keyword
https://read.qxmd.com/read/38507025/comparison-of-the-effects-of-paratracheal-pressure-and-cricoid-pressure-on-placement-of-the-i-gel-%C3%A2-supraglottic-airway-a-randomized-clinical-trial
#1
JOURNAL ARTICLE
Dongwook Won, Hyerim Kim, Jee-Eun Chang, Jung-Man Lee, Tae Kyong Kim, Honghyeon Kim, Seong-Won Min, Jin-Young Hwang
PURPOSE: Anesthesiologists can use supraglottic airway devices as a rescue technique for failed intubation even in patients with an increased risk of gastric regurgitation. In this randomized study, we aimed to evaluate the effects of cricoid pressure and paratracheal pressure on placement of the i-gel® (Intersurgical Ltd., Wokingham, Berkshire, UK). METHODS: After induction of anesthesia in 76 adult patients, we inserted the i-gel under paratracheal or cricoid pressure, and assessed the success rate of i-gel insertion, resistance during insertion, time required for insertion, accuracy of the insertion location, tidal volumes, and peak inspiratory pressure with or without each maneuver after i-gel insertion...
March 20, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38475906/menstrual-blood-derived-mesenchymal-stem-cells-combined-with-collagen-i-gel-as-a-regenerative-therapeutic-strategy-for-degenerated-disc-after-discectomy-in-rats
#2
JOURNAL ARTICLE
Li Yu, Honghao Wu, Shumei Zeng, Xiaojian Hu, Yuxu Wu, Jinhong Zhou, Li Yuan, Qingqing Zhang, Charlie Xiang, Zhiyun Feng
BACKGROUND: Annulus fibrosis (AF) defects have been identified as the primary cause of disc herniation relapse and subsequent disc degeneration following discectomy. Stem cell-based tissue engineering offers a promising approach for structural repair. Menstrual blood-derived mesenchymal stem cells (MenSCs), a type of adult stem cell, have gained attention as an appealing source for clinical applications due to their potential for structure regeneration, with ease of acquisition and regardless of ethical issues...
March 13, 2024: Stem Cell Research & Therapy
https://read.qxmd.com/read/38438706/predicted-effect-site-concentrations-of-remimazolam-for-i-gel-insertion-a-prospective-randomized-controlled-study
#3
JOURNAL ARTICLE
Hisako Nishimoto, Tadayoshi Kurita, Mikihiro Shimizu, Koji Morita, Yoshiki Nakajima
This study is the first to report 50% and 95% effect-site concentrations (EC50 and EC95 , respectively) of the new short-acting benzodiazepine, remimazolam, for the successful insertion of i-gels with co-administration of fentanyl. Thirty patients (38 ± 5 years old, male/female = 4/26) were randomly assigned into five groups to receive one of five different remimazolam doses (0.1, 0.15, 0.2, 0.25, and 0.3 mg/kg bolus followed by infusion of 1, 1.5, 2, 2.5, and 3 mg/kg/h, respectively, for 10 min), which were designed to maintain a constant effect-site concentration of remimazolam at the time of i-gel insertion...
March 5, 2024: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/38396783/antiseptic-hemostatic-and-wound-activity-of-poly-vinylpyrrolidone-iodine-gel-with-trimethyl-chitosan
#4
JOURNAL ARTICLE
Andrew Padalhin, Hyun Seok Ryu, Seung Hyeon Yoo, Celine Abueva, Hwee Hyon Seo, So Young Park, Phil-Sang Chung, Seung Hoon Woo
Wound management practices have made significant advancements, yet the search for improved antiseptics persists. In our pursuit of solutions that not only prevent infections but also address broader aspects of wound care, we investigated the impact of integrating trimethyl chitosan (TMC) into a widely used poly(vinylpyrrolidone)-iodine gel (PVP-I gel). Our study assessed the antimicrobial efficacy of the PVP gel with TMC against Escherichia coli , Staphylococcus aureus , multidrug-resistant S. aureus MRSA, and Candida albicans ...
February 9, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38337364/the-effect-of-sex-on-the-remimazolam-dosage-required-for-successful-i-gel-supraglottic-airway-insertion-with-remifentanil-in-non-paralyzed-patients-an-up-and-down-sequential-allocation-trial
#5
JOURNAL ARTICLE
Ju-Yeon Oh, Sung-Yong Park, Jung-Yoon Moon, Ji-Hyun Park, Han-Bum Joe
(1) Background: The physiological and pharmacological variations between men and women are known to influence drug efficacy. The objective of this study was to determine the 50% and 95% effective doses (ED50 and ED95 ) of remimazolam required for i-gel supraglottic airway (ISA) insertion under remifentanil infusion without neuromuscular blocking agents (NMBAs) in both males and females. (2) Methods: Patients aged 19-65 years, scheduled for general anesthesia using ISA, were enrolled in this study. Patients were divided into two groups based on their sex...
