Publications by authors named "A Carinena"

Article Synopsis
  • There is a lack of consensus on the best videolaryngoscope for awake tracheal intubation in patients expected to have difficult airways, leading to a study comparing the C-MAC D-Blade® and Airtraq®.
  • A randomized clinical trial involved 90 adult patients undergoing surgery with anticipated difficult airways, focusing on the first-attempt tracheal intubation success rate as the primary outcome.
  • Results showed a significantly higher first-attempt success rate for the C-MAC D-Blade (84%) compared to the Airtraq (62%), while overall success rates were similar for both, suggesting the C-MAC D-Blade may be more effective for initial intubation attempts.
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Background: Tracheal intubation in ICU is associated with high incidence of difficult intubations. The study aimed to investigate whether the "universal" use of a hyperangulated videolaryngoscope would increase the frequency of "easy intubation" in ICU patients compared to direct laryngoscopy.

Methods: A prospective before-after study was conducted.

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Background: Recent meta-analyses and randomized studies have shown that among patients with acute ischemic stroke undergoing endovascular thrombectomy, general anesthesia with mechanical ventilation is associated with better functional status compared to local anesthesia and sedation, and they recommend its use. But once the procedure is completed, when is the optimal moment for extubation? Currently, there are no guidelines recommending the optimal moment for extubation. Prolonged mechanical ventilation time could potentially be linked to increased complications such as pneumonia or disturbances in cerebral blood flow due to the vasodilatation produced by most anesthetic drugs.

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Objective: Tracheal intubation in cardiac surgery patients has a higher incidence of difficult laryngoscopic views compared with patients undergoing other types of surgery. The authors hypothesized that using the McGrath Mac videolaryngoscope as the first intubation option for cardiac surgery patients improves the percentage of patients with "easy intubation" compared with using a direct Macintosh laryngoscope.

Design: A prospective, observational, before-after study.

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