6,527 results match your criteria: "Tracheal Intubation Surgical Airway Techniques"

Background: Nasotracheal intubation is challenging for anaesthesiologists in faciomaxillary injuries due to the anticipated difficult airways. The effectiveness of a non-channelled McGrath video laryngoscope was compared with a conventional Macintosh laryngoscope during nasotracheal intubation.

Methods: Sixty American Society of Anaesthesiologists I-II patients aged between 18 and 60 years of both sexes undergoing elective faciomaxillary surgeries from September 2019 to February 2020 were prospectively randomised into two groups (Macintosh laryngoscope Group, McGrath video laryngoscope Group) of 30.

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Infant bronchial tree simulator: Success of a built-from-scratch model for single lung isolation.

Surgery

December 2024

Department of Learning Health Sciences-3D & Innovations Lab, Michigan Medicine, Ann Arbor, MI. Electronic address:

Background: One-lung ventilation in infants is a high-risk procedure. Complications include endotracheal tube occlusion, with grave consequences. Although there are commercially available bronchoscopy simulators, there are no realistic models of infant patients.

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Rate of difficult intubation during caesarean delivery: A single centre before/after standardised airway management implementation study.

Int J Obstet Anesth

November 2024

Division of Anaesthesia, Pain, Critical Care, Tel Aviv Sourasky Medical Centre Affiliated with the Faculty of Medicine, Tel Aviv University, Israel.

Background: The use of general anaesthesia (GA) for caesarean delivery (CD) introduces the risk of both difficult and failed intubation. Various strategies may be utilised to reduce this risk; however, not all are supported by evidence. We analysed the rate of difficult intubation following implementation of three recommendations specific to airway management in CD.

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Airway management for patients with tracheal stenosis and severe scar contracture of the face and neck via bronchoscopy: a case report.

J Cardiothorac Surg

September 2024

Department of Anesthesiology, Perioperative and Pain Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.

Article Synopsis
  • Both anaesthesiologists and surgeons face significant challenges when dealing with airway stenosis and scars in the face and neck, as exemplified by a case of a 38-year-old woman with severe airway constriction due to burns.
  • The patient presented with a very difficult airway (limited mouth opening and severe tracheal stenosis) and had a trachea only 5.5 mm wide, making standard procedures problematic.
  • After unsuccessful attempts to insert a laryngeal mask, a custom tracheal tube was successfully placed using a fiberoptic bronchoscope, allowing for the patient's transfer to the ICU post-operation.
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Article Synopsis
  • Self-expandable metallic stents (SEMS), specifically the new 3rd generation Bonastent, are gaining popularity for treating both malignant and nonmalignant airway stenosis, but research on their effectiveness and safety is still limited.
  • A study conducted at two university hospitals reviewed data from 96 patients who received Bonastent placements from January 2019 to November 2023 to assess immediate and long-term outcomes.
  • Results showed that 76% of patients experienced symptom improvement within a week, but early complications included airway bleeding and stent migration, while late complications involved mucus plugging and granulation tissue issues.
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Article Synopsis
  • This study looked at how different ways of inflating a tube (called ETT) used during surgery affect the pressure inside the tube.* -
  • It found that using saline (a salty water) instead of air made it easier to keep the pressure steady, which means less hassle for doctors during surgery.* -
  • Overall, using saline helped prevent high pressure in the tube when the patients were moved during surgery, making it a better choice for keeping patients comfortable.*
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Article Synopsis
  • * It's crucial to assess the tracheobronchial tree with a flexible bronchoscope in children with suspected laryngotracheal injuries to avoid worsening the trauma through blind intubation.
  • * The report focuses on a middle childhood patient who experienced a complete tracheal transection due to blunt laryngotracheal trauma, highlighting the importance of thorough airway management.
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Background: Endotracheal suctioning is a procedure used by neonatal intensive care unit nurses to maximize oxygenation and clear airways of secretions, and is one of the most common painful procedures causing stress in intubated newborns.

Aim: This aim of this study is to compare the effects of open and closed endotracheal suctioning on pain, peak heart rate and oxygen saturation in neonates on mechanicalventilation.

Materials And Methods: This experimental-design study was conducted on 30 newborns who were mechanically ventilated in the tertiary neonatal intensive care unit of a public hospital.

