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Keywords endotracheal intubation compli...

endotracheal intubation complications

https://read.qxmd.com/read/38420373/effect-of-ultrasound-guided-transversus-abdominis-plane-block-in-reducing-atelectasis-after-laparoscopic-surgery-in-children-a-randomized-clinical-trial
#21
JOURNAL ARTICLE
Siyuan Li, Yan Wang, Yunqian Zhang, Hui Zhang, Shenghua Wang, Ke Ma, Lai Jiang, Yanfei Mao
BACKGROUND: Atelectasis is a commonly observed postoperative complication of general anesthesia in children. Pulmonary protective ventilation strategies have been reported to have a beneficial effect on postoperative atelectasis in children. Therefore, the present study aimed to evaluate the efficacy of the ultrasound-guided transversus abdominis plane (TAP) block technique in preventing the incidence of postoperative atelectasis in children. MATERIALS AND METHODS: This study enrolled 100 consecutive children undergoing elective laparoscopic bilateral hernia repair and randomly divided them into the control and TAP groups...
February 29, 2024: Heliyon
https://read.qxmd.com/read/38404646/safety-of-primary-nasotracheal-intubation-in-the-pediatric-intensive-care-unit-picu
#22
JOURNAL ARTICLE
Laurence Ducharme-Crevier, Jamie Furlong-Dillard, Philipp Jung, Fabrizio Chiusolo, Matthew P Malone, Shashikanth Ambati, Simon J Parsons, Conrad Krawiec, Awni Al-Subu, Lee A Polikoff, Natalie Napolitano, Keiko M Tarquinio, Asha Shenoi, Andrea Talukdar, Palen P Mallory, John S Giuliano, Ryan K Breuer, Krista Kierys, Serena P Kelly, Makoto Motomura, Ron C Sanders, Ashley Freeman, Yuki Nagai, Lily B Glater-Welt, Joseph Wilson, Mervin Loi, Michelle Adu-Darko, Justine Shults, Vinay Nadkarni, Guillaume Emeriaud, Akira Nishisaki
BACKGROUND: Nasal tracheal intubation (TI) represents a minority of all TI in the pediatric intensive care unit (PICU). The risks and benefits of nasal TI are not well quantified. As such, safety and descriptive data regarding this practice are warranted. METHODS: We evaluated the association between TI route and safety outcomes in a prospectively collected quality improvement database (National Emergency Airway Registry for Children: NEAR4KIDS) from 2013 to 2020...
2024: Intensive Care Med Paediatr Neonatal
https://read.qxmd.com/read/38385679/a-rare-complication-of-maxillomandibular-advancement-surgery-postoperative-plate-bending-following-emergency-intubation
#23
JOURNAL ARTICLE
Emily Lightfoot, Emilija D Jensen, Sanjaya N Gamage, Andrew H Cheng, Paul J Sambrook
Maxillomandibular advancement surgery is a recognized technique for the management of obstructive sleep apnea. Complications for this surgery are not well-documented in the literature. The authors report an unusual case of mandibular plate bending following unplanned postoperative airway management using an oral endotracheal tube in a 65-year-old male. The bent mandibular plate and airway concern required a return to the theater for the replacement of bent plates and tracheostomy placement. This case documents the importance of multidisciplinary team planning for airway-related surgery as well as the need for multidisciplinary team management of postoperative airway management following orthognathic surgery...
February 22, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38374968/airway-management-in-the-paediatric-difficult-intubation-registry-a-propensity-score-matched-analysis-of-outcomes-over-time
#24
JOURNAL ARTICLE
Mary Lyn Stein, Lina Andrea Sarmiento Argüello, Steven J Staffa, Julia Heunis, Chinyere Egbuta, Stephen G Flynn, Sabina A Khan, Stefano Sabato, Brad M Taicher, Franklin Chiao, Adrian Bosenberg, Angela C Lee, H Daniel Adams, Britta S von Ungern-Sternberg, Raymond S Park, James M Peyton, Patrick N Olomu, Agnes I Hunyady, Annery Garcia-Marcinkiewicz, John E Fiadjoe, Pete G Kovatsis
BACKGROUND: The Paediatric Difficult Intubation Collaborative identified multiple attempts and persistence with direct laryngoscopy as risk factors for complications in children with difficult tracheal intubations and subsequently engaged in initiatives to reduce repeated attempts and persistence with direct laryngoscopy in children. We hypothesised these efforts would lead to fewer attempts, fewer direct laryngoscopy attempts and decrease complications. METHODS: Paediatric patients less than 18 years of age with difficult direct laryngoscopy were enrolled in the Paediatric Difficult Intubation Registry...
