keyword
https://read.qxmd.com/read/38535030/trends-in-preoperative-airway-assessment
#1
REVIEW
Ioan Florin Marchis, Matei Florin Negrut, Cristina Maria Blebea, Mirela Crihan, Alexandru Leonard Alexa, Caius Mihai Breazu
Airway management is a vital part of anesthesia practices, intensive care units, and emergency departments, and a proper pre-operative assessment can guide clinicians' plans for securing an airway. Complex airway assessment has recently been at the forefront of anesthesia research, with a substantial increase in annual publications during the last 20 years. In this paper, we provide an extensive overview of the literature connected with pre-operative airway evaluation procedures, ranging from essential bedside physical examinations to advanced imaging techniques such as ultrasound (US), radiography, computed tomography (CT), and magnetic resonance imaging (MRI)...
March 13, 2024: Diagnostics
https://read.qxmd.com/read/38532193/correction-seven-years-on-from-the-canadian-airway-focus-group-difficult-airway-guidelines-an-observational-survey
#2
Malcolm Howard, Ruediger Noppens, Nelson Gonzalez, Philip M Jones, Sonja M Payne
No abstract text is available yet for this article.
March 26, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38510737/modified-cadaver-technique-to-simulate-contaminated-airway-scenarios-to-train-medical-providers-in-suction-assisted-laryngoscopy-and-airway-decontamination
#3
JOURNAL ARTICLE
Kathryn Chadason, Christopher Root, Jess Boyle, Jonathan St George, James Ducanto
Simulation training plays a vital role in modern medical education, fostering safe skill development. Task-trainer manikin and cadaveric airway management training (CAMT) offer realistic airway management practice. Simulation allows learners the opportunity to manage high-risk, low-frequency scenarios, including difficult airways and massive airway contamination, common in emergent airway management. The suction-assisted laryngoscopy and airway decontamination (SALAD) technique was developed to address massive airway contamination...
February 2024: AEM Education and Training
https://read.qxmd.com/read/38509586/managing-a-difficult-airway-due-to-supraglottic-masses-successful-videolaryngoscopic-intubation-after-induction-of-general-anesthesia
#4
JOURNAL ARTICLE
Hye-Won Jeong, Eun-Jin Song, Eun-A Jang, Joungmin Kim
BACKGROUND: While awake, flexible bronchoscopic intubation has long been considered the gold standard for managing anticipated difficult airways, the videolaryngoscope has emerged as a viable alternative. In addition, the decision to perform awake intubation or to proceed with airway management after induction of general anesthesia should be grounded in a comprehensive assessment of risks and benefits. CASE PRESENTATION: A 41-year old female patient was scheduled for excision of bilateral, mobile, and pedunculated masses on both aryepiglottic folds, which covered almost the entire upper part of the glottis...
March 20, 2024: Perioperative Medicine
https://read.qxmd.com/read/38505438/temporomandibular-joint-ankylosis-anesthetic-challenge
#5
Nikhil Bhalerao, Saely Paunikar, Dnyanshree Wanjari, Sanjot Ninave
Temporomandibular joint ankylosis cases serve as a challenge for both surgeons and anesthesiologists possibly due to the unavailability of resources in remote locations. Distressing issues brought on by its ankylosis include functional as well as esthetic issues such as considerable difficulties in managing the airway, especially in children because of the physiology and structure of their airways being different. Fiberoptic bronchoscopy (FOB) has a well-established role in patients with difficult airways, but it is especially challenging in pediatric patients because of their lack of cooperation and diminished lung reserve...
