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https://www.readbyqxmd.com/read/28430688/cricoid-pressure-gender-and-black-cats
#1
Massimiliano Sorbello, Marinella Astuto
No abstract text is available yet for this article.
April 19, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28230439/developing-an-e-learning-resource-for-nurse-airway-assistants-in-the-emergency-department
#2
Peter Hersey, Sean McAleer
The aims of this project were to determine the required competencies for a nurse in the emergency department assisting with a rapid sequence induction of anaesthesia (RSI), and to produce a relevant e-learning resource. A three-round multidisciplinary Delphi process produced the following competencies: ability to describe the steps and sequence of events of an RSI, familiarity with the equipment used during an RSI, ability to recognise and help manage problems occurring during an RSI, ability to prepare for an RSI, ability to apply cricoid pressure, and understanding the modification of an RSI in special circumstances...
February 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28079588/the-cricoid-force-necessary-to-occlude-the-esophageal-entrance-is-there-a-gender-difference
#3
Ahed M Zeidan, M Ramez Salem, Munir Bamadhaj, Jean-Xavier Mazoit, Hussein Sadek, Hassan Houjairy, Kamal Abdulkhaleq, Nabil Bamadhaj
BACKGROUND: We tested the hypothesis whether gender differences exist in the applied cricoid force necessary to prevent regurgitation. Real-time visual and dynamic means were used to assess the effectiveness of different applied cricoid forces in occluding the esophageal entrance in men (group 1) and in women (group 2). METHODS: In anesthetized and paralyzed patients, the glottis and esophageal entrance were visualized with a Glidescope video laryngoscope. Trained operators performed cricoid pressure (CP) and gastric tube insertion trials...
April 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28058141/ultrasonographic-measurement-of-subglottic-diameter-for-paediatric-cuffed-endotracheal-tube-size-selection-feasibility-report
#4
Demet Altun, Mukadder Orhan Sungur, Achmet Ali, Emre Sertaç Bingül, Tülay Özkan Seyhan, Emre Çamcı
OBJECTIVE: The aim of this feasibility study was to investigate the first attempt success of ultrasonography (USG) in paediatric patients in predicting an appropriate cuffed endotracheal tube (ETT) size. METHODS: Fifty children who were 1-10 years of age and who received general anaesthesia with endotracheal intubation for adenoidectomy or adenotonsillectomy were enrolled in the study. In all participants, the transverse diameter of the subglottic airway was measured with USG at the cricoid level without ventilation...
December 2016: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/28045709/cricoid-pressure-controversies-narrative-review
#5
M Ramez Salem, Arjang Khorasani, Ahed Zeidan, George J Crystal
Since cricoid pressure was introduced into clinical practice, controversial issues have arisen, including necessity, effectiveness in preventing aspiration, quantifying the cricoid force, and its reliability in certain clinical entities and in the presence of gastric tubes. Cricoid pressure-associated complications have also been alleged, such as airway obstruction leading to interference with manual ventilation, laryngeal visualization, tracheal intubation, placement of supraglottic devices, and relaxation of the lower esophageal sphincter...
April 2017: Anesthesiology
https://www.readbyqxmd.com/read/28003691/all-india-difficult-airway-association-2016-guidelines-for-the-management-of-unanticipated-difficult-tracheal-intubation-in-obstetrics
#6
Venkateswaran Ramkumar, Ekambaram Dinesh, Sumalatha Radhakrishna Shetty, Amit Shah, Pankaj Kundra, Sabyasachi Das, Sheila Nainan Myatra, Syed Moied Ahmed, Jigeeshu Vasishtha Divatia, Apeksh Patwa, Rakesh Garg, Ubaradka S Raveendra, Jeson Rajan Doctor, Dilip K Pawar, Singaravelu Ramesh
The various physiological changes in pregnancy make the parturient vulnerable for early and rapid desaturation. Severe hypoxaemia during intubation can potentially compromise two lives (mother and foetus). Thus tracheal intubation in the pregnant patient poses unique challenges, and necessitates meticulous planning, ready availability of equipment and expertise to ensure maternal and foetal safety. The All India Difficult Airway Association (AIDAA) proposes a stepwise plan for the safe management of the airway in obstetric patients...
