keyword
https://read.qxmd.com/read/38413083/-quality-control-of-perioperative-management-after-radical-surgery-for-locally-advanced-gastric-cancer
#21
JOURNAL ARTICLE
L P Li, R H Zhang, L Shang
Gastric cancer is a common malignant tumor in China. Most gastric cancer patients are already in the locally advanced stage when they seek medical treatment. Radical surgery is the main treatment for gastric cancer. The quality control of postoperative perioperative management is of great significance in improving the surgical treatment effect and the quality of life of patients. This article systematically summarizes seven aspects, including diet and nutrition management, antimicrobial drug management, pain management, prophylactic anticoagulation management, airway management, postoperative complication management, and discharge and follow-up management, establishes clear quality standards, and achieves the goals of reducing postoperative complications, standardizing perioperative medication use, reducing hospitalization time and costs, thereby reducing patient burden and improving the economic and social benefits of medical institutions...
February 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38406331/scope-of-artificial-intelligence-in-airway-management
#22
JOURNAL ARTICLE
Naveen B Naik, Preethy J Mathew, Pankaj Kundra
The evolution of artificial intelligence (AI) systems in the field of anaesthesiology owes to notable advancements in data processing, databases, algorithmic programs, and computation power. Over the past decades, its accelerated progression has enhanced safety in anaesthesia by improving the efficiency of equipment, perioperative risk assessments, monitoring, and drug administration systems. AI in the field of anaesthesia aims to improve patient safety, optimise resources, and improve the quality of anaesthesia management in all phases of perioperative care...
January 2024: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38385679/a-rare-complication-of-maxillomandibular-advancement-surgery-postoperative-plate-bending-following-emergency-intubation
#23
JOURNAL ARTICLE
Emily Lightfoot, Emilija D Jensen, Sanjaya N Gamage, Andrew H Cheng, Paul J Sambrook
Maxillomandibular advancement surgery is a recognized technique for the management of obstructive sleep apnea. Complications for this surgery are not well-documented in the literature. The authors report an unusual case of mandibular plate bending following unplanned postoperative airway management using an oral endotracheal tube in a 65-year-old male. The bent mandibular plate and airway concern required a return to the theater for the replacement of bent plates and tracheostomy placement. This case documents the importance of multidisciplinary team planning for airway-related surgery as well as the need for multidisciplinary team management of postoperative airway management following orthognathic surgery...
February 22, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38385399/improvement-gaps-to-deal-with-the-shortage-of-lungs-for-transplant-from-a-middle-income-country-s-perspective
#24
JOURNAL ARTICLE
Brian Alvarez, Chloe Balleste Delpierre
OBJECTIVES: Our study aimed to identify the potential causes for the low lung procurement rate in Argentina and to develop strategies to the actual problems in donor management focused on lung retrieval. MATERIALS AND METHODS: We performed a crosssectional study in which we analyzed data obtained from digital self-reported surveys conducted on professionals participating in the organ procurement process in Argentina. The surveys included questions on donor management, selection criteria, and resource availability involving increasing lung procurement...
January 2024: Experimental and Clinical Transplantation
https://read.qxmd.com/read/38374968/airway-management-in-the-paediatric-difficult-intubation-registry-a-propensity-score-matched-analysis-of-outcomes-over-time
#25
JOURNAL ARTICLE
Mary Lyn Stein, Lina Andrea Sarmiento Argüello, Steven J Staffa, Julia Heunis, Chinyere Egbuta, Stephen G Flynn, Sabina A Khan, Stefano Sabato, Brad M Taicher, Franklin Chiao, Adrian Bosenberg, Angela C Lee, H Daniel Adams, Britta S von Ungern-Sternberg, Raymond S Park, James M Peyton, Patrick N Olomu, Agnes I Hunyady, Annery Garcia-Marcinkiewicz, John E Fiadjoe, Pete G Kovatsis
BACKGROUND: The Paediatric Difficult Intubation Collaborative identified multiple attempts and persistence with direct laryngoscopy as risk factors for complications in children with difficult tracheal intubations and subsequently engaged in initiatives to reduce repeated attempts and persistence with direct laryngoscopy in children. We hypothesised these efforts would lead to fewer attempts, fewer direct laryngoscopy attempts and decrease complications. METHODS: Paediatric patients less than 18 years of age with difficult direct laryngoscopy were enrolled in the Paediatric Difficult Intubation Registry...
