Consider an additional pressure‐relief port before we abandon the use of the wall oxygen through a bronchoscope

Source: Pediatric Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research

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Vaishali Waindeskar, Anuj JainJournal of Anaesthesiology Clinical Pharmacology 2020 36(1):131-133
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
ConclusionENB is a safe diagnostic procedure in an everyday setting with an acceptable diagnostic yield that offers a possibility to diagnose pulmonary nodules in patients for whom other diagnostic procedures are too hazardous or have proven unsuccessful.
Source: The Clinical Respiratory Journal - Category: Respiratory Medicine Authors: Tags: ORIGINAL ARTICLE Source Type: research
Publication date: Available online 11 February 2020Source: Trends in Anaesthesia and Critical CareAuthor(s): Marc Kriege, Jan Dalberg, Brendan A. McGrath, Alexander Shimabukuro-Vornhagen, Björn Billgren, Thomas Kromann Lund, Klaus Thornberg, Alice Vangerschov Christophersen, Mark J.G. DunnAbstractBackgroundFlexible endoscopes have been well established for diagnostic and therapeutic interventions in critically ill patients. The purpose of this study was to compare the utility between the novel aScope 4 Broncho and the standard bronchoscope in a non-interventional study.MethodsIn a prospective multicentre study, we eva...
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
ConclusionThe 1% tetracaine hydrochloride injection pure liquid aerosol inhalation combined with oral administration of dyclonine hydrochloride mucilage as upper airway anesthesia is effective and safe for bronchoscopy. This method of local anesthesia is worthy of clinical application.
Source: The Clinical Respiratory Journal - Category: Respiratory Medicine Authors: Tags: ORIGINAL ARTICLE Source Type: research
Authors: Bhalotra AR PMID: 32008276 [PubMed - as supplied by publisher]
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
Publication date: Available online 22 January 2020Source: Journal of Pharmacological SciencesAuthor(s): Marta Joskova, Peter Durdik, Martina Sutovska, Marian Grendar, Dusan Koniar, Libor Hargas, Peter Banovcin, Sona FranovaAbstractThere is no direct evidence for the exact cilia-inhibitory effects of opioids, which are generally used to achieve general anesthesia in combination with other anesthetic drugs. These are the reasons, why we analysed direct concentration-dependent or systemic effects of anesthetics (propofol, sufentanil, and midazolam) at a recommended doses administered individually or simultaneously on the trac...
Source: Journal of Pharmacological Sciences - Category: Drugs & Pharmacology Source Type: research
uel M Abstract PURPOSE: Patient characteristics associated with difficult tracheal intubation using a flexible bronchoscope (FB) under general anesthesia have not been prospectively evaluated. This observational study aimed to identify demographic and morphologic factors associated with difficult FB intubation. METHODS: We recruited 420 adult elective surgery patients undergoing tracheal intubation during general anesthesia. Patients characteristics were recorded including age, sex, weight, height, body mass index, American Society of Anesthesiologists physical status, history of snoring, obstructive sleep ap...
Source: Canadian Journal of Anaesthesia - Category: Anesthesiology Authors: Tags: Can J Anaesth Source Type: research
Authors: Gu W, Xu M, Lu H, Huang Q, Wu J Abstract Background: Dexmedetomidine plus opioid infusion after topical anaesthesia with nebulized lidocaine for cough suppression is a commonly used method for flexible bronchoscopy. Recently, the use of dexmedetomidine as an additive to local anaesthetics has been reported to have several advantages over conventional intravenous administration. However, there are no data regarding the use of nebulized dexmedetomidine-lidocaine for topical anaesthesia as a premedication for flexible bronchoscopy. Therefore, this study compared the tolerability and safety of nebulized dexmed...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
ConclusionsWe report the development and evaluation of a CNN that can identify and classify airway anatomy in real time. This neural network demonstrates high performance. The availability of artificial intelligence may improve airway management and bronchoscopy by helping to identify key anatomy real time. Thus, potentially improving performance and outcomes during these procedures. Further, this technology may theoretically be extended to the settings of airway pathology or airway management in the hands of experienced providers. The researchers in this study are exploring the performance of this neural network in clinical trials.
Source: Journal of Medical Systems - Category: Information Technology Source Type: research
We report a case of an adult former smoker without pulmonary symptoms who underwent robotic-assisted laparoscopic cystectomy in the steep Trendelenburg position. After repeated episodes of hypoxemia, bronchoscopic examination revealed collapse of the distal trachea and bronchi, supporting a diagnosis of tracheobronchomalacia. Tracheomalacia is an underdiagnosed condition in patients with a smoking history and may mimic other obstructive diseases. The anesthesiologist should remain vigilant to the possibility of airway collapse in former smokers, specifically in cases of increased intrathoracic pressure.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
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