keyword
MENU ▼
Read by QxMD icon Read
search

fibre optic intubation

keyword
https://www.readbyqxmd.com/read/28890558/a-cohort-evaluation-of-clinical-use-and-performance-characteristics-of-ambu-%C3%A2-auragain%C3%A2-a-prospective-observational-study
#1
Devangi A Parikh, Ruchi A Jain, Smita S Lele, Bharati A Tendolkar
BACKGROUND AND AIMS: Ambu(®) AuraGain™ (AG) (Ambu, Ballerup, Denmark) is a supraglottic device which has a design facilitating its use as a conduit for intubation. We designed this prospective observational study to assess the ease of AG placement in paralysed patients, determine its position and alignment to the glottis and assess its utility as a conduit for intubation. METHODS: One hundred patients, aged 18-60 years, American Society of Anesthesiologists physical status I-II, undergoing elective surgery under general anaesthesia were included in the study...
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28829988/anaesthetic-and-surgical-management-of-airway-penetrating-injuries-in-children-in-resource-poor-setting-case-reports
#2
Bassey E Edem, Amali Adekwu, Michael E Efu, Joseph Kuni, Gerald Onuchukwu, Johnbosco Ugwuadu
INTRODUCTION: Impacted penetrating foreign body (FB) in the airway especially the postnasal space presents with management challenges. The challenges are worsened by lack of modern equipment in resource-poor settings. Two suchlike cases were managed in this report. PRESENTATION OF CASES: Case 1: A 4-year-old girl who fell on a metal rod in her mouth while playing alone. Examination revealed an agitated child in open mouth posture, with a silvery straight metallic object impacted on the hard palate and projecting from the mouth...
August 3, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28655950/comparison-of-ultrasound-and-anatomical-landmark-guided-technique-for-superior-laryngeal-nerve-block-to-aid-awake-fibre-optic-intubation-a-prospective-randomised-clinical-study
#3
Uday S Ambi, B K Arjun, Shilpa Masur, Archana Endigeri, Vinod Hosalli, S Y Hulakund
BACKGROUND AND AIMS: Ultrasonography has emerged as a novel, portable, non-invasive tool encouraging airway assessment and procedural interventions. This study assesses the feasibility of ultrasound for block of internal branch of superior laryngeal nerve (ibSLN) block during upper airway anaesthesia to aid awake fibre-optic intubation. METHODS: Forty American Society of Anesthesiologists' physical status I-II patients, aged 18-60 years, deemed to have a difficult airway (modified Mallampati class III-IV or inter-incisor distance <2...
June 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28515525/management-of-an-intraoperatively-damaged-endotracheal-tube-in-a-case-of-difficult-airway-using-fibre-optic-bronchoscope-with-minimal-apnoea-period
#4
Jayachandran Himarani, S Mary Nancy, V B Krishna Kumar Raja, S Shanmuga Sundaram
Damage to the endotracheal tube (ETT) is common in head and neck surgeries, especially in maxillary osteotomy. Airway management in such a crisis is crucial as there is risk of aspiration of blood into lungs, hypoxia and apnoea. This case illustrates a patient with an anticipated difficult airway who had an intraoperative damage to the ETT and was successfully managed by re-intubation with fiberoptic bronchoscope in a minimal apnoea period of <15 s using a new technique.
April 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28515521/comparative-evaluation-of-airtraq%C3%A2-optical-laryngoscope-and-miller-s-blade-in-paediatric-patients-undergoing-elective-surgery-requiring-tracheal-intubation-a-randomized-controlled-trial
#5
Bikramjit Das, Arijit Samanta, Subhro Mitra, Shahin Nikhat Jamil
BACKGROUND AND AIMS: The Airtraq™ optical laryngoscope is the only marketed videolaryngoscope for paediatric patients besides the fibre-optic bronchoscope. We hypothesized that intubation would be easier with Airtraq™ compared to Miller blade. Hence, we compared Airtraq™ with the Miller laryngoscope as intubation devices in paediatric patients. METHODS: This prospective, randomized study was conducted in a tertiary care teaching hospital. Sixty children belonging to American Society of Anesthesiologists' Grade I-II, aged 2-10 years, posted for routine surgery requiring tracheal intubation were randomly allocated to undergo intubation using a Miller (n = 30) or Airtraq™ (n = 30) laryngoscope...