February 2024: Curēus
https://read.qxmd.com/read/38489935/reliable-prediction-of-difficult-airway-for-tracheal-intubation-from-patient-preoperative-photographs-by-machine-learning-methods
#6
JOURNAL ARTICLE
Fernando García-García, Dae-Jin Lee, Francisco J Mendoza-Garcés, Susana García-Gutiérrez
BACKGROUND: Estimating the risk of a difficult tracheal intubation should help clinicians in better anaesthesia planning, to maximize patient safety. Routine bedside screenings suffer from low sensitivity. OBJECTIVE: To develop and evaluate machine learning (ML) and deep learning (DL) algorithms for the reliable prediction of intubation risk, using information about airway morphology. METHODS: Observational, prospective cohort study enrolling n=623 patients who underwent tracheal intubation: 53/623 difficult cases (prevalence 8...
March 12, 2024: Computer Methods and Programs in Biomedicine
https://read.qxmd.com/read/38481306/a-review-of-the-current-status-and-progress-in-difficult-airway-assessment-research
#7
REVIEW
Haoming Chen, Yuqi Zheng, Qiang Fu, Peng Li
A difficult airway is a situation in which an anesthesiologist with more than 5 years of experience encounters difficulty with intubation or mask ventilation. According to the 2022 American Society of Anesthesiologists Practice Guidelines for the Management of Difficult Airway, difficult airways are subdivided into seven detailed categories. This condition can lead to serious adverse events and therefore must be diagnosed accurately and quickly. In this review, we comprehensively summarize and discuss the different methods used in clinical practice and research to assess difficult airways, including medical history, simple bedside assessment, comprehensive assessment of indicators, preoperative endoscopic airway examination, imaging, computer-assisted airway reconstruction, and 3D-printing techniques...
March 13, 2024: European Journal of Medical Research
https://read.qxmd.com/read/38480633/designing-and-implementing-a-new-icon-based-difficult-airway-cart-a-two-phase-prospective-qualitative-improvement-project
#8
JOURNAL ARTICLE
Aria Lokon, Sabine Nabecker, Christhoper Colvin, Stephanie Venn, Kong Eric You-Ten, Naveed Siddiqui, Fabricio B Zasso
PURPOSE: The difficult airway cart is essential for difficult airway management. Recognition of the importance of human factors in critical scenarios promoted the evolution of the difficult airway cart. Limitation to essential equipment, a structured layout, and proper labelling should be observed. We sought to redesign the difficult airway cart accordingly and analyze how perioperative professionals reacted to it. METHODS: We conducted a two-phase prospective qualitative improvement project involving a multidisciplinary team...
March 13, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38468215/derivation-of-the-difficult-airway-physiological-score-daps-in-adults-undergoing-endotracheal-intubation-in-the-emergency-department
#9
JOURNAL ARTICLE
Shahan Waheed, Junaid Abdul Razzak, Nadeemullah Khan, Ahmed Raheem, Asad Iqbal Mian
BACKGROUND: Prediction of serious outcomes among patients with physiological instability is crucial in airway management. In this study, we aim to develop a score to predict serious outcomes following intubation in critically ill adults with physiological instability by using clinical and laboratory parameters collected prior to intubation. METHOD: This single-center analytical cross-sectional study was conducted in the Emergency Department from 2016 to 2020. The airway score was derived using the transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD) methodology...
March 12, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/38463437/predictive-factors-for-first-pass-intubation-failure-in-trauma-patients
#10
JOURNAL ARTICLE
Katherine Kilkenny, Shea McGrinder, Michael J Najac, Johnathon LeBaron, Pietro Carpenito, Nisha Lakhi
OBJECTIVE: The primary objective of this study was to elucidate risk factors for multiple intubation attempts (MIA) in trauma patients requiring emergent tracheal intubation (ETI). Risk factors for mortality, intensive care unit (ICU) admission, and prolonged ventilation were assessed as secondary outcomes. The association between multiple intubation attempts and adverse outcomes has been well described in the literature. Though previous studies have identified anatomical risk factors for difficult airways, no study to date has investigated predictors for MIA in a trauma setting...
