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https://www.readbyqxmd.com/read/27909549/patients-presenting-for-colonoscopy-a-great-opportunity-to-screen-for-sleep-apnea
#1
Glenn Harvin, Eslam Ali, Amit Raina, William Leland, Sabeen Abid, Zahid Vahora, Hossein Movahed, Sumyra Kachru, Rick Tee
AIM: To discover the prevalence and the feasibility of screening for obstructive sleep apnea (OSA) in patients presenting for routine colonoscopy. METHODS: Adult patients having a colonoscopy for routine indications at our outpatient endoscopy center were eligible if they did not carry a diagnosis of OSA or had not had a prior sleep study. All patients were administered the Berlin questionnaire prior to the procedure. Mallampati, neck circumference, height, weight, and BMI were obtained for each patient...
November 16, 2016: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27871543/soft-palate-trauma-induced-during-glidescope-intubation
#2
Joseph P Allencherril, Linda Joseph
The GlideScope (GVL; Saturn Biomedical Systems, Burnaby, British Columbia, Canada) is a rigid indirect video laryngoscope device that facilitates exposure of the larynx for placement of the endotracheal tube. This blade also reduces the requirement for anterior displacement of the tongue. A unique feature is the acutely angled blade which provides an improved glottic view. Herein, we present 2 instances of soft palate trauma, a rare oropharyngeal complication linked to GlideScope use. In the first case, the GlideScope was used for pedagogical purposes for intubation in a knee surgery...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27871540/comparison-of-the-effects-of-truview-pcd%C3%A2-video-laryngoscopy-and-macintosh-blade-direct-laryngoscopy-in-geriatric-patients
#3
Muhammed M Kurnaz, Aykut Sarıtaş
STUDY OBJECTIVE: To compare the effects of Truview PCD™ video laryngoscopy (TVL) and Macintosh blade direct laryngoscopy (MDL) on hemodynamic responses observed during laryngoscopy and orotracheal intubation conditions in geriatric patients. DESIGN: Randomized prospective study. SETTING: Operating room. PATIENTS: One hundred patients in the risk group American Society of Anesthesiologists I to III aged 65 years and older underwent elective surgery under general anesthesia...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27866310/prediction-of-difficult-laryngoscopy-using-spirometry-a-pilot-study
#4
Serkan Dogru, Tugba Karaman, Aynur Sahin, Hakan Tapar, Serkan Karaman, Semih Arici, Mustafa Suren, Ziya Kaya, Battal Tahsin Somuk
Prediction of difficult laryngoscopy is still the uncovered secret of anesthetic practice. This pilot study is aimed to assess the efficacy of spirometry measurements in predicting difficult laryngoscopy compared with conventional airway assessment techniques. We enrolled 202 adults, ages 18-40 years, with an American Society of Anaesthesiologists score of I or II, scheduled for elective surgery and undergoing general anesthesia. Spirometry was used for lung capacity measurements before the operation. The Mallampati classification, neck circumference, sternomental distance, thyromental distance, maximum mouth-opening measurement, and upper lip bite test of the subjects were measured...
November 19, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/27863436/chemotherapy-plus-dendritic-cells-co-cultured-with-cytokine-induced-killer-cells-versus-chemotherapy-alone-to-treat-advanced-non-small-cell-lung-cancer-a-meta-analysis
#5
Cuiling Zhou, Donglan Liu, Jie Li, Huanhuan Sun, Xiaobin Zheng, Shuncong Wang, Guobin Hong, Saradhi Mallampati, Hongliu Sun, Xiuling Zhou, Zhibin Cheng, Hongyu Zhang, Haiqing Ma
This study was aimed to investigate the efficacy and safety of the combination treatment of dendritic cells co-cultured with cytokine-induced killer cells and chemotherapy for patients with advanced non-small-cell lung cancer (NSCLC). Literatures were searched from the Cochrane Library Central, PubMed, Web of Science and EMBASE. The primary endpoint of interest was overall survival (OS), and secondary endpoints were disease control rate (DCR) and progression free survival (PFS). Finally 7 trials published between January 2005 and March 2016 met inclusion criteria and totally 610 patients were enrolled...
November 16, 2016: Oncotarget
https://www.readbyqxmd.com/read/27802127/hybrid-zero-valent-iron-zvi-h2o2-oxidation-process-for-landfill-leachate-treatment-with-novel-nano-size-metallic-calcium-iron-composite
#6
Son Dong Lee, Srinivasa Reddy Mallampati, Byoung Ho Lee
A novel nano-size metallic calcium/iron dispersed reagent was synthesized and tested as coagulant/catalyst in hybrid zero valent iron (ZVI)/H2O2 oxidation process to treat leachate. Two different types of leachates, one from municipal solid waste (MSW) tipping hall (MSWIL) and second from MSW landfill site (MSWLL) were collected and characterized. The morphology, elemental composition and mineral phases of the nano-Ca/CaO and nano-Fe/Ca/CaO were characterized by SEM-EDS and XRD analysis. The coagulation process with 2...