March 2024: EClinicalMedicine
https://read.qxmd.com/read/38370564/beneficial-effects-of-low-dose-intravenous-dexmedetomidine-premedication-in-patient-undergoing-laparoscopic-cholecystectomy-under-general-anesthesia-a-prospective-double-blind-randomized-controlled-trial
#25
RANDOMIZED CONTROLLED TRIAL
Longbin Zheng, Tao Fang, Wei Zhang, Xiaojing Zhang, Zhiqiang Ren, Weimin Qin, Wenbo Liang, Qing Ma, Ning Yin
PURPOSE: Dexmedetomidine (Dex) is a potent and highly selective α2-adrenergic receptor agonist. Within an appropriate dose range, Dex can effectively attenuate the surgical stress response, provide intraoperative hemodynamic stability, and improve the patient recovery quality. High-dose Dex can delay patient awakening from anesthesia and increase the incidence of bradycardia. This randomized controlled trial aimed to investigate the effects of low-dose intravenous Dex premedication in patients undergoing laparoscopic cholecystectomy (LC)...
2024: Drug Design, Development and Therapy
https://read.qxmd.com/read/38360346/impact-of-early-tracheostomy-after-lung-transplantation-a-national-analysis
#26
JOURNAL ARTICLE
Nicole Charland, Nikhil Chervu, Saad Mallick, Nguyen Le, Joanna Curry, Amulya Vadlakonda, Peyman Benharash
BACKGROUND: Prolonged mechanical ventilation is common among lung transplant recipients, affecting nearly one-third of patients. Tracheostomy has been shown as a beneficial alternative to endotracheal intubation, but delays in tracheostomy tube placement persist. To date, no large-scale study has investigated the effect of tracheostomy timing on posttransplant outcomes. METHODS: All adults receiving tracheostomy after primary, isolated lung transplantation were identified in the 2016 to 2020 Nationwide Readmissions Database...
February 14, 2024: Annals of Thoracic Surgery
https://read.qxmd.com/read/38357116/using-a-shortened-uncuffed-endotracheal-tube-as-a-nasopharyngeal-airway-a-useful-adjunct-during-fiberoptic-intubation-training-among-anesthesia-residents
#27
JOURNAL ARTICLE
Hosni A Salem, Ayman Aly Rayan, Usama Abotaleb, Essam Shafiq M Abdel-Wahap, Ismail A Elzoughari, Mohammed A Taha Alafifi, Walid Kamal Abdelbasset, Ahmed M Abodonya
BACKGROUND: Fiberoptic intubation (FOI) is considered a beneficial modality used to intubate life-threatening airway patients. This study aims at assessing the effectiveness of shortened uncuffed endotracheal tube as a nasopharyngeal airway during FOI. METHODS: Between January 2019 and March 2021, this prospective randomized controlled trial has enrolled 62 adult patients (56 males and 6 females) with normal airways scheduled for elective oral FOI classified American Society of Anesthesiologists (ASA I-III), their age ranged 20-60 years...
September 2023: African Health Sciences
https://read.qxmd.com/read/38345705/clinical-advantage-of-laryngeal-mask-airway-over-conventional-endotracheal-intubation-during-pulmonary-vein-isolation
#28
EDITORIAL
Naoya Kataoka, Teruhiko Imamura
No abstract text is available yet for this article.
February 12, 2024: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://read.qxmd.com/read/38343674/comparison-of-intubating-conditions-in-supine-sniffing-and-25%C3%A2-back-up-position-using-channelled-and-non-channelled-video-laryngoscopes-a-randomised-controlled-study
#29
JOURNAL ARTICLE
Devyani Desai, Riddhi Sompura, Sudarshan Yadav
BACKGROUND AND AIMS: The 25°back-up position is proposed to increase the efficacy of preoxygenation and provide better tracheal intubating conditions when using a direct laryngoscope. This study aimed to compare the ease of tracheal intubation between supine and 25° back-up positions when using two video laryngoscopes (VLS). METHODS: One hundred adults with normal airways and belonging to the American Society of Anesthesiologists physical status classes I and II, requiring general anaesthesia, were randomised in groups K and M...
