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Airway papers

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34 papers 25 to 100 followers
By Scott Bentley General Practitioner / GP Anaesthetist in Australia.
https://www.readbyqxmd.com/read/27842751/noninvasive-ventilation
#1
REVIEW
Giuseppe Bello, Gennaro De Pascale, Massimo Antonelli
Noninvasive ventilation (NIV) has assumed a prominent role in the treatment of patients with both hypoxemic and hypercapnic acute respiratory failure (ARF). The main theoretic advantages of NIV include avoiding side effects and complications associated with endotracheal intubation, improving patient comfort, and preserving airway defense mechanisms. Factors that affect the success of NIV in patients with ARF are clinicians' expertise, selection of patient, choice of interface, selection of ventilator setting, proper monitoring, and patient motivation...
December 2016: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/27468737/emergency-surgical-airway-management-in-denmark-a-cohort-study-of-452-461-patients-registered-in-the-danish-anaesthesia-database
#2
C V Rosenstock, A K Nørskov, J Wetterslev, L H Lundstrøm
BACKGROUND: The emergency surgical airway (ESA) is the final option in difficult airway management. We identified ESA procedures registered in the Danish Anaesthesia Database (DAD) and described the performed airway management. METHODS: We extracted a cohort of 452 461 adult patients undergoing general anaesthesia and tracheal intubation from the DAD from June 1, 2008 to March 15, 2014. Difficult airway management involving an ESA was retrieved for analysis and compared with hospitals files...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27432055/ultrasonographic-identification-of-the-cricothyroid-membrane-best-evidence-techniques-and-clinical-impact
#3
M S Kristensen, W H Teoh, S S Rudolph
Inability to identify the cricothyroid membrane by inspection and palpation contributes substantially to the high failure rate of cricothyrotomy. This narrative review summarizes the current evidence for application of airway ultrasonography for identification of the cricothyroid membrane compared with the clinical techniques. We identified the best-documented techniques for bedside use, their success rates, and the necessary training for airway-ultrasound-naïve clinicians. After a short but structured training, the cricothyroid membrane can be identified using ultrasound in difficult patients by previously airway-ultrasound naïve anaesthetists with double the success rate of palpation...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27342820/understanding-preoxygenation-and-apneic-oxygenation-during-intubation-in-the-critically-ill
#4
Jarrod M Mosier, Cameron D Hypes, John C Sakles
No abstract text is available yet for this article.
June 24, 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27207773/need-to-consider-human-factors-when-determining-first-line-technique-for-emergency-front-of-neck-access
#5
EDITORIAL
A Timmermann, N Chrimes, C A Hagberg
No abstract text is available yet for this article.
July 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27206565/gabapentin-for-the-hemodynamic-response-to-intubation-systematic-review-and-meta-analysis
#6
Brett Doleman, Matthew Sherwin, Jonathan N Lund, John P Williams
PURPOSE: Endotracheal intubation is the gold standard for securing the airway before surgery. Nevertheless, this procedure can produce an activation of the sympathetic nervous system and result in a hemodynamic response which, in high-risk patients, may lead to cardiovascular instability and myocardial ischemia. The aim of this review was to evaluate whether gabapentin can attenuate this response and whether such an attenuation could translate into reduced myocardial ischemia and mortality...
September 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27199142/bet-2-should-real-resuscitationists-use-airway-checklists
#7
Gareth Hardy, Daniel Horner
A short cut review was carried out to establish whether the use of preprocedural checklists prior to intubation of critically ill patients outside a theatre environment can reduce the incidence of adverse events. Four directly relevant papers were found using the reported search strategy and presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated...
June 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26556850/difficult-airway-society-2015-guidelines-for-the-management-of-unanticipated-difficult-intubation-in-adults-not-just-another-algorithm
#8
EDITORIAL
C A Hagberg, Joseph C Gabel, R T Connis
No abstract text is available yet for this article.
December 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26556848/difficult-airway-society-2015-guidelines-for-management-of-unanticipated-difficult-intubation-in-adults
#9
COMMENT
C Frerk, V S Mitchell, A F McNarry, C Mendonca, R Bhagrath, A Patel, E P O'Sullivan, N M Woodall, I Ahmad
These guidelines provide a strategy to manage unanticipated difficulty with tracheal intubation. They are founded on published evidence. Where evidence is lacking, they have been directed by feedback from members of the Difficult Airway Society and based on expert opinion. These guidelines have been informed by advances in the understanding of crisis management; they emphasize the recognition and declaration of difficulty during airway management. A simplified, single algorithm now covers unanticipated difficulties in both routine intubation and rapid sequence induction...
December 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26253608/optimizing-oxygenation-and-intubation-conditions-during-awake-fibre-optic-intubation-using-a-high-flow-nasal-oxygen-delivery-system
#10
S Badiger, M John, R A Fearnley, I Ahmad
BACKGROUND: Awake fibre-optic intubation is a widely practised technique for anticipated difficult airway management. Despite the administration of supplemental oxygen during the procedure, patients are still at risk of hypoxia because of the effects of sedation, local anaesthesia, procedural complications, and the presence of co-morbidities. Traditionally used oxygen-delivery devices are low flow, and most do not have a sufficient reservoir or allow adequate fresh gas flow to meet the patient's peak inspiratory flow rate, nor provide an adequate fractional inspired oxygen concentration to prevent desaturation should complications arise...
