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emergency front of neck

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https://www.readbyqxmd.com/read/30050883/accuracy-of-real-time-intratracheal-bedside-ultrasonography-and-waveform-capnography-for-confirmation-of-intubation-in-multiple-trauma-patients
#1
Majid Zamani, Mohammad Nasr Esfahani, Ibrahim Joumaa, Farhad Heydari
Background: A secure airway and effective ventilation are key components of advanced life support, and misplacement of endotracheal tube (ETT) can lead to morbidity in multiple trauma patients. The purpose of this study was to investigate the accuracy of ultrasound in diagnosis of direction for tracheal intubation. Materials and Methods: This descriptive-analytical study was conducted on 100 traumatic patients requiring intubation in 2016 in the Emergency Department of Al-Zahra and Kashani Medical Education Centers in Isfahan...
2018: Advanced Biomedical Research
https://www.readbyqxmd.com/read/30047997/diagnostic-point-of-care-ultrasound-applications-in-obstetric-anaesthetic-management
#2
REVIEW
L Zieleskiewicz, L Bouvet, S Einav, G Duclos, M Leone
Complications during pregnancy are not frequent, but may occur abruptly. Point-of-care ultrasound is a non-invasive, non-ionising diagnostic tool that is available at the bed-side when complications occur. This review covers the use of ultrasound in various clinical situations. Gastric ultrasound can identify stomach contents that put the woman at risk for pulmonary aspiration. In the future, this tool will probably be used routinely before induction of anaesthesia to determine the presence of stomach contents above a particular risk threshold...
July 26, 2018: Anaesthesia
https://www.readbyqxmd.com/read/30006929/evaluation-of-a-novel-cricothyroidotomy-introducer-in-a-simulated-obese-porcine-model-a-randomised-crossover-comparison-with-scalpel-cricothyroidotomy
#3
C Yeow, L Greaney, C Foy, W King, B Patel
The Difficult Airway Society 2015 guidelines for management of unanticipated difficulties in tracheal intubation in adults have generated much discussion regarding Plan D: emergency front-of-neck access with a scalpel-bougie cricothyroidotomy technique. There is concern that this technique may not provide an adequate pathway for the bougie and subsequently the tracheal tube, especially in obese patients with deeper airway structures. This could lead to the formation of a false passage, trauma and failure. A novel cricothyroidotomy introducer, 8 mm wide and 170 mm long, with a sharp leading edge and guiding channel to pass a bougie into the trachea, has been designed to complement the scalpel cricothyroidotomy technique...
July 13, 2018: Anaesthesia
https://www.readbyqxmd.com/read/29656528/the-role-of-scalpel-bougie-cricothyroidotomy-in-managing-emergency-front-of-neck-airway-access-a-review-and-technical-update-for-ent-surgeons
#4
N D McNiven, J P Pracy, B A McGrath, A K Robson
No abstract text is available yet for this article.
June 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29533465/the-airway-app-exploring-the-role-of-smartphone-technology-to-capture-emergency-front-of-neck-airway-experiences-internationally
#5
L V Duggan, S L Lockhart, T M Cook, E P O'Sullivan, T Dare, P A Baker
In this exploratory study we describe the utility of smartphone technology for anonymous retrospective observational data collection of emergency front-of-neck airway management. The medical community continues to debate the optimal technique for emergency front-of-neck airway management. Although individual clinicians infrequently perform this procedure, hundreds are performed annually worldwide. Ubiquitous smartphone technology and internet connectivity have created the opportunity to collect these data. We created the 'Airway App', a smartphone application to capture the experiences of healthcare providers involved in emergency front-of-neck airway procedures...