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National epidemiological survey on pharyngeal, laryngeal, and tracheal stenosis in Japan: A national survey on airway stenosis.

Auris Nasus Larynx

December 2024

Department of Otolaryngology - Head and Neck Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan. Electronic address:

Article Synopsis
  • Airway stenosis, a rare condition affecting quality of life, is often misdiagnosed or untreated due to the lack of established guidelines and clinical knowledge.
  • A nationwide survey in Japan from 2013 to 2017 showed that only 43% of medical facilities treated airway stenosis, with most cases being acquired rather than congenital.
  • Results indicated that surgical intervention was common, with over 76% of patients undergoing surgery, but more than 70% still experienced persistent stenosis even after treatment.
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Objective: To systematically evaluate potential risk factors for tracheal stenosis and to provide a reference for the prevention and management of patients with this condition.

Methods: Databases were searched to identify studies of the risk factors for tracheal stenosis, from their inception to October 2023, then a meta-analysis was performed. The study was registered with PROSPERO under the registration number CRD42023428906.

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Emergency medicine updates: Endotracheal intubation.

Am J Emerg Med

November 2024

Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, USA.

Introduction: Airway management including endotracheal intubation (ETI) is a key skill for emergency clinicians. Therefore, it is important for emergency clinicians to be aware of the current evidence regarding the identification and management of patients requiring ETI.

Objective: This paper evaluates key evidence-based updates concerning ETI for the emergency clinician.

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Emergency airway management in the post anesthesia care unit.

Curr Opin Crit Care

December 2024

Airway Management Academy, Amsterdam, the Netherlands.

Purpose Of Review: Airway management is one of the most challenging aspects in the field of anesthesia. This is also the case when an emergency airway situation arises in the postoperative patient. These airway procedures are often classified as advanced with high complexity.

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Article Synopsis
  • Airway management is vital in treating out-of-hospital cardiac arrest (OHCA), focusing on whether tracheal intubation (TI) or supraglottic airway devices (SGA) lead to better patient outcomes.
  • A secondary analysis of the TTM2 trial included 1702 adult OHCA patients and found that most (71.6%) received TI, while 28.4% were managed with SGA.
  • Results indicated that the type of airway management did not significantly affect outcomes like ventilator-free days, neurological status, or mortality rates after 26 days.
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Article Synopsis
  • Tracheal intubations in the ICU face challenges like poor glottic view and higher complication rates; this study compares the efficacy of two videolaryngoscope (VL) types: the standard Macintosh blade versus a hyperangulated blade.
  • The INtubation VIdeolaryngoscopy BLADE-ICU trial is a randomized, controlled study conducted across 29 ICUs in Spain, focusing on first-attempt intubation success as the primary outcome, along with other measures like time to intubation and complication rates.
  • The study has ethical approval and aims to improve airway management outcomes, with patient enrollment starting in May 2024 and anticipated results to be published in 2025.
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Development of the obstetric unanticipated difficult video-laryngoscopy algorithm through a quality improvement randomized open-label in situ simulation study.

Int J Obstet Anesth

November 2024

Departments of Anesthesiology, Obstetrics and Gynecology and Family Medicine & Learning Health Sciences, University of Michigan Medical School, United States. Electronic address:

Background: Video-laryngoscopy is increasingly used during general anesthesia for emergency cesarean deliveries. Given the heightened risk of difficult tracheal intubation in obstetrics, addressing challenges in airway management is crucial. In this simulation study, we hypothesized that using a flexible bronchoscope would lead to securing the airway faster than the Eschmann introducer when either device is used in addition to video-laryngoscopy.

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In the Nick of Time-Emergency Front-of-Neck Airway Access.

Int Anesthesiol Clin

October 2024

Department of Anesthesiology, The Rotunda Hospital, Dublin, Ireland.

Article Synopsis
  • Emergency front-of-neck access (eFONA) is a method to provide oxygen directly into the airway through the front of the neck.
  • It includes techniques that penetrate either the cricothyroid membrane or the tracheal wall, but there is no universally agreed-upon method for doing this.
  • The article aims to review current clinical practices, scientific findings, and societal guidelines related to eFONA.
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Routine Use of Videolaryngoscopy in Airway Management.

Int Anesthesiol Clin

October 2024

Department of Anaesthesia, St John's Hospital, NHS Lothian, Livingston, UK.

