• Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. (wikipedia.org)
  • By the mid-20th century, the tracheotomy as well as endoscopy and non-surgical tracheal intubation had evolved from rarely employed procedures to becoming essential components of the practices of anesthesiology, critical care medicine, emergency medicine, and laryngology. (wikipedia.org)
  • Tracheal intubation can be associated with complications such as broken teeth or lacerations of the tissues of the upper airway. (wikipedia.org)
  • Because of this, the potential for difficulty or complications due to the presence of unusual airway anatomy or other uncontrolled variables is carefully evaluated before undertaking tracheal intubation. (wikipedia.org)
  • Tracheal intubation is indicated in a variety of situations when illness or a medical procedure prevents a person from maintaining a clear airway, breathing, and oxygenating the blood. (wikipedia.org)
  • Perhaps the most common indication for tracheal intubation is for the placement of a conduit through which nitrous oxide or volatile anesthetics may be administered. (wikipedia.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)
  • Tracheal intubation was impossible and ventilation was very difficult. (biomedcentral.com)
  • and to ventilate and oxygenate the patient are always indicated before attempting tracheal intubation. (msdmanuals.com)
  • Abstract Purpose Several bedside clinical tests have been proposed to predict difficult tracheal intubation. (bvsalud.org)
  • After anesthesia induction, an anesthesiologist performed the laryngoscopic classification and tracheal intubation. (bvsalud.org)
  • Unfortunately, this can deteriorate the environment for tracheal intubation and may lead to hypoxia or tissue damage [ 2 - 4 ]. (ekja.org)
  • Although advances in videolaryngoscopes have made tracheal intubation easier for patients with restricted cervical spine movement, patients with semi-rigid neck collars still need more adequate and established intubation techniques. (ekja.org)
  • Difficult tracheal intubation can be a major source of morbidity and mortality in clinical practice, particularly in emergency situations. (silverchair.com)
  • The Macintosh laryngoscope is the most commonly used device for directly visualising the structures of the larynx and facilitating tracheal intubation. (oaji.net)
  • Patients were randomly allocated into two groups of 40 each, to undergo laryngoscopy and oro-tracheal intubation using either Macintosh direct laryngoscope (group D) or C MAC® video Laryngoscope (Group V) following induction of general anaesthesia. (oaji.net)
  • A series of 120 adult patients who underwent general anaesthesia and tracheal intubation in neutral position with Rigid Cervical neck collar was studied. (ispub.com)
  • We included 120 consecutive adult non-pregnant patients with American Society of Anaesthesiologist physical status classification I and with Mallampati classification I to IV requiring general anaesthesia and tracheal intubation for electives surgery. (ispub.com)
  • Therefore, laryngoscopy was performed by an insertion of the left side of the mouth, and tracheal intubation was achieved by endotracheal tube which was advanced blindly under the epiglottis. (journalmc.org)
  • Tracheal intubation causes direct stimulation of the larynx, drastically increasing hemodynamic values including blood pressure and heart rate. (anesth-pain-med.org)
  • Various drugs including lignocaine, esmolol, alfentanil, and fentanyl have been recommended for the control of hemodynamic events caused by laryngoscopy, tracheal intubation, and subsequent extubation. (riajournal.com)
  • Long-term intubation may result in a variety of problems related to the upper airway, including endotracheal tube obstruction from secretions, vocal cord injury, subglottic stenosis, and tracheal stenosis. (mhmedical.com)
  • Intubation is normally facilitated by using a conventional laryngoscope, flexible fiberoptic bronchoscope, or video laryngoscope to identify the vocal cords and pass the tube between them into the trachea instead of into the esophagus. (wikipedia.org)
  • Modified versions of traditional laryngeal masks are also commercially available for use during difficult laryngoscope intubations. (technavio.com)
  • An endotracheal tube was successfully placed after rapid sequence intubation using a video laryngoscope from behind the patient on the first attempt. (bvsalud.org)
  • This case report is the first documentation of successful anesthetic induction with subsequent endotracheal intubation using a video laryngoscope from behind an injured patient whose upper body was upright with limited positioning. (bvsalud.org)
  • The appropriate use of a laryngoscope demands the patient to be in a typical posture with their mouth open, chin raised, and neck tilted back. (ekja.org)
