keyword
https://read.qxmd.com/read/38425389/large-isolated-fibrous-tumors-in-the-upper-esophagus-a-case-report
#21
Jia-Jia Yu, Huan-Shuang Pei, Yu Meng
BACKGROUND: Solitary fibrous tumors (SFT) are rare spindle cell tumors that are usually benign. A total of 10 cases of SFTs in the upper esophagus have ever been reported. Here, we report the anesthetic management of a patient with a large isolated fibrous tumor of the upper esophagus compressing the tracheal membrane. We also provide a literature review of the current research. CASE SUMMARY: We report the case of a 49 year old male with "cough aggravation and wheezing after exercise", who underwent esophagectomy for a large isolated fibrous tumor compressing the tracheal membrane in the upper esophagus...
February 15, 2024: World Journal of Gastrointestinal Oncology
https://read.qxmd.com/read/38423290/respiratory-diseases-associated-with-organic-dust-exposure
#22
JOURNAL ARTICLE
Jill A Poole, Jose L Zamora-Sifuentes, Leticia De Las Vecillas, Santiago Quirce
Organic dusts are complex bioaerosol mixtures comprised of dust and particulate matter of organic origin. These include components from bacteria, fungi, pollen, and viruses to fragments of animals and plants commonplace to several environmental/occupational settings encompassing agriculture/farming, grain processing, waste/recycling, textile, cotton, woodworking, bird breeding, and more. Organic dust exposures are linked to development of chronic bronchitis, chronic obstructive pulmonary disease (COPD), asthma, asthma-like syndrome, byssinosis, hypersensitivity pneumonitis (HP), and idiopathic pulmonary fibrosis (IPF)...
February 27, 2024: Journal of Allergy and Clinical Immunology in Practice
https://read.qxmd.com/read/38420361/a-new-score-for-airway-assessment-using-clinical-and-ultrasound-parameters
#23
JOURNAL ARTICLE
Nekari De Luis-Cabezón, Diana Ly-Liu, Pablo Renedo-Corcostegui, Francisco Santaolalla-Montoya, Aitor Zabala-Lopez de Maturana, Jose Carlos Herrero-Herrero, Eugenio Martínez-Hurtado, Raúl De Frutos-Parra, Amaia Bilbao-Gonzalez, Miguel Angel Fernandez-Vaquero
BACKGROUND: Over the last few years, ultrasonography has been introduced as the fifth pillar to patient's bedside physical examination. Clinical assessments aim to screen and look for airway difficulties to predict difficult intubations, but none have demonstrated a significant predictive capacity. Recent systematic reviews have established a correlation between ultrasound imaging and difficult direct laryngoscopy. The primary objective of this study was to determine whether the utilization of ultrasonography to examine the upper airway could accurately predict difficult direct laryngoscopy...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38419261/obstructive-sleep-apnoea-in-obesity-a-review
#24
REVIEW
Jian E Tai, Craig L Phillips, Brendon J Yee, Ronald R Grunstein
Obstructive sleep apnea is a common comorbidity that occurs in individuals with obesity. It classically manifests with excessive daytime sleepiness, resulting in reduced quality of life, workplace productivity, and an increased risk of motor vehicle accidents. Weight gain plays an important role in its pathogenesis through worsening upper airway collapsibility, and current treatment options are targeted towards mechanically overcoming upper airway obstruction and weight loss. Continuous positive airway pressure therapy remains the most widely prescribed treatment for obstructive sleep apnea but poor tolerance is a common barrier to effective treatment...
February 28, 2024: Clinical Obesity
https://read.qxmd.com/read/38419178/transitions-in-video-laryngoscope-technology-to-improve-first-pass-success
#25
JOURNAL ARTICLE
Brandon Jones, Cassandra Asberry
Prehospital intubation is a high-risk, relatively low frequency procedure. Provider experience plays a key role in first-pass success rates, especially in the setting of a difficult airway. While strong foundational knowledge is necessary to equip providers with an adequate understanding of intubation procedures and the skill set needed to manage a difficult airway, effective equipment may provide an extra boost in first-pass success for novice airway providers. First-pass success is correlated with decreased adverse events and should be maximized in the prehospital setting...
April 2024: Critical Care Nursing Quarterly
https://read.qxmd.com/read/38414645/pediatric-polytrauma-fire-victim-simulation
#26
JOURNAL ARTICLE
Lauren Vrablik, Robyn Wing
INTRODUCTION: Pediatric trauma has long been one of the primary contributors to pediatric mortality. There are multiple cases in the literature involving cyanide (CN) toxicity, carbon monoxide (CO) toxicity, and smoke inhalation with thermal injury, but none in combination with mechanical trauma. METHODS: In this 45-minute simulation case, emergency medicine residents and fellows were asked to manage a pediatric patient with multiple life-threatening traumatic and metabolic concerns after being extracted from a van accident with a resulting fire...
