Current Difficult Airway Management--Not Good Enough! Current Difficult Airway Management--Not Good Enough!

Have updated practice guidelines and refined airway management devices and techniques improved patient outcomes in difficult tracheal intubations? A new study finds there's much room for improvement.Anesthesiology
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news

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Conclusion: Completeness of manual data recording in the electronic AIMS is poor after one year of implementation. First case of the day, second phase of study period, elective cases and trainee anaesthesiologist are associated with better completeness of manual data recording in the AIMS.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Arun Raja Thangavel, Sakthirajan Panneerselvam, Priya Rudingwa, Ranjith Kumar SivakumarIndian Journal of Anaesthesia 2019 63(10):862-863
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
This study validated a model of slow ‐ and rapid‐airway obstruction that results in significant hypoxia and hypercapnia. This is valuable for future testing of airway device components that may improve airway management. Additionally, our data support the ability of spectral reflectance to differentiate between tracheal and esophag eal tissues in the presence of a clinical condition that decreases oxygen saturation.
Source: Physiological Reports - Category: Physiology Authors: Tags: Original Research Source Type: research
Awake craniotomy is a unique technique utilized for mapping neuro and motor function during neurosurgical procedures close to eloquent brain tissue. Since active communication is required only during surgical manipulation of eloquent brain tissue and the patient is “sedated” during other parts of the procedure, different methods for anesthesia management have been explored. Furthermore, airway management ranges from spontaneous breathing to oro or nasotracheal intubation. Case reports have described the use of laryngeal masks (LMs) previously; however, its safety compared to tracheal intubation has not been ass...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Conclusions: DLT has a low malpositioning rate and is the preferred device to achieve OLV. BRO use recorded was unexpectedly low. The possibility of encountering a difficult airway is frequent, with an overall prevalence of 16%. Risk factors of desaturation are malposition and increased size of DLT. Left procedures and BRO use could lead to fewer episodes of desaturation. PMID: 31559028 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Authors: Nakajima A, Ohshima A, Fukayama H, Kinoshita T Abstract This is a case report of a 21-year-old male patient with Cornelia de Lange syndrome (CdL) and unrepaired tetralogy of Fallot scheduled for dental treatment under general anesthesia. Anticipated dental care consisted of restorative treatment and extractions. Surgical correction of the patient's congenital cardiac abnormalities had not occurred by the time of dental treatment. As such, the developed anesthetic plan included the following goals: prevention of any anoxic episodes or spell and preparation for difficult airway management due to micrognathia...
Source: Anesthesia Progress - Category: Anesthesiology Tags: Anesth Prog Source Type: research
Airway management is a cornerstone of anesthetic practice, and difficulty with airway management has potentially grave implications —failure to secure a patent airway can result in hypoxic brain injury or death in a matter of minutes. The difficult airway in otolaryngologic surgery requires careful planning and close communication between the anesthesiologist and ENT or head and neck surgeon. Knowledge of predictive factors an d a detailed preoperative evaluation can be used to predict which airway strategies are likely to be successful and which are likely to fail.
Source: Otolaryngologic clinics of North America - Category: ENT & OMF Authors: Source Type: research
Airway management and anesthesia for laryngeal surgery poses many challenges. A preoperative endoscopic airway examination and discussion with the otolaryngologist helps in planning the anesthetic management. Although, securing the airway using specialized endotracheal tubes is possible in the majority of cases, the surgeon may occasionally request a ‘tubeless’ field. This can be achieved by ventilating the lungs using jet ventilation or high flow nasal oxygen (HFNO) while providing total intravenous anesthesia.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Authors: Source Type: research
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
, Yang L, Echeverry-Marin P, Pérez-Pradilla C, Polaner D, Starker E, Zieg J, Szolnoki J, Lee A, Heitmiller E, Rehman M, Fernandez A, Meserve J, McCloskey J, Dalesio N, Koka R, Greenberg R, Park R, Peyton J, Bhattacharya S, Reynolds P, Lewis I, Haydar B, Therrian M, Sarmiento L, Richtsfeld M, Belani K, Robertson S, Sathyamoorthy K, Schrock C, de Graaff J, Soneru C, Singh N, Chiao F, Taicher B, Templeton T, Castro P, Riveros Perez NR, Raman VT, Beltran R, Bhalla T, Stricker P, Lockman JL, Gálvez J, Isserman R, Struyk B, Ward C, Hsu G, Nishisaki A, Kodavatiganti R, Ramos LS, Scheu E, Watkins S, Goldfarb T, Olomu...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
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