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Stacey Watt, Jonathan Kalpan, Venkatesware Kolli
INTRODUCTION: The use of videolaryngoscopy continues to play a larger role in the approach to patients with airway pathology. Looking specifically at patients with potential difficulty in ventilation and intubation due to thyroid goiter, video laryngoscopy may provide a faster and easier technique to secure the airway compared to direct laryngoscopy. PRESENTATION OF CASE: In the case we will present to you, a 60-year-old female with a large goiter presented to a community hospital emergency room where she was found to be in respiratory distress with increased work of breathing...
2016: International Journal of Surgery Case Reports
Adriana Bueno Benito Pessin, Elaine Lara Mendes Tavares, Andréa Cristina Joia Gramuglia, Lídia Raquel de Carvalho, Regina Helena Garcia Martins
: Vocal symptoms are frequent in the elderly and are consequences of structural changes in the larynx that occur with aging. OBJECTIVE: to identify the voice alterations in elderly patients attending a voice clinic. METHODS: elderly patients of both genders were divided into two groups: 60-75 and above 76 years. All patients completed a questionnaire with identification data, profession, vocal symptoms, hearing, habits and addictions, and systemic diseases...
August 18, 2016: Clinical Otolaryngology
Simon Sulser, Dirk Ubmann, Martin Schlaepfer, Martin Brueesch, Georg Goliasch, Burkhardt Seifert, Donat R Spahn, Kurt Ruetzler
BACKGROUND: Airway management in the emergency room can be challenging when patients suffer from life-threatening conditions. Mental stress, ignorance of the patient's medical history, potential cervical injury or immobilisation and the presence of vomit and/or blood may also contribute to a difficult airway. Videolaryngoscopes have been introduced into clinical practice to visualise the airway and ultimately increase the success rate of airway management. OBJECTIVE: The aim of this study was to test the hypothesis that the C-MAC videolaryngoscope improves first-attempt intubation success rate compared with direct laryngoscopy in patients undergoing emergency rapid sequence intubation in the emergency room setting...
August 16, 2016: European Journal of Anaesthesiology
Regina Helena Garcia Martins, Elaine Lara Mendes Tavares, Adriana Bueno Benito Pessin
BACKGROUND: Reinke's edema is a benign lesion of the vocal folds that affects chronic smokers, especially women. The voice becomes hoarse and virilized, and the treatment is microsurgery. However, even after surgery and smoking cessation, many patients remain with a deep and hoarse voice. OBJECTIVES: The aim of the present study was to compare pre- and postoperative acoustic and perceptual-auditory vocal analyses of women with Reinke's edema and of women in the control group, who were non-smokers...
July 21, 2016: Journal of Voice: Official Journal of the Voice Foundation
Geun-Hyo Kim, Soo-Geun Wang, Byung-Joo Lee, Hee-June Park, Yong-Cheol Kim, Hyung-Soon Kim, Keon-Tae Sohn, Soon-Bok Kwon
OBJECTIVE: Currently, various tools have been introduced for the assessment of vocal fold vibration: laryngeal videolaryngoscopy (LV), videokymography (VKG), high speed videoendoscopy (HSV), digital videokymography (DKG), and 2D scanning videokymography (2D VKG). Among these, the authors have recently designed a dual modality examination system using LV and 2D VKG for more detailed information regarding the vibrations of the vocal folds. The clinical availability of this hybrid system offers medical imaging departments a range of potential advantages in the evaluation of vocal fold vibration...
July 12, 2016: Auris, Nasus, Larynx
Stephanie R C Zacharias, Charles M Myer, Jareen Meinzen-Derr, Lisa Kelchner, Dimitar D Deliyski, Alessandro de Alarcón
OBJECTIVES: To compare clinicians' ratings of videolaryngoscopy (VLS) and high-speed videoendoscopy (HSV) and assess confidence of ratings with VLS and HSV in patients with supraglottic phonation. METHODS: The VLS and HSV video samples were taken from 11 adolescents post airway reconstruction who use supraglottic tissues for voice. The 22 recordings were randomized and presented to 4 clinicians: 2 speech-language pathologists and 2 pediatric otolaryngologists. Additionally, a 5-point Likert scale was used to rate level of confidence of ratings...
October 2016: Annals of Otology, Rhinology, and Laryngology
Joshua Nagler, Alisa Nagler, Richard G Bachur
OBJECTIVES: Opportunities to learn advanced airway management skills on pediatric patients in the emergency department are limited. Current strategies have focused largely on traditional didactics coupled with procedural skills training using simulation. However, these approaches are limited in their exposure to anatomic variation and realism. Here, we describe the development and assessment of an advanced airway curriculum that integrates videolaryngoscopic recordings obtained during actual patient intubations into a series of interactive educational sessions...
July 2, 2016: Pediatric Emergency Care
Zenon Truszewski, Lukasz Czyzewski, Jacek Smereka, Paweł Krajewski, Marcin Fudalej, Marcin Madziala, Lukasz Szarpak
OBJECTIVE: The aim of the trial was to compare the time parameters for intubation with the use of the Macintosh (MAC) laryngoscope and Pentax AWS-S100 videolaryngoscope (AWS; Pentax Corporation, Tokyo, Japan) with and without chest compression (CC) by paramedics during simulated cardiopulmonary resuscitation in a cadaver model. METHODS: This was a randomized crossover cadaver trial. Thirty-five paramedics with no experience in videolaryngoscopy participated in the study...