  • Laryngoscopy was carried out using a Macintosh no.3 (15 patients) or 4 (15 patients) or McCoy's no. 3 (15 patients) or No. 4 (15 patients) or Balloon laryngoscope (R1L2) no. 3 (15 patients) or 4 (15 patients) or Balloon laryngoscope (L1R2) no. 3 (15 patients) or 4 (15 patients). (ispub.com)
  • Also methods such as awake intubation, fibreoptic laryngoscope, jet ventilation, retrograde intubation, laryngeal mask airway and tracheotomy have all been advocated. (ispub.com)
  • Our study is aimed at finding out some alternative and effective methods of laryngoscopy for glottic visualization and intubation .Our study compared the Cormack Lehane grade, head extension angle, laryngoscope blade levering motion angle [ LBLM ] and pressor response with Macintosh, McCoy and Balloon Laryngoscopy in Neutral and Head Extension position. (ispub.com)
  • Group A It included [30] patients, who were intubated using the Macintosh Laryngoscope. (ispub.com)
  • According to this table, people in the couple's home will fall into the videolaryngoscope group and those in the individual home will be in the laryngoscopic group, Blinding description: Patients entered the study after obtaining satisfaction without the methodological knowledge of Intubation, divided into two groups of Classic Intubation and Video Laryngoscope Intubation. (who.int)
  • A randomized study between two groups of Direct laryngoscope and Video laryngoscope in emergent patients was done.Two groups of trained students, one group of Video laryngoscope and the others of Direct laryngoscope used.85 patients who needed emergency intubation were included in the study. (who.int)
  • P value>0.05) Regarding the success rate of intubation in the above two methods, the success rate of intubation was in the Video laryngoscope 94.7% and in the Direct laryngoscope 86.1% but that was not statistically significant. (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)
  • If only you had a video laryngoscope you would be a much better doctor, your patients and staff would think you are fabulous and you would rightly be at the cutting edge of clinical care. (stemlynsblog.org)
  • Lightwand is a convenient tool that can be used instead of a laryngoscope for intubation. (anesth-pain-med.org)
  • Several studies have assessed the dose of esmolol required to minimize hemodynamic changes, in case of intubation through direct laryngoscope [ 6 , 7 ]. (anesth-pain-med.org)
  • Safety outcomes: Cormack-Lehane grade of glottis view (24), incidence of successful intubation on the first laryngoscopy attempt (placement of an endotracheal tube in the trachea during the first insertion of the laryngoscope into the oral cavity without the use of any other devices), number of laryngoscopy attempts, time from induction to intubation, need for additional airway equipment or operators, and incidence of nonhypoxemia complications. (coreem.net)
  • We assume a standard geometry laryngoscope is optimal for a patient with normal anatomy, whereas VL device with a hyperangulated blade is ideal for difficult airway situations with limited mouth opening or restricted neck movement. (biomedcentral.com)
  • A failed airway occurs when a provider has embarked on a certain course of airway management (eg, rapid sequence intubation/induction [RSI]) and has determined that intubation by that method will not succeed and that immediate initiation of a rescue sequence must be implemented. (medscape.com)
  • 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)
  • How To Do Orotracheal Intubation Using Video Laryngoscopy Endotracheal (ET) tubes are flexible tubes with a standard flange for attaching an oxygen source at the proximal end and a beveled tip and inflatable balloon cuff at the distal end. (msdmanuals.com)
  • Orotracheal intubation is preferred in apneic and critically ill patients because it can usually be done faster than nasotracheal intubation, which is reserved for awake, spontaneously breathing patients or for situations in which the mouth must be avoided. (msdmanuals.com)
  • this may further complicate orotracheal intubation. (ekja.org)
  • In the conventional Macintosh blade technique for orotracheal intubation, a blade tip is placed on the vallecula and lifts the glottis. (ekja.org)
  • It is frequently performed in critically injured, ill, or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation, and to prevent the possibility of asphyxiation or airway obstruction. (wikipedia.org)
  • Although it is not the only means to maintain a patent airway during general anesthesia, intubation of the trachea provides the most reliable means of oxygenation and ventilation and the greatest degree of protection against regurgitation and pulmonary aspiration. (wikipedia.org)
