• In the 20th century, general anesthesia's safety and efficacy were further improved with the routine use of tracheal intubation and advanced airway management techniques, monitoring, and new anesthetic agents with improved characteristics. (wikipedia.org)
  • This study was undertaken to quantify the extent and distribution of segmental cervical motion produced by direct laryngoscopy and orotracheal intubation in human subjects without cervical abnormality. (asahq.org)
  • Direct laryngoscopy, the most commonly employed means of facilitating tracheal intubation, creates some degree of cervical spine extension in the course of aligning the oral, pharyngeal, and laryngeal axes. (asahq.org)
  • Movement as a response to noxious stimulation [laryngeal mask airway (LMA) insertion, laryngoscopy and tracheal intubation] was registered. (researchgate.net)
  • Tracheal intubation using direct laryngoscopy. (druglib.com)
  • A case of acute uvular edema following general anesthesia with endotracheal intubation is reported along with its management, review of literature, and preventive strategies. (springeropen.com)
  • Patients with ASA I and ASAII who had elective surgeries using general anaesthesia were included in the study, and the effects of intravenous magnesium sulpahte on hemodynamic response(Heart rate, systolic and diastolic blood pressure) during laryngoscopy and endotracheal intubation were evaluated. (actafarmbonaerense.com.ar)
  • minutes prior to laryngoscopy and intubation can attenuate the sympathetic response as compared to control without major side effects. (actafarmbonaerense.com.ar)
  • Rapid-sequence induction and intubation with cricoid pressure using thiopental-succinylcholine have been the standard for cesarean section under general anesthesia for a long time. (anesth-pain-med.org)
  • Background: In patients who undergo general anesthesia, the need for intubation and laryngoscopy is paramount. (researcher.life)
  • Aim: The aim of the study was to compare the efficacy of dexmedetomidine 1 μg/kg and magnesium sulfate 30 mg/kg in reducing the stress response occurring due to intubation and laryngoscopy. (researcher.life)
  • When general anaesthesia is administered for ERCP, the airway is protected by endotracheal intubation which may decrease risk for broncho-aspiration in some patients, although this measure has not been demonstrated to be effective in patients at risk during digestive endoscopy. (getwellsoon.ai)
  • Furthermore, orotracheal intubation may induce short time hemodynamic changes related to laryngoscopy. (getwellsoon.ai)
  • Introduction: During general anesthesia, airway control is usually by laryngoscopy and endotracheal intubation, which results in mechanical stimulation. (hcommons.org)
  • Laryngoscopy and endotracheal intubation are almost always associated with increased blood pressure and increased heart rate. (hcommons.org)
  • Increased blood pressure and heart rate due to laryngoscopy and intubation may lead to myocardial ischemia, cerebral hemorrhage, and death in susceptible patients. (hcommons.org)
  • The action of gabapentin in attenuating the response to laryngoscopy and intubation-induced hypertension is unknown. (hcommons.org)
  • We also compared the effects of these anesthesia induction drugs on intubation condition and their duration of action. (anesth-pain-med.org)
  • It has two basic technical components: tracheal intubation with direct laryngoscopy and induction of general anesthesia [ 1 ]. (anesth-pain-med.org)
  • Simultaneous administration of intravenous induction agents and neuromuscular blocking agent (NMBA) is often required for the induction of general anesthesia during RSI to facilitate emergent endotracheal intubation. (anesth-pain-med.org)
  • The purpose of this study was to compare inferior airway views provided by the use of three commonly available laryngoscopy blades-Macintosh, Miller, or Glidescope Mac-Style-to the incidence of difficult orotracheal intubation. (ochsner.org)
  • Conclusions Miller blade laryngoscopy provided the lowest proportion difference for difficult orotracheal intubation during general anesthesia for cesarean delivery. (ochsner.org)
  • He had also undergone a right iliac artery stenting procedure for ASO at age 67 under general anesthesia without difficult intubation. (springeropen.com)
  • In our case, although a tracheal tube could not be passed below the vocal cords, intubation had been successful at the previous general anesthesia. (springeropen.com)
  • The fact remains that general anesthesia continues to include induction of unconsciousness and then paralysis of a patient's ventilatory musculature when there is no specific guarantee that intubation of the trachea or even positive pressure ventilation will be possible. (apsf.org)
  • Finally, in terms of the duration of intubation, the mean intake in Direct laryngoscopy who had the mean time 25.9 second and the other group was 30.4 second. (who.int)
  • After the training is over, Students are divided into two groups randomly assigned to Video laryngoscope intubation by general anesthesia under the supervision of their assistant. (who.int)