2024: MedEdPORTAL Publications
https://read.qxmd.com/read/38414514/assessment-of-different-indices-as-predictors-of-difficult-airway-in-obese-patients
#27
JOURNAL ARTICLE
Varun Sharma, Himanshu P Yadav, Abhishek Prakash, Namrata Yadav, Mukesh Kumar, Haider Abbas
Introduction Difficulties with tracheal intubation contribute to the morbidity and mortality associated with anesthesia. Suggested predictors for difficult airway include, history of obstructive sleep apnea, high Mallampati score, elderly, male, short neck, and high Wilson score. However, none of these has high diagnostic accuracy particularly in obese population. Parameters used to quantify obesity such as Body Mass Index(BMI), mid arm circumference, skin fold thickness, etc. have not been used as independent predictors of difficult airway...
February 2024: Curēus
https://read.qxmd.com/read/38406347/simulation-in-airway-management-teaching-and-training
#28
JOURNAL ARTICLE
Indubala Maurya, Syed M Ahmed, Rakesh Garg
There is a gradual shift in training and teaching methods in the medical field. We are slowly moving from the traditional model and adopting active learning methods like simulation-based training. Airway management is an essential clinical skill for any anaesthesiologist, and a trained anaesthesiologist must perform quick and definitive airway management using various techniques. Airway simulations have been used for the past few decades. It ensures active involvement, upgrading the trainees' airway management knowledge and skills, including basic airway skills, invasive procedures, and difficult clinical scenarios...
January 2024: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38406331/scope-of-artificial-intelligence-in-airway-management
#29
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/38404280/-design-and-innovation-of-a-utility-model-patent-for-tracheal-cannula-fixation-belt
#30
JOURNAL ARTICLE
Hao Liu, Changle Feng, Mengli Yang, Haiyan Xie, Qianqian Liang
Tracheostomy is a very common airway procedure in the treatment of critically ill neurological patients. At present, the traditional tracheal cannula fixation belt is easy to be contaminated, difficult to disinfect, and needs to be replaced regularly. It is prone to infection, skin injury, unplanned extubation and other adverse events, which cannot meet the clinical treatment effect and patient safety management. In order to overcome the above problems, the medical staff of the neurology intensive care unit of Henan Provincial People's Hospital designed a new type of tracheal cannula fixation belt to increase patient comfort and reduce complications, and obtained a National Utility Model Patent of China (ZL 2022 2 0855188...
January 2024: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/38389610/challenges-in-extubation-a-case-of-a-non-removable-tracheal-tube-following-surgery
#31
Rita Silva, Tania Carvalho, Maria João Tarroso, Helder Cardoso
This report details a challenging case of difficult extubation due to a lodged tracheal tube following surgery, presenting an unexpected and complex clinical situation. An inspection of the airway using videolaryngoscopy revealed an over-inflated cuff beneath the vocal cords. Initial efforts to deflate the cuff with various methods were unsuccessful. The situation was ultimately resolved through the intervention of an otolaryngology surgeon. This case not only reviews various mechanisms of difficult endotracheal tube removal reported in the literature, but also underscores the potential for serious complications and highlights the critical role of multidisciplinary collaboration in managing extubation challenges...
January 2024: Curēus
https://read.qxmd.com/read/38385689/pre-emptive-veno-arterial-ecmo-in-a-giant-compressive-goiter-related-difficult-airway-a-case-report
#32
Alexandre Behouche, Alexandre Sebestyen, Laura Guillet, Herve Durand, Philippe Chaffanjon, Damien Bedague
A 64-year-old patient required emergency surgery with high risk of intubation failure, without any possibility to perform neither a direct transtracheal access nor VV-ECMO canulation. The patient was managed thanks to a VA-ECMO despite the absence of cardiac function impairment. This report describes perioperative challenges and management of this unconventional case with favorable outcome.