  • A difficult airway is one for which a preintubation examination identifies attributes that are likely to make laryngoscopy, intubation, bag-mask ventilation (BMV), the use of a supraglottic device, or surgical airway management more difficult than would be the case for a normal airway. (medscape.com)
  • Upper airway soft tissue abnormalities may be responsible for some of these unexpected, life threatening difficult intubation and ventilation. (biomedcentral.com)
  • Ventilation with 100% oxygen denitrogenates healthy patients and significantly prolongs the safe apneic time (effect is less in patients with severe cardiopulmonary disorders). (msdmanuals.com)
  • They key in the retrieval setting to this case is optimising this patients condition as much as possible to avoid invasive ventilation. (broomedocs.com)
  • If he is on maximal NIPPV settings and not clearly getting better or looking tired then a plan for intubation and ventilation must be put in place. (broomedocs.com)
  • Background: Operating table height/patient level in relation to anaesthesiologist influences mask ventilation, laryngoscopy, intubation and task performance in terms of physical and mental workload. (manipal.edu)
  • Conclusion: Higher operating table levels are ideal for laryngoscopy and intubation whereas lower levels favour mask ventilation. (manipal.edu)
  • An Intubation Difficulty Scale (IDS) was developed, based on parameters known to be associated with difficult intubation. (silverchair.com)
  • Because of the lack of a standard definition of difficult intubation, the incidence and factors associated with difficult intubation vary drastically from one institution or time period to another and are virtually impossible to compare directly. (silverchair.com)
  • Because it is an invasive and uncomfortable medical procedure, intubation is usually performed after administration of general anesthesia and a neuromuscular-blocking drug. (wikipedia.org)
  • It can, however, be performed in the awake patient with local or topical anesthesia or in an emergency without any anesthesia at all. (wikipedia.org)
  • 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 increasing number of surgeries increases the demand for laryngeal masks during anesthesia delivery to patients during surgery. (technavio.com)
  • This report describes our institution's experience with SLOS patients undergoing anesthesia in Canada. (mcmaster.ca)
  • The goal of our research was to compare three previously described multivariate models in a group of adult patients undergoing general anesthesia. (bvsalud.org)
  • Methods This study included 220 patients scheduled for elective surgery under general anesthesia. (bvsalud.org)
  • The authors compared intubation conditions of mivacurium, rocuronium, and a placebo at 90 s and their recovery profiles during anesthesia with nitrous oxide, oxygen, and propofol. (silverchair.com)
  • A 28-year-old male patient with a large vallecular cyst was scheduled for surgical excision of the cyst under general anesthesia. (journalmc.org)
  • No problem arose during the course of anesthesia, surgical intervention and the postoperative period, and the patient was discharged on the fifth postoperative day. (journalmc.org)
  • The study subjects included 140 patients who underwent general anesthesia for elective surgery. (anesth-pain-med.org)
  • Intubation is a frequent procedure during general anesthesia. (anesth-pain-med.org)
  • After obtaining study approval from the Institutional Review Board of Soonchunhyang university hospital (no. 2018-06-041-002), we recruited 140 patients of the American Society of Anesthesiologists class I and II who required general anesthesia for elective surgery. (anesth-pain-med.org)
  • A randomized prospective double-blind study was done on 80 ASA I/II adult patients of both sexes in the age group 18-60 years scheduled for elective laparoscopic surgery under general anesthesia over a period of 6 months. (riajournal.com)
  • After approval of our institutional ethics committee, a randomized prospective double-blind study was done on 80 ASA physical status 1 and 2 adult patients of both sexes in the age group 18-60 years scheduled for elective laparoscopic surgery under general anesthesia. (riajournal.com)
  • 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)
  • With today's ability to communicate, there is no reason for a patient to risk having a second unanticipated difficult airway or for an anesthesia professional to suffer the stress of encountering an unanticipated difficult airway. (apsf.org)
  • Anesthesia providers all notify difficult airway patients in some way. (apsf.org)
  • However, this may not be the ideal time for this notification as the patient is somewhat sedated and the loved ones are anxious about the surgical findings and the patient's recovery from anesthesia and surgery. (apsf.org)