November 1, 2016: Journal of the Air & Waste Management Association
https://www.readbyqxmd.com/read/27726001/-perioperative-adverse-respiratory-events-in-overweight-and-obese-children
#7
J Ulrici, G Hempel, M Sasse, J Vollrath, C Höhne
BACKGROUND: Overweight and obesity are increasing problems in pediatric anesthesia. This observational study was designed to examine how airway-related complications occur in overweight children and adolescents during general anesthesia and if this is a relevant problem in Germany. METHODS: From October 2008 until August 2009, at the university clinic in Leipzig, 504 in- and outpatients, aged 2-18 years, ASA I-III, undergoing elective procedures (ENT and pediatric surgery), were observed...
October 10, 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27720460/palatal-procedures-for-obstructive-sleep-apnea
#8
Kathleen Yaremchuk
Uvulopalatopharyngoplasty was the first surgical procedure described, other than tracheostomy, for the treatment of obstructive sleep apnea (OSA) in 1981. It was recognized then that there were responders who were cured of OSA with the procedure and others that were not. It took many years for a staging system to be described that categorized patients based on Mallampati score, tonsil size, and body mass index to better predict success rates. It was recognized that individuals with retro-palatal obstruction as the cause of the airway obstruction responded well but that the morbidity associated with the inpatient procedure was often problematic...
October 6, 2016: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/27716227/modified-mallampati-classification-in-determining-the-success-of-unsedated-transesophageal-echocardiography-procedure-in-patients-with-heart-disease-simple-but-efficient
#9
Jureerat Khongkaew, Dujdao Sahasthas, Tharrittawadha Potat, Phatchara Thammawirat
BACKGROUND: The transesophageal echocardiograhpy (TEE) has been studied worldwide. However, identifying additional factors on top of operator's experience and patient's cooperation which could influence the success of the procedure in unsedated patients with heart disease  is not well documented. METHODS: Under the cross-sectional descriptive design, 85 target patients were fulfilling the criteria: being Thai national at the age of at least 20-year-old, being performed TEE by the study participant's cardiologists, being able to communicate verbally...
October 5, 2016: Cardiovascular Ultrasound
https://www.readbyqxmd.com/read/27697130/lack-of-national-consensus-in-preoperative-airway-assessment
#10
Anders K Nørskov, Charlotte V Rosenstock, Lars H Lundstrøm
INTRODUCTION: Difficult airway management is associated with an increased risk of morbidity and mortality. Several preoperative risk factors associated with airway management difficulties have been proposed; however, no clear guideline for airway assessments exists. We therefore hypothesised that Danish airway assessment was lacking uniformity. We aimed to examine whether multivariable risk assessment tools and predictors for difficult intubation and mask ventilation were used systematically...
October 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27687435/king-vision-video-laryngoscope-versus-lightwand-as-an-intubating-device-in-adult-patients-with-mallampatti-grade-iii-and-iv-patients
#11
Shadab Kamal, Qazi Ehsan Ali, Syed Hussain Amir, Sarfaraz Ahmed, Krochi Pal
STUDY OBJECTIVE: Anticipated and unanticipated difficult airways are often encountered by anesthesiologists in their clinical practice. There are various devices available in such situations. We aim to compare King Vision video laryngoscope and Lightwand for their performance as an intubating device in predicted difficult intubation. DESIGN: Prospective, randomized, single blind study. SETTING: Jawaharlal Nehru Medical College. PATIENTS: Sixty ASA 1 and 2 with Mallampati grade III and IV...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27619965/development-of-hydrophobicity-and-selective-separation-of-hazardous-chlorinated-plastics-by-mild-heat-treatment-after-pac-coating-and-froth-flotation
#12
Nguyen Thi Thanh Truc, Chi-Hyeon Lee, Byeong-Kyu Lee, Srinivasa Reddy Mallampati
Polyvinyl chloride (PVC) containing chlorine can release highly toxic materials and persistent organic pollutants if improperly disposed of. The combined technique of powder activated carbon (PAC) coating and mild heat treatment has been found to selectively change the surface hydrophobicity of PVC, enhancing its wettability and thereby promoting its separation from heavy plastic mixtures included polycarbonate (PC), polymethyl methacrylate (PMMA), polystyrene (PS) and acrylonitrile butadiene styrene (ABS) by means of froth flotation...
September 7, 2016: Journal of Hazardous Materials
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...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27595264/sedation-for-bronchoscopy-and-complications-in-obese-patients
#14
Irtaza Khan, Arjun B Chatterjee, Christina R Bellinger, Edward Haponik
BACKGROUND: Bronchoscopy is a safe and minimally invasive diagnostic tool, but no studies have reported prospectively on sedation and outcomes in patients with objectively defined obesity. OBJECTIVES: The purpose of the study is to determine if obese patients require more sedation or had more procedural complications during bronchoscopy under moderate sedation than non-obese patients. METHODS: We evaluated complications and sedation requirements in non-obese versus obese patients, defined by multiple criteria including body mass index (BMI), neck circumference, abdominal height, and Mallampati scores...
