Airway management in intensive care units in Rhineland-Palatinate : Evolution over five years.

[Airway management in intensive care units in Rhineland-Palatinate : Evolution over five years]. Anaesthesist. 2017 Feb 13;: Authors: Piepho T, Härer T, Ellermann L, Noppens RR Abstract BACKGROUND: Securing the airway in severely ill patients is associated with a high rate of complications. So far, no information exists about the equipment readily available for airway management in German intensive care units (ICUs). It is also unknown if the range of material has improved over time. OBJECTIVES: In the present trial the availability of equipment for airway management in ICUs in Rhineland-Palatinate was evaluated at two different times. MATERIALS AND METHODS: Using a structured questionnaire, all ICUs in the state were contacted in the years 2010 and 2015. The availability of different types of equipment for airway management, as well as the presence of a training program for airway management, was evaluated. RESULTS: For 2010 data from 64 ICUs were evaluated and for 2015 data sets from 63 ICUs were collected. In 2010 indirect laryngoscopes were available in eight ICUs; in 2015 these devices were directly accessible in 43 units (p 
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research

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Abstract Failure to manage bleeding in the airway is an important cause of airway-related death. The purpose of this narrative review is to identify techniques and strategies that can be employed when severe bleeding in the upper airway may render traditional airway management (e.g., facemask ventilation, intubation via direct/video laryngoscopy, flexible bronchoscopy) impossible because of impeded vision. An extensive literature search was conducted of bibliographic databases, guidelines, and textbooks using search terms related to airway management and bleeding. We identified techniques that establish a def...
Source: Canadian Journal of Anaesthesia - Category: Anesthesiology Authors: Tags: Can J Anaesth Source Type: research
ConclusionWe found less than expected VL use despite good evidence for its benefit. The barriers to use in this group are consistent with existing literature. These perceived barriers must be addressed through education and training to deliver the benefit of regular VL use.
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Vandana Pandey, Vaishali Waindeskar, Rishi Katiyar, Sanjay AgrawalSaudi Journal of Anaesthesia 2019 13(4):338-339 Palatoglossal bands are one of the very rare congenital anomaly with very few documented cases worldwide. They can present with respiratory distress which requires immediate surgical intervention, or with feeding difficulties. The management of such a patient is a challenge to any anaesthesiologist because of inability to perform conventional laryngoscopy and associated cardiac or digital anomalies. We discuss here the management of such an infant who presented at 18 months with feeding difficulties.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
(Anesth Analg. 2019;128(3):584–586. Doi:10.1213/ANE.0000000000003886) While video laryngoscopy (VL) has brought substantial changes to the practice of airway management, the way anesthesiologists define a “difficult intubation” has not been altered accordingly. The American Society of Anesthesiologists has defined a “difficult airway” as “the clinical situation in which a conventionally trained anesthesiologist experiences difficulty with facemask ventilation of the upper airway, difficulty with intubation, or both,” and also has set forth clear, separate definitions of difficult ...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Editorials and Reviews Source Type: research
This study compares the SALAD and IEI techniques with the tr aditional approach of ad hoc, rigid suction catheter airway decontamination and endotracheal intubation in the setting of massive simulated emesis.Methods: Senior anesthesiology and emergency medicine (EM) residents were randomized into three...
Source: Western Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research
Most airway management is done in the supine position, but some situations may require airway management in the lateral position. Most emergency physicians and anesthesiologists are not comfortable with intubation in the lateral position.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Clinical Communications: Adult Source Type: research
CONCLUSION: In an unfixed human cadaver model with combined atlanto-occipital dislocation and atlanto-axial instability, placement of the LTS-D caused less reduction in the width of the dural sac than conventional intubation at the level of the craniocervical junction. The LTS-D also caused less angulation and could be placed faster. It could therefore also be advantageous over conventional intubation in living patients with an unstable cervical spine. PMID: 31338524 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research
CONCLUSIONS: We showed that a folded towel placed under the shoulders in children younger than two years of age improves glottis visualization, reduces time to intubation and provides ease of use of the C-MAC Miller Video Laryngoscope. Therefore, we think that the placement of a folded towel under the shoulders during the use of a C-MAC Miller Video Laryngoscope may be useful for airway management in children younger than two years of age. This article is protected by copyright. All rights reserved. PMID: 31211460 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
An ALS unit is dispatched for an adult patient complaining of severe painful swallowing and difficulty breathing. Upon arrival the patient is acutely decompensating with increasing respiratory effort and diminished color. Supplemental oxygen isn’t providing adequate perfusion. Due to the patient’s rapidly deteriorating condition, the decision is made to intubate. As the laryngoscope is slid beyond the oral cavity, severe epiglottic swelling is visualized. After one intubation attempt the swelling worsens. At this point, endotracheal intubation is not feasible. With no options left, the paramedic resorts to reac...
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Airway & Respiratory Exclusive Articles Source Type: news
Authors: Dowdy RAE, Emam HA, Cornelius BW Abstract Ludwig's angina (LA) is a gangrenous cellulitis of the neck that spreads via continuity of the fascial planes. Treatment of LA includes aggressive antibiotic therapy as well as surgical drainage in many cases. The most common cause of infection is odontogenic and can be due to both aerobic and anaerobic bacteria. Signs and symptoms of LA include bilateral cervical swelling, dysphagia, drooling, neck tenderness, elevation and posterior distension of the tongue, restricted neck movement, trismus, dyspnea, and stridor, which can result in difficult airway management. ...
Source: Anesthesia Progress - Category: Anesthesiology Tags: Anesth Prog Source Type: research
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