April 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28515520/a-comparative-evaluation-of-video-stylet-and-flexible-fibre-optic-bronchoscope-in-the-performance-of-intubation-in-adult-patients
#6
Syed Hussain Amir, Qazi Ehsan Ali, Sonali Bansal
BACKGROUND AND AIMS: Video Stylet (VS) is a new intubating modality that provides real-time video of endotracheal intubation (ETI). This device does not need alignment of the oral, pharyngeal and tracheal axes to view glottis and can be used in patients with limited mouth opening. The aim of this study was to compare flexible fibre-optic (FO) bronchoscope with VS in elective surgical patients in apparently normal airway patients requiring oral ETI. METHODS: Sixty patients undergoing elective surgery under general anaesthesia of age group 20-60 years, weight 40-70 kg, American Society of Anesthesiologist 1 and 2 and modified Mallampatti I and II were included in the study...
April 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28404553/airway-emergencies-presenting-to-the-paediatric-emergency-department-requiring-advanced-management-techniques
#7
Leopold Simma, Domenic Cincotta, Stefan Sabato, Elliot Long
BACKGROUND: Airway emergencies presenting to the emergency department (ED) are usually managed with conventional equipment and techniques. The patient group managed urgently in the operating room (OR) has not been described. AIMS: This study aims to describe a case series of children presenting to the ED with airway emergencies managed urgently in the OR, particularly the anaesthetic equipment and techniques used and airway findings. METHODS: A retrospective cohort study undertaken at The Royal Children's Hospital, Melbourne, Australia...
September 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28250482/efficacy-of-intravenous-dexmedetomidine-on-patient-s-satisfaction-comfort-and-sedation-during-awake-fibre-optic-intubation-in-patients-with-cervical-spondylotic-myelopathy-posted-for-elective-cervical-fixation
#8
Saikat Niyogi, Samir Basak, Amita Acharjee, Indrani Chakraborty
BACKGROUND AND AIMS: Various anaesthetic drugs, in addition to airway block, are used for producing favourable intubation conditions during awake fibre-optic intubation (AFOI), but most of them cause respiratory depression and hypoxaemia. The aim of this study was to evaluate the efficacy of intravenous (IV) dexmedetomidine (DEX) on sedation, patient comfort and cardiovascular responses during AFOI in patients with cervical spondylotic myelopathy (CSM). METHODS: This randomised, placebo-controlled, double-blinded, prospective study was conducted on 56 adult patients with cervical spondylotic myelopathy (CSM) undergoing elective cervical fixation, who were randomly allocated into two groups - Group D and Group C...
February 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28003696/comparative-randomised-study-of-glidescope-%C3%A2-video-laryngoscope-versus-flexible-fibre-optic-bronchoscope-for-awake-nasal-intubation-of-oropharyngeal-cancer-patients-with-anticipated-difficult-intubation
#9
Essam Abd El-Halim Mahran, Mohamed Elsayed Hassan
BACKGROUND AND AIMS: Awake flexible fibre-optic bronchoscope (FFS) is the standard method of intubation in difficult airway in oral cancer patients. We decided to evaluate GlideScope(®) video laryngoscope (GL) for intubation as compared to the standard FFS for nasal intubation in such patients. METHODS: After the ethical committee approval, we included 54 oropharyngeal cancer patients divided randomly into two equal groups: Group G and Group F. After pre-medication and pre-oxygenation, awake nasal intubation was performed using GL in Group G and FFS in Group F...
December 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27637970/supraglottic-jet-oxygenation-and-ventilation-assisted-fibre-optic-bronchoscope-intubation-in-patients-with-difficult-airways
#10
Caineng Wu, Jianqi Wei, Qingyun Cen, Xuefan Sha, Qingxiang Cai, Wuhua Ma, Ying Cao
A difficult airway may lead to hypoxia and brain damage. The WEI Nasal Jet Tube (WNJ) is a new nasal pharyngeal tube that applies supraglottic jet oxygenation and ventilation (SJOV) for patients during tracheal intubation without the need for mask ventilation. We evaluated the effectiveness and safety of SJOV-assisted fibre-optic bronchoscopy (FOB) using the WNJ in the management of difficult tracheal intubations. A total of 50 adult patients with Cormack-Lehane grade ≥3 and general anesthesia with tracheal intubation were randomly assigned to either the laryngeal mask airway (LMA) or WNJ groups...