September 2016: American Journal of Emergency Medicine
Devon Greer, Kathryn E Marshall, Scott Bevans, Aurora Standlee, Patricia McAdams, Wayne Harsha
OBJECTIVES: Reports of patient injuries associated with videolaryngoscopy are increasing in the literature. There are a wide variety of opinions regarding both safe use of the device and patient care following aerodigestive tract injury. We have seen an increase in videolaryngoscopy-associated injuries in recent years at our institution. Because of this, we wanted to determine if video-assisted laryngoscopy presents a greater risk of injury compared with direct laryngoscopy. Furthermore, we wanted to determine if there were patient and/or surgical factors that could contribute to patient injuries following videolaryngoscopy...
June 27, 2016: Laryngoscope
M F Aziz, E O Bayman, M M Van Tienderen, M M Todd, A M Brambrink
BACKGROUND: Tracheal intubation using acute-angle videolaryngoscopy achieves high success rates, but is not without difficulty. We aimed to determine predictors of 'difficult videolaryngoscopy'. METHODS: We performed a secondary analysis of a data set (n=1100) gathered from a multicentre prospective randomized controlled trial of patients for whom difficult direct laryngoscopy was anticipated and who were intubated with one of two videolaryngoscopy devices (GlideScope(®) or C-MAC(®) with D-blade)...
July 2016: British Journal of Anaesthesia
Dario Caldiroli, Paolo Cortellazzi, Aidan Byrne, Eleonora Francesca Orena
No abstract text is available yet for this article.
July 2016: Anesthesia and Analgesia
M Rehn, P K Hyldmo, V Magnusson, J Kurola, P Kongstad, L Rognås, L K Juvet, M Sandberg
BACKGROUND: The Scandinavian society of anaesthesiology and intensive care medicine task force on pre-hospital airway management was asked to formulate recommendations following standards for trustworthy clinical practice guidelines. METHODS: The literature was systematically reviewed and the grading of recommendations assessment, development and evaluation (GRADE) system was applied to move from evidence to recommendations. RESULTS: We recommend that all emergency medical service (EMS) providers consider to: apply basic airway manoeuvres and airway adjuncts (good practice recommendation); turn unconscious non-trauma patients into the recovery position when advanced airway management is unavailable (good practice recommendation); turn unconscious trauma patients to the lateral trauma position while maintaining spinal alignment when advanced airway management is unavailable [strong recommendation, low quality of evidence (QoE)]...
August 2016: Acta Anaesthesiologica Scandinavica
A Norris, T Heidegger
No abstract text is available yet for this article.
August 2016: British Journal of Anaesthesia
J Defosse, M Schieren, A Böhmer, V von Dossow, T Loop, F Wappler, M U Gerbershagen
BACKGROUND/OBJECTIVE: This study's objective was to evaluate current thoracic anaesthesia practice in Germany and to quantify potential differences depending on the hospital's level of care. MATERIALS AND METHODS: A four-part online survey containing 28 questions was mailed to all anaesthesiology department chairs (n = 777) registered with the German Society of Anaesthesiology and Intensive Care Medicine. RESULTS: The general response rate was 31...
June 2016: Der Anaesthesist
Philipp Schuerner, Bastian Grande, Tobias Piegeler, Martin Schlaepfer, Leif Saager, Matthew T Hutcherson, Donat R Spahn, Kurt Ruetzler
INTRODUCTION: Sufficient ventilation and oxygenation through proper airway management is essential in patients undergoing cardio-pulmonary resuscitation (CPR). Although widely discussed, securing the airway using an endotracheal tube is considered the standard of care. Endotracheal intubation may be challenging and causes prolonged interruption of chest compressions. Videolaryngoscopes have been introduced to better visualize the vocal cords and accelerate intubation, which makes endotracheal intubation much safer and may contribute to intubation success...
2016: PloS One
F E Kelly, T M Cook
No abstract text is available yet for this article.
September 2016: British Journal of Anaesthesia
Christoph Martin, Tobias Nefzger, Gösta Lotz
Airway management in the prehospital setting is a particular challenge. Even with numerous alternative devices, endotracheal intubation still represents the gold standard. Limited knowledge and experience of the user in addition to a critical patient's condition, special environmental conditions and limited material resources at the out of hospital emergency, are major causes of an increased incidence of difficult airways in the preclinical setting. For the management of the difficult airway emergency physicians can use alternatives to tracheal intubation such as extraglottic airway devices, videolaryngoscopy and cricothyroidotomy...
April 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Nathan Delson, Yanisleidy Paez, Jorge Ruiz, Arman Vatanpur, Sina Kouchaki, Mohamad Ramzi bin Abdul Majit, Randolph Hastings
A videolaryngoscope is a more advanced tool than a traditional laryngoscope that eases endotracheal intubation by visualizing the vocal cords with a camera on the tip of the blade. However, using a videolaryngoscope can present difficulty in passing the tube into the glottic opening in some patients. This study developed a training protocol for intubation with videolaryngoscope and trained 22 anesthesia residents. A Parametrically Adjustable Airway Mannequin (PAAM) was set to provide easy and difficult configurations...
2016: Studies in Health Technology and Informatics
John George Karippacheril, Minh Le Cong
No abstract text is available yet for this article.
February 2016: Indian Journal of Anaesthesia
Eun-Hee Kim, Ji-Hyun Lee, In-Kyung Song, Jin-Tae Kim, Bo-Rim Kim, Hee-Soo Kim
BACKGROUND: The McGrath MAC video laryngoscope can improve visualisation of the glottis compared with the Macintosh direct laryngoscope. However, good visualisation of the glottis does not guarantee rapid or successful intubation because of difficulty in handling the McGrath device. OBJECTIVE: We evaluated the effect of head elevation, aligning the positions of the external auditory meatus and sternal notch in the horizontal plane, on visualisation of the glottis and handling of the McGrath laryngoscope in paediatric patients...
July 2016: European Journal of Anaesthesiology
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