June 2018: Anaesthesia
https://www.readbyqxmd.com/read/29416237/front-of-neck-access-a-survey-among-anesthetists-and-surgeons
#6
Cyprian Mendonca, Imran Ahmad, Achuthapillai Sajayan, Rathinavel Shanmugam, Manu Sharma, Will Tosh, Emily Pallister, Peter K Kimani
Background and Aims: Emergency front of neck access (FONA) is the final step in a Can't Intubate-Can't Oxygenate (CICO) scenario. In view of maintaining simplicity and promoting standardized training, the 2015 Difficult Airway Society guidelines recommend surgical cricothyroidotomy using scalpel, bougie, and tube (SBT) as the preferred technique. Material and Methods: We undertook a survey over a 2-week period to evaluate the knowledge and training, preferred rescue technique, and confidence in performing the SBT technique...
October 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29406182/guidelines-for-the-management-of-tracheal-intubation-in-critically-ill-adults
#7
A Higgs, B A McGrath, C Goddard, J Rangasami, G Suntharalingam, R Gale, T M Cook
These guidelines describe a comprehensive strategy to optimize oxygenation, airway management, and tracheal intubation in critically ill patients, in all hospital locations. They are a direct response to the 4th National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society, which highlighted deficient management of these extremely vulnerable patients leading to major complications and avoidable deaths. They are founded on robust evidence where available, supplemented by expert consensus opinion where it is not...
February 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29349776/effect-of-palpable-vs-impalpable-cricothyroid-membranes-in-a-simulated-emergency-front-of-neck-access-scenario
#8
C F Pairaudeau, C Mendonca, C Hillermann, I Qazi, P A Baker, R E Hodgson, S Radhakrishna
The Difficult Airway Society 2015 guidelines recommend and describe in detail a surgical cricothyroidotomy technique for the can't intubate, can't oxygenate (CICO) scenario, but this can be technically challenging for anaesthetists with no surgical training. Following a structured training session, 104 anaesthetists took part individually in a simulated can't intubate, can't oxygenate event using simulation and airway models to evaluate how well they could perform these front-of-neck access techniques. Main outcomes measures were: ability to correctly perform the technical steps; procedural time; and success rate...
May 2018: Anaesthesia
https://www.readbyqxmd.com/read/29210033/strategies-for-the-prevention-of-airway-complications-a-narrative-review
#9
REVIEW
T M Cook
Despite being infrequent, complications of airway management remain an important contributor to morbidity and mortality during anaesthesia and care of the critically ill. Developments in the last three decades have made anaesthesia safer, and this has been mirrored in the equipment and techniques available for airway management. Modern technology including novel oxygenation modalities, widespread availability of capnography, second-generation supraglottic airway devices and videolaryngoscopy provide the tools to make airway management safer still...
January 2018: Anaesthesia
https://www.readbyqxmd.com/read/29121321/response-to-emergency-front-of-neck-access-scalpel-or-cannula-and-the-parable-of-buridan-s-ass
#10
T M Cook
No abstract text is available yet for this article.
October 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29114419/unanticipated-difficult-airway-in-a-neonate-are-we-prepared-for-this-chaos
#11
Priyanka Pradeep Karnik, Nandini Malay Dave, Madhu Garasia
Unanticipated difficult airway in a neonate is a challenging situation with many difficulties because of inherent anatomical variations. To complicate the situation there is a lack of appropriate equipment, expertise and established guidelines on the management of difficult airway in neonates and infants. There are few published reports regarding the use of available devices for emergency front-of-neck access. We report the case of airway management of a neonate with an unanticipated finding of subglottic stenosis...
October 2017: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/28854552/mind-the-gap-when-performing-emergency-front-of-neck-access
#12
M Marimuthu, C Dunn, I Hodzovic
No abstract text is available yet for this article.
August 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28520933/emergency-front-of-neck-access-scalpel-or-cannula-and-the-parable-of-buridan-s-ass%C3%A2
#13
K B Greenland, W P L Bradley, G A Chapman, G Goulding, M G Irwin
No abstract text is available yet for this article.