August 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27212717/a-randomized-clinical-trial-comparing-the-standard-mcintosh-laryngoscope-and-the-c-mac-d-blade-video-laryngoscope%C3%A2-for-double-lumen-tube-insertion-for-one-lung-ventilation-in-onco-surgical-patients
#11
Shagun Bhatia Shah, Ajay Kumar Bhargava, Uma Hariharan, Amit Kumar Mittal, Nitesh Goel, Manish Choudhary
BACKGROUND AND AIMS: Several devices enabling double-lumen tube (DLT) placement for thoracic surgeries are available, but there are no studies for D-blade video laryngoscope-guided DLT insertion. We compared the CMac D-blade videolaryngoscope™ and the Macintosh laryngoscope for DLT endobronchial intubation using parameters of time and attempts required for intubation, glottic view, incidence of complications and haemodynamic changes. METHODS: Prospective, parallel group, randomised controlled clinical trial where sixty American Society of Anesthesiologists I and II patients aged 18-80 years scheduled for thoracic surgeries entailing DLT placement were randomly allocated in two groups based on the laryngoscopic device used for endobronchial intubation...
May 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/26884079/long-standing-meningomyelocele-can-be-a-predictor-of-difficult-airway-and-postoperative-hypoventilation-challenge-to-the-anaesthesiologist
#12
Arijit Sardar, Puneet Khanna, Abhishek Singh, Ankur Sharma
A 15-year-old female patient presented with severe pain in the abdomen and obstructive uropathy. She underwent Yang-Monti ileovesicostomy under general anaesthesia. She is a known case of long-standing meningomyelocele (MMC) and presented with its potential complications such as difficult airway and restrictive lung disease. We describe the successful anaesthetic management of a case of anticipated difficult airway and postoperative hypoventilation as a sequel of kyphosis due to MMC. Her airway was secured with fibre optic-guided intubation in a semirecumbent position...
February 16, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/26821699/simulation-as-a-set-up-for-technical-proficiency-can-a-virtual-warm-up-improve-live-fibre-optic-intubation
#13
RANDOMIZED CONTROLLED TRIAL
S T Samuelson, G Burnett, A J Sim, I Hofer, A D Weinberg, A Goldberg, T S Chang, S DeMaria
BACKGROUND: Fibre-optic intubation (FOI) is an advanced technical skill, which anaesthesia residents must frequently perform under pressure. In surgical subspecialties, a virtual 'warm-up' has been used to prime a practitioner's skill set immediately before performance of challenging procedures. This study examined whether a virtual warm-up improved the performance of elective live patient FOI by anaesthesia residents. METHODS: Clinical anaesthesia yr 1 and 2 (CA1 and CA2) residents were recruited to perform elective asleep oral FOI...
March 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26625869/tolerability-and-performance-of-bip-endotracheal-tubes-with-noble-metal-alloy-coating-a-randomized-clinical-evaluation-study
#14
RANDOMIZED CONTROLLED TRIAL
Gunilla Björling, Dorota Johansson, Linda Bergström, Shah Jalal, Ivar Kohn, Claes Frostell, Sigridur Kalman
BACKGROUND: Hospital acquired infections worsen the outcome of patients treated in intensive care units and are costly. Coatings with silver or metal alloys may reduce or alter the formation of biofilm on invasive medical devices. An endotracheal tube (ETT) is used to connect the patient to a ventilator and coated tubes have been tested in relation to bacterial colonization and respiratory infection. In the present study, we aimed to evaluate and compare a coated and uncoated ETT for patient symptoms and local tracheal tolerability during short term clinical use...
December 1, 2015: BMC Anesthesiology
https://www.readbyqxmd.com/read/26556848/difficult-airway-society-2015-guidelines-for-management-of-unanticipated-difficult-intubation-in-adults
#15
COMMENT
C Frerk, V S Mitchell, A F McNarry, C Mendonca, R Bhagrath, A Patel, E P O'Sullivan, N M Woodall, I Ahmad
These guidelines provide a strategy to manage unanticipated difficulty with tracheal intubation. They are founded on published evidence. Where evidence is lacking, they have been directed by feedback from members of the Difficult Airway Society and based on expert opinion. These guidelines have been informed by advances in the understanding of crisis management; they emphasize the recognition and declaration of difficulty during airway management. A simplified, single algorithm now covers unanticipated difficulties in both routine intubation and rapid sequence induction...
