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We 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 PDFInfluence of Anesthesiology Protocol on the Quality of Intraoperative Nerve Monitoring During Thyroid Surgery, One-Year Single Center Experience.
Diagnostics (Basel)
October 2024
Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.
Article Synopsis
- Anesthesia is crucial for intraoperative neuromonitoring (IONM) during thyroid and parathyroid surgeries, as this study investigates its effects on signal quality.
- The study involved 72 patients and compared the impact of two muscle relaxants—succinylcholine and rocuronium bromide—while using either total intravenous anesthesia (TIVA) or combined anesthesia.
- Results showed that unwanted movements occurred more frequently with TIVA and succinylcholine, but the type of anesthesia maintenance and muscle relaxant did not significantly affect nerve signal quality.
An intubation technique using hyperangulated video laryngoscopy and a DuCanto suction catheter preloaded with a bougie: A case report with a video demonstration.
J Am Coll Emerg Physicians Open
August 2024
Department of Emergency Medicine UC Davis Health University of California, Davis Sacramento California USA.
Video laryngoscopy outperforms direct laryngoscopy for successful orotracheal intubation in the emergency department. When performing video laryngoscopy, emergency physicians may use a standard geometry blade or a hyperangulated blade. Hyperangulated video laryngoscopy is easier when using a rigid hyperangulated stylet instead of a standard malleable stylet.
View Article and Find Full Text PDFBackground: Macintosh blade direct laryngoscopy is widely used for endotracheal intubation. It may, however, provide an incomplete view of the glottis in patients with challenging airway anatomy. Consequently, various video laryngoscopes have been developed to enhance the visualization of the glottis and facilitate intubation.
View Article and Find Full Text PDFGlidescope Video Laryngoscopy in Patients with Severely Restricted Mouth Opening-A Pilot Study.
J Clin Med
August 2023
Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
Background: An inter-incisor gap <3 cm is considered critical for videolaryngoscopy. It is unknown if new generation GlideScope Spectrum™ videolaryngoscopes with low-profile hyperangulated blades might facilitate safe tracheal intubation in these patients. This prospective pilot study aims to evaluate feasibility and safety of GlideScope videolaryngoscopes in severely restricted mouth opening.
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