  • Hurricane External Spray was utilized in the initiation of a process, as well as the patient experienced reduced oxygen saturation during healing in the Post Anesthesia Care Unit. (lastsportsman.com)
  • Indeed, the use of PNBs is a popular choice in small animal anesthesia for the provision of analgesia to patients undergoing orthopedic surgeries. (openveterinaryjournal.com)
  • 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)
  • We aim to evaluate if there might be better success in securing an airway if the unexperienced provider in the prehospital environment uses a videolaryngoscope in every first attempt of an emergency intubation. (biomedcentral.com)
  • I was astonished by encountering a grade IV Cormack - Lehane laryngoscopic view. (biomedcentral.com)
  • In the case mentioned above, despite the absence of clinical criteria indicating difficult airway, in direct laryngoscopy I faced with a laryngoscopic view of class IV in the Cormack - Lehane classification. (biomedcentral.com)
  • The primary investigator used ratio of height to thyromental distance, upper lip bite test and the modified Mallampati test for assessing the airway correlated with laryngoscopic view based on Cormack and Lehane grading. (aku.edu)
  • High likelihood of selection bias due to difficult airways/sicker patients being excluded from the trial. (coreem.net)
  • Endotracheal intubations in three simulated normal and difficult airways were performed. (biomedcentral.com)
  • In my clinical practice of critical care in and out of hospital, I can't afford to risk delaying the securing of my patients' airways with a procedure in which in my view the risks of harm outweigh any unproven chance of benefit. (resus.me)
  • Difficult airway especially failed intubation has been associated with a high incidence of mortality and morbidity. (biomedcentral.com)
  • Across the country india for last one month of very many incidence of mucormycosis against patients with covid -19 , especially who received dexamethasone with co morbidity diabetes mellitus and associated with high mortality and morbidities. (bmj.com)
  • 1 Although the incidence is unknown, some patients also have a second or recurrent unanticipated difficult airway event. (apsf.org)
  • Intervention 1: Intervention group: Patients who need surgery under video Laryngoscopy are intubated. (who.int)
  • Other methods of intubation involve surgery and include the cricothyrotomy (used almost exclusively in emergency circumstances) and the tracheotomy, used primarily in situations where a prolonged need for airway support is anticipated. (wikipedia.org)
  • Material and Methods: A randomized double blind study was conducted on 60 adult patients of ASA grade I and II, were randomly allocated into three groups of 20 each. (oaji.net)
  • Material and Methods: After institutional ethical committee approval and patient consent, eighty ASA I/II patients, aged 18 to 60 years, with normal airway, who underwent elective surgeries under general anaesthesia were included in the study. (oaji.net)
  • Also various accessories such as bougie, prism, angle adaptor and mirrors as well as various methods of laryngoscopy such as modified straight blade laryngoscopes were tried to overcome the problem of difficult intubation. (ispub.com)
  • Methods: The cross-sectional study was conducted at the Aga Khan University Hospital, Karachi, from August 2014 to August 2015, and comprised patients who required endotracheal intubation for elective surgical procedures. (aku.edu)
  • METHODS: A 4-year retrospective review of patients diagnosed with Pierre Robin Sequence who underwent mandibular distraction within the first 3 months of life was performed. (emory.edu)
  • It was then evaluated prospectively in a group of 311 consecutive prehospital intubations and 315 intubations in an operating room. (silverchair.com)
  • Proper airway management is often crucial in prehospital care of critically ill patients. (biomedcentral.com)
  • In prehospital emergency situations one-third of intubation attempts using conventional laryngoscopes fail and have to be aborted [ 3 ]. (biomedcentral.com)
  • The German Society of Anesthesiologists (DGAI) suggests completing 100 endotracheal intubations for initial training followed by at least 10 intubations per year to maintain intubation skills in the prehospital setting [ 9 ]. (biomedcentral.com)
  • Grading of Larynx helps the anesthetist for endotracheal intubation.Listen to what Dr.Thomas explaining while he is extubating the patient. (drpaulose.com)
  • While touching and pressing the thyromental area in order to provide a better laryngoscopic view of larynx, I encountered a noncompliant compact bulk instead of a normal soft fatty tissue in the submental space. (biomedcentral.com)
