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endotracheal supraglottic

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https://www.readbyqxmd.com/read/27871553/fascia-iliaca-block-associated-only-with-deep-sedation-in-high-risk-patients-taking-p2y12-receptor-inhibitors-for-intramedullary-femoral-fixation-in-intertrochanteric-hip-fracture-a-series-of-3-cases
#1
Carlos Rodrigues Almeida, Emília Milheiro Francisco, Vítor Pinho-Oliveira, José Pedro Assunção
OBJECTIVE: We present a series of 3 cases in which the impact in outcome was, first of all, related to the capacity to offer early and safer treatment to some hip fracture high-risk patients using a fascia iliaca block (FIB; ropivacaine 0,5% 20 cc and mepivacaine 1,3% 15 cc, given 30 minutes before incision) associated only with deep sedation, contributing to better practice and outcome. CASE REPORTS: All elderly patients were American Society of Anesthesiologists IV patients, under P2Y12 receptor inhibitors, suffering from an intertrochanteric fracture, and purposed for intramedullary femoral fixation (IMF)...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27861696/a-cadaver-study-comparing-three-fibreoptic-assisted-techniques-for-converting-a-supraglottic-airway-to-a-cuffed-tracheal-tube
#2
B L Olesnicky, A Rehak, W B Bestic, J T Brock, L Watterson
After rescuing an airway with a supraglottic airway device, a method to convert it to a cuffed tracheal tube is often needed. The best method to do this has never been directly studied. We compared three techniques for conversion of a standard LMA(®) Unique airway to a cuffed endotracheal tube using a fibrescope. The primary endpoint was time to intubation, with secondary endpoints of success rate, perceived difficulty and preferred technique. We also investigated the relationship between level of training and prior training and experience with the techniques on the primary outcome...
November 11, 2016: Anaesthesia
https://www.readbyqxmd.com/read/27808401/continuous-ventilation-during-intubation-through-a-supraglottic-airway-device-guided-by-fiberoptic-bronchoscopy-a-observational-assessment
#3
H E Landsdalen, M Berge, F Kristensen, A B Guttormsen, E Søfteland
INTRODUCTION: supraglottic airway devices remain, despite advances in video laryngoscopy, important tools in the management of unexpected difficult airways. Intubation through a functioning supraglottic airway device with the aid of a fiberoptic bronchoscope is a well-known technique usually performed in apnoea. With a simple modification, the patient can be ventilated during this procedure. METHODS: In this observational study, Tracheal intubation Assisted by Bronchoscopy And Sad during Continuous Oxygenation (TABASCO) was performed as part of department training routine in 26 elective, fasted patients...
January 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/27798454/laryngeal-tube-suction-ii-or-endotracheal-intubation-for-laparoscopic-radical-prostatectomy-in-a-head-down-position-a-randomised-controlled-trial
#4
Alexander Dünnebier, Daniel Gardill, Ina Kowalski, Udo X Kaisers, Thilo Busch, Claudia Höhne, Jens-Uwe Stolzenburg, Sven Bercker
BACKGROUND: The laryngeal tube suction II (LTS II) is a supraglottic airway device (SAD) with a gastric drainage tube and enhanced seal properties as compared with other SADs. Therefore, its use has been proposed in situations with an elevated risk of aspiration. OBJECTIVES: To compare the safety and efficacy of airway management and controlled mechanical ventilation when using either an LTS II or an endotracheal tube for laparoscopic radical prostatectomy. DESIGN: Randomised, controlled, blinded and single-centre study...
