Airway Management With a Stereotactic Headframe In Situ—A Mannequin Study

Conclusions: Our study showed that both laryngeal mask insertion and tracheal intubation can be performed with a stereotactic headframe in situ. A laryngeal mask is the quickest airway device to insert and can be inserted while the mannequin is in the standard surgical position. Further study is needed to validate the results in patients.
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Clinical Investigations Source Type: research

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BACKGROUND The laryngeal mask airway supreme (LMA-S) and i-gel are both popular second-generation supraglottic airway devices that have been widely studied in surgical patients, but their differences in clinical performance in the elderly are not clear. OBJECTIVE We compared the efficacy and safety of the LMA-S and i-gel in anaesthetised and paralysed elderly patients. DESIGN A randomised study. SETTING Single-centre trial, study period January 2014 from to October 2016. PATIENTS One hundred and six elderly patients who underwent urological or orthopaedic surgery with an expected duration less than 2 h. IN...
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Airway management Source Type: research
CONCLUSION: The results of the survey demonstrate heterogeneity in RSI techniques used by EMS physicians in Germany. Medical equipment and safe care practices, such as labeling of syringes varied considerably between different service areas. The recommendations of the S1 national guidelines on emergency airway management and anesthesia should be adhered to together with the implementation of local SOPs. PMID: 29959500 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research
Conclusion The I-gel and the Classic Laryngeal Mask Airway were superior to the Macintosh laryngoscope as they shortened the time required to intubate and successfully ventilate the patient. They also improved the rate of successful intubation.
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
KLIPPEL –FEIL syndrome presents with a short neck and severe restriction of cervical motion.1 The accompanying magnetic resonance image demonstrates this neck deformity due to the fusion of cervical vertebrae (image A,arrow A) and severe central canal stenosis (image A,arrow B). A lateral cervical spine X-ray (image B) demonstrates cervical fusion (arrow A ’) but not the extent of spinal canal narrowing, and thus magnetic resonance imaging or computed tomography better informs preoperative airway assessment. Preoperative review of the imaging is instrumental to objective airway assessment, risk stratification, ...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Conclusions: Our study showed that both laryngeal mask insertion and tracheal intubation can be performed with a stereotactic headframe in situ. A laryngeal mask is the quickest airway device to insert and can be inserted while the mannequin is in the standard surgical position. Further study is needed to validate the results in patients.
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Clinical Investigations Source Type: research
BackgroundThe novel Totaltrack combines a supraglottic airway device with video laryngoscopic tracheal intubation. The intubation laryngeal mask Fastrach is an established device without visual control of intubation. We hypothesized that supraglottic ventilation success with Totaltrack would be similar to Fastrach, but intubation would be performed faster due to visual control of the procedure. MethodsFifty‐five anaesthesiologists were randomized into one of two study arms: Fastrach Totaltrack. After a standardized introduction, six consecutive attempts of supraglottic ventilation and intubation attempts with each of one...
Source: Acta Anaesthesiologica Scandinavica - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
Authors: Tian Y, Wu XY, Li L, Ma L, Li YF Abstract INTRODUCTION: The laryngeal mask airway (LMA)-Supreme is a disposable double-lumen laryngeal mask airway that is widely used in clinical practice. However, its use in obese children has not been evaluated. The aim of this study was to determine whether the LMA-Supreme could perform equally as well as endotracheal intubation in obese children having a minor surgical procedure. MATERIAL AND METHODS: After ethical board approval, 100 obese male children receiving non-emergent appendectomy for chronic appendicitis or surgery to correct concealed penis were randomly...
Source: Archives of Medical Science - Category: Journals (General) Tags: Arch Med Sci Source Type: research
Conclusion: We conclude that the pharyngoscopic technique for PLMA insertion is more successful with lower incidence of complications (mucosal bleeding and sore throat).
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
Conclusion The ILM (Fastrach) is a satisfactory alternative to the currently used methods of airway management in cervical spine injuries and reduces movement of the cervical spine.
Source: Egyptian Journal of Anaesthesia - Category: Anesthesiology Source Type: research
SIMPLE, TIMELY, SAFELY? LARYNGEAL MASK AND PEDIATRIC AIRWAY. Acta Clin Croat. 2016 Mar;55 Suppl 1:55-61 Authors: Karišik M Abstract Laryngeal mask airway (LMA) was a useful, powerful airway management device for routine pediatric airway management, pediatric difficult airway, and in pediatric emergency situations. Over years, various designs, induction and insertion techniques have been described. LMA provides ease of placement and removal as compared with endotracheal intubation, less traumatism for the respiratory tract, better tolerability by patients, improved hemodynamic stability during em...
Source: Acta Clinica Croatica - Category: Journals (General) Tags: Acta Clin Croat Source Type: research
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