  • When a patient with rheumatoid arthritis presents with a mass in the larynx, cricoarytenoid rheumatoid arthritis should be ruled out even in the face of an aggressive lesion appearance at CT. (ajnr.org)
  • This study aims to identify the effect of different doses of esmolol on hemodynamic changes during lightwand intubation. (anesth-pain-med.org)
  • Lignocaine as an intravenous bolus dose has been used for minimizing hemodynamic changes associated with intubation and extubation. (riajournal.com)
  • However, prolonged intubation has risks including subglottic stenosis, ventilator-associated pneumonia, and accidental extubation. (emory.edu)
  • If the anaesthesiologist can predict which patients are likely to be difficult for intubation, the risk of anaesthesia reduces considerably [ 1 ]. (biomedcentral.com)
  • There are various clinical techniques to predict difficult intubation. (biomedcentral.com)
  • Sometimes despite normal physical characteristics mentioned above, the anaesthesiologist is faced with an unexpected difficult intubation. (biomedcentral.com)
  • Based on my experience of an unexpected difficult intubation in 1999 in a 23 year old, 65 kg weight and 170 cm height female patient scheduled for arthroscopy I decided to evaluate submental space in all of patients. (biomedcentral.com)
  • Observation, palpation and evaluation of the submental space for more than ten years, as a routine examination in about 3 thousands patients with no skeleto-facial abnormality resulted in suggesting evaluation of the submental space as a routine examination before laryngoscopy in order to predict unexpected cases of difficult intubation. (biomedcentral.com)
  • Patients with other positive standard criteria for difficult intubation were excluded. (biomedcentral.com)
  • Comparison of Laryngoscopic Views betweenC-MAC™ and Conventional Laryngoscopy in Patients with Multiple Preoperative Prognostic Criteria of Difficult Intubation. (bvsalud.org)
  • It is designed to overcome unexpected difficult laryngoscopic intubation. (technavio.com)
  • One thing to consider is that doing it early whilst physiology is better may be prudent rather than waiting for retrieval team to arrive and then everyone having a much deteriorated patient to try to do a v difficult intubation on. (broomedocs.com)
  • One patient was noted to have a diminished laryngoscopic view but no difficult intubations were encountered. (mcmaster.ca)
  • 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)
  • This score may not only aid in evaluation of factors linked to difficult intubations, but it may provide a uniform approach to comparing studies related to this subject. (silverchair.com)
  • The complexity of intubation is often referred to in the literature, but unfortunately, no uniform method of description of the "difficult intubation" exists. (silverchair.com)
  • Results: Of the 383 patients, 59(15.4%) were classified as difficult cases of laryngoscopy. (aku.edu)
  • We presented the airway management of an adult patient with difficult airway due to a large vallecular cyst. (journalmc.org)
  • However although Yamamoto and others demonstrated that this improved the laryngoscopic view, actual intubation may still be difficult because of the limited access to the cords, in part caused by the bulging of the tongue. (resus.me)
  • Physicians from Turkey described a case 3 of an unpredicted difficult airway to demonstrate that the use of the gum elastic bougie can facilitate intubation which had otherwise not been successful via the left molar approach. (resus.me)
  • Devices for indirect or videolaryngoscopes endotracheal intubation are frequently used for the management of an unpredicted difficult airway. (biomedcentral.com)
  • Difficult intubations have variably been reported to range from 1-18% in the operating room. (apsf.org)
  • Difficult intubation is not necessarily related to difficult airway otherwise. (apsf.org)
  • 2 Previous difficult intubation has a better positive predictive value (69-78%) than other independent predictive values. (apsf.org)
  • Since the above described encounter, I have been driven to simplify and improve the process of patient notification of a clinically occult /unknowable difficult airway. (apsf.org)
  • Prior to the practice guidelines regarding the management of the difficult airway there was little or no literature regarding benefits of patient notification of difficulty with management of their airway. (apsf.org)
  • The practice guidelines recommend informing the patient or responsible party of the presence of and basis for a difficult airway, unsuccessful management strategies, and successful ones. (apsf.org)
  • Endotracheal intubation can be difficult in the emergent situation, and having an appropriate backup strategy is important. (ebmedicine.net)
