TrachealEffects of general anesthesiaLaryngoscopyEndotracheal tubeSecuring the airwayPediatric anesthesiaAnesthesiologyMucous membranesInductionAirway managementPatent airwayIntravenous injectionSevofluraneInhalationLungAnestheticSurgicalInstillationElective surgeryMethodsNeonatesEPIDURALEtomidateVideolaryngoscopeGeneralLidocaineMultivariateLaryngoscopicTracheostomyHypoxiaManikinVentilationComplicationsMaskProceduresPhysicianFrequentAwakeAirwaysDifficultDosageRapidlySurgeryPatientConventionalStudyMedical
Tracheal19
- 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)
- Neonatal outcomes after failed tracheal intubation during obstetric general anaesthesia for caesarean section: Secondary analysis of a UKOSS case-control study. (ox.ac.uk)
- BACKGROUND: Previous studies have failed to detect high body mass index (BMI) as a risk factor for difficult tracheal intubation (DTI). (regionh.dk)
- A four-point scale to grade the tracheal intubation was used. (regionh.dk)
- 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)
- 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)
- 5 and 10 min after tracheal intubation. (bvsalud.org)
- Similarly, World War II physician-anesthetists showed they could provide complex anesthesia care, such as pentothal administration, regional anesthesia, and tracheal intubation, with aplomb and gained the support of surgical colleagues who facilitated their growth within a medical profession. (silverchair.com)
- 1 In addition, prolonged translaryngeal endotracheal intubation is associated with the development of sinusitis 2 and may cause severe laryngeal and tracheal damage. (rcjournal.com)
- We examined the safety and efficacy of using a new device, the Neonatal Laryngeal Mask (NLM), to manage airways while inducing surgical plane anesthesia in piglets as well as facilitate tracheal catheterization to administer medication into the lungs. (actascientific.com)
- 5 , 6 Tracheal stenosis is a known risk of long-term intubation, however, and has also been associated with tracheostomy Tracheal stenosis resulting from endotracheal intubation versus tracheostomy does appear to differ in mechanism, morphology, and location. (rcjournal.com)
- 7 Tracheal stenosis from prolonged endotracheal intubation can occur anywhere from the ETT tip to the glottic/subglottic area, but the most common site is where the cuff has been in contact with the mucosa (one third of cases). (rcjournal.com)
Effects of general anesthesia2
- When it's time to walk away from your patient in the recovery room, you'll worry less if your patient is already talking to you and has minimal residual effects of general anesthesia. (theanesthesiaconsultant.com)
- Vedaei F, Alizadeh M, Tantawi M, Romo V, Mohamed FB, Wu C. Vascular and neuronal effects of general anesthesia on the brain: An fMRI study. (jefferson.edu)
Laryngoscopy2
- METHODS: A cohort of 91,332 consecutive patients planned for intubation by direct laryngoscopy was retrieved from the Danish Anesthesia Database. (regionh.dk)
- TOPICAL APPLICATION: For laryngoscopy, bronchoscopy and endotracheal intubation, the pharynx may be sprayed with 1−5 mL (40−200 mg of lidocaine HCl), i.e., 0.6−3 mg/kg or 0.3−1.5 mg/lb body weight. (pfizermedicalinformation.com)
Endotracheal tube3
- 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 image depicts a female hospital patient, who was about to undergo a surgical procedure, and at this point she had been intubated, and fitted with an endotracheal tube that would provide her with a patent airway, while she was under anesthesia. (cdc.gov)
- Plain endotracheal tube (ETT) intubation guided by a fiberoptic bronchoscope through Ambu ® AuraGain TM was demonstrated in a pediatric manikin to the participants before training. (ekja.org)
Securing the airway1
- The SAD is a more useful device for securing the airway compared to endotracheal intubation [ 3 ], and can be used as an intubation conduit [ 4 ]. (ekja.org)
Pediatric anesthesia1
- Sevoflurane inhalation induction is widely used in pediatric anesthesia, but the minimum alveolar concentration for endotracheal intubation (MACEI) when combined with neuromuscular blockade in neonates has been largely unexplored. (medscimonit.com)
Anesthesiology2
- The Anesthesia Consultant is written by Richard Novak, MD, an Adjunct Clinical Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University. (theanesthesiaconsultant.com)
- Wartime training exposed neophyte physician-anesthetists to role models who showed the potential of anesthesiology and to the richness of practicing anesthesia. (silverchair.com)
Mucous membranes2
- Lidocaine Ointment USP, 5% is indicated for production of anesthesia of accessible mucous membranes of the oropharynx. (nih.gov)
- 4% Lidocaine Hydrochloride Injection, USP is indicated for the production of topical anesthesia of the mucous membranes of the respiratory tract or the genito-urinary tract. (pfizermedicalinformation.com)
Induction4
- Anesthesia induction was commenced by inhaling 4% sevoflurane with 2 l/min of 100% oxygen via mask. (medscimonit.com)
- Use propofol for induction of anesthesia. (theanesthesiaconsultant.com)
- Choudhry DK, Brenn BR, Sacks K, Lutwin-Kawalec M, Aaronson NL, Rahman T. Comparative evaluation of one-handