Necessity to depict difficult neck anatomy for training of cricothyroidotomy: A pilot study evaluating two surgical devices on a new hybrid training model

CONCLUSION Participants had difficulties in performing cricothyroidotomy in obese models, but various and difficult anatomical situations must be expected in airway management and therefore must be taught. A new hybrid model combining porcine and synthetic materials offers the necessary conditions for the next step in training of surgical airway procedures. TRIAL REGISTRATION The study was performed without human tissue or living animals, and was therefore exempted from ethical review by the University of Ulm Ethical Committee, Germany (Chairperson Prof Dr C. Lenk) on 9 August 2018. Hence a protocol number was not attributed.
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Airway management Source Type: research

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PMID: 31261207 [PubMed - as supplied by publisher]
Source: Chinese Medical Journal - Category: General Medicine Authors: Tags: Chin Med J (Engl) Source Type: research
CONCLUSIONS: Knowledge of key factors that facilitate and improve the anesthesia care of obese patients is important to provide safe and quality anesthesia to this patient group as obese patients often have small margins and urgent situations can quickly arise. This knowledge enables the nurse anesthetist to be one step ahead and to be ready to take action if complications occur. PMID: 31151885 [PubMed - as supplied by publisher]
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
To study nurse anesthetists' experiences of key factors for successful airway management in general anesthesia of adult obese patients.
Source: Journal of PeriAnesthesia Nursing - Category: Nursing Authors: Tags: Original Article Source Type: research
Semin Respir Crit Care Med 2019; 40: 040-056 DOI: 10.1055/s-0039-1685179A rising prevalence of obesity is reported over time and throughout the world. At the same time, the acute respiratory distress syndrome (ARDS) remains an important public health problem, accounting for approximately 10% of intensive care unit admissions and leading to significant hospital mortality. Even in the absence of acute illnesses, obesity affects respiratory mechanics and gas exchange in the setting of a restrictive disease. In the presence of ARDS, obesity adds various challenges to a safe and effective management of respiratory support. Diff...
Source: Seminars in Respiratory and Critical Care Medicine - Category: Respiratory Medicine Authors: Tags: Review Article Source Type: research
Publication date: Available online 16 April 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Daniela Godoroja, Massimiliano Sorbello, Michael MargarsonAbstractAirway management is often the major concern of anaesthetists when presented with a morbidly obese patient for general anaesthesia. All anaesthetists are encountering increasing numbers of these patients, presenting for all types of surgery. With the particular experience gained from bariatric surgery worldwide, there is now a greater evidence base to support and guide our practice.This review article aims to provide an update of the key points in safe a...
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Authors: Campbell RL, Shetty NS, Shetty KS, Pope HL, Campbell JR Abstract Dental treatment of young pediatric patients can be confounded by lack of cooperation for dental rehabilitation procedures and even examination and/or radiographs. With the recent US Food and Drug Administration warning applied to many anesthetic/sedative agents for children less than 3 years old, a retrospective review of general anesthesia (GA) cases from 1 private pediatric dental practice was studied for age, gender, body mass index, anesthetic duration, airway management used, extent of dental surgical treatment, recovery time, and cardi...
Source: Anesthesia Progress - Category: Anesthesiology Tags: Anesth Prog Source Type: research
Purpose of review The prevalence of obesity continues to rise in developed countries. Increasingly, anaesthesiologists are faced with management of this cohort of patient in the ambulatory setting. This review summarizes the factors involved with such management of the obese patient as well as provision of guidance on recently accrued evidence. Recent findings A number of reviews have emphasized the value of preoperative assessment in ambulatory management for the obese, with emphasis on diagnosis, management and outcomes of patients with obstructive sleep apnoea. Drug delivery particularly with appropriate dose sched...
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: AMBULATORY ANESTHESIA: Edited by Claude Meistelman Source Type: research
Purpose of review The volume of bariatric and nonbariatric surgical procedures on obese patients is dramatically increasing worldwide over the past years. In this review, we discuss the physiopathlogy of respiratory function during anesthesia in obese patients, the stratification of perioperative risk to develop intraoperative and postoperative pulmonary complications, the optimization of airway management, and perioperative ventilation, including postoperative respiratory assistance. Recent findings Scores have been proposed to stratify the risk of surgical patients, some of which were specifically developed for obes...
Source: Current Opinion in Critical Care - Category: Nursing Tags: THE SURGICAL PATIENT: Edited by Karim Asehnoune Source Type: research
This article addresses the problems of airway management in the obese patient and looks at measures which can be taken to overcome them. PMID: 30418829 [PubMed - in process]
Source: British Journal of Hospital Medicine - Category: Internal Medicine Authors: Tags: Br J Hosp Med (Lond) Source Type: research
Jose R Navas-Blanco, Junior Uduman, Javier Diaz-MendozaSaudi Journal of Anaesthesia 2018 12(4):626-628 The prevalence of in situ tracheal stents has increased in the past two decades for the management of malignant and benign central airway diseases for either palliation or definitive therapy. Recent placement of a tracheal stent has been associated with edema of the upper airway; therefore, these patients are at a great risk for airway collapse, especially within the days most recent to the procedure. The authors present the case of a morbidly obese patient with a tracheal stent admitted to the Intensive Care Unit who de...
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
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