December 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26506998/early-laryngeal-outcome-of-prolonged-intubation-using-an-anatomical-tube-a-double-blind-randomised-study
#16
RANDOMIZED CONTROLLED TRIAL
Leif Nordang, Carl-Eric Lindholm, Jan Larsson, Arne Linder
The objective of this study was to study the short-term impact on larynx by a newly designed anatomical tube. A prospective randomised trial of a newly designed anatomical tube versus a standard endotracheal tube in patients operated under general anaesthesia for at least 12 h. Seventy adults were included and randomised to either type of tube. The patients were evaluated by means of fibre-optic laryngoscopy and VAS-rating of symptoms on two occasions in the first post-operative week. The evaluating investigators and the patients were blinded to the type of tube used...
March 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/26253608/optimizing-oxygenation-and-intubation-conditions-during-awake-fibre-optic-intubation-using-a-high-flow-nasal-oxygen-delivery-system
#17
S Badiger, M John, R A Fearnley, I Ahmad
BACKGROUND: Awake fibre-optic intubation is a widely practised technique for anticipated difficult airway management. Despite the administration of supplemental oxygen during the procedure, patients are still at risk of hypoxia because of the effects of sedation, local anaesthesia, procedural complications, and the presence of co-morbidities. Traditionally used oxygen-delivery devices are low flow, and most do not have a sufficient reservoir or allow adequate fresh gas flow to meet the patient's peak inspiratory flow rate, nor provide an adequate fractional inspired oxygen concentration to prevent desaturation should complications arise...
October 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/25832933/safety-and-efficacy-of-bronchoalveolar-lavage-using-a-laryngeal-mask-airway-in-cases-of-acute-hypoxaemic-respiratory-failure-with-diffuse-lung-infiltrates
#18
Takafumi Matsumoto, Yoko Sato, Satoshi Fukuda, Shinshu Katayama, Yuya Miyazaki, Makoto Ozaki, Toru Kotani
Objective Fibre-optic bronchoscopy with bronchoalveolar lavage (FOB-BAL) is an important tool for diagnosing and selecting treatment for acutely hypoxaemic patients with diffuse lung infiltrates. However, FOB-BAL carries a risk of significant hypoxaemia and subsequent tracheal intubation during and after the procedure. The application of FOB-BAL using a laryngeal mask airway (LMA) in combination with continuous positive airway pressure (CPAP) may minimize the incidence of hypoxaemia; however, the safety and efficacy of this procedure have not been investigated...
2015: Internal Medicine
https://www.readbyqxmd.com/read/25328718/icatibant-in-the-treatment-of-angiotensin-converting-enzyme-inhibitor-induced-angioedema
#19
Neil H Crooks, Jaimin Patel, Lavanya Diwakar, Fang Gao Smith
We describe the case of a 75-year-old woman who presented with massive tongue and lip swelling secondary to angiotensin-converting enzyme inhibitor-induced angioedema. An awake fibre-optic intubation was performed because of impending airway obstruction. As there was no improvement in symptoms after 72 hours, the selective bradykinin B2 receptor antagonist icatibant (Firazyr) was administered and the patient's trachea was successfully extubated 36 hours later. To our knowledge this is the first documented case of icatibant being used for the treatment of angiotensin-converting enzyme inhibitor-induced angioedema in the United Kingdom and represents a novel therapeutic option in its management...
2014: Case Reports in Critical Care
https://www.readbyqxmd.com/read/25225825/progress-in-simulation-education-developing-an-anesthesia-curriculum
#20
REVIEW
David J Murray
PURPOSE OF REVIEW: Simulation's role in anesthesia education is expanding to include more advanced skills and training for subspecialty practice. This review will provide an overview of many recent studies that expand the simulation curriculum for anesthesia education. RECENT FINDINGS: Recent studies describe a curriculum that uses a range of simulation modalities, including part-task trainers, mannequin-based simulation, virtual reality, in-situ techniques, screen-based simulations as well as encounters with 'standardized' patients, nurses or physician colleagues...
December 2014: Current Opinion in Anaesthesiology
keyword
keyword
59964
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"