January 24, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38313720/negative-pressure-pulmonary-edema-after-general-anesthesia-using-the-i-gel
#6
Deok-Hee Lee, Nawon Lee
Negative pressure pulmonary edema (NPPE) is a rare complication that occurs mainly after tracheal extubation. We report a case of postoperative NPPE associated with the use of the i-gel. A 28-year-old woman was scheduled for an emergency right axillary sentinel lymph node excision. During emergence, the patient experienced a sudden onset of airway obstruction, and spontaneous ventilation through the i-gel was impossible. Pink and frothy secretions were noted in the i-gel and the patient's oral cavity. Positive airway pressure with 100% oxygen was applied using a facemask, and the patient was subsequently treated with high-flow oxygen therapy...
2024: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/38187983/comparison-of-four-different-techniques-of-i-gel-insertion-by-anaesthesia-trainees-in-children-undergoing-daycare-surgery-a-single-blind-randomised-comparative-study
#7
JOURNAL ARTICLE
Priya Priyadarshi, Bikram Kishore Behera, Satyajeet Misra
BACKGROUND AND AIMS: Different techniques of i-gel insertion have been described with variable success rates. This study aimed to assess the incidence of malposition of i-gel in children with 90° rotation, 180° rotation, jaw thrust-assisted and standard insertion techniques. METHODS: The study included 132 children undergoing elective surgery under general anaesthesia without neuromuscular blockade after approval from the Institutional Ethics Committee...
November 2023: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38154837/use-of-i-gel-supraglottic-airway-in-a-simulated-cardiac-arrest-resuscitation-during-boat-rescue-transport-by-los-angeles-county-fire-lifeguard-division-a-proof-of-concept-study
#8
JOURNAL ARTICLE
Jonathan Warren, Kelsey Wilhelm, Puneet Gupta, Clayton Kazan
OBJECTIVE: The Los Angeles County Fire Department Lifeguard Division responds to water rescues and medical and dive emergencies across 72 miles of Southern California coastline and Catalina Island. Limited advanced life support resources make cardiac arrest resuscitations logistically challenging during transport to shore or the hyperbaric chamber. This proof-of-concept study looked to determine if an i-Gel (Intersurgical Complete Respiratory Systems, Wokingham, Berkshire, UK) supraglottic airway device would either become dislodged or compromise ventilations during prolonged resuscitation at high speeds over open water with an ongoing automatic chest compression device (ACCD)...
2024: Air Medical Journal
https://read.qxmd.com/read/38131949/effect-of-phytic-acid-addition-on-the-structure-of-collagen-hyaluronic-acid-composite-gel
#9
JOURNAL ARTICLE
Yuliya Nashchekina, Evgeny Guryanov, Alexey Lihachev, Gleb Vaganov, Elena Popova, Natalya Mikhailova, Alexey Nashchekin
Composite collagen gels with hyaluronic acid are developed tissue-engineered structures for filling and regeneration of defects in various organs and tissues. For the first time, phytic acid was used to increase the stability and improve the mechanical properties of collagen gels with hyaluronic acid. Phytic acid is a promising cross-linker for collagen hydrogels and is a plant-derived antioxidant found in rich sources of beans, grains, and oilseeds. Phytic acid has several benefits due to its antioxidant, anticancer, and antitumor properties...
December 8, 2023: Gels
https://read.qxmd.com/read/38112126/early-versus-late-removal-of-the-i-gel-in-paediatric-patients-with-mild-upper-respiratory-tract-symptoms-undergoing-ambulatory-ilioinguinal-surgery-a-prospective-observational-study
#10
JOURNAL ARTICLE
Anouar Jarraya, Manel Kammoun, Hasna Bouchaira, Khadija Ben Ayed, Hend Ketata
The optimal timing of I-Gel removal in children with mild respiratory symptoms remains controversial. Consequently, we tried to assess the impact of early versus late I-Gel removal on the incidence of perioperative respiratory adverse events among children aged one to five years undergoing ambulatory surgery under general anaesthesia with I-Gel airway ventilation. The anaesthesia protocol was the same for all patients. Children were divided into two groups according to the approach of I-Gel removal (early versus late)...