October 27, 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/27752627/upper-airway-obstruction-resulting-from-acute-mucosal-injury-induced-by-direct-ingestion-of-sodium-picosulfate-magnesium-citrate-powder
#5
Gyeong Bo Kim, Sung Yeon Hwang, Tae Gun Shin, Tae Rim Lee, Won Chul Cha, Min Seob Sim, Ik Joon Jo, Keun Jeong Song, Joong Eui Rhee, Yeon Kwon Jeong
A 59-year-old man presented to the emergency department with a chief complaint of sore throat after swallowing sodium picosulfate/magnesium citrate powder for bowel preparation, without first dissolving it in water. The initial evaluation showed significant mucosal injury involving the oral cavity, pharynx, and epiglottis. Endotracheal intubation was performed for airway protection in the emergency department, because the mucosal swelling resulted in upper airway compromise. After conservative treatment in the intensive care unit, he underwent tracheostomy because stenosis of the supraglottic and subglottic areas was not relieved...
June 2016: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/27690714/can-ems-providers-provide-appropriate-tidal-volumes-in-a-simulated-adult-sized-patient-with-a-pediatric-sized-bag-valve-mask
#6
Jeffrey Siegler, Melissa Kroll, Susan Wojcik, Hawnwan Philip Moy
INTRODUCTION: In the prehospital setting, Emergency Medical Services (EMS) professionals rely on providing positive pressure ventilation with a bag-valve-mask (BVM). Multiple emergency medicine and critical care studies have shown that lung-protective ventilation protocols reduce morbidity and mortality. Our primary objective was to determine if a group of EMS professionals could provide ventilations with a smaller BVM that would be sufficient to ventilate patients. Secondary objectives included 1) if the pediatric bag provided volumes similar to lung-protective ventilation in the hospital setting and 2) compare volumes provided to the patient depending on the type of airway (mask, King tube, and intubation)...
October 3, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27687447/the-risk-factors-of-intraoperative-anesthesia-adverse-events-in-children-with-laryngeal-diseases
#7
Yang Li-Qiao, Zhang Jian-Wei, Li Jing-Jie, Zhang Cheng-Mi
BACKGROUND: This study aimed to investigate the risk factors of intraoperative anesthesia adverse events (IAAEs) in children with laryngeal diseases. METHODS: We retrospectively recruited 118 children with laryngeal diseases who underwent surgical therapy. Based on medical history and preoperative imaging diagnosis, the baseline data, including sex, age, weight, onset age, the number of operation, the degree of airway obstruction, the nature of disease, the location of disease, complications, tracheotomy, and trachea intubation, were defined and recorded...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27537593/comparison-between-supraglottic-airway-devices-and-endotracheal-tubes-in-patients-undergoing-laparoscopic-surgery-a-systematic-review-and-meta-analysis
#8
Sun Kyung Park, Geum Ko, Geun Joo Choi, Eun Jin Ahn, Hyun Kang
BACKGROUND: Comparisons between the efficacies of supraglottic airway devices (SGAs) and endotracheal tubes (ETTs) in patients undergoing laparoscopic surgeries have yielded conflicting results. Therefore, in this meta-analysis, we compared the clinical performance and incidence of complications between SGAs and ETT intubation in laparoscopic surgery. METHODS: A comprehensive search was conducted using MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, and Google Scholar to identify randomized controlled trials that compared SGAs with ETTs in laparoscopic surgery...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27375914/supraglottic-kaposi-s-sarcoma-in-hiv-negative-patients-case-report-and-literature-review
#9
Ela A Server, Yusuf M Durna, Ozgur Yigit, Erol R Bozkurt
This paper presents a case report of an HIV-negative, supraglottic Kaposi's sarcoma patient. The 80-year-old male patient was admitted with complaints of hoarseness, difficulty in swallowing, and a stinging sensation in his throat for approximately six months. The endoscopic larynx examination revealed a lesion which had completely infiltrated the epiglottis, reached right aryepiglottic fold, was vegetating, pink and purple in color, multilobular, fragile, and shaped like a bunch of grapes, and partially blocked the bleeding airway passage...