June 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28293338/-diagnosis-of-strangulated-spiegel-hernia-based-on-ct-scan-about-a-case
#14
Geraud Akpo, Hamidou Deme, Nfally Badji, Fallou Niang, Mohamadou Toure, Ibrahima Niang, Malick Diouf, El Hadj Niang
We report a case of a 86-year old woman with Spiegel hernia complicated by occlusion whose diagnosis was based on CT scan. She was examined in the Emergency Surgery Department for brutal onset of pain in the right iliac fossa associated with vomiting. On physical examination the patient was febrile (38.2° C). It showed hard, sensitive and mobile mass located in the right iliac fossa, with respect to both planes. Abdominal CT scan showed a hernia sac with the neck measuring 13 mm in the right iliac fossa, in front of the aponeurosis of the external oblique muscle...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27646054/surgical-intervention-during-a-can-t-intubate-can-t-oxygenate-cico-event-emergency-front-of-neck-airway-fona
#15
EDITORIAL
J P Pracy, L Brennan, T M Cook, A J Hartle, R J Marks, B A McGrath, A Narula, A Patel
No abstract text is available yet for this article.
October 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27518246/soft-tissue-hematoma-of-the-neck-due-to-thyroid-rupture-with-unusual-mechanism
#16
Kohei Tsukahara, Keiji Sato, Tetsuya Yumoto, Atsuyoshi Iida, Nobuyuki Nosaka, Michihisa Terado, Hiromichi Naito, Yorihisa Orita, Tomoyuki Naito, Kentaro Miki, Mayu Sugihara, Satoko Nagao, Toyomu Ugawa, Atsunori Nakao
INTRODUCTION: Massive bleeding from the thyroid gland causing airway compromise secondary to indirect neck trauma is rare. PRESENTATION OF CASE: An 89-year-old woman was transferred to our emergency department due to anterior neck pain after a traffic accident. She had been propelled forward and struck her head on the front mirror during emergency braking. Airway patency was confirmed at the first contact. Although her vital signs were stable at presentation, she gradually suffered from respiratory distress and severe dyspnea, implying airway compression, therefore requiring endotracheal intubation...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27277897/an-institutional-approach-to-the-management-of-the-can-t-intubate-can-t-oxygenate-emergency-in-children
#17
REVIEW
Stefano C Sabato, Elliot Long
The 'Can't Intubate Can't Oxygenate' emergency is rare in children. Nevertheless, airway clinicians involved in pediatric airway management must be able to rescue the airway percutaneously through the front of the neck should this situation be encountered. Little evidence exists in children to guide rescue techniques, and extrapolation of adult evidence may be problematic due to anatomical differences. This document reviews the currently available evidence, and presents a practical approach to standardizing equipment, techniques, and training for managing the 'Can't Intubate Can't Oxygenate' emergency in children...
August 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27241316/surgical-intervention-during-a-can-t-intubate-can-t-oxygenate-cico-event-emergency-front-of-neck-airway-fona
#18
J P Pracy, L Brennan, T M Cook, A J Hartle, R J Marks, B A McGrath, A Narula, A Patel
No abstract text is available yet for this article.
December 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27207773/need-to-consider-human-factors-when-determining-first-line-technique-for-emergency-front-of-neck-access
#19
EDITORIAL
A Timmermann, N Chrimes, C A Hagberg
No abstract text is available yet for this article.
July 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26512272/an-incidental-finding-of-a-radiopaque-pill-following-cervical-spinal-surgery-in-a-parkinson-s-disease-patient
#20
Bon Sub Gu, Soo-Jung Choi, Byoungwoo Yoo, Koon Hee Han, Jong Kyu Park, Young-Seok Lee, Jin Hoon Park
There are previous reports of the identification of radiopaque medications on abdominal X-rays or computed tomography (CT). We describe an interesting case of the incidental identification of a radiopaque medication on cervical spinal CT following cervical spinal surgery. A sixty seven-year-old male patient with Parkinson's disease (PD) visited our emergency center with a C5-6 dislocation and fracture. Surgery was performed with open reduction and pedicle screw fixation through the posterior approach. No abnormal events occurred during the perioperative period...
September 2015: Korean Journal of Spine
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