Achieving proficiency in rigid bronchoscopy —a study in manikins

ConclusionsThis study shows that the technical skill of rigid bronchoscopy can be acquired within 10 repetitions in a manikin model. As procedural competence and complication frequency vary with the laryngoscopic grade of the model, both easy and difficult configurations should be used for training. Advanced laryngoscopic skills are not required prior to training in this technique.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research

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AbstractPurposeThe purpose of this retrospective study was to evaluate perioperative risk factors concerning difficult airway management, primary tracheostomy, and need for intensive care unit (ICU) admission in severe odontogenic space infections.MethodsPerioperative risk factors were retrospectively analyzed in 499 cases. Fisher ’s exact test and analysis of variance were performed to analyze associations between categorical and continuous variables. Univariate regression analysis was used for estimating predictors for ICU admission. A risk model for ICU admission was performed using multivariate regression analysi...
Source: Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Conclusions: Magnesium sulfate is an important adjuvant drug in the practice of anesthesia, with several clinical effects and a low incidence of adverse events when used at recommended doses. Introduction Magnesium is the fourth most common ion in the body, and it participates in several cellular processes, including protein synthesis, neuromuscular function and stability of nucleic acid, as well as regulating other electrolytes such as calcium and sodium. Magnesium acts as a cofactor in protein synthesis, neuromuscular function and stability and the function of nucleic acids. It is a component of adenosine 5-triph...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
Conclusion: We report one of the few series of patients with VC biopsies done with FB (FB-VCB) under conscious sedation, without significant complications. It is safe and useful in high-risk patients who are poor candidates for GA, with a good diagnostic yield.
Source: Lung India - Category: Respiratory Medicine Authors: Source Type: research
Publication date: Available online 11 April 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Shreya Agarwal, Preeti GuptaAbstractA 46-year-old woman was scheduled for total thyroidectomy and had modified Mallampati class III airway. After anaesthesia was induced, laryngoscopy revealed Cormack–Lehane grade 3a view of the vocal cords with external laryngeal manipulation. A Portex single-use tracheal tube introducer was first introduced up to 27 cm mark, after eliciting the tracheal click and hold-up signs. A Portex tracheal tube size 7 mm ID was railroaded over the introducer with some difficulty becau...
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Conclusion: We report the first series of patients with VC biopsies done with FB, without significant complications. It is safe, with the distinct advantage of conscious sedation, which is useful in patients at a high risk of GA complications, and can give good diagnostic yield.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional Pulmonology Source Type: research
r T Abstract Several national airway task forces have recently updated their recommendations for the management of the difficult airway in adults. Routinely responding to airway difficulties with an algorithm-based strategy is consistently supported. The focus is increasingly not on tools and devices but more on good planning, preparation and communication. In the case of anticipated airway difficulties the airway should be secured when the patient is awake with maintenance of spontaneous ventilation. Unaltered a flexible bronchoscopic intubation technique is advised as a standard of care in such patients. The imp...
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research
This case describes a parturient with Barnes syndrome, a rare disorder characterized by subglottic stenosis, thoracic dystrophy, and small pelvic inlet, who underwent cesarean delivery of a neonate diagnosed with Barnes syndrome. Live simulation training was performed by multidisciplinary team to prepare for the spinal anesthetic, personnel flow between 2 operating rooms, and management of various airway scenarios for the newborn. After delivery, the neonate underwent laryngoscopy–bronchoscopy with successful intubation in the operating room because of labored breathing. Airway evaluation revealed subglottic stenosis...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
We present a 2-day-old neonate with aphonia and stridor who underwent microdirect laryngoscopy. Intraoperatively, a Cohen type 4 laryngeal web was diagnosed not immediately amenable to resection. Therefore, the decision was made for endotracheal intubation and subsequent tracheostomy. After endotracheal intubation, there was acute respiratory compromise and oxygen desaturation that improved moderately after urgent tracheostomy. A chest radiograph revealed a large pneumothorax. Our experience suggests that in the presence of high-grade laryngeal webs, the possibility of intraoperative development of pneumothorax should be c...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
This study is the first to document the availability of paediatric ENT and paediatric surgery services in Africa.ObjectiveTo determine the availability of paediatric ENT services in Africa, as well as that of paediatric surgery that would complement paediatric ENT.MethodA descriptive observational study in the form of an online questionnaire was distributed by email to known ENT and paediatric surgeons based in Africa.ResultsSurgeons from twelve of 23 African countries responded to the survey. Seven countries had both ENT and paediatric surgery responses. In 8 of the 11 countries, the number of ENT surgeons per country was 
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - Category: ENT & OMF Source Type: research
Conclusion: USG examination can prove to be a good, noninvasive, cheap alternative to VRL in examination for functionality of VCs perioperatively.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
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