Evaluation of intubation and intensive care use of the new Ambu® aScope™ 4 broncho and Ambu® aView™ compared to a customary flexible endoscope a multicentre prospective, non-interventional study
Publication date: Available online 11 February 2020Source: Trends in Anaesthesia and Critical CareAuthor(s): Marc Kriege, Jan Dalberg, Brendan A. McGrath, Alexander Shimabukuro-Vornhagen, Björn Billgren, Thomas Kromann Lund, Klaus Thornberg, Alice Vangerschov Christophersen, Mark J.G. DunnAbstractBackgroundFlexible endoscopes have been well established for diagnostic and therapeutic interventions in critically ill patients. The purpose of this study was to compare the utility between the novel aScope 4 Broncho and the standard bronchoscope in a non-interventional study.MethodsIn a prospective multicentre study, we evaluated the aScope 4 Broncho for different clinical indications involving an endoscopy procedure. We compared the acceptability of and preference for the novel Ambu® aScope™ 4 Broncho (Ambu® A/S, Ballerup, Denmark) with that of the customary flexible endoscope (reusable or single-use) normally used at each of the study centres.ResultsA total of 176 aScope 4 Broncho-aided interventions were evaluated, and the primary finding of the study was that the aScope 4 Broncho was preferred over customary devices for both diagnostic/therapeutic bronchoscopy (58% preference, P
This article highlights indications, techniques, and complications encountered during pediatric bronchoscopy, with particular focus on anesthetic management of the pediatric airway.
This study evaluated whether NTI is easier when guided by Disposcope endoscopy or fibreoptic bronchoscopy.
Conclusion: TBLC for DPLD is a safe procedure with high diagnostic yield.
We describe the main pathological conditions where urgent bronchoscopy is crucial because they act through mechanisms such as airway obstruction or alteration of the anatomic integrity of the tracheobronchial tree. We point out the problems resulting from inhalation of foreign bodies, one of the most dramatic respiratory emergencies typical of childhood which needs not only the appropriate endoscopic equipment suitable for the age, but also great experience in the management of the possible related complications. Massive haemoptysis is then discussed in order to help choosing the right endoscope and to clarify the steps re...
Conclusion: A bolus administration of propofol during EBUS bronchoscopy provided excellent adequacy of sedation and well tolerance safety profile.
Abstract The recent adoption of an improved lymphatic access technique coupled with Dynamic Contrast-enhanced Magnetic Resonance Lymphangiography has introduced the ability to diagnose and treat severe lymphatic disorders unresponsive to other therapies. All pediatric patients presenting for lymphatic procedures require general anesthesia presenting challenges in managing highly morbid and comorbid conditions both from logistical as well as medical aspects. General anesthesia is used because of the procedural requirement for immobility to accurately place needles and catheters, treat pain secondary to contrast and...
Uvular necrosis or ulceration is a rare cause of post-operative sore throat after endotracheal intubation (40%) or Laryngeal Mask Airway (7 –12%) insertion. Till date, only 17 cases of uvular necrosis have been reported. According to literature, overzealous suctioning, upper GI endoscopy, bronchoscopy via nasal approach, long-term intubation and trans-esophageal echocardiography can cause uvular necrosis (2, 3). Patients present with post-operative severe pain and swollen, elongated, erythematous uvula with odynophagia and dysphagia which require urgent attention and treatment.
Managing the airway of a patient with temporo-mandibular joint (TMJ) ankylosis is very challenging. Securing the airway by awake fiberoptic bronchoscopy is considered as a gold standard . Easy and ubiquitous availability of the gastroendoscopes in the endoscopy room makes them a good alternative to fiberoptic bronchoscope. So we present a unique case of TMJ ankylosis posted for upper gastrointestinal endoscopy, wherein anaesthesia was given to the patient while the flexible gastroendoscope was also used as a rescue device for emergency airway management.
Introduction: Drug-induced sleep endoscopy (DISE) offers an unique evaluation of the upper airway pathology, that can lead to obstructive sleep apnea syndrome (OSAS). In both fiberoptic bronchoscopy (FOB) and DISE, similar sedative agents are used. It is thought that the upper airways can be evaluated in terms of functional and anatomic pathology during the FOB procedure. The aim of this study is to investigate the relationship between polysomnography scores and upper airway scores during routine FOB.Methods: Fifty patients who undergone FOB were included to the study. After the sedation protocol applied by an anesthesiolo...
Conclusion: Congenital airway anomalies (isolated or in combination) were encountered in 75% of patients with DS presenting with chronic respiratory symptoms. A complete lower airway endoscopic assessment is strongly recommended in these patients as it may influence therapeutic decision making.