Cricothyroidotomy vs. Tracheostomy in Emergency Surgical Airway Cricothyroidotomy vs. Tracheostomy in Emergency Surgical Airway
Do cricothyroidotomies performed in emergency situations result in fewer complications than tracheostomies?BMC Anesthesiology
CONCLUSION: Via tracheal tube and non-valved spacer, the following doses should be delivered after single actuation of a 100 µg labelled-claim salbutamol dose: ~2 µg kg-1 per actuation to a 3 kg neonate, ~1 µg kg-1 per actuation to a 16 kg child, and ~0.5 µg kg-1 per actuation for a 50-75 kg child. The least effective methods were the syringe, and the uni- and bidirectional adaptor methods, which require replacement by the direct method if a spacer is unavailable. PMID: 32997848 [PubMed - as supplied by publisher]
CONCLUSIONS: We implemented this simple method in order to secure the devastated airway, sparing the need for a demanding rigid bronchoscopy, or use of a costly ECMO expedient. PMID: 32988709 [PubMed - as supplied by publisher]
CONCLUSIONS: The patient had maintained a hallmark of breathing ability and sound sleep after the operation, which was observed during a one-year follow-up examination. PMID: 32988707 [PubMed - as supplied by publisher]
Conclusions: If general anesthesia is necessary in patients with dysmorphic features such as PRS and there is a history of tracheal pathology, the possibility of difficult intubation should always be considered and simulation of endotracheal intubation using a 3D printed model of the airway can be helpful clinically in such situations. PMID: 32927938 [PubMed - as supplied by publisher]
The objective of this review was to collect all published harm and adverse events that occurred in critically ill children in the context of transport within a medical center, as well as the incidence of each type of event. A secondary objective was to identify what interventions have been previously studied that reduce events and to collect recommendations for harm prevention from study authors. Ovid MEDLINE, Cochrane Central Register of Controlled Trials, Embase, and CINAHL were searched in January 2018 and again in December 2018. Terms indicating pediatric patients, intrahospital transport, critical illness, and adverse...
PMID: 32925315 [PubMed - in process]
Publication date: Available online 15 September 2020Source: Trends in Anaesthesia and Critical CareAuthor(s): Tanvi Bhargava, Sapna Singla, Abhishek Kumar
Abstract A 32-year-old female with a history of bipolar disorder and schizophrenia was transported to our tertiary-care hospital after swallowing a large toilet paper holder bracket. Removal of the large foreign body required coordination between anesthesiology, otolaryngology, and trauma surgery. A tracheostomy airway was established, and the object was removed transorally. The object was found to be a toilet paper holder bracket measuring 7.5 cm × 5.4 cm × 5.4 cm with a 2.6 cm screw protruding from the end. A review of articles describing the removal of foreign bodies from the upper aerodigestive tra...
We read with interest the article by Foster and colleagues.1 The authors discussed a novel approach to reducing the transmission of novel coronavirus disease (COVID-19) during tracheostomy. In this scenario, an anesthesiologist plays a very important role in incorporating various methods that can reduce aerosolization of secretion during tracheostomy. We would like to add some maneuvers by which aerosol formation and transmission can be further reduced: intravenous glycopyrrolate before tracheostomy for suspected or confirmed COVID-19 patients facilitates drying of secretion and decreases the risk of exposure to aerosols,2...
Suctioning frequency plus continuous oxygen better indicator in critically ill with tracheostomy tube