December 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27986337/comparison-of-cricoid-pressure-effect-between-mcgrath%C3%A2-mac-and-pentax-aws-airwayscope%C3%A2-a-prospective-randomized-trials
#7
Nobuyasu Komasawa, Haruki Kido, Ryosuke Mihara, Toshiaki Minami
No abstract text is available yet for this article.
April 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27852241/comparison-of-glottic-views-and-intubation-times-in-the-supine-and-25-degree-back-up-positions
#8
Raj M Reddy, Manish Adke, Pranava Patil, Irina Kosheleva, Saxon Ridley
BACKGROUND: We explored whether positioning patients in a 25° back-up sniffing position improved glottic views and ease of intubation. METHODS: In the first part of the study, patients were intubated in the standard supine sniffing position. In the second part, the back of the operating table was raised 25° from the horizontal by flexion of the torso at the hips while maintaining the sniffing position. The best view obtained during laryngoscopy was assessed using the Cormack and Lehane classification and Percentage of Glottic Opening (POGO) score...
November 16, 2016: BMC Anesthesiology
https://www.readbyqxmd.com/read/27850658/1020-clinical-impact-of-cricoid-pressure-in-the-icu-ed-a-retrospective-multicenter-observational-study
#9
Taiki Kojima, Erin Owen, Asha Shenoi, Ilana Harwayne-Gidansky, Ting-Chang Hsieh, Aaron Donoghue, Vinay Nadkarni, Akira Nishisaki
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27803126/put-pressure-on-the-cricoid-pressure
#10
EDITORIAL
Patrick Schober, Lothar A Schwarte
No abstract text is available yet for this article.
March 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27694275/effect-of-cricoid-pressure-on-laryngeal-view-during-prehospital-tracheal-intubation-a-propensity-based-analysis
#11
Emmanuel Caruana, Sylvie Chevret, Romain Pirracchio
BACKGROUND: The benefit of cricoid pressure during tracheal intubation is still debated and, due to its potential negative impact on laryngeal views, its routine use is questioned. The goal of this study was to estimate its impact on laryngeal view. METHODS: All patients intubated in the prehospital setting were included. Three different propensity score (PS) models were used and compared in terms of the balance achieved between those patients who received cricoid pressure and those who did not...
March 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27678137/-simulation-based-training-and-or-apprenticeship-for-medical-students-a%C3%A2-prospective-randomized-single-blind-study-of-clinical-skills
#12
RANDOMIZED CONTROLLED TRIAL
T Ott, I Schmidtmann, T Limbach, P F Gottschling, H Buggenhagen, S Kurz, G Pestel
BACKGROUND: Simulation-based training (SBT) has developed into an established method of medical training. Studies focusing on the education of medical students have used simulation as an evaluation tool for defined skills. A small number of studies provide evidence that SBT improves medical students' skills in the clinical setting. Moreover, they were strictly limited to a few areas, such as the diagnosis of heart murmurs or the correct application of cricoid pressure. Other studies could not prove adequate transferability from the skills gained in SBT to the patient site...
November 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27566791/systematic-review-of-the-anaesthetic-management-of-non-iatrogenic-acute-adult-airway-trauma
#13
S J Mercer, C P Jones, M Bridge, E Clitheroe, B Morton, P Groom
INTRODUCTION: Non-iatrogenic trauma to the airway is rare and presents a significant challenge to the anaesthetist. Although guidelines for the management of the unanticipated difficult airway have been published, these do not make provision for the 'anticipated' difficult airway. This systematic review aims to inform best practice and suggest management options for different injury patterns. METHODS: A literature search was conducted using Embase, Medline, and Google Scholar for papers after the year 2000 reporting on the acute airway management of adult patients who suffered airway trauma...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27523050/ultrasound-evaluation-of-the-impact-of-cricoid-pressure-versus-novel-paralaryngeal-pressure-on-anteroposterior-oesophageal-diameter
#14
P Andruszkiewicz, J Wojtczak, L Wroblewski, M Kaczor, D Sobczyk, I Kowalik
To assess the degree to which cricoid pressure (Sellick manoeuvre) actually compresses the oesophagus, we measured the effect of cricoid pressure and paralaryngeal pressure on the outer anteroposterior diameter of the upper oesophagus with ultrasound in 39 healthy volunteers. The mean (SD) outer anteroposterior oesophageal diameter was 0.77 (0.11) cm with no pressure, 0.79 (0.13) cm with the application of cricoid pressure of 30 N and 0.68 (0.12) cm with the application of paralaryngeal pressure of 30 N (p < 0...