December 19, 2023: Journal of Perioperative Practice
https://read.qxmd.com/read/38101287/non-targeted-analysis-of-lipidic-extracts-by-high-resolution-mass-spectrometry-to-characterise-the-chemical-exposome-comparison-of-four-clean-up-strategies-applied-to-egg
#11
JOURNAL ARTICLE
Antonin Padioleau, Ronan Cariou, Ingrid Guiffard, Bruno Le Bizec, Beate I Escher, Jean-Philippe Antignac, Gaud Dervilly
Biota samples are used to monitor chemical stressors and their impact on the ecosystem and to describe dietary chemical exposure. These complex matrices require an extraction step followed by clean-up to avoid damaging sensitive analytical instruments based on chromatography coupled to mass spectrometry. While interest for non-targeted analysis (NTA) is increasing, there is no versatile or generic sample preparation for a wide range of contaminants suitable for a diversity of biotic matrices. Among the contaminants' variety, persistent contaminants are mostly hydrophobic (mid- to non-polar) and bio-magnify through the lipidic fraction...
December 12, 2023: Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences
https://read.qxmd.com/read/38025563/rhino-laryngoscope-assisted-bougie-insertion-through-i-gel-for-endotracheal-intubation-in-a-child-with-an-anticipated-difficult-airway
#12
JOURNAL ARTICLE
Rajnish Kumar, Nishant Sahay, Abhyuday Kumar, Shagufta Naaz
No abstract text is available yet for this article.
2023: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/38023624/effect-of-oral-care-solution-on-sore-throat-after-i-gel-laryngeal-mask-general-anesthesia-a-randomized-controlled-trial
#13
JOURNAL ARTICLE
Yan Zhang, Wenjun Meng, Chengwen Hu, Meirong Dong, Youqun Chu, Fang Kang, Juan Li, Xia Chen
BACKGROUND: Sore throat is a common complication after general anesthesia. Oral care solutions have been used to reduce the incidence of oral complications or ventilator-associated pneumonia, but their effect on postoperative sore throat (POST) is unclear. This study aims to investigate whether oral care solution can alleviate POST in patients undergoing i-gel laryngeal mask general anesthesia. METHODS: A total of 120 patients who were scheduled for elective surgery under laryngeal mask general anesthesia were enrolled...
2023: Therapeutics and Clinical Risk Management
https://read.qxmd.com/read/38021847/transient-hypoglossal-and-lingual-nerve-injury-following-the-use-of-i-gel-supraglottic-airway-a-case-report
#14
Claudia L Sotis, Hosseinali Jafari, Joshua J Solano, Irina Fishman
Injury to the hypoglossal and/or lingual nerve is a rare occurrence with the use of a laryngeal mask airway (LMA) or supraglottic airway (SGA) device. There has been one prior report of a lingual and hypoglossal nerve injury with the i-gel™ SGA. We are describing the second reported hypoglossal and lingual transient nerve injury in a male patient while using an i-gel™ SGA. Although excessive cuff pressure has been cited as a possible cause, the i-gel™ does not have a cuff. This report highlights that hypoglossal nerve injury can still occur, even with the use of a cuffless LMA such as the i-gel™ SGA...
October 2023: Curēus
https://read.qxmd.com/read/38017196/comparing-leak-pressure-of-lma-%C3%A2-proseal%C3%A2-versus-i-gel-%C3%A2-at-head-rotation-a-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Tomohiro Chaki, Masatsugu Koizumi, Shunsuke Tachibana, Tomomi Matsumoto, Tomoe Kumagai, Yuki Hashimoto, Michiaki Yamakage
PURPOSE: The effect of head rotation on supraglottic airway (SGA) oropharyngeal leak pressure (OPLP) has not been well elucidated. The aim of this study was to help clarify which SGA device provides higher OPLP at head-rotated position. METHODS: Patients who underwent elective surgery under general anesthesia were enrolled and randomly divided into laryngeal mask airway (LMA® ) ProSeal™ and i-gel® groups. The allocated SGA device was inserted under anesthesia...