2024: International Journal of General Medicine
https://read.qxmd.com/read/38462998/emergency-front-of-neck-access-in-pediatric-anesthesia-a-narrative-review
#11
REVIEW
Anna-Katharina Haag, Alberto Tredese, Martina Bordini, Alexander Fuchs, Robert Greif, Clyde Matava, Thomas Riva, Tommaso Scquizzato, Nicola Disma
BACKGROUND AND OBJECTIVES: Children undergoing airway management during general anesthesia may experience airway complications resulting in a rare but life-threatening situation known as "Can't Intubate, Can't Oxygenate". This situation requires immediate recognition, advanced airway management, and ultimately emergency front-of-neck access. The absence of standardized procedures, lack of readily available equipment, inadequate knowledge, and training often lead to failed emergency front-of-neck access, resulting in catastrophic outcomes...
March 11, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38461134/comparison-of-laryngeal-mask-airway-seal-between-anesthesiologists-and-individuals-without-previous-airway-experience
#12
JOURNAL ARTICLE
Markus Tannheimer, Martin Reinke, Raimund Lechner
BACKGROUND: Tracheal intubation is the gold standard for airway management in emergency medicine, but more difficult to apply for inexperienced individuals than laryngeal mask airway (LMA). OBJECTIVE: The aim of our study was to investigate if inexperienced individuals are able to secure the airway with the help of LMA after a short introduction. A second aim was to evaluate Thiel-fixed specimens against unfixed ones. METHODS: In a body donor model, LMA application was evaluated between medical students without previous airway experience and anesthesiologists by comparing the sealing of the larynx using a water column applied to the esophagus...
November 30, 2023: Journal of Emergency Medicine
https://read.qxmd.com/read/38453228/tracheal-compression-by-brachiocephalic-arterial-trunk-a-rare-cause-of-failed-endotracheal-intubation
#13
JOURNAL ARTICLE
Rafaela Noversa, Isabel Gouveia, Carla Pinto
Encountering and managing an unanticipated difficult airway are among the many challenges faced by anaesthesiologists. Due to the intimate anatomical relationship between the thoracic vasculature and the trachea, an anatomical variation could potentially lead to airway compression. This clinical case report documents a failed intubation in an adult patient caused by undiagnosed extrinsic tracheal compression from the brachiocephalic arterial trunk, a rare condition. After a thorough investigation and diagnostic clarification, a safe anaesthetic plan following the predictable difficult airway guidelines was established to enable surgery...
March 7, 2024: BMJ Case Reports
https://read.qxmd.com/read/38440569/beyond-the-norm-tracheostomy-s-vital-role-in-unconventional-foreign-body-removal
#14
JOURNAL ARTICLE
Vishak Ms, Adwaith Krishna Surendran, Kalaiarasi Raja
BACKGROUND: Foreign Body Aspiration (FBA) is one of the paediatric emergencies which require timely diagnosis and management. The inherent tendency of children to explore small objects with their mouths often prove to be fatal as they are difficult to remove once aspirated. CASE REPORT: We present the case of a 5-year-old boy who presented with dyspnea and vomiting following the aspiration of a pen cap. Chest radiograph and Rigid Bronchoscopy helped to identify the foreign body but it couldn't be removed by Rigid Bronchoscopy alone due it's wedge-shaped nature...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38435921/anesthetic-management-of-a-broken-tracheostomy-tube-stem-as-a-foreign-body-in-the-trachea-a-case-report
#15
Nisha Jain, Yudhyavir Singh, Abhishek Singh
Tracheostomy is commonly performed in patients to secure the airway. There are known early and late complications related to tracheostomy. Few case reports have described the rupture of the stem of the tracheostomy tube and its migration into the tracheobronchial tree. Here we describe a pediatric case with a broken stem of the tracheostomy tube in the trachea, acting as a foreign body and causing mild respiratory distress. The patient was successfully managed with neck exploration under general anesthesia using a supraglottic airway device in low-resource settings...
