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https://www.readbyqxmd.com/read/29315473/a-before-and-after-observational-study-of-a-protocol-for-use-of-the-c-mac-videolaryngoscope-with-a-frova-introducer-in-pre-hospital-rapid-sequence-intubation
#1
S Ångerman, H Kirves, J Nurmi
Results using videolaryngoscopy in pre-hospital rapid sequence intubation are mixed. A bougie is not commonly used with videolaryngoscopy. We hypothesised that using videolaryngoscopy and a bougie as core elements of a standardised protocol that includes a drugs and a laryngoscopy algorithm would result in a high first-pass tracheal intubation success rate. We employed videolaryngoscopy (C-MAC) combined with a bougie (Frova intubating introducer) in an anaesthetist-staffed helicopter emergency medical service...
January 8, 2018: Anaesthesia
https://www.readbyqxmd.com/read/29020376/differences-in-education-and-premature-mortality-a-record-linkage-study-of-over-35-million-italians
#2
Gianfranco Alicandro, Luisa Frova, Gabriella Sebastiani, Paolo Boffetta, Carlo La Vecchia
Background: Large, representative studies are needed to evaluate cause-specific aspects of socio-economic inequalities in mortality. Methods: We conducted a census-based retrospective cohort study to quantify differences in cause-specific premature mortality by educational level in Italy. We linked the 2011 Italian census with 2012 and 2013 death registries. We used the mortality rate ratio (MRR) as a measure of relative inequality. Results: Overall, 305 043 deaths (190 061 men-114 982 women) were registered from a population of 35 708 445 subjects aged 30-74...
August 31, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28969598/bougies-as-an-aid-for-endotracheal-intubation-with-the-airway-scope-bench-and-manikin-comparison-studies
#3
Ichiro Takenaka, Kazuyoshi Aoyama, Tamao Iwagaki, Yukari Takenaka
BACKGROUND: When encountering a difficult airway with an Airway Scope (AWS) a bougie can be inserted into the endotracheal tube in the AWS channel. The angulated tip of the bougie can be guided toward the glottis by rotating it. We tested the ease of rotating bougies (Venn reusable, Boussignac, Portex single-use, and Frova) in an endotracheal tube when placed in the AWS channel. METHODS: Bench study: Seven anesthesiologists inserted each of the four types of bougies into a 7...
October 2, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28752004/survey-of-knowledge-and-attitudes-about-obstructive-sleep-apnoea-among-italian-anaesthetists
#4
Ruggero Massimo Corso, Massimiliano Sorbello, Matteo Buccioli, Elisa Carretta, Oriana Nanni, Emanuele Piraccini, Guido Merli, Flavia Petrini, Arturo Guarino, Giulio Frova
OBJECTIVE: As the care of Obstructive Sleep Apnoea (OSA) patients remains heterogeneous, we hypothesized that it may reflect insufficient OSA knowledge/awareness among clinicians. METHODS: OSA Knowledge/Attitude Questionnaire (OSAKA) was translated into Italian and distributed to anaesthetists attending SIAARTI National Congress and Airways courses and Hands-on Workshops from October 2012 to June 2013. RESULTS: In total, 370 anaesthetists returned the questionnaires (response rate, 62%); the median (interquartile range [IQR]) knowledge score was 12 (10-14), and the range was 1-17 with no difference by gender, age, professional title or years of practice...
June 2017: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/28748345/educational-inequality-in-cancer-mortality-a-record-linkage-study-of-over-35-million-italians
#5
Gianfranco Alicandro, Luisa Frova, Gabriella Sebastiani, Iman El Sayed, Paolo Boffetta, Carlo La Vecchia
PURPOSE: Large studies are needed to evaluate socioeconomic inequality for site-specific cancer mortality. We conducted a longitudinal census-based national study to quantify the relative inequality in cancer mortality among educational levels in Italy. METHODS: We linked the 2011 Italian census with the 2012 and 2013 death registries. Educational inequality in overall cancer and site-specific cancer mortality were evaluated by computing the mortality rate ratio (MRR)...