December 2023: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38343515/does-apneic-oxygenation-with-nasopharyngeal-cannula-during-intubation-improve-the-oxygenation-in-patients-with-acute-hypoxemic-respiratory-failure-compared-to-the-standard-bag-valve-mask-preoxygenation-an-open-labeled-randomized-control-trial
#30
JOURNAL ARTICLE
Irfan Zubair Shahul Hameed, Darpanarayan Hazra, Priya Ganesan, Abhilash Kundavaram Paul Prabhakar
OBJECTIVES: In the context of acute hypoxemic respiratory failure (AHRF), ensuring effective preoxygenation and apneic oxygenation emerges as the pivotal approach ensuring for averting hypoxemic adverse events during endotracheal intubation. To investigate this, we conducted an open-label randomized controlled trial, aiming to assess the comparative effectiveness of nasopharyngeal high-flow oxygenation in conjunction with Bag-Valve-Mask (BVM) versus standard BVM preoxygenation in patients experiencing AHRF within the emergency department (ED)...
2024: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/38320860/a-comparative-study-to-confirm-the-endotracheal-tube-placement-using-ultrasonography-and-standard-auscultation-method-in-children
#31
JOURNAL ARTICLE
Neha Sinha, Nandita Kad, Mayuri Golhar, Disha Gupta, Anshul Anshul, Prakriti Bishnoi
BACKGROUND: In pediatric patients due to shorter trachea suboptimal positioning of endotracheal tube (ETT) is seen in 20%-50% of patients triggering grave complications. We compared standard auscultation and ultrasound-guided lung sliding to confirm the position of ETT in children. METHODS: Seventy-five pediatric patients between 2-8 years of age, American Society of Anesthesiologists physical status classification I and II scheduled for surgery under general anesthesia with endotracheal intubation were studied...
September 1, 2023: Asian Journal of Anesthesiology
https://read.qxmd.com/read/38314391/tapia-s-syndrome-a-comprehensive-analysis-of-a-rare-intensive-care-associated-complication
#32
Rita Piteira, Diogo Marques, Filipa Carrega, Rita Silvério, Manuela Fera
Tapia's syndrome is a rare complication of airway manipulation, involving the simultaneous paralysis of the hypoglossal nerve and the recurrent laryngeal nerve. The etiological mechanism is commonly attributed to compression or stretching during airway manipulation. An efficient recognition of this condition is pivotal for a comprehensive multidisciplinary approach and optimized recovery time. The presence of persistent dysphagia and dysphonia, coupled with observable deviation or restriction of tongue movement, not only after oral endotracheal intubation for surgical interventions with general anesthesia but also after a prolonged orotracheal intubation period in the intensive care, should heighten the suspicion of this syndrome...
February 2024: Curēus
https://read.qxmd.com/read/38305632/randomized-controlled-trial-to-evaluate-the-rate-of-successful-neonatal-endotracheal-intubation-performed-with-a-stylet-versus-without-a-stylet
#33
JOURNAL ARTICLE
Shailesh Solanki, Shivani Dogra, Pramod K Gupta, Nitin J Peters, Muneer A Malik, J K Mahajan
INTRODUCTION: Neonates in intensive care units often require endotracheal intubation and mechanical ventilation. During this intubation procedure, a stylet is frequently used along with an endotracheal tube. Despite the widespread use of a stylet, it is still not known whether its use increases the intubation success rate. This study examined the association between stylet use and the intubation success rate in surgical neonates. METHODOLOGY: This single-center study was conducted between December 2021 and December 2022 in the Neonatal surgical intensive care unit of a tertiary care center in Northern India...
February 2, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38296037/nasal-intubation-is-not-associated-with-smoother-emergence-from-general-anesthesia-for-carotid-endarterectomy-a-case-cohort-study
#34
JOURNAL ARTICLE
Christopher R Parrino, Ashanpreet Grewal, Miranda Gibbons, Shahab A Toursavadkohi, Peter Rock, Megan G Anders
BACKGROUND: Postoperative hematoma after carotid endarterectomy (CEA) is a devastating complication and may be more likely in patients with uncontrolled hypertension and coughing on emergence from anesthesia. We sought to determine if intubation with a nasal endotracheal tube (ETT)-instead of an oral ETT-is associated with "smoother" (i.e., less hemodynamic instability) emergence from general anesthesia for CEA. METHODS: Patients receiving CEA between December 2015 and September 2021 at a single tertiary academic medical center were included...
January 29, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38281994/follow-up-short-and-long-term-mortalities-of-tracheostomized-critically-ill-patients-in-an-italian-multi-center-observational-study
#35
JOURNAL ARTICLE
Maria Vargas, Denise Battaglini, Massimo Antonelli, Ruggero Corso, Giulio Frova, Guido Merli, Flavia Petrini, Marco V Ranieri, Massimiliano Sorbello, Ida Di Giacinto, Pierpaolo Terragni, Iole Brunetti, Giuseppe Servillo, Paolo Pelosi
The effects of tracheostomy on outcome as well as on intra or post-operative complications is yet to be defined. Admission of patients with tracheostomy to rehabilitation facility is at higher risk of suboptimal care and increased mortality. The aim of the study was to investigate ICU mortality, clinical outcome and quality of life up to 12 months after ICU discharge in tracheostomized critically ill patients. This is a prospective, multi-center, cohort study endorsed by Italian Society of Anesthesia, Analgesia, Reanimation, and Intensive Care (SIAARTI Prot...