October 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/25308899/a-dual-use-laryngoscope-to-facilitate-apneic-oxygenation
#11
COMPARATIVE STUDY
Thomas Mitterlechner, Holger Herff, Christian W Hammel, Patrick Braun, Peter Paal, Volker Wenzel, Arnulf Benzer
BACKGROUND: In preoxygenated patients, time until oxygen saturation drops can be extended by insufflating oxygen into their airways, thus oxygenating them apneically. OBJECTIVES: To compare different methods of apneic oxygenation. METHODS: A noncommercial dual-use laryngoscope with an internal lumen in its blade was used to provide oxygen insufflation into a simulated laryngeal space during intubation. In this experimental study, oxygen insufflation via the dual-use laryngoscope was compared with no oxygen insufflation, with nasal oxygen insufflation, and with direct intratracheal oxygen insufflation...
January 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/20237045/rapid-sequence-induction-and-intubation-current-controversy
#12
REVIEW
Mohammad El-Orbany, Lois A Connolly
The changing opinion regarding some of the traditional components of rapid sequence induction and intubation (RSII) creates wide practice variations that impede attempts to establish a standard RSII protocol. There is controversy regarding the choice of induction drug, the dose, and the method of administration. Whereas some prefer the traditional rapid injection of a predetermined dose, others use the titration to loss of consciousness technique. The timing of neuromuscular blocking drug (NMBD) administration is different in both techniques...
May 1, 2010: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/22050948/preoxygenation-and-prevention-of-desaturation-during-emergency-airway-management
#13
REVIEW
Scott D Weingart, Richard M Levitan
Patients requiring emergency airway management are at great risk of hypoxemic hypoxia because of primary lung pathology, high metabolic demands, anemia, insufficient respiratory drive, and inability to protect their airway against aspiration. Tracheal intubation is often required before the complete information needed to assess the risk of periprocedural hypoxia is acquired, such as an arterial blood gas level, hemoglobin value, or even a chest radiograph. This article reviews preoxygenation and peri-intubation oxygenation techniques to minimize the risk of critical hypoxia and introduces a risk-stratification approach to emergency tracheal intubation...
March 2012: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/22775371/extubation-guidelines-use-of-airway-exchange-catheters
#14
LETTER
J Law, L Duggan
No abstract text is available yet for this article.
August 2012: Anaesthesia
https://www.readbyqxmd.com/read/22594423/strategy-for-suspected-difficult-extubation-algorithm-and-the-role-of-laryngeal-mask-airway-fiberoptic-bronchoscope-and-airway-exchange-catheter
#15
LETTER
Qi Li, Rong-hua Zhou, Jin Liu, Lin Rao
No abstract text is available yet for this article.
June 2012: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/20649922/re-intubation-over-airway-exchange-catheters-mind-the-gap
#16
LETTER
A Higgs, C Swampillai, R Dravid, V Mitchell, A Patel, M Popat
No abstract text is available yet for this article.
August 2010: Anaesthesia
https://www.readbyqxmd.com/read/10443594/airway-exchange-catheters-simple-concept-potentially-great-danger
#17
EDITORIAL
J L Benumof
No abstract text is available yet for this article.
August 1999: Anesthesiology
https://www.readbyqxmd.com/read/21831436/endotracheal-tube-exchangers-should-we-look-for-safer-alternatives
#18
Kassem Harris, Michel Chalhoub, Rabih Maroun, Dany Elsayegh
Endotracheal tube exchange is considered a simple procedure, performed in cases of endotracheal tube malfunction. It usually involves the use of airway exchange catheters (AECs). The procedure, however, can lead to major complications that require prompt intervention for optimal outcomes. We report on a case of endotracheal tube exchange with AECs complicated by pneumothorax, without evidence of tracheal or bronchial injury demonstrable via bronchoscopy. Increasing rates of AEC-related complications highlight the need for alternative methods to exchange malfunctioning endotracheal tubes safely...
January 2012: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/19138914/poor-performance-of-the-pediatric-airway-exchange-catheter-in-adults-with-cervical-spine-immobilization
#19
RANDOMIZED CONTROLLED TRIAL
Duk-Kyung Kim, Hae-Kyoung Kim, Kyoung-Min Lee, Hwa-Yong Shin, Jae-Sung Ryu
PURPOSE: Use of a pediatric airway exchange catheter (PAEC) has been advocated as a potentially useful adjunct for difficult extubations. We evaluated the laryngeal passing ability of a tracheal tube over a PAEC and compared its success rate between adult patients in the sniffing position and adult patients with simulated cervical spine immobilization created using a manual in-line axial stabilization (MIAS) technique. METHODS: A total of 100 adult patients were randomized into two groups of equal size with respect to position during the simulated reintubation trial: the MIAS position (Group M) and the sniffing position (Group S)...
November 2008: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/9187190/a-prospective-study-of-the-safety-of-tracheal-extubation-using-a-pediatric-airway-exchange-catheter-for-patients-with-a-known-difficult-airway
#20
E P Loudermilk, M Hartmannsgruber, D P Stoltzfus, P B Langevin
STUDY OBJECTIVE: To determine the usefulness of routinely inserting a hollow airway exchange catheter (jet stylet) prior to tracheal extubation of adult patients with risk factors for difficult tracheal intubation. DESIGN: Prospective, 1-year study of 40 consecutive patients undergoing mechanical ventilation who had one or more risk factors for difficult tracheal reintubation. SETTING: Surgical ICU of a tertiary university medical center. INTERVENTIONS: Study patients at risk for difficult tracheal reintubation were extubated using a No...
June 1997: Chest
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