July 26, 2017: Cancer Causes & Control: CCC
https://www.readbyqxmd.com/read/28521797/multiple-cause-of-death-data-among-people-with-aids-in-italy-a-nationwide-cross-sectional-study
#6
Enrico Grande, Antonella Zucchetto, Barbara Suligoi, Francesco Grippo, Marilena Pappagallo, Saverio Virdone, Laura Camoni, Martina Taborelli, Vincenza Regine, Diego Serraino, Luisa Frova
BACKGROUND: Multiple cause-of-death (MCOD) data allow analyzing the contribution to mortality of conditions reported on the death certificate that are not selected as the underlying cause of death. Using MCOD data, this study aimed to fully describe the cause-specific mortality of people with AIDS (PWA) compared to people without AIDS. METHODS: We conducted a nationwide investigation based on death certificates of 2,515 Italian PWA and 123,224 people without AIDS who had died between 2006 and 2010...
May 18, 2017: Population Health Metrics
https://www.readbyqxmd.com/read/28497238/obesity-related-mortality-in-france-italy-and-the-united-states-a-comparison-using-multiple-cause-of-death-analysis
#7
Magali Barbieri, Aline Désesquelles, Viviana Egidi, Elena Demuru, Luisa Frova, France Meslé, Marilena Pappagallo
OBJECTIVES: We investigate the reporting of obesity on death certificates in three countries (France, Italy, and the United States) with different levels of prevalence, and we examine which causes are frequently associated with obesity. METHODS: We use cause-of-death data for all deaths at ages 50-89 in 2010-2011. Since obesity may not be the underlying cause (UC) of death, we compute age- and sex-standardized death rates considering all mentions of obesity (multiple causes or MC)...
July 2017: International Journal of Public Health
https://www.readbyqxmd.com/read/28348493/mortality-associated-with-hepatitis-c-and-hepatitis-b-virus-infection-a-nationwide-study-on-multiple-causes-of-death-data
#8
Ugo Fedeli, Enrico Grande, Francesco Grippo, Luisa Frova
AIM: To analyze mortality associated with hepatitis C virus (HCV) and hepatitis B virus (HBV) infection in Italy. METHODS: Death certificates mentioning either HBV or HCV infection were retrieved from the Italian National Cause of Death Register for the years 2011-2013. Mortality rates and proportional mortality (percentage of deaths with mention of HCV/HBV among all registered deaths) were computed by gender and age class. The geographical variability in HCV-related mortality rates was investigated by directly age-standardized rates (European standard population)...
March 14, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28057195/the-persistent-problem-of-late-hiv-diagnosis-in-people-with-aids-a-population-based-study-in-italy-1999-2013
#9
M Taborelli, S Virdone, L Camoni, V Regine, A Zucchetto, L Frova, E Grande, S Boros, L Dal Maso, P De Paoli, D Serraino, B Suligoi
OBJECTIVES: Despite the wide accessibility to free human immunodeficiency virus (HIV) testing and combined antiretroviral therapy (cART), late HIV diagnosis remains common with severe consequences at individual and population level. This study aimed to describe trends of late HIV testing and to identify their determinants in the late cART era in Italy. STUDY DESIGN: We conducted a population-based, nationwide analysis of the Italian National AIDS Registry data (AIDS - acquired immune deficiency syndrome) for the years 1999-2013...