March 2024: EClinicalMedicine
https://read.qxmd.com/read/38372996/sequence-of-epinephrine-and-advanced-airway-placement-after-out-of-hospital-cardiac-arrest
#26
JOURNAL ARTICLE
Masashi Okubo, Sho Komukai, Junichi Izawa, Kosuke Kiyohara, Tasuku Matsuyama, Taku Iwami, Tetsuhisa Kitamura
IMPORTANCE: While epinephrine and advanced airway management (AAM) (supraglottic airway insertion and endotracheal intubation) are commonly used for out-of-hospital cardiac arrest (OHCA), the optimal sequence of these interventions remains unclear. OBJECTIVE: To evaluate the association of the sequence of epinephrine administration and AAM with patient outcomes after OHCA. DESIGN, SETTING, AND PARTICIPANTS: This cohort study analyzed the nationwide, population-based OHCA registry in Japan and included adults (aged ≥18 years) with OHCA for whom emergency medical services personnel administered epinephrine and/or placed an advanced airway between January 1, 2014, and December 31, 2019...
February 5, 2024: JAMA Network Open
https://read.qxmd.com/read/38371217/sliding-spine-relocation-surgery-with-anterior-septal-reconstruction
#27
JOURNAL ARTICLE
Thomaz Fleury Curado, Ahmed El Abany, Sam P Most
Study Design: Technical note. Objective: The lower nasal architecture is dependent on caudal septal integrity. Deviations of the caudal septum can compromise nasal airflow. The presence of anterior nasal spine deviations contributes to septal and medial crural shifting with ipsilateral encroachment. It is essential to identify nasal spine deviation during surgery in order to reconstruct the septum in a midline position at its base. This allows an appropriate management plan that creates a better functional and aesthetically pleasing outcome...
March 2024: Craniomaxillofacial Trauma & Reconstruction
https://read.qxmd.com/read/38362261/the-utilization-of-video-laryngoscopy-in-nasotracheal-intubation-for-oral-and-maxillofacial-surgical-procedures-a-narrative-review
#28
REVIEW
Seung-Hwa Ryoo, Kyung Nam Park, Myong-Hwan Karm
The video laryngoscope is a novel instrument for intubation that enables indirect visualization of the upper airway. It is recognized for its ability to enhance Cormack-Lehane grades in the management of difficult airways. Notably, video laryngoscopy is associated with equal or higher rates of intubation success within a shorter time frame than direct laryngoscopy. Video laryngoscopy facilitates faster and easier visualization of the glottis and reduces the need for Magill forceps, thereby shortening the intubation time...
February 2024: Journal of Dental Anesthesia and Pain Medicine
https://read.qxmd.com/read/38356590/the-application-of-nanoparticles-as-advanced-drug-delivery-systems-in-attenuating-copd
#29
REVIEW
Victoria Jessamine, Samir Mehndiratta, Gabriele De Rubis, Keshav Raj Paudel, Saritha Shetty, Divya Suares, Dinesh Kumar Chellappan, Brian G Oliver, Phillip M Hansbro, Kamal Dua
Chronic Obstructive Pulmonary Disease (COPD) is a dilapidating condition which is characterized by inflammation, an excess in free radical generation and airway obstruction. Currently, the drugs commercially available for the management of COPD pose several limitations such as systemic adverse effects, including bone density loss and an increased risk of developing pneumonia. Moreover, another limitation includes the need for regular and frequent dosing regimens; which can affect the adherence to the therapy...
February 15, 2024: Heliyon
https://read.qxmd.com/read/38343442/a-case-series-of-patients-with-complex-airway-disease-and-large-thyroid-tumors-anterior-to-the-trachea-precluding-tracheostomy
#30
Saira Imran, Leon L Chen, Michelle Rausen, Luc G T Morris, Snehal Patel, Neil A Halpern
BACKGROUND: This case series explores the management of respiratory failure in patients with large anterior tracheal thyroid tumors where tracheostomy is not an option. To our knowledge, this study is the first to address the challenges associated with caring for such patients. CASE SUMMARY: We present the clinical courses of four intubated adults with advanced thyroid cancer and complex airway issues that preclude surgical tracheostomy. Interventions included custom airway stents, long-term intubation, and oncological therapies...
