Publications by authors named "Dimitrios Gkinas"
Comparison of Laryngoscopic Views betweenC-MAC™ and Conventional Laryngoscopy in Patients with Multiple Preoperative Prognostic Criteria of Difficult Intubation. An Observational Cross-Sectional Study.
Medicina (Kaunas)
November 2019
Article Synopsis
- Video laryngoscopy (VL) significantly improved the visualization of the airway in patients with multiple difficult intubation risk factors compared to traditional direct laryngoscopy (DL), with fewer patients experiencing poor views (Cormack-Lehane III-IV) using VL.
- The study involved 176 patients, revealing that factors like Mallampati classification III-IV and thyromental distance (TMD) of 6 cm or less were linked to better laryngoscopic views.
- Despite improvements in visualization with VL, intubation difficulty levels were only associated with the laryngoscopic view obtained with VL and did not correlate with the prognostic factors.
Background: Pharyngolaryngeal symptoms are a main concern after neck surgery. The Protector™ LMA is a new supraglottic airway device. The main purpose of this study was to evaluate whether application of the LMA Protector™ causes fewer pharyngolaryngeal symptoms than application of the endotracheal tube after minimally invasive total thyroidectomy and parathyroidectomy.
View Article and Find Full Text PDFTension pneumothorax during general anaesthesia is a rare but possibly deleterious event, especially where predisposing factors are absent or unknown, making diagnosis even challenging. We describe a case of a healthy middle-aged woman, who was planned to receive general anaesthesia for total thyroidectomy. After intubation, the patient experienced marked hypoxemia (SpO2=75%), hypotension, and tachycardia.
View Article and Find Full Text PDFDexmedetomidine is an elective alpha-2 adrenergic agonist, being used in anesthesia practice. It offers sedative, anxiolytic, analgesic, muscle relaxant, and sympathetic lytic properties. While respiratory effects are considered minor, there are important cardiovascular side effects with bradycardia and hypotension being the most common.
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