  • This issue reviews indications and techniques for SGA placement, provides evidence-based recommendations for their use, and discusses the use of SGAs in the patient with a difficult airway. (ebmedicine.net)
  • The use of supraglottic airway devices in the patient with a difficult airway is also discussed. (ebmedicine.net)
  • Our findings demonstrated a superior glottic view and more favorable intubation environments when the blade tip was placed under the epiglottis than using the conventional Macintosh technique in patients with immobilized cervical spine. (ekja.org)
  • Functional upper airway obstruction may occur in patients who exhibit abnormal glottic closure during inspiration and/or expiration. (mhmedical.com)
  • Is fibreoptic intubation a dying art? (openairway.org)
  • Over the past two weeks, I have been involved in three cases where all means of laryngoscopic intubation failed - including multiple different blades, introducers and highly skilled hands - and the airway could only be intubated with a flexible fibreoptic 'scope. (openairway.org)
  • In an article on the Airway E-Learning site, Dr Matthew Wiles details why he thinks fibreoptic intubation (FOI) is becoming a rare beast , and why we should work hard to maintain excellence in this important skill. (openairway.org)
  • This prospective randomized study included patients aged ≥ 20 years with American Society of Anesthesiologists physical status I-III scheduled for cervical spine surgery between October 2020 and August 2021. (ekja.org)
  • However, certain patients need restrictions in the movement of their cervical spine that may require the head to be in a neutral position [ 1 ]. (ekja.org)
  • This is dangerous in trauma patients because it may exacerbate a cervical spine injury. (medscape.com)
  • Its use is restricted to those patients in whom cervical spine injury has been excluded. (medscape.com)
  • Patients with hypertension, cardiac problems, cervical spine fracture, tumors, or polyps in the upper airway, those with expected airway difficulties, and patients currently using beta blockers were excluded from the study. (anesth-pain-med.org)
  • Comparisons of the intubation conditions with mivacurium and rocuronium from previous reports are confounded by the use of varied induction regimens. (silverchair.com)
  • chest compressions should not be halted for intubation attempts. (msdmanuals.com)
  • Additionally, it has been shown that the risks of hypoxemia, aspiration and even cardiac arrest increase significantly after more than two intubation attempts [ 4 ]. (biomedcentral.com)
  • The primary objective was to evaluate the analgesic efficacy of intraoperative lignocaine-infused patients, the effectiveness of lignocaine infusion on the pressor response at intubation and extubation, and the effect of intravenous lignocaine on postoperative analgesia. (riajournal.com)
  • Maintaining intubation allows for the airway size to be increased through gradual mandibular distraction, thus decreasing the impact of airway edema, which may occur after extubation. (emory.edu)
  • CONCLUSION: Our data suggest that immediate extubation after placement of mandibular distractors is feasible in patients who are not intubated preoperatively. (emory.edu)
  • On attempt to attain a better laryngoscopic view, while manipulating submandibular region I encountered a bulky noncompliant submental space (Submental Sign). (biomedcentral.com)
  • We also recorded the time to obtain the optimal laryngoscopic view, intubation duration, and ease and satisfaction of the researcher performing intubation. (ekja.org)
  • Primary variable was quality of laryngoscopic view obtained. (manipal.edu)
  • Results: Laryngoscopic view was best at levels X and A when compared to B (p = 0.0004). (manipal.edu)
  • There is some consistent evidence that it worsens laryngoscopic view. (resus.me)
  • Hypoxemia is the most common complication of endotracheal intubation in the critically ill and the strongest risk factor for periprocedural cardiac arrest and death. (coreem.net)
  • However, in critically ill patients, acute physiologic abnormalities render preoxygenation less effective. (coreem.net)
  • I proposed a tongue in cheek change of terminology to emphasis what we know about cricoid pressure in the critically ill: that it can delay intubation, distort and compress the airway, and move rather than compress the oesophagus (although I concede the latter point may be irrelevant in terms of CP's proposed mechanism). (resus.me)
  • learn_more caption="Who was studied"] 623 patients in a trauma receiving unit. (stemlynsblog.org)
  • 22 participants (14.8 ± 4.0 intubations per year, mostly trauma surgeons) with limited experience in videolaryngoscopy (mean total number of videolaryngoscopy .4 ± .2) were enrolled. (biomedcentral.com)
