanalysis of those with a documented prehospital airway intervention...
December 2018: Southern Medical Journal
Vikesh Patel, Emily J Hodges, Maryanne Za Mariyaselvam, Catherine Peutherer, Peter J Young
BACKGROUND: Endotracheal tube cuff pressures should be maintained between 20 and 30 cm H2 O to prevent the aspiration of subglottic secretions past the cuff. Guidance recommends regular monitoring of the cuff pressure, performed using a handheld manometer/inflator. Poor technique can lead to transient deflation of the cuff, leading to the bolus aspiration of upper respiratory tract secretions, tracheal colonization and, ultimately, ventilator-associated pneumonia. AIMS AND OBJECTIVES: To determine whether intensive care staff transiently deflate the endotracheal tube cuff to below 20 cm H2 O during routine cuff pressure checks when using a handheld manometer/inflator device...
December 2, 2018: Nursing in Critical Care
Parvathi Ravula, Srikanth Rangachari, Rammurti Susarla, Laxman Sambari, Srinivas Saraswathi Jammula
Background: High flow arteriovenous malformation (AVM) of the mandible is rare, but it can present as a life-threatening emergency with severe intraoral bleeding for the first time. The gold standard of treatment for an AVM of the mandible is selective embolisation combined with resection and subsequent reconstructions. With the advent of advanced multidisciplinary techniques aimed at definitive therapy, surgical resection and primary reconstruction can provide an ideal anatomical and functional cure...
May 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Cheryl Lynne McBeth, Rosa Solis Montes, Amy Powne, Sopon Elizabeth North, JoAnne E Natale
BACKGROUND: Ventilator-associated pneumonia (VAP) increases morbidity, mortality, and health care costs. OBJECTIVE: To reduce the VAP rate in the pediatric/cardiac intensive care unit to fewer than 2 events per 1000 ventilator days within 2 years and to sustain a rate near 0 for the next 5 years. METHODS: An evidence-based VAP prevention bundle was developed and implemented by an interprofessional team using the Six Sigma Define, Measure, Analyze, Improve, Control methodology...
December 2018: Critical Care Nurse
Junko Ajimi, Junichi Nishiyama, Ritsuko Masuda, Takeo Shibata, Toshiyasu Suzuki
OBJECTIVE: This prospective randomized study aimed to assess the usefulness of two videolaryngoscopes with a side channel, the Airtraq DLTM and the AWS-200TM , for intubation with a double-lumen tube (DLT). METHODS: In 60 patients with an American Society of Anesthesiologists physical status of 1-3 who were not expected to have difficult airway, the Airtraq DLTM and the AWS-200TM were randomly used for DLT intubation. The primary outcome was intubation time. The secondary outcomes included exposure time, the glottis view with the Macintosh and study videolaryngoscopes, the number of attempts before successful intubation, the intubation difficulty scale (IDS) score, and the subjectively rated ease of blade insertion and DLT advancement...
December 20, 2018: Tokai Journal of Experimental and Clinical Medicine
Junko Ajimi, Junichi Nishiyama, Ritsuko Masuda, Takeo Shibata, Hiroyuki Furuya, Sadanori Hosoi, Akiko Soejima, Toshiyasu Suzuki
OBJECTIVE: Because of the shape of a double-lumen tube (DLT), it is more difficult to use for intubation than an ordinary endotracheal tube. We prospectively investigated the usefulness of the Airtraq DL® attached to the Universal Adapter for Smartphones® for DLT intubation. METHOD: At Tokai University Hachioji Hospital, anesthesiologists with ≥ 5 years' clinical experience intubated a tracheal intubation training mannequin with DLTs using the Airtraq DL® (Airtraq-alone phase) and the Airtraq DL® attached to the Universal Adapter for Smartphones® (adapter phase), and the time required was measured...
December 20, 2018: Tokai Journal of Experimental and Clinical Medicine
Dunia Abdul-Aziz, Joseph Zenga, Daniel G Deschler
BACKGROUND/AIMS: The tracheoesophageal prothesis (TEP) has become the primary modality for laryngeal communication after total laryngectomy due to high success rates, minimal morbidity, and more natural pulmonary driven speech. Fibrosis, kyphosis, and post-radiation contracture may preclude TEP placement through rigid esophagoscopy, and certain patients may not tolerate an in-office awake procedure. For such patients, a technique for flexible esophageal stenting and TEP placement is necessary...
November 28, 2018: ORL; Journal for Oto-rhino-laryngology and its related Specialties
Seung-Il Jang, Jaemyung Ahn, Jun Young Paeng, Jongrak Hong
Background: Bimaxillary orthognathic surgery with maxillomandibular setback is often accompanied by changes in airway space. We analyzed the changes in airway space before and after surgery and assessed their association with obstructive sleep apnea. Methods: This study is based on the cohort of 13 adult patients (9 males, 4 females, average age 23.85 years) who underwent bimaxillary orthognathic surgery with maxillomandibular setback.We performed computed tomography and portable polysomnography before and after the surgery to assess changes in airway space and Apnea-Hypopnea Index (AHI) values (total, supine, non-supine)...
