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Articulating Video Stylets in the Setting of Simulated Traumatic Cervical Spine Injury: A Comparison with Four Other Devices and Approaches to Endotracheal Intubation.
J Clin Med
December 2024
Department of Anaesthesia and Intensive Care, Policlinico-San Marco University Hospital, Via S. Sofia n 78, 95123 Catania, Italy.
Simulation offers the opportunity to train healthcare professionals in complex scenarios, such as those with as traumatized patients. We conducted an observational cross-sectional research simulating trauma with cervical immobilization. We compared five techniques/devices: direct laryngoscopy (DL), videolaryngoscopy (VLS, Glidescope or McGrath), combined laryngo-bronchoscopy intubation (CLBI) and articulating video stylet (ProVu).
View Article and Find Full Text PDFWe present a case of an infant patient with Robin sequence (Pierre Robin sequence; PRS) who underwent general anesthesia for a glossopexy procedure. Pediatric patients with PRS are prone to upper airway obstruction during general anesthesia induction and intubation difficulties due to micrognathia and glossoptosis. In this case, we facilitated mask ventilation by inserting a nasopharyngeal airway before induction and successfully intubated the patient using a 2-person technique that combined the use of a video laryngoscope and a flexible fiber-optic scope.
View Article and Find Full Text PDFNational Survey of Airway Management Practices and Training Among Emergency Medicine Residency Programs in the United States.
Perm J
December 2024
Department of Emergency Medicine, Kaiser Permanente San Diego Medical Center, San Diego, CA, USA.
Article Synopsis
- A study was conducted to analyze airway management training in emergency medicine residency programs across the U.S., highlighting the need for residents to receive extensive training due to evolving practices.
- The study surveyed 258 residency program directors, with 63 responding, primarily from university-based hospitals, revealing that residents typically perform 50-100 intubations, but few pediatric intubations.
- The results indicate a rising use of video laryngoscopy and varied teaching methods to enhance resident exposure to advanced airway management techniques in emergency medicine.
Outcome of video laryngoscopy versus direct laryngoscopy for emergency tracheal intubation in emergency department: a propensity score matching analysis.
BMC Emerg Med
November 2024
Department of Emergency Medicine, Faculty of Medicine, Thammasat University, 99/209 Phahon Yothin Road, Klong Luang District, Pathum Thani, 12120, Thailand.
Article Synopsis
- The study compares video-assisted laryngoscopy (VL) and direct laryngoscopy (DL) for emergency tracheal intubation in the ED, highlighting the need for better airway management due to high failure rates.
- It analyzed data from 3,424 patients, finding no significant difference in overall intubation success rates, but VL showed fewer peri-intubation adverse events (33% vs. 40%).
- While DL had a higher first-attempt success rate among experienced intubators, both methods are effective, emphasizing that the choice of technique and experience significantly impacts outcomes.
Effects of GlideScope, Pentax Airway Scope, and Macintosh Blade on the incidence of postoperative sore throat: a cohort study of 9,881 patients.
BMC Anesthesiol
November 2024
Department of Anesthesiology, Fu Jen Catholic University Hospital, Fu Jen Catholic University, No.69, Guizi Rd., Taishan Dist., New Taipei City 24352, Taiwan.
Background: Postoperative sore throat (POST) is a common complaint after general anesthesia. POST is defined by the presence of a self-reported foreign body sensation or a painful sensation in the throat after general anesthesia. This condition may affect recovery and patient satisfaction and is associated with many factors, including intubation tools.
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