January 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38009757/papain-based-solubilization-of-decellularized-extracellular-matrix-for-the-preparation-of-bioactive-thermosensitive-pregels
#16
JOURNAL ARTICLE
Ahed Almalla, Laura Elomaa, Leïla Bechtella, Assal Daneshgar, Prabhu Yavvari, Zeinab Mahfouz, Peter Tang, Beate Koksch, Igor Sauer, Kevin Pagel, Karl Herbert Hillebrandt, Marie Weinhart
Solubilized, gel-forming decellularized extracellular matrix (dECM) is used in a wide range of basic and translational research and due to its inherent bioactivity can promote structural and functional tissue remodeling. The animal-derived protease pepsin has become the standard proteolytic enzyme for the solubilization of almost all types of collagen-based dECM. In this study, pepsin was compared with papain, α-amylase, and collagenase for their potential to solubilize porcine liver dECM. Maximum preservation of bioactive components and native dECM properties was used as a decisive criterion for further application of the enzymes, with emphasis on minimal destruction of the protein structure and maintained capacity for physical thermogelation at neutral pH...
November 27, 2023: Biomacromolecules
https://read.qxmd.com/read/37983542/the-placement-of-four-different-supraglottic-airway-devices-by-medical-students-a-manikin-study
#17
JOURNAL ARTICLE
Keziban Bollucuoğlu, Çağdaş Baytar, Gamze Küçükosman, Hilal Ayoğlu
BACKGROUND AND OBJECTIVES: Although endotracheal intubation is the gold standard in airway management, this procedure requires both technical training and experience. Supraglottic airway devices are an alternative to endotracheal intubation and are simpler, less invazive, and require less time for placement compared with endotrakeal intubation. Aim of the study was to evaluate the success rates, ease of use, duration of application, and maneuver performance of different supraglottic airway devices (SADs) used by term-5 medical students on a manikin...
2023: Annals of Medicine
https://read.qxmd.com/read/37884591/i-gel-plus-acts-as-a-superior-conduit-for-fiberoptic-intubation-than-standard-i-gel
#18
JOURNAL ARTICLE
Tomohiro Chaki, Shunsuke Tachibana, Sho Kumita, Satoshi Sato, Tomoki Hirahata, Yuta Ikeshima, Yuki Ohsaki, Michiaki Yamakage
The supraglottic airway (SGA) is widely used. I-gel Plus is a next-generation i-gel with some improvements, including facilitation of fiberoptic tracheal intubation (FOI). To compare the performance of i-gel Plus and standard i-gel as conduits for FOI, a Thiel-embalmed cadaveric study was conducted. Twenty-two anesthesiologists were enrolled as operators in Experiment 1. The i-gel Plus and standard i-gel were inserted into one cadaver, and the FOI was performed through each SGA. The primary outcome was time required for FOI...
October 26, 2023: Scientific Reports
https://read.qxmd.com/read/37868185/airway-management-in-laparoscopic-cholecystectomy-a-comparative-analysis
#19
JOURNAL ARTICLE
Nebojša Videnović, Jovan Mladenović, Slađana Trpković, Aleksandar Pavlović, Milan Filipović, Raša Mladenović, Saša Mladenović
In this study, we aimed to compare supraglottic airway devices (Supreme and i-gel laryngeal mask) with tracheal tube with respect to airway control and efficiency in ventilation and oxygenation. The study included 325 patients of ASA I-II who underwent laparoscopic cholecystectomy. In group 1, the airway was secured using endotracheal intubation (115 patients). In group 2 (103 patients), LMA Supreme was applied, whereas i-gel mask was used for airway management in group 3 (107 patients). Monitoring parameters were recorded and compared using t-test, analysis of variance (ANOVA), Tukey's test and χ2-test...
December 2022: Acta Clinica Croatica
https://read.qxmd.com/read/37814875/-thrive-combined-with-i-gel-laryngeal-mask-for-prolonging-apneic-oxygenation-time-in-retrograde-intrarenal-surgery
#20
JOURNAL ARTICLE
C Zhang, H Liao, H Li, Y Xu, G Zhang, X Wang, H Bao
OBJECTIVE: To explore the effect of THRIVE combined with i-gel laryngeal mask on the safety of oxygen therapy in apnea and surgical precision of retrograde intrarenal surgery. METHODS: A total of 120 patients undergoing retrograde intrarenal surgery under general anesthesia with laryngeal mask were randomized into 3 groups ( n =40), and after the flexible ureteroscope entered the renal pelvis and located the stones, the patients received assisted ventilation in APPV mode (control group), ventilation with small tidal volume and high respiratory rate (group H), or THRIVE combined with laryngeal mask for oxygen supply without using the ventilator (THRIVE group)...
September 20, 2023: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
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