2016: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/27592722/a-predictive-test-for-difficult-intubation-in-laryngeal-microsurgery-validation-study
#15
I Belda, M A Ayuso, X Sala-Blanch, M Luis, R Bergé
BACKGROUND: In 2003 a simple test to detect difficult intubation (DI) in patients underwent laryngeal microsurgery was described. The present study was conducted to validate the test. METHODS: Patients with laryngeal disease scheduled for laryngeal microsurgery were included. The variables evaluated were eleven parameters: Mallampati Score ≥III, thyromental distance <6.5cm, mouth opening <40mm, limitation of the temporomandibular joint, pathological dentition, arched paladet, maxillary deficiency, neck mobility <90°, body mass index, symptoms of laryngeal dysfunction, and tumour of supraglottic region...
September 1, 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/27573514/does-body-mass-index-reduction-by-bariatric-surgery-affect-laryngoscopy-difficulty-during-subsequent-anesthesia
#16
Mordechai Shimonov, Pinhas Schechter, Mona Boaz, Ronen Waintrob, Tiberiu Ezri
BACKGROUND: The effect of body mass index (BMI) reduction following bariatric surgery on subsequent airway management has not been investigated. This study aimed to investigate the association between BMI reduction and airway assessment and management measured by Mallampati class (MC) and laryngoscopy grade (LG). METHODS: We conducted a retrospective study over 6 years to compare the BMI changes, MC and LG in patients having weight reduction bariatric surgery followed by subsequent surgery...
August 29, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27566788/a-comparison-of-the-mallampati-evaluation-in-neutral-or-extended-cervical-spine-positions-a-retrospective-observational-study-of-80-000-patients-british-journal-of-anaesthesia-2016-116-5-690-8-doi-10-1093-bja-aew056
#17
D W Healy, E J LaHart, E E Peoples, E S Jewell, R J Bettendorf, S K Ramachandran, M Kleine-Brueggeney, R Greif, P Schoettker, G L Savoldelli, S Nabecker, L G Theiler
No abstract text is available yet for this article.
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27563608/retrospective-evaluation-of-airway-management-with-blind-awake-intubation-in-temporomandibular-joint-ankylosis-patients-a-review-of-48-cases
#18
Duraiswamy Sankar, Radhika Krishnan, Muthusubramanian Veerabahu, Bhaskara Pandian Vikraman, J A Nathan
AIM: The aim was to determine the morbidity or mortality associated with the blind awake intubation technique in temporomandibular ankylosis patients. SETTINGS AND DESIGN: A total of 48 cases with radiographically and clinically confirmed cases of temporomandibular joint (TMJ) ankylosis were included in the study for evaluation of anesthetic management and its complications. MATERIALS AND METHODS: Airway assessment was done with standard proforma including Look externally, evaluate 3-3-2 rule, Mallampati classification, Obstruction, Neck mobility (LEMON) score assessment in all TMJ ankylosis patients...
January 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/27562813/dual-mechanochemical-immobilization-of-heavy-metals-and-decomposition-of-halogenated-compounds-in-automobile-shredder-residue-using-a-nano-sized-metallic-calcium-reagent
#19
Srinivasa Reddy Mallampati, Byoung Ho Lee, Yoshiharu Mitoma, Cristian Simion
Simultaneous immobilization of heavy metals and decomposition of halogenated organic compounds in different fractions of automobile shredder residue (ASR) were achieved with a nano-sized metallic calcium through a 60-min ball milling treatment. Heavy metal (HM) immobilization and chlorinated/brominated compound (CBC) decomposition efficiencies both reached 90-100 %, after ball milling with nanometallic calcium/calcium oxide (Ca/CaO) dispersion, regardless of ASR particle size (1.0, 0.45-1.0, and 0.250 mm)...
August 26, 2016: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/27555135/airway-risk-factors-for-the-miller-laryngoscope-blade
#20
William B Landry, Bobby D Nossaman
STUDY OBJECTIVE: The purpose of this study was to analyze previously reported airway risk factors in the performance of Miller laryngoscopy and orotracheal intubation. DESIGN: Prospective, observational study. SETTING: Operating rooms. PATIENTS: A total of 978 American Society of Anesthesiologists I-III adults requiring general orotracheal anesthesia for elective surgery. INTERVENTIONS: None. MEASUREMENTS: Nine previously reported airway risk factors used in predicting difficult laryngoscopy, modified McCormack-Lehane views observed during initial unaided Miller blade laryngoscopy, and number of attempts or need for alternate airway tools to facilitate orotracheal intubation...
September 2016: Journal of Clinical Anesthesia
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