January 2017: Public Health
https://www.readbyqxmd.com/read/27833502/is-it-safe-to-use-frova-airway-intubating-device-during-tracheal-intubation-in-difficult-airway-patient-with-multiple-and-chest-trauma
#10
Waseem M Hajjar, Nourah Alsubaie, Thamer A Nouh, Sami A Al-Nassar
Traumatic chest injury is one of the leading causes of death in motor vehicle accident (MVA). A complete tracheobronchial injury occurred in 1% of trauma cases and most of the cases died before arrival to the emergency department. We report a 37-year-old female involved in MVA presented to the emergency room (ER) with normal vital signs. Ten minutes later, her saturation dropped to 75%, which required ventilation; however, two attempts for endotracheal intubation failed. The third time frova airway intubating introducer used and succeeded...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27833500/c-mac-%C3%A2-video-laryngoscope-with-d-blade%C3%A2-and-frova-introducer-for-awake-intubation-in-a-patient-with-parapharyngeal-mass
#11
S Vinayagam, S Dhanger, P Tilak, R Gnanasekar
Parapharyngeal tumors are rare head and neck tumors which can present as an intraoral mass and can pose great challenge to anesthesiologists. The primary concern is the difficult airway due to gross anatomical distortion of the upper airway. Securing the airway in an awake state should be the primary goal of anesthesiologists to avoid catastrophic complications. Herewith, we report the successful use of C-MAC(®) video laryngoscope with the acute-angle D-BLADE™ in combination with Frova introducer for awake intubation in a patient with parapharyngeal mass after multiple attempts of failed fiber-optic intubation...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27683475/estimating-the-need-for-palliative-care-at-the-population-level-a-cross-national-study-in-12-countries
#12
Lucas Morin, Régis Aubry, Luisa Frova, Roderick MacLeod, Donna M Wilson, Martin Loucka, Agnes Csikos, Miguel Ruiz-Ramos, Marylou Cardenas-Turanzas, YongJoo Rhee, Joan Teno, Joakim Öhlén, Luc Deliens, Dirk Houttekier, Joachim Cohen
BACKGROUND: To implement the appropriate services and develop adequate interventions, detailed estimates of the needs for palliative care in the population are needed. AIM: To estimate the proportion of decedents potentially in need of palliative care across 12 European and non-European countries. DESIGN: This is a cross-sectional study using death certificate data. SETTING/PARTICIPANTS: All adults (⩾18 years) who died in 2008 in Belgium, Czech Republic, France, Hungary, Italy, Spain (Andalusia, 2010), Sweden, Canada, the United States (2007), Korea, Mexico, and New Zealand ( N = 4,908,114)...
June 2017: Palliative Medicine
https://www.readbyqxmd.com/read/27599477/use-of-a-macintosh-blade-in-extrahepatic-portal-vein-obstruction-with-difficult-intubation-two-case-reports
#13
Azho Kezo, Rajendra D Patel, Shraddha Mathkar, Sonal Butada
BACKGROUND: We report the management of two patents from the Indian subcontinent with extrahepatic portal vein obstruction presenting with anticipated difficult airway. A Macintosh blade was used to secure the airway after using various instruments designed for difficult airway. To the best of our knowledge, no case has previously been reported in which a Macintosh blade was used successfully in patients with extrahepatic portal vein obstruction with a difficult airway. CASE PRESENTATION: Two women (case 1 and case 2) of South Asian ethnicity with extrahepatic portal vein obstruction presented for an elective splenorenal shunt...
September 6, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27512168/failed-fibreoptic-intubation-70%C3%A2-rigid-nasendoscope-and-frova-introducer-to-the-rescue
#14
Stalin Vinayagam, Mvs Satya Prakash, Pankaj Kundra, Surianarayana Gopalakrishnan
Endotracheal intubation was successfully accomplished with 70° rigid nasendoscope under video guidance in two patients in whom repeated attempts to secure airway with flexible fibreoptic bronchoscope were unsuccessful. Both patients had compromised airway (laryngeal papillomatosis and a huge thyroid swelling) and were uncooperative. Frova intubating introducer was used along with 70° rigid nasendoscope to accomplish tracheal intubation under video guidance.
July 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27290946/airway-obstruction-by-an-unexpected-equipment-damage
#15
Patrick Schober, Stephan A Loer, Lothar A Schwarte
Intubating introducers are often used to facilitate difficult endotracheal intubation. We report a case in which a Frova catheter was used for insertion of a laser-resistant endotracheal tube and in which a strip of plastic was shaved off from the catheter. The plastic strip formed a convolute mass, causing relevant airway obstruction. Clinicians should be aware of this potentially dangerous complication and should be cautious in using Frova intubating introducers in combination with laser-resistant tubes.