  • Endotracheal intubation and laryngoscopy are noxious stimuli and provoke cardiovascular and autonomic responses because of sympathoadrenal stimulation. (anesthesiologypaper.com)
  • Various pharmacological and non-pharmacological methods have been tried to attenuate hemodynamic response to laryngoscopy and endotracheal intubation. (anesthesiologypaper.com)
  • In view of it present study was undertaken to evaluate and compare effects of intravenous magnesium sulphate 30mg/kg and lignocaine 2mg/kg in attenuation of pressor response to laryngoscopy and endotracheal intubation. (anesthesiologypaper.com)
  • Mgso4 has vasodilator properties and significantly suppresses release of catecholamines and hence can attenuate stress response to laryngoscopy and endotracheal intubation better than lignocaine. (anesthesiologypaper.com)
  • After anesthesia induction, an anesthesiologist performed the laryngoscopic classification and tracheal intubation. (bvsalud.org)
  • The important consideration with this medical condition includes presence of maxillary and mandibular hypoplasia, associated to a cleft palate that may lead to difficult direct laryngoscopy and tracheal intubation. (mhmedical.com)
  • General anaesthesia using endo-tracheal intubation, carried out to provide pain- free, surgical and medical procedures, sometimes results in Traumatic Dental Injuries [TDIs]. (bvsalud.org)
  • Background: To evaluate effect of gabapentin in attenuation of haemodynamic responses to direct laryngoscopy and tracheal intubation. (bvsalud.org)
  • In addition to the core neurocritical care skills, fellows are trained in advanced bedside ultrasound, including advanced point of care echocardiography, transcranial dopplers and advanced airway management, including fiberoptic and video assisted laryngoscopy. (uc.edu)
  • This simply reinforces the intriguing suggestion that airway management remains likely the greatest technical/mechanical challenge for anesthesia professionals. (apsf.org)
  • Likewise, computerized video of airway management situations were presented from Rhode Island Hospital with the added intention of creating a detailed video archive of the difficult airways of specific patients for future pre-op reference by subsequent anesthesia personnel. (apsf.org)
  • Finally, the importance of these and all the airway related issues was specifically emphasized by the fact that "The Society for Airway Management" (founded in 1995 and pointedly billed as "apolitical") had a booth in the exhibits and highlighted its promotion of airway education and research as well as its liaison with other anesthesia-related professional groups. (apsf.org)
  • In recent decades, KARL STORZ developments have decisively shaped airway management in anesthesia, intensive care, and emergency medicine. (karlstorz.com)
  • Following ethical approval by the Ethics Committee of Peking University First Hospital (No. 2021-226, date of approval: 23 June 2021, Chairman: Professor Yanyan Yu), a retrospective cohort study was carried out on patients who received general anesthesia for cesarean section over a period of 10 years (January 2010 to December 2019). (frontiersin.org)
  • video laryngoscopy devices can be used to remove most foreign body in the hypo pharynx after several attempts by other techniques. (imed.pub)
  • Intervention 1: Intervention group: Patients who need surgery under video Laryngoscopy are intubated. (who.int)
  • Postoperative uvular edema has been reported in a child after general anesthesia via a laryngeal mask airway (Huang and Chui 2014 ) and following tonsillectomy in a child with a history of obstructive sleep apnea (Nasr et al. (springeropen.com)
  • Rigid laryngoscopy is a minimally invasive procedure that provides visual access to the vocal cords in order to diagnose and treat conditions such as hoarseness, weak voice, polyps, difficulty swallowing or laryngeal cancer. (mywtmf.com)
  • Fine needle aspiration (FNA) of a neck mass may be useful to diagnose malignant lymphadenopathy from a laryngeal tumor, and may be an alternative means of establishing a diagnosis rather than direct biopsy via direct laryngoscopy. (medscape.com)
  • General anesthesia using laryngeal mask airway (LMA) can be an alternative to regional techniques. (joas.in)
  • Insertion of LMA within the hypopharynx mandates a depth of anesthesia apt enough to relax the jaw and obtund the laryngeal reflexes. (joas.in)
  • All patients with laryngeal or pharyngeal symptoms were examined by flexible fiberoptic endoscope and direct laryngoscope under general anesthesia. (ipmj.org)
  • In the sole practice survey of anesthesiologists for endoscopy that is available, 81% of anaesthesiologists stated that they were using sedation, not general anesthesia, for ERCP. (getwellsoon.ai)
  • Was referred for endoscopy diagnosis of foreign body in the oesophagus and submitted to EDA under general anesthesia without visualizing abnormalities. (imed.pub)