September 2016: Anaesthesia
https://www.readbyqxmd.com/read/27523049/cricoid-pressure-apply-but-be-ready-to-release
#15
EDITORIAL
J Turnbull, A Patel, V Athanassoglou, J J Pandit
No abstract text is available yet for this article.
September 2016: Anaesthesia
https://www.readbyqxmd.com/read/27290948/comparison-of-the-diameter-cross-sectional-area-and-position-of-the-left-and-right-internal-jugular-vein-and-carotid-artery-in-adults-using-ultrasound
#16
COMPARATIVE STUDY
Michaël J Bos, Rick F H J van Loon, Luke Heywood, Mitchell P Morse, André A J van Zundert
STUDY OBJECTIVE: Central venous access is indicated for transduction of central venous pressure and the administration of inotropes in the perioperative period. The right internal jugular vein (RIJV) is cannulated preferentially over the left internal jugular vein (LIJV). Cannulation of the LIJV is associated with a higher complication rate and a perceived increased level of difficulty when compared with cannulation of the RIJV. Possible explanations for the higher complication rate include a smaller diameter and more anterior position relative to the corresponding carotid artery (CA) of the LIJV compared with the RIJV...
August 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27273863/a-pilot-randomized-clinical-trial-assessing-the-effect-of-cricoid-pressure-on-risk-of-aspiration
#17
J Kyle Bohman, Rahul Kashyap, Augustine Lee, Zhaoping He, Sam Soundar, Laura L Bolling, Daryl J Kor
INTRODUCTION: Patients at risk for microaspiration during elective intubation often receive cricoid pressure in the hopes of mitigating such risk. However, there is scarce evidence to either support or reject this practice. The objective of this investigation was to assess the effect of cricoid pressure on microaspiration and to inform the potential feasibility of conducting a larger, more definitive clinical trial. METHODS: This was a pilot randomized clinical trial set in the operating rooms of a tertiary referral hospital between August and October of 2014...
June 7, 2016: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27257292/lateral-cricoarytenoid-release-development-of-a-novel-surgical-treatment-option-for-adductor-spasmodic-dysphonia-in-a-canine-laryngeal-model
#18
Andrea M Park, Randal C Paniello
OBJECTIVE: To investigate the efficacy of a novel adductor muscle-releasing technique designed to decrease the force of vocal fold adduction, as a potential surgical therapy for patients with adductor spasmodic dysphonia (ADSD). STUDY DESIGN: Experimental animal study. METHODS: A canine laryngeal model was used to assess the acute and sustained efficacy of a lateral cricoarytenoid (LCA) muscle release. A total of 34 canine hemilaryngeal preparations were divided among 7 experimental groups...
September 2016: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/27247916/anesthetic-considerations-of-sporadic-inclusion-body-myositis-in-an-elderly-man-with-orthopedic-trauma
#19
Dominik T Steck, Christine Choi, Suneeta Gollapudy, Paul S Pagel
INTRODUCTION: Sporadic inclusion body myositis (IBM) is an inflammatory myopathy characterized by progressive asymmetric extremity weakness, oropharyngeal dysphagia, and the potential for exaggerated sensitivity to neuromuscular blockers and respiratory compromise. The authors describe their management of a patient with IBM undergoing urgent orthopedic surgery. CASE PRESENTATION: An 81-year-old man with IBM suffered a left intertrochanteric femoral fracture after falling down stairs...
April 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27240488/endotracheal-tubes-and-the-cricoid-is-there-a-good-fit
#20
Mahmood Rafiq, Tariq M Wani, Melissa Moore-Clingenpeel, Joseph D Tobias
BACKGROUND: Choosing an appropriately sized endotracheal tube (ETT) is important in pediatric patients as an inappropriately sized ETT may result in multiple endotracheal intubation attempts or excessive pressure on the tracheal mucosa with the potential for airway damage. Although age-based formulas are generally used with choice of an ETT based on the internal diameter (ID), measurements of the outer diameter (OD) of the ETT would seem to be a more scientific approach to determine the proper size of an ETT...
June 2016: International Journal of Pediatric Otorhinolaryngology
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