2016: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/27375384/ease-of-insertion-of-the-laryngeal-mask-airway-in-pediatric-surgical-patients-predictors-of-failure-and-outcome
#10
S M Asida, S S Ahmed
BACKGROUND: Laryngeal mask airway (LMA) is an useful alternative to endotracheal tube for airway management. The risk of life-threatening adverse respiratory events during its use is rare, but we need to know about the risk-adjusted prediction of its insertion failure requiring rescue tracheal intubation and its impact on patient outcome. MATERIALS AND METHODS: Five hundred patients; 6 months to 12-year-old, American Society of Anesthesiologists I and II scheduled to undergo elective surgical procedures that require general anesthesia were included in this study...
July 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27338551/site-directed-topical-lidocaine-spray-attenuates-perioperative-respiratory-adverse-events-in-children-undergoing-elective-surgery
#11
Li-Wei Li, Long He, Yanqiu Ai, Qinjun Chu, Wei Zhang
BACKGROUND: Perioperative respiratory adverse events (PRAEs) are a major cause of morbidity and mortality associated with pediatric anesthesia. Topical lidocaine administration reduces risk of PRAE in children undergoing elective endotracheal intubation. However, definitive evidence of its efficacy remains elusive, due, in part, to the wide variability in the methodology for spraying topical lidocaine. In this randomized controlled double-blind clinical trial, we sought to evaluate the effect of site-directed topical airway lidocaine, sprayed directly onto supraglottic, glottis, and subglottic areas, on the incidence of PRAE...
June 1, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27276773/simple-timely-safely-laryngeal-mask-and-pediatric-airway
#12
REVIEW
Marijana Karišik
Laryngeal mask airway (LMA) was a useful, powerful airway management device for routine pediatric airway management, pediatric difficult airway, and in pediatric emergency situations. Over years, various designs, induction and insertion techniques have been described. LMA provides ease of placement and removal as compared with endotracheal intubation, less traumatism for the respiratory tract, better tolerability by patients, improved hemodynamic stability during emergency, less coughing, less sore throat, avoidance of laryngoscopy, and hands free airway...
March 2016: Acta Clinica Croatica
https://www.readbyqxmd.com/read/27273061/postoperative-environmental-anesthetic-vapour-concentrations-following-removal-of-the-airway-device-in-the-operating-room-versus-the-postanesthesia-care-unit
#13
Sara K Cheung, Timur Özelsel, Saifee Rashiq, Ban C Tsui
PURPOSE: This study was designed to compare waste anesthetic gas (WAG) concentrations within patients' breathing zones after removal of the patient's airway device in the postanesthesia care unit (PACU) vs in the operating room (OR). METHODS: Following Research Ethics Board approval and patient consent, we recruited patients undergoing surgery who received volatile anesthesia via an endotracheal tube or supraglottic airway. Patients had their airway device removed in the OR or in the PACU depending on the attending anesthesiologist's preference...
September 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27255435/scandinavian-ssai-clinical-practice-guideline-on-pre-hospital-airway-management
#14
REVIEW
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
https://www.readbyqxmd.com/read/27212745/a-randomized-control-study-comparing-the-pharyngolaryngeal-morbidity-of-laryngeal-mask-airway-versus-endotracheal-tube
#15
A Venugopal, Ron Mathew Jacob, Rachel Cherian Koshy
INTRODUCTION: Endotracheal tube (ETT) has been associated with various pharyngolaryngeal morbidities (PLMs) following general anesthesia (GA). Laryngeal mask airway (LMA), currently the most commonly used supraglottic airway device, has several advantageous over the ETT but has been associated with varying results of PLM. The aim of our study was to compare the PLM between them and to know whether LMA is a better alternative. MATERIALS AND METHODS: One hundred and seventy American Society of Anesthesiologists Grades 1 and 2 women scheduled for elective mastectomy were included in the study, 85 each in either group, E Group (intubated with ETT) and L Group (using LMA) on a random basis...