February 22, 2024: Artificial Organs
https://read.qxmd.com/read/38383430/comparison-of-two-3d-scanning-software-to-identify-facial-features-a-prospective-instrument-to-predict-difficult-airway
#33
JOURNAL ARTICLE
Alexander Rocuts, Bibiana Avella-Molano, Amanda Behr, Farhan Lakhani, Bryant Bolds, Matias Riveros-Amado, Efrain Riveros-Perez
BACKGROUND: Clinical airway assessment has limited predictive ability to anticipate difficult airway. Three-dimensional (3D) technologies have emerged in medicine as valuable tools in different settings including innovation and surgical planning. Three-dimensional facial scanning could add value to clinical measurements and two-dimensional models to assess the airway. However, commonly used high-fidelity scans are expensive. This study aims to compare the accuracy of the measurements made by the Scandy Pro app as a cost-effective alternative to high-fidelity scans made by the Artec Space Spider...
February 22, 2024: Perioperative Medicine
https://read.qxmd.com/read/38374968/airway-management-in-the-paediatric-difficult-intubation-registry-a-propensity-score-matched-analysis-of-outcomes-over-time
#34
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/38368842/pedicled-pericardial-patch-in-tracheal-reconstruction-in-children-novel-technique-to-provide-vascularized-tissue-for-salvaging-difficult-airways
#35
JOURNAL ARTICLE
Arun Beeman, Madhavan Ramaswamy, Colin Butler, Denise McIntyre, Eloise Mann, Richard Hewitt, Sam Chippington, Nagarajan Muthialu
BACKGROUND: Management of large central airway defects are often complex. Children who present with these defects have multiple co-morbidities or have had previous surgeries. Surgical options include various tissue cover for these defects without longer term benefits. Vascularized autologous pericardial patch offers a better solution to these defects by providing vascularity and potential for remodelling in future. METHODS: 41 children (M:F of 24:17) were operated for large trachea-bronchial defects between January 2015 and August 2022...
February 16, 2024: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/38362261/the-utilization-of-video-laryngoscopy-in-nasotracheal-intubation-for-oral-and-maxillofacial-surgical-procedures-a-narrative-review
#36
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/38358179/anesthetic-management-in-a-huge-hydrocephalus
#37
Neha Kumari, Amritha Sai, Aditya Sharma, Archana Kachhap, Dipali Singh, Tushar Kumar
The pediatric age group with massive hydrocephalus posted for ventriculoperitoneal (VP) shunt presents a lot of confrontation to anesthesiologists due to macrocephalus and associated congenital anomalies. Here, we presented a case report with massive hydrocephalus with aqueduct stenosis, posted for VP shunt placement, and retained a difficult airway.
2024: Annals of African Medicine
https://read.qxmd.com/read/38340791/spanish-society-of-anesthesiology-reanimation-and-pain-therapy-sedar-spanish-society-of-emergency-and-emergency-medicine-semes-and-spanish-society-of-otolaryngology-head-and-neck-surgery-seorl-ccc-guideline-for-difficult-airway-management
#38
M Á Gómez-Ríos, J A Sastre, X Onrubia-Fuertes, T López, A Abad-Gurumeta, R Casans-Frances, D Gómez-Ríos, J C Garzón, V Martínez-Pons, M Casalderrey-Rivas, M Á Fernández-Vaquero, E Martínez-Hurtado, R Martín-Larrauri, L Reviriego-Agudo, U Gutierrez-Couto, J García-Fernández, A Serrano-Moraza, L J Rodríguez Martín, C Camacho Leis, S Espinosa Ramírez, J M Fandiño Orgeira, M J Vázquez Lima, M Mayo-Yáñez, P Parente-Arias, J A Sistiaga-Suárez, M Bernal-Sprekelsen, P Charco-Mora
The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factor, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care...
February 8, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38340790/spanish-society-of-anesthesiology-reanimation-and-pain-therapy-sedar-spanish-society-of-emergency-and-emergency-medicine-semes-and-spanish-society-of-otolaryngology-head-and-neck-surgery-seorl-ccc-guideline-for-difficult-airway-management-part-ii
#39
M Á Gómez-Ríos, J A Sastre, X Onrubia-Fuertes, Teresa López, A Abad-Gurumeta, R Casans-Frances, D Gómez-Ríos, J C Garzón, V Martínez-Pons, M Casalderrey-Rivas, M Á Fernández-Vaquero, E Martínez-Hurtado, R Martín-Larrauri, L Reviriego-Agudo, U Gutierrez-Couto, J García-Fernández, A Serrano-Moraza, L J Rodríguez Martín, C Camacho Leis, S Espinosa Ramírez, J M Fandiño Orgeira, M J Vázquez Lima, M Mayo-Yáñez, P Parente-Arias, J A Sistiaga-Suárez, M Bernal-Sprekelsen, P Charco-Mora
The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factor, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care...
February 8, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38323274/supraglottic-airway-devices-a-powerful-strategy-in-airway-management
#40
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
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