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Virtual reality in fibre-optic intubation training: protocol for a systematic review and meta-analysis.

BMJ Open

December 2024

Department of Anesthesiology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China

Article Synopsis
  • * The study aims to assess how virtual reality (VR) technology impacts the effectiveness of fibre-optic intubation training, addressing ongoing debates about its adoption due to limited and conflicting research findings.
  • * The research will involve a comprehensive search for randomized controlled trials and will evaluate outcomes like manipulation skills, intubation time, and success rates, using rigorous assessment tools and statistical analysis.
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Article Synopsis
  • * Fiber-optic laryngoscopy showed a highly mobile lesion affecting the vocal cords and a very small tracheal lumen visible only during expiration.
  • * The patient was successfully intubated awake using a specialized tube over a pediatric bronchoscope, showcasing the importance of thorough preoperative assessment and adherence to difficult airway protocols to prevent complications.
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Objective: To study the clinical effectiveness of visual laryngoscopy combined with fiberoptic bronchoscopy-guided double-lumen endotracheal tube intubation in thoracic surgery patients with predicted difficult airways in thoracic surgery airways.

Methods: We randomly divided 162 patients with predicted difficult airways who required double-lumen tracheal intubation for thoracic surgery and randomly divided them into the video laryngoscopy group (Group VL, n = 54),fiberoptic bronchoscopy group (Group F, n = 54), and video laryngoscopy combined with fiberoptic bronchoscopy group (Group FVL, n = 54) according to the randomized number table method. Then, the success rate of the first intubation, the duration of intubation, the duration of positioning, the degree of exposure of the vocal cords (Cormack-Lehane grade), and the adverse reactions during intubation were recorded and analyzed.

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Comparison of the clinical performance of the Ambu®AuraGain™ laryngeal mask in children undergoing surgery in the supine and prone position - A prospective, non-inferiority clinical trial.

J Clin Anesth

December 2024

Department of Anesthesiology and Pain Medicine, Severance Hospital, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodamungu, Seoul 03722, Republic of Korea. Electronic address:

Article Synopsis
  • This study evaluated the effectiveness of the Ambu®AuraGain™, a second-generation supraglottic airway (SGA), in children undergoing surgery in both prone and supine positions.
  • The research involved 126 children aged 2-12 years, measuring oropharyngeal leak pressure (OLP) after positioning and noting any airway-related issues.
  • Results showed that OLP in the prone position was not inferior to the supine position, although more airway maneuvers were needed for the prone position, suggesting it may be slightly more challenging.
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Article Synopsis
  • The study investigates the effectiveness of a new biopsy technique (EBUS-IFB-TLP) compared to the standard method (EBUS-TBNA) for diagnosing mediastinal lymph node enlargement (MLNE) in patients suspected of having lung cancer or other conditions.
  • Conducted from January 2020 to December 2022 with 67 patients, the results showed that EBUS-IFB-TLP had a higher diagnostic yield (97.0% vs. 85.1%) and diagnosed more cases of lung cancer and sarcoidosis.
  • Both methods were associated with some bleeding complications, with EBUS-IFB-TLP showing a slightly higher rate (23.9% vs. 14.9
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