May 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27212722/air-q-intubating-laryngeal-airway-a-study-of-the-second-generation-supraglottic-airway-device
#16
Viren Bhaskar Attarde, Nalini Kotekar, Sarika M Shetty
BACKGROUND AND AIMS: Air-Q intubating laryngeal mask airway (ILA) is used as a supraglottic airway device and as a conduit for endotracheal intubation. This study aims to assess the efficacy of the Air-Q ILA regarding ease of insertion, adequacy of ventilation, rate of successful intubation, haemodynamic response and airway morbidity. METHODS: Sixty patients presenting for elective surgery at our Medical College Hospital were selected. Following adequate premedication, baseline vital parameters, pulse rate and blood pressure were recorded...
May 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27185715/the-easytube-for-airway-management-a-systematic-review-of-clinical-and-simulation-studies
#17
Filippo Sanfilippo, Federica Chiarenza, Dirk M Maybauer, Marc O Maybauer
STUDY OBJECTIVE: Endotracheal intubation is considered the criterion-standard technique for securing the airway. Supraglottic airway devices (SADs) represent a major advance in airway management and are recommended by the guidelines in difficult situations such as Advanced Life Support and "cannot ventilate-cannot intubate" scenarios. The Easytube (EzT) is an SAD introduced a decade ago but not included yet in the above guidelines. DESIGN: Systematic review of MEDLINE and EMBASE according to PRISMA guidelines available up to January 12, 2016...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27185696/a-comparison-of-the-i-gel-supraglottic-device-with-endotracheal-intubation-for-bronchoscopic-lung-volume-reduction-coil-treatment
#18
Julian Arevalo-Ludeña, Jose Juan Arcas-Bellas, Rafael Alvarez-Rementería, Javier Flandes, Laura Morís, Luis E Muñoz Alameda
STUDY OBJECTIVE: To compare the use of the I-gel airway with orotracheal intubation (OTI) for bronchoscopic lung volume reduction (BLVR) coil treatment in patients with severe chronic obstructive pulmonary disease (COPD) with heterogeneous emphysema, since it has been proved that supraglottic airways have lower incidence of postoperative respiratory complaints compared to OTI. DESIGN: A comparative, prospective observational study was designed to assess the use of the I-gel airway compared with the OTI...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27115936/laryngeal-tube-practice-in-a-metropolitan-ambulance-service-a-five-year-retrospective-observational-study-2009-2013
#19
Raphael van Tulder, Christoph Schriefl, Dominik Roth, Peter Stratil, Martin Thalhammer, Hermann Wieczorek, Friedrich Lausch, Andreas Zajicek, Jochen Haidvogel, Dieter Sebald, Wolfgang Schreiber, Fritz Sterz, Anton Laggner
BACKGROUND: The endotracheal tube (ETT) is considered the gold standard in emergency airway management, although supraglottic airway devices, especially the laryngeal tube (LT), have recently gained in importance. Although regarded as an emergency device in case of failure of endotracheal intubation in most systems, we investigated the dynamics of the use of the LT in a metropolitan ambulance service without any regulations on the choice of airway device. METHODS: A retrospective, observational study on all patients from the Municipal Ambulance Service, Vienna in need of advanced airway management over a 5-year period...
April 26, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27071823/airway-management-in-out-of-hospital-cardiac-arrest-in-finland-current-practices-and-outcomes
#20
Pamela Hiltunen, Helena Jäntti, Tom Silfvast, Markku Kuisma, Jouni Kurola
BACKGROUND: Though airway management methods during out-of-hospital cardiac arrest (OHCA) remain controversial, no studies on the topic from Finland have examined adherence to OHCA recommendations in real life. In response, the aim of this study was to document the interventions, success rates, and adverse events in airway management processes in OHCA, as well as to analyse survival at hospital discharge and at follow-up a year later. METHODS: During a 6-month study period in 2010, data regarding all patients with OHCA and attempted resuscitation in southern and eastern Finland were prospectively collected...
April 12, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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