Effect of Paratracheal Esophagus Pressure on the Insertion of Laryngeal Mask Airway

Conditions:   General Anesthesia;   Pulmonary Aspiration Interventions:   Procedure: Paratracheal pressure;   Procedure: Cricoid pressure Sponsor:   Ajou University School of Medicine Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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Background and Aim: Accurate anesthesia management is of great importance for the success of interventional neuroangiographic procedures (INPs). General anesthesia with endotracheal intubation is the most commonly preferred anesthetic method for these procedures. However, whether laryngeal mask airway (LMA) anesthesia is a suitable and safe option for such cases is unclear. The aims of this study were to report the outcomes of anesthetic management in patients who underwent INP, and to compare endotracheal intubation with LMA anesthesia in terms of anesthesia-related outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Source Type: research
Authors: Lan L, Jiang L, Zhang C, Qiu Y, Cen Y, He J Abstract BACKGROUND A secondary contralateral thoracic surgery is a challenging procedure and is rarely indicated. We retrospectively compared the perioperative values to find out whether video-assisted thoracoscopic surgery under spontaneous ventilation is feasible for this surgery. MATERIAL AND METHODS Patients were retrospectively collected from January 1, 2015 to December 30, 2018 who underwent secondary contralateral video-assisted thoracoscopic surgeries with mechanical ventilation (MV-VATS group) or spontaneous ventilation (SV-VATS group). A propensity sco...
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Publication date: Available online 25 November 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Stuart Young, Aravind BasavarajuAbstractThe majority of ophthalmic surgeries are performed as day cases under topical or regional anaesthesia with or without intravenous sedation. However, general anaesthesia is necessary in certain circumstances e.g. local anaesthetic allergy or patients who are unable to cooperate or to lie flat or still. Patients for ophthalmic surgery are frequently elderly with multiple comorbidities, such as diabetes and hypertension. Patients with rare genetic syndromes may present for eye s...
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
Conclusions: Cryotherapy via flexible bronchoscopy is a safe and feasible method for cap-shaped bronchial foreign body extraction, even in pediatrics.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional pulmonology Source Type: research
Interventional pulmonology procedures have been performed traditionally with rigid bronchoscopy (RB), however flexible bronchoscopy (FB) is now on the rise. Sample of therapeutic bronchoscopies (TB) performed between 2017-2018 (n=57) predominantly in males (84%), with a mean age of 61.3 years. Most frequent indications were: central airway desobstructive treatment (DT) (n=16), endobronchial (E) brachytherapy (n=16), location and endoscopic closure of bronchopleural fistula (n=10), distal airway DT (n=5) and endobronchial foreign bodies extraction (n=3).77% of the procedures were performed exclusively with FB -group A-, whi...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional pulmonology Source Type: research
Laryngeal mask airway (LMA) is frequently used to secure the airways under sedation or anaesthesia. Forced oscillation technique (FOT) is routinely performed through an endotracheal tube (ETT) to evaluate respiratory mechanics; although measuring the respiratory mechanics properly via an LMA has not been characterised. We compared the mechanical parameters obtained by FOT applied through LMA and ETT.In anaesthetised, mechanically ventilated rabbits (n=9) FOT was performed through an LMA at normal and reduced oscillatory amplitudes, at positive end-expiratory pressures (PEEP) of 3 and 6 cmH2O (P3, P6). The measurements were...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Clinical respiratory physiology, exercise and functional imaging Source Type: research
Conclusionsinstrumental measurements highlight that SLMA offers the advantage of less resistance to the airflow, allowing to keep lower oropharyngeal leak pressure during mechanical ventilation. Despite the differences reported, we observed only a few minor complications in both groups.
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
CONCLUSION The Spritztube was as effective as the LMA-S in maintaining the airway with all patients being successfully ventilated without difficulty. The success rate of achieving a patent airway was comparable between the groups, with a similar occurrence of complications. TRIAL REGISTRATION NCT03443219.
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Airway management Source Type: research
Abstract BACKGROUND: Postoperative sore throat is common after general anaesthesia. The incidence in paediatric anaesthesia is variable, and the aetiology unclear. Establishing risk-factors would enable prevention and could improve quality of care. AIMS: We performed a prospective single-centre cohort study aiming to establish the incidence of postoperative sore throat in children undergoing GA with an endotracheal tube or laryngeal mask airway. Secondary aims were to identify independent risk-factors for sore throat, and the incidence of other postoperative complications including stridor, laryngospasm, naus...
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
ConclusionThe LMA Protector ™ causes fewer pharyngolaryngeal symptoms than the ETT within 6 and 12 h after minimally invasive total thyroidectomy and parathyroidectomy.Trial registrationClinicalTrials.gov Identifier NCT03098667.
Source: World Journal of Surgery - Category: Surgery Source Type: research
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