January 2024: Curēus
https://read.qxmd.com/read/38427680/awake-tracheal-intubation-in-routine-airway-management-a-retrospective-analysis-in-a-tertiary-centre
#16
JOURNAL ARTICLE
Nina Pirlich, Alexander Berk, Regina Hummel, Irene Schmidtmann, Katharina Epp, Marc Kriege, Eva Wittenmeier
INTRODUCTION: While awake tracheal intubation (ATI) is regarded as the gold standard for difficult airway management according to current guidelines, there seems to be a reluctance in its application. This retrospective cohort study, conducted at a German tertiary hospital over a 2-year period, aimed to demonstrate that integrating awake tracheal intubation using flexible bronchoscopy (ATI:FB) into routine airway management makes it a successful and safe approach. MATERIALS AND METHODS: In 2019 and 2020, records from the data acquisition system (DAQ) and archived anesthesia records were screened to evaluate the specifics of ATI:FB procedures, focusing on overall success and safety...
2024: PloS One
https://read.qxmd.com/read/38425389/large-isolated-fibrous-tumors-in-the-upper-esophagus-a-case-report
#17
Jia-Jia Yu, Huan-Shuang Pei, Yu Meng
BACKGROUND: Solitary fibrous tumors (SFT) are rare spindle cell tumors that are usually benign. A total of 10 cases of SFTs in the upper esophagus have ever been reported. Here, we report the anesthetic management of a patient with a large isolated fibrous tumor of the upper esophagus compressing the tracheal membrane. We also provide a literature review of the current research. CASE SUMMARY: We report the case of a 49 year old male with "cough aggravation and wheezing after exercise", who underwent esophagectomy for a large isolated fibrous tumor compressing the tracheal membrane in the upper esophagus...
February 15, 2024: World Journal of Gastrointestinal Oncology
https://read.qxmd.com/read/38419178/transitions-in-video-laryngoscope-technology-to-improve-first-pass-success
#18
JOURNAL ARTICLE
Brandon Jones, Cassandra Asberry
Prehospital intubation is a high-risk, relatively low frequency procedure. Provider experience plays a key role in first-pass success rates, especially in the setting of a difficult airway. While strong foundational knowledge is necessary to equip providers with an adequate understanding of intubation procedures and the skill set needed to manage a difficult airway, effective equipment may provide an extra boost in first-pass success for novice airway providers. First-pass success is correlated with decreased adverse events and should be maximized in the prehospital setting...
April 2024: Critical Care Nursing Quarterly
https://read.qxmd.com/read/38414645/pediatric-polytrauma-fire-victim-simulation
#19
JOURNAL ARTICLE
Lauren Vrablik, Robyn Wing
INTRODUCTION: Pediatric trauma has long been one of the primary contributors to pediatric mortality. There are multiple cases in the literature involving cyanide (CN) toxicity, carbon monoxide (CO) toxicity, and smoke inhalation with thermal injury, but none in combination with mechanical trauma. METHODS: In this 45-minute simulation case, emergency medicine residents and fellows were asked to manage a pediatric patient with multiple life-threatening traumatic and metabolic concerns after being extracted from a van accident with a resulting fire...
2024: MedEdPORTAL Publications
https://read.qxmd.com/read/38414514/assessment-of-different-indices-as-predictors-of-difficult-airway-in-obese-patients
#20
JOURNAL ARTICLE
Varun Sharma, Himanshu P Yadav, Abhishek Prakash, Namrata Yadav, Mukesh Kumar, Haider Abbas
Introduction Difficulties with tracheal intubation contribute to the morbidity and mortality associated with anesthesia. Suggested predictors for difficult airway include, history of obstructive sleep apnea, high Mallampati score, elderly, male, short neck, and high Wilson score. However, none of these has high diagnostic accuracy particularly in obese population. Parameters used to quantify obesity such as Body Mass Index(BMI), mid arm circumference, skin fold thickness, etc. have not been used as independent predictors of difficult airway...
February 2024: Curēus
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