February 2024: Critical care explorations
https://read.qxmd.com/read/38330996/-advances-in-the-management-of-asthma
#31
JOURNAL ARTICLE
Dirk Westhölter, Sebastian Reuter, Christian Taube
Asthma is a heterogeneous inflammatory airway disease that causes relevant morbidity across individuals of all age cohorts. In recent years, advances in the understanding of asthma pathophysiology have led to the development of treatments tailored to specific pheno- and endotypes of the disease. This has significantly changed asthma management, especially for patients with severe disease. These new treatment options offer individuals with asthma access to personalized and disease-modifying therapies. The present paper is a comprehensive overview of recent clinical studies and of German and international guideline updates on asthma management...
February 8, 2024: Laryngo- Rhino- Otologie
https://read.qxmd.com/read/38326744/teaching-airway-teachers-a-post-course-quantitative-and-qualitative-survey
#32
JOURNAL ARTICLE
Irene Steinberg, Sabine Nabecker, Robert Greif, Gerardo Cortese
BACKGROUND: Airway management is a crucial skill for many clinicians. Besides mastering the technical skills of establishing a patent airway, human factors including leadership and team collaboration are essential. Teaching these human factors is often challenging for instructors who lack dedicated training. Therefore, the European Airway Management Society (EAMS) developed the Teach-the-Airway-Teacher (TAT) course. METHODS: This online post-course survey of TAT-course participants 2013-2021 investigated the impact of the TAT-course and the status of airway management teaching in Europe...
February 7, 2024: BMC Medical Education
https://read.qxmd.com/read/38323274/supraglottic-airway-devices-a-powerful-strategy-in-airway-management
#33
REVIEW
Kunzhi Zhang, Miao Zhou, Zui Zou, Chenglong Zhu, Ruoyu Jiang
The escalating airway management demands of cancer patients have prompted us to continually curate airway devices, with supraglottic airway devices (SADs) playing a significant role in this regard. SADs serve as instrumental tools for maintaining an open upper airway. Since the inception of the earliest SADs in the early 1980s, an array of advanced and enhanced second-generation devices have been employed in clinical settings. These upgraded SADs integrate specific features designed to enhance positive-pressure ventilation and mitigate the risk of aspiration...
2024: American Journal of Cancer Research
https://read.qxmd.com/read/38322442/site-of-tracheostomy-and-its-influence-on-the-surgical-outcome-and-quality-of-life-after-tracheal-resection-and-anastomosis-in-patients-with-tracheal-stenosis
#34
JOURNAL ARTICLE
Soorya Pradeep, Arun Alexander, Sivaraman Ganesan, Dharanya Gopalakrishnan Srinivasan, Akshat Kushwaha, Aparna Gopalakrishnan, Lokesh Kumar Penubarthi, Kalaiarasi Raja, Sunil Kumar Saxena
Introduction  With the advances in critical care, the incidence of post intubation tracheal stenosis is increasing. Tracheal resection and anastomosis have been the gold standard for the management of grades III and IV stenosis. Scientific evidence from the literature on the determining factors and outcomes of surgery is not well described. Objective  This study was aimed at determining the influence of tracheostoma site on the surgical outcomes and postoperative quality of life of patients undergoing tracheal resection anastomosis...
January 2024: International Archives of Otorhinolaryngology
https://read.qxmd.com/read/38313418/the-effect-of-using-the-community-of-inquiry-model-on-the-quality-of-distance-learning-of-the-airways-management-among-anesthesia-nursing-students
#35
JOURNAL ARTICLE
Ali Khalafi, Omid Zarei, Vahid Saidkhani, Mohammad Hosein Haghighizadeh
INTRODUCTION: Distance education as a training method is used today to train nurses around the world. This study aimed to determine the impact of using the community of inquiry model on the quality of distance learning of airway management among anesthesia nurse students. METHODS: This is a quasi-experimental study with a pre-test post-test design conducted at Ahvaz Jundishapur University of Medical Sciences. Participants were selected by census, and they were second, third, and fourth-year nurse anesthesia students (n=66)...