August 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27276774/airway-visualization-eyes-see-what-mind-knows
#16
REVIEW
Massimiliano Sorbello, Giulio Frova, Ivana Zdravković
Airway management is basic for anesthesia practice, and sometimes it can represent a really dramatic scenario for both the patient and the physicians. Laryngoscopy has been the gold standard of airway visualization for more than 60 years, showing its limitations and failure rates with time. New technology has made available an opportunity to move the physician's eye inside patient airways thanks to video laryngoscopy and video assisted airway management technique. Undoubtedly, we have entered a new era of high resolution airway visualization and different approach in airway instrumentation...
March 2016: Acta Clinica Croatica
https://www.readbyqxmd.com/read/27116048/non-aids-defining-cancer-mortality-emerging-patterns-in-the-late-haart-era
#17
Antonella Zucchetto, Saverio Virdone, Martina Taborelli, Enrico Grande, Laura Camoni, Marilena Pappagallo, Vincenza Regine, Francesco Grippo, Jerry Polesel, Luigino Dal Maso, Barbara Suligoi, Luisa Frova, Diego Serraino
BACKGROUND: Non-AIDS-defining cancers (non-ADCs) have become the leading non-AIDS-related cause of death among people with HIV/AIDS. We aimed to quantify the excess risk of cancer-related deaths among Italian people with AIDS (PWA), as compared with people without AIDS (non-PWA). METHODS: A nationwide, population-based, retrospective cohort study was carried out among 5285 Italian PWA, aged 15-74 years, diagnosed between 2006 and 2011. Date of death and multiple-cause-of-death data were retrieved up to December 2011...
October 1, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/27028774/predictors-of-difficult-intubation-with-the-bonfils-rigid-fiberscope
#18
Michal Nowakowski, Stephan Williams, Jason Gallant, Monique Ruel, Arnaud Robitaille
BACKGROUND: Endotracheal intubation is commonly performed via direct laryngoscopy (DL). However, in certain patients, DL may be difficult or impossible. The Bonfils Rigid Fiberscope® (BRF) is an alternative intubation device, the design of which raises the question of whether factors that predict difficult DL also predict difficult BRF. We undertook this study to determine which demographic, morphologic, and morphometric factors predict difficult intubation with the BRF. METHODS: Four hundred adult patients scheduled for elective surgery were recruited...
June 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26848674/residential-proximity-to-major-roadways-and-lung-cancer-mortality-italy-1990-2010-an-observational-study
#19
Ettore Bidoli, Marilena Pappagallo, Silvia Birri, Luisa Frova, Loris Zanier, Diego Serraino
BACKGROUND: Air pollution from road traffic has been associated to an increased risk of lung cancer. Herein, we investigated the association between lung cancer mortality and residence near Italian highways or national major roads. METHODS: Information on deaths for lung cancer registered from 1990 to 2010 and stratified by age, gender, and urban or rural municipality of residence at death were obtained from the National Institute of Statistics. Distance between the centroid of the municipality of residence and closest major roadways was considered as a proxy of pollution exposure...
February 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/26430345/difficult-airway-management-from-emergency-department-till-intensive-care-unit
#20
Debasis Pradhan, Prithwis Bhattacharyya
We report a case of "can ventilate but can't intubate" situation which was successfully managed in the Emergency Department and Intensive Care Unit by the use of ProSeal laryngeal mask airway and Frova Intubating Introducer as bridging rescue devices. Use of appropriate technique while strictly following the difficult airway algorithm is the mainstay of airway management in unanticipated difficult airway situations. Although the multiple airway devices were used but each step took not more than 2 min and "don't struggle, skip to the next step principle" was followed...
September 2015: Indian Journal of Critical Care Medicine
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