January 28, 2024: Scientific Reports
https://read.qxmd.com/read/38276056/topical-anaesthesia-using-a-soft-mist-spray-device-allows-comfortable-awake-visualisation-of-the-airway-via-self-videolaryngoscopy-in-volunteers
#36
JOURNAL ARTICLE
Hielke Markerink, Geert-Jan van Geffen, Jörgen Bruhn
Background : During endotracheal intubation, there is a 10% incidence of difficult laryngoscopy, which may result in serious complications. It is important to obtain as much information about the visibility of laryngeal structures before the patient is anaesthetised. Performing awake (video-) laryngoscopy on a patient is uncomfortable and can trigger gagging and coughing reflexes, making visualisation nearly impossible. The objective of this study is to evaluate the effectiveness of a soft mist spray device for airway anaesthesia during awake (video-) laryngoscopy...
January 19, 2024: Medicina
https://read.qxmd.com/read/38270186/tenecteplase-associated-orolingual-angioedema-a-case-report-and-literature-review
#37
JOURNAL ARTICLE
Jeffrey K Pitts, Dylan M Burns, Kevin R Patellos
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: Orolingual angioedema (OA) secondary to administration of thrombolytic therapy is a rare, but serious, known adverse effect...
January 25, 2024: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/38264400/residual-neuromuscular-blockade-and-postoperative-pulmonary-complications-in-the-post-anesthesia-care-unit-a-prospective-observational-study
#38
JOURNAL ARTICLE
Buthaina A Bucheery, Hasan M Isa, Owais Rafiq, Nada Abdulrahman Almansoori, Zaina Abdulsatar Abdul Razaq, Zeana A Gawe, Jihad Ali Almoosawi
Background Neuromuscular blocking agents (NMBAs) are employed during general anesthesia induction for endotracheal intubation and to facilitate specific surgeries requiring muscle relaxation. However, residual neuromuscular blockade (RNMB) can lead to respiratory complications in post-anesthesia care units (PACUs). This study investigates RNMB incidence in PACUs and its association with postoperative airway and respiratory issues. Methods A prospective observational study on patients undergoing general anesthesia with NMBAs was conducted at the Department of Anesthesia, Salmaniya Medical Complex, Bahrain, over six months (April to September 2023)...
December 2023: Curēus
https://read.qxmd.com/read/38264200/post-extubation-assessment-of-laryngeal-symptoms-and-severity-palss-in-the-intensive-care-unit-protocol-of-a-prospective-cohort-study
#39
JOURNAL ARTICLE
Vinciya Pandian, Sai Phani Sree Cherukuri, Mounica Koneru, Vidyadhari Karne, Farbod Zahedi Tajrishi, Swetha Aloori, Pooja Kota, Victor Dinglas, Elizabeth Colantuoni, Lee Akst, Alexander T Hillel, Dale M Needham, Martin B Brodsky
AIMS: The Post-extubation Assessment of Laryngeal Symptoms and Severity (PALSS) study systematically evaluates patient symptoms related to endotracheal intubation with mechanical ventilation, assesses laryngeal injury and voice function after extubation, and develops a screening tool to identify patients with clinically important, post-extubation laryngeal injury. DESIGN: Single-center, prospective observational cohort study conducted in 6 intensive care units (ICU)...
2024: ORL-head and Neck Nursing: Official Journal of the Society of Otorhinolaryngology and Head-Neck Nurses
https://read.qxmd.com/read/38256304/monitored-anesthesia-care-in-minimally-invasive-spine-surgery-a-retrospective-case-series-study
#40
JOURNAL ARTICLE
Hyo Jin Kim, Seongho Park, Yunhee Lim, Si Ra Bang
Background and Objectives: Minimally invasive spine surgery (MISS) under monitored anesthesia care (MAC) has emerged as a treatment modality for spinal radiculopathy. It is essential to secure the airway and guarantee spontaneous respiration without endotracheal intubation during MISS in a prone position. Materials and Methods: To evaluate the feasibility and safety of MAC with dexmedetomidine during MISS, we retrospectively reviewed clinical cases. A retrospective review of medical records was conducted between September 2015 and June 2016...
December 26, 2023: Medicina
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