  • Apneic oxygenation did not impact the proportion of patients who experienced an oxygen saturation less than 90%, less than 80%, or a desaturation greater than 3% during the procedure. (coreem.net)
  • One patient required re-intubation due to upper airway obstruction related to the surgical procedure in the postoperative period. (mcmaster.ca)
  • BACKGROUND AND PURPOSE: Mandibular distraction osteogenesis is the preferred treatment at many centers for micrognathic patients with recalcitrant upper airway obstruction. (emory.edu)
  • Early laryngoscopic examination of the upper airway is crucial in the evaluation of burn patients with suspected inhalation injury. (mhmedical.com)
  • During initial evaluation, the patient had a sudden dyspneic episode with severe upper airway symptoms, including stridor. (ajnr.org)
  • The degree of heart rate elevation was suppressed in the E1 and E2 groups compared to the C group, and RPP after intubation significantly decreased in the E2 group compared to the C group. (anesth-pain-med.org)
  • The intubation response, length of hospital stay, ambulation time, time of the return of bowel movements, use of rescue analgesics, use of opioids, and visual analog scores (VAS) in the saline group were significantly higher as compared to the lignocaine group. (riajournal.com)
  • Intravenous lignocaine as bolus and infusion demonstrated a significant decrease in the hemodynamic parameters following intubation and postextubation, provided opioids-sparing role, showed lower VAS scores, fewer rescue analgesics over 24 hours, significantly early bowel movements, ambulation, and discharge. (riajournal.com)
  • Comparison of average VAS score of patients postoperatively during the study showed low VAS score in both groups at 1 h, but Group B showed significantly lower score as compared to Group F. Group F showed a higher mean score of VAS at 2 h and 4 h and signified first analgesic need in the majority. (joas.in)
  • CLINICAL FEATURES: Three patients diagnosed with SLOS at McMaster University underwent a total of five anesthetics for diagnostic imaging and surgical procedures. (mcmaster.ca)
  • The clinical history provides limited opportunity to distinguish between patients with VCD and patients with asthma because both groups present with symptoms of wheezing, cough, and dyspnea. (medscape.com)
  • [ 6 , 13 ] The localization of airflow obstruction to the laryngeal area is an important clinical discriminatory feature in patients with VCD. (medscape.com)
  • Another clinical clue may be that patients with VCD often seem to have refractory asthma with poor response to beta-agonists or inhaled corticosteroids. (medscape.com)
  • In many situations, supraglottic airway devices (SGAs) can be used instead of endotracheal intubation to manage a patient's airway. (ebmedicine.net)
  • Unlike many studies on the use of different airway techniques this is an RCT looking at patient outcomes between video (Glidescope) and boring old direct laryngoscopy. (stemlynsblog.org)
  • It can also be associated with potentially fatal complications such as pulmonary aspiration of stomach contents which can result in a severe and sometimes fatal chemical aspiration pneumonitis, or unrecognized intubation of the esophagus which can lead to potentially fatal anoxia. (wikipedia.org)
  • Results Eight studies evaluating 2844 patients were included. (bvsalud.org)
  • This results in an elevated level of catecholamine and consequent increases in blood pressure (BP) and heart rate (HR), exerting a negative influence on the patients' cardiovascular system [ 1 , 2 ]. (anesth-pain-med.org)
  • RESULTS: A total of 52 (29 males, 23 females) patients met inclusion criteria. (emory.edu)
  • Are patients willing to be informed on the risks and complications associated with the proposed therapy? (bvsalud.org)
  • This issue reviews the use of supraglottic airway devices in pediatric patients including common devices, indications and techniques for placement, and complications associated with their use. (ebmedicine.net)
  • This can be copied and distributed to the patient, the primary care provider, the surgeon, and the facility. (apsf.org)
  • Their recommendations included having the patient wear an identification bracelet, registering the patient with an emergency notification service, notifying the surgeon and primary care provider, and documenting the event in the patient's chart. (apsf.org)
  • A total of 100 patients scheduled for various elective surgical procedures were randomly selected and divided into two groups of 50 each, that is, Group F (propofol and fentanyl) and Group B (propofol and butorphanol). (joas.in)
  • This study was conducted in 3000 patients scheduled for general anaesthesia. (biomedcentral.com)