  • A flexible or rigid endoscopy under general anesthesia allows a healthcare professional to look at the throat's mucosa lesions and examine swelling in the tissue. (medicalnewstoday.com)
  • General anesthesia is induced and maintained using a combination of intravenous and inhaled agents. (medscape.com)
  • Efficacy of a Bolus Dose of Remifentanil Compared to a Bolus Dose of Intravenous lidoca ne on the Incidence of Coughing During Emergence of Anesthesia. (druglib.com)
  • There is some evidence supporting the administration of intravenous opioids prior to emergence of general anesthesia to reduce perioperative coughing, agitation and haemodynamic stimulation. (druglib.com)
  • General anesthesia uses intravenous and inhaled agents to allow adequate surgical access to the operative site. (medscape.com)
  • The case proceeds with intravenous sedation, the surgeon complies with your request and blocks the base of the finger with local anesthesia, and the patient does fine. (theanesthesiaconsultant.com)
  • For direct laryngoscopy (DL) we used a Macintosh laryngoscope, whereas for videolaryngoscopy (VL) we used the cMac, the dBlade, and a King Vision videolaryngoscope. (biomedcentral.com)
  • After anesthesia was induced, direct laryngoscopy was conducted using a Macintosh laryngoscope. (springeropen.com)
  • Laryngoscope for first year anesthesia assistants Theorical and practical classes in the classroom and training on mannequins in skill lab. (who.int)
  • Laryngoscopy is an examination that lets your doctor look at the back of your throat, your voice box (larynx) , and vocal cords with a scope (laryngoscope). (wellspan.org)
  • Flexible fiberoptic endoscope is vital instrument in outpatient clinic especially when indirect laryngoscope is unsatisfactory, but don't supplant direct laryngoscopy specially when biopsy is indicated. (ipmj.org)
  • Methods Following institutional review board approval, data from 449 electronic medical records in parturients undergoing general anesthesia for cesarean delivery were extracted during a 6-year period. (ochsner.org)
  • The goal of our research was to compare three previously described multivariate models in a group of adult patients undergoing general anesthesia. (bvsalud.org)
  • The development of the technique of direct laryngoscopy by Manuel Garcia in 1855 provided the ability to examine the larynx in a living person for the first time. (medscape.com)
  • ENT specialists at Rush can often perform this biopsy in the office - rather than in the operating room under general anesthesia - for tumors of the larynx, tongue and throat. (rush.edu)
  • An exhibit from Yale featured video through the LMA "C-Trach" device that is designed specifically to allow the anesthesia provider to see via a fiberoptic bundle down into the airway and guide placement of an endotracheal tube via the LMA under "direct vision" in circumstances where traditional views of the larynx are impossible. (apsf.org)
  • Direct rigid laryngoscopy may also be used to help find cancer of the voice box (larynx). (wellspan.org)
  • Objectives Securing the parturient airway is essential during general anesthesia for cesarean delivery. (ochsner.org)
  • Methods: The study was approved by the local ethics committee, including data from 60 patients scheduled for ambulatory surgery undergoing general anaesthesia with propofol and remifentanil, using TCI. (researchgate.net)
  • Recently, with the introduction of new drugs (propofol, rocuronium, and sugammadex) and equipments (videolaryngoscopy and supraglottic airways), anesthesia methods have also gradually changed. (anesth-pain-med.org)
  • Methods This study included 220 patients scheduled for elective surgery under general anesthesia. (bvsalud.org)
  • Previous research showed the use of supraglottic airways in obstetric anesthesia. (frontiersin.org)
  • Research on obstetric anesthesia should focus on reducing anesthesia-related morbidity and ensuring the safety of both the mother and neonate. (frontiersin.org)
  • When diagnostic testing such as a CT scan or MRI is needed, this can be done in our pediatric radiology department with a team that includes experts from child life , pediatric radiology and pediatric anesthesia. (hopkinsmedicine.org)
  • The patient was evaluated prior to surgery by a cardiologist and the preoperative anesthesia clinic without any comment on the abnormal P wave morphology on electrocardiogram. (stanford.edu)
  • If there is a complication or a bad outcome after the surgery, and you delivered general anesthesia when the operating room schedule said MAC and your preoperative anesthesia note stated the anesthesia plan was MAC, then you're at medical-legal risk for delivering a deeper anesthetic than what was documented on the schedule and on your anesthetic plan. (theanesthesiaconsultant.com)
  • Direct laryngoscopy provides an opportunity for examination under general anesthesia, palpation and biopsy. (medscape.com)
  • When coupled with appropriate imaging such as a CT scan, the direct laryngoscopy provides the best information for tumor staging and surgical planning. (medscape.com)