December 2018: Maxillofacial Plastic and Reconstructive Surgery
Masatsgu Yano, Yasufumi Saito, Makoto Yoshida, Takafumi Oshiro, Toshikatsu Fukda, Makoto Ochi, Yuzo Okamoto, Eiji Ono, Hideki Ohdan
INTRODUCTION: Recurrent laryngeal nerve injury is a major complication of thyroid surgery. An endotracheal tube with electromyography electrodes attached to it was recently developed for intraoperative neuromonitoring during thyroid surgery. Here we describe the successful identification and preservation of an extralaryngeal bifurcation of the recurrent laryngeal nerve by intraoperative neuromonitoring in a patient undergoing thyroid surgery. PRESENTATION OF CASE: A 56-year-old woman presented for evaluation of a neck swelling found during a medical examination...
November 14, 2018: International Journal of Surgery Case Reports
Andrew G Miller, Kyle J Rehder, Ira M Cheifetz, Neil R MacIntyre
No abstract text is available yet for this article.
December 2018: Respiratory Care
Kundan Gosavi, Paulomi Dey, Sachin Swami
Diffuse idiopathic skeletal hyperostosis (DISH) is associated with abnormal ossification of spinal and extraspinal appendages. Incidence of DISH is high in old age with predilection for males. Cervical hyperostosis can make intubation difficult in multiple ways. Here, we report a case of DISH bridging the cervical spine from C2 to C7 vertebrae managed using awake fiberoptic technique and a small-sized endotracheal tube.
October 2018: Asian Journal of Neurosurgery
M W Skinner, P S Galloway, D J McGlone, C Middleton
No abstract text is available yet for this article.
November 2018: Anaesthesia and Intensive Care
Alessandra Moretto, Maria Grazia Bosatra, Laura Marchesini, Simonetta Tesoro
BACKGROUND: Patients suffering from mucopolysaccharidosis are among the most complex from the anesthesiological point of view, especially regarding the management of the airway. The evidence base for anesthesia management is often limited to case reports and small case series. AIMS: To identify useful information about experience with each subtype of mucopolysaccharidosis reported in the literature and propose a guide on the best options for airway management to the anesthesiologists who take care of these patients...
November 16, 2018: Italian Journal of Pediatrics
Philippa K Tucker, Paul MacFarlane
OBJECTIVES: The aim of this study was to report the incidence of anaesthetic complications associated with feline bronchoscopy. METHODS: This was a retrospective analysis of anaesthetic records and electronic case logs of feline bronchoscopies at two university hospitals (centres B and L) between January 2013 and December 2015. A two-tailed Fisher's exact test was used for comparison of variables and outcomes between centres. RESULTS: Seventy-nine cases were included...
November 15, 2018: Journal of Feline Medicine and Surgery
Theodore Dassios, Ann Hickey, Miltiadis Krokidis, Anne Greenough
We reviewed the radiographs of 131 infants with congenital diaphragmatic hernia and report that the umbilical venous catheter usually deviates to the ipsilateral and the endotracheal tube to the contralateral side of the defect. The trachea and the umbilical vein, however, can be found on either side of the midline.
November 10, 2018: Early Human Development
Yu Yung Lai, Chia Ming Chang
No abstract text is available yet for this article.
November 9, 2018: Anesthesia and Analgesia
Whitney Liddy, Bradley R Lawson, Samuel R Barber, Dipti Kamani, Mohamed Shama, Selen Soylu, Che Wei Wu, Feng-Yu Chiang, Joseph Scharpf, Marcin Barczynski, Henning Dralle, Sam Van Slycke, Rick Schneider, Gianlorenzo Dionigi, Gregory W Randolph
OBJECTIVES/HYPOTHESIS: Intraoperative neural monitoring is a useful adjunct for the laryngeal nerve function assessment during thyroid and parathyroid surgery. Typically, monitoring is performed by measurement of electromyographic responses recorded by endotracheal tube (ETT) surface electrodes. Tube position alterations during surgery can cause displacement of the electrodes relative to the vocal cords, leading to false positive loss of signal. Numerous reports have denoted monitoring equipment-related issues, especially endotracheal tube displacement, as the dominant source of false positive error...
November 12, 2018: Laryngoscope
Glenn Goodwin, Dyana Picache, Nicholas Gaeto, Brian J Louie, Tarik Zeid, Paxton P Aung, Sonu Sahni
Background Despite advances in resuscitation science and public health, out-of-hospital cardiac arrest (OOHCA) has an average survival rate of only 12% nationwide, compared to 24.8% of patients who suffer from cardiac arrest while in hospital. Additionally, gender is an important element of human health, and there is a clear pattern for gender-specific survivability in cardiac arrest. This study examined differences in presentations, treatment, management, and outcomes. Aim The primary focus of this study was to shed light on differences in presentations, treatments, and outcomes between men and women suffering from an out-of-hospital cardiac arrest and the accompanying contributing factors...
August 30, 2018: Curēus
Jan Hau Lee, Gabrielle Nuthall, Takanari Ikeyama, Osamu Saito, Yee Hui Mok, Michael Shepherd, Philipp Jung, Rakshay Shetty, Sujatha Thyagarajan, Sholeen Nett, Natalie Napolitano, Vinay Nadkarni, Akira Nishisaki
OBJECTIVES: It is unknown if variation in tracheal intubation practice and outcomes exist across PICUs in different geographical regions. We hypothesized there would be differences in the process of care and adverse outcomes for tracheal intubation across PICUs in six different geographical regions (New Zealand, Japan, Singapore, Germany, India, and North America). DESIGN: Prospective multicenter pediatric tracheal intubation database (National Emergency Airway Registry for Children) SETTING:: Six non-North American (International) and 36 North American PICUs...
November 7, 2018: Pediatric Critical Care Medicine
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