January 2024: Journal of Advances in Medical Education & Professionalism
https://read.qxmd.com/read/38304643/intubation-in-a-case-of-ectodermal-dysplasia-during-surgery-a-case-report
#36
Sindhu Geetha, Neeta Verma, Amol Singam
Ectodermal dysplasia, a heterogeneous group of rare genetic disorders, is characterized by the aberrant development of ectodermal structures, leading to various clinical anomalies. This case report presents a unique and challenging case of a 33-year-old male with ectodermal dysplasia who underwent Le Fort III advancement and implant rehabilitation surgery to address severe craniofacial and dental deficiencies. This case, characterized by facial dysmorphism, craniofacial anomalies, and the absence of a nasal bone, highlights the complexity of surgical planning required to address these diverse clinical features...
January 2024: Curēus
https://read.qxmd.com/read/38298452/the-role-of-interventional-bronchoscopy-in-the-management-of-malignant-central-airway-obstruction
#37
Nika Samadzadeh Tabrizi, Perry A Stout, Tyler Fabian, Thomas Fabian
Nearly a third of patients with primary lung cancer present with malignant central airway obstruction (MCAO), and some of them appear to have advanced disease. In these patients, accurate staging is crucial. Although the literature extensively outlines the role of interventional bronchoscopy in palliation, its contribution to refining the staging of patients with MCAO is noteworthy. Here, we present a case of a patient initially diagnosed with stage IV cancer due to a left mainstem tumor causing complete lung collapse...
2024: Respiratory Medicine Case Reports
https://read.qxmd.com/read/38290196/neurological-outcomes-in-traffic-accidents-a-propensity-score-matching-analysis-of-medical-and-non-medical-origin-cases-of-out-of-hospital-cardiac-arrest
#38
JOURNAL ARTICLE
Yumiko Miyashita, Yutaka Takei, Gen Toyama, Tsukasa Takahashi, Tetsuhiro Adachi, Kentaro Omatsu, Akane Ozaki
AIM: This study aimed to comprehensively compare the characteristics of out-of-hospital cardiac arrest (OHCA) with medical and non-medical origins attributed to traffic accidents and explore the potential association between the cases with a medical origin and neurologically favorable outcomes. METHODS: In this retrospective nationwide population-based study, baseline data were collected between January 2018 and December 2020. We analyzed 5091 OHCA associated with traffic accidents on the road scene...
January 21, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38289904/a-european-multicenter-outcome-study-on-the-different-perioperative-airway-management-policies-following-midface-surgery-in-syndromic-craniosynostosis-a-proposal-for-a-standard-operating-procedure
#39
JOURNAL ARTICLE
Iris E Cuperus, Irene M J Mathijssen, Marie-Lise C van Veelen, Anouar Bouzariouh, Ingrid Stubelius, Lars Kölby, Christopher Lundborg, Sumit Das, David Johnson, Steven A Wall, Dawid F Larysz, Krzysztof Dowgierd, Małgorzata Koszowska, Matthias Schulz, Alexander Gratopp, Ulrich-Wilhelm Thomale, Víctor Zafra Vallejo, Marta Redondo Alamillos, Rubén Ferreras Vega, Michela Apolito, Estelle Vergnaud, Giovanna Paternoster, Roman H Khonsari
BACKGROUND: Perioperative airway management following midface advancements in children with Apert and Crouzon/Pfeiffer syndrome can be challenging, and protocols often differ. This study examined airway management following midface advancements and postoperative respiratory complications. METHODS: A multicenter, retrospective cohort study was performed to obtain information about the timing of extubation, perioperative airway management, and respiratory complications after monobloc / le Fort III procedures...
January 30, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38288184/contaminated-airway-task-training-how-to-adapt-an-existing-airway-manikin-head-for-active-airway-soiling
#40
JOURNAL ARTICLE
Melissa Bouwsema, Amar Chakraborty, Akshay Rajaram, Loren Fleming, Adam Parks
The massively contaminated airway is an important and often daunting entity for airway providers. Although massively contaminated airways are considered high acuity, low-occurrence presentations in emergency medicine and pre-hospital settings, formal training in the management of contaminated airways is heterogeneous and infrequent. To facilitate training and augment simulation, an airway task trainer is critical. To our knowledge, this is the first readily accessible, peer-reviewed, detailed technical report to build a low-cost, high-fidelity, contaminated airway task trainer...
December 2023: Curēus
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