  • The direct laryngoscopy also provides an opportunity for biopsies of the tumor to be obtained. (medscape.com)
  • This investigation quantifies the behavior of the normal cervical spine during direct laryngoscopy with a Macintosh blade. (asahq.org)
  • [1-6] While it is generally acknowledged that motion associated with direct laryngoscopy occurs predominantly in the upper cervical regions, [2,7,8] the magnitude and distribution of movement across these spinal segments have not been well characterized. (asahq.org)
  • Diagnostic properties and association between TMH and Cormack and Lehanes's classification by direct laryngoscopy were evaluated. (bvsalud.org)
  • Direct laryngoscopy lets your doctor see deeper into your throat. (wellspan.org)
  • Direct rigid laryngoscopy may be used as a surgical procedure to remove foreign objects in the throat, collect tissue samples ( biopsy ), remove polyps from the vocal cords, or perform laser treatment. (wellspan.org)
  • Indirect laryngoscopy and direct flexible laryngoscopy are generally done in a doctor's office. (wellspan.org)
  • Direct rigid laryngoscopy is done in a surgery room. (alberta.ca)
  • Anesthesia Patient Safety Foundation. (ahrq.gov)
  • Anesthesia enables a patient to tolerate surgical procedures that would otherwise inflict unbearable pain, potentiate extreme physiologic exacerbations, and result in unpleasant memories. (medscape.com)
  • With modern advances in medications, monitoring technology, and safety systems, as well as highly educated anesthesia providers, the risk caused by anesthesia to a patient undergoing routine surgery is extremely remote. (medscape.com)
  • Anesthesia management of the morbidly obese patient. (stanford.edu)
  • Split P waves on electrocardiogram have been reported previously but not in a perioperative setting.CASE PRESENTATION: A 69-year-old Caucasian male patient with widely split P waves on his preoperative electrocardiogram was scheduled for a reimplantation right total hip replacement under a combined spinal-general anesthetic technique. (stanford.edu)
  • The patient was cleared to proceed with anesthesia and surgery. (stanford.edu)
  • It has also been reported that complication rates associated with therapeutic interventions during ERCP may be significantly lower when general anaesthesia is used, perhaps because the absence of patient movement makes the procedure technically less difficult. (getwellsoon.ai)
  • There are many indications in the prehospital environment in which the patient needs a secure airway with or without the induction of general anesthesia. (biomedcentral.com)
  • Both the Scientific/Educational Exhibits and also the Technical Exhibits from vendors of anesthesia-related equipment and supplies contained a few fresh concepts related to patient safety as well as many familiar themes with some new refinements. (apsf.org)
  • Such a website could be a potential archive of actual difficult airways-with video of how to manage them-that could be accessed by any anesthesia provider anywhere when provided with the unlocking security code of the subject difficult airway patient who needs additional anesthesia care. (apsf.org)
  • Tell the surgeon that the patient needs to have cardiac clearance prior to any general anesthetic, and that the case needs to be done in a hospital setting rather than at a freestanding surgery center. (theanesthesiaconsultant.com)
  • Per the American Society of Anesthesiologists Continuum of Depth of Sedation , if a patient is unarousable even with painful stimulation, that is a general anesthetic. (theanesthesiaconsultant.com)
  • Does the patient have a history of allergy to anesthesia? (renalandurologynews.com)
  • Of course, the anesthesia management includes the general established approach for any patient with this heart defect condition. (mhmedical.com)
  • Abstract Background Thyromental height (TMH) was first reported as a great single test for prediction of difficult laryngoscopies, although further studies have shown variable estimates of its accuracy. (bvsalud.org)
  • Flexible fiber optic laryngoscopy is a diagnostic examination performed to view the throat and its surrounding structures. (mywtmf.com)
  • During a flexible fiber optic laryngoscopy, the endoscope is inserted into the patient's nose and moved into the throat. (mywtmf.com)
  • Conclusion: The qCON was able to reliably detect LOC during general anaesthesia with propofol and remifentanil. (researchgate.net)
  • Considering these, general anesthesia can be an alternative, but failure to secure airway can cause catastrophic results. (joas.in)
  • Prospective randomized controlled study was conducted in which 60 American society of Anesthesiologist 1 patients, aged 18-60yrs, undergoing elective surgery under general anesthesia were selected. (anesthesiologypaper.com)
  • citation needed] In the late 19th century, two major advances enabled the transition to modern surgery: the development and application of antiseptic techniques as a result of the germ theory of disease, which reduced morbidity and mortality rates, and the advances in pharmacology and physiology that led to the development of general anesthesia and pain control. (wikipedia.org)