Article Synopsis
  • * The use of videolaryngoscopes has been shown to improve success rates in this procedure, leading to their growing adoption in international guidelines despite underuse in practice.
  • * Barriers such as training gaps, fears about losing skills in direct laryngoscopy, and costs hinder widespread adoption, but ongoing research and new techniques are encouraging better integration of videolaryngoscopy in routine care.
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Optimal Airway Management in Severe Maxillofacial Trauma: A Case Report on Submental Intubation.

Am J Case Rep

September 2024

Department of Oral and Maxillofacial Surgery, Al Qassimi Hospital, Emirates Health Services, Sharjah, United Arab Emirates.

Article Synopsis
  • Submental intubation is a valuable airway management technique useful in complex maxillofacial surgeries, especially for facial fractures, as it provides better access to the surgical site and reduces complications compared to traditional methods.
  • A case report details a 37-year-old male who sustained severe facial injuries from a falling concrete wall, requiring emergency treatment and the use of submental intubation during surgery.
  • The technique, although not widely used, can enhance patient outcomes and streamline surgeries, making it an important alternative to conventional intubation in challenging situations.
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Characterizing emergency department surgical airway placement in the setting of trauma.

Am J Emerg Med

November 2024

Department of Anesthesiology, University of Colorado School of Medicine, Aurora, CO, USA; Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA; Center for Combat and Battlefield (COMBAT) Research, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address:

Article Synopsis
  • Airway management is crucial for critically ill trauma patients, and the study examines the use of emergency surgical airway (ESA) as a backup method when endotracheal intubation (ETI) fails.
  • The research analyzed data from 2017 to 2022, finding that out of over 6 million cases, 2264 ESAs were performed, primarily in patients with more severe injuries, especially to the head/neck and face.
  • The study showed higher survival rates for ETI-only patients over those who received an ESA, and specific types of injuries (like firearms and stabbings) increased the likelihood of needing an ESA.
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Comparison of the Results of BAL and ETA Culture in Intubated COVID-19 Patients.

Niger J Clin Pract

August 2024

Clinical Microbiology and Infectious Diseases Department, Hisar Intercontinental Hospital, Istanbul, Türkiye.

Article Synopsis
  • This study investigates the effectiveness of bronchoalveolar lavage (BAL) versus endotracheal aspirate (ETA) cultures in treating secondary pneumonia in intubated COVID-19 patients, aiming to improve treatment outcomes.
  • Patients were analyzed in two groups: those who underwent BAL and those who had ETA. Results showed BAL had a higher positivity rate for pathogens, longer ICU stays, and a trend towards lower mortality rates compared to ETA.
  • The findings suggest that using BAL for pathogen isolation can lead to more effective antimicrobial treatment, thereby potentially improving patient prognosis and reducing mortality in critically ill COVID-19 patients.
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The Shared Airway: Tracheal Mass Excision.

Ann Card Anaesth

October 2024

Department of Cardiac Anaesthesia, Seth GSMC and KEMH, Mumbai, Maharashtra, India.

Article Synopsis
  • A 26-year-old male with a polypoidal tracheal tumor causing severe respiratory distress was successfully treated with a specialized airway management plan before undergoing surgery for mass excision.
  • The tumor was obstructing over 90% of the trachea and was located close to critical areas, making surgical access challenging.
  • The procedure included using a peripheral bypass for airway management, and following tumor removal, a tracheostomy tube was inserted, leading to an uneventful recovery.
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A Comparison of the Effectiveness of the McCoy Laryngoscope and the C-MAC D-Blade Video Laryngoscope in Obese Patients.

Medicina (Kaunas)

August 2024

Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, 22, Gwanpyeong-ro 170 beon-gil, Dongan-gu, Anyang-si 14068, Gyeonggi-do, Republic of Korea.

Article Synopsis
  • Obesity complicates intubation during general anesthesia, prompting a study to compare the effectiveness of McCoy and C-MAC D-blade video laryngoscopes in patients with a BMI ≥ 35 kg/m.
  • The research involved 104 obese patients, measuring primary outcomes like intubation time and secondary outcomes including vocal cord exposure, successful intubation rates, and hemodynamic variables.
  • Results showed no significant difference in intubation time, but the C-MAC group had better vocal cord exposure results and lower intubation difficulty scores, suggesting it may offer more stability and effectiveness for obese patients.
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