  • c. 400 BC, the Sushruta Samhita (a text from the Indian subcontinent on Ayurvedic medicine and surgery) advocates the use of wine with incense of cannabis for anesthesia. (wikipedia.org)
  • Surgery for laryngomalacia is called a supraglottoplasty and can safely be performed under general anesthesia by a highly trained team of airway specialists. (johnmcclaymd.com)
  • Ten patients without clinical or radiographic evidence of cervical spine abnormality underwent laryngoscopy using a #3 Macintosh blade while under general anesthesia and neuromuscular blockade. (asahq.org)
  • The Anesthesia Consultant is written by Richard Novak, MD, an Adjunct Clinical Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University. (theanesthesiaconsultant.com)
  • The Stanford group published the academic article "Emergency Manual Uses During Actual Critical Events and Changes in Safety Culture From the Perspective of Anesthesia Residents: A Pilot Study" in 2016, and "Clinical Uses and Impacts of Emergency Manuals During Perioperative Crises" in 2020. (theanesthesiaconsultant.com)
  • The fellowship is two years with at least 15 months in critical care units and the additional 9 months designed to focus on specific subspecialities: acute stroke, general critical care, neuro-anesthesia, multimodal monitoring, clinical or basic science research. (uc.edu)
  • We included all patients who underwent general anesthesia for cesarean section between January 2010 and December 2019. (frontiersin.org)
  • Pursuing the safety of obstetric patients and anesthesiologists at the same time, this review will help update the knowledge or training in performing general anesthesia for cesarean section. (anesth-pain-med.org)
  • However, in patients with emergent conditions (e.g., placental abruption, cord prolapse, antenatal placental bleeding, and non-reassuring fetal tracing), the rate of general anesthesia has been reported to be up to 20% [ 8 ]. (anesth-pain-med.org)
  • In one retrospective study of more than 1000 patients, the ERCP failure rate with general anaesthesia was half compared to that observed with moderate sedation (7% versus 14%), with most failures resulting from inadequate sedation. (getwellsoon.ai)
  • To decide on the best anesthetic technique for patients posted for shoulder arthroscopy, pros and cons of regional versus general anesthesia have to be taken into account. (joas.in)
  • Accordingly, virtually all anesthesia professionals still today experience "difficult airway" situations with a frequency that depends on their type of patients and practice. (apsf.org)
  • Propofol infusions are typically used to make our patients sleep, and most propofol infusions cross the American Society of Anesthesiologists line into general anesthesia. (theanesthesiaconsultant.com)
  • We included prospective cohorts fully reported with patients ≥ 16 years old, providing data on predictive values of TMH for prediction of either difficult laryngoscopies or difficult intubations. (bvsalud.org)
  • Conclusion TMH arises as a good predictor of difficult laryngoscopies in adult patients from diverse populations presenting better predictive values than most previously reported bedside tests. (bvsalud.org)
  • Our hypothesis is that the use of a remifentanil bolus dose given prior to emergence of a desflurane-based anesthesia will reduce the incidence of perioperative coughing from 70% to 35% compared to lidocaine. (druglib.com)
  • The effect of a remifentanil infusion given in combination with isoflurane as the volatile agent has been shown to reduce the incidence of perioperative coughing without delaying the emergence of anesthesia. (druglib.com)
  • The use of appropriate and effective anesthesia for cesarean section is important not only to reduce the incidence of maternal and fetal morbidities but also to reduce the incidence of intraoperative maternal awareness. (anesth-pain-med.org)
  • Pain, one of the factors studied in the present study, is an unpleasant feeling with different types, divided into two general groups of pathologic and physiological or physical and psychological, which mostly occurs by stimulation of the relevant free nerve terminals (mechanical, chemical, temperature, etc.) by harmful factors and compels the living creature to evade them [1,6]. (bvsalud.org)
  • In some hospitals with a high volume of emergency cases or high-risk parturients, the rate of general anesthesia is close to 90% [ 15 ]. (anesth-pain-med.org)
  • Anesthesia providers are responsible for assessing all factors that influence a patient's medical condition and selecting the optimal anesthetic technique accordingly. (medscape.com)
  • 5 mcg/kg) to lidocaine (bolus dose of 1mg/kg) when given prior to emergence to prevent perioperative coughing after a desflurane-based anesthesia. (druglib.com)
  • Coughing, hypertension, tachycardia and agitation have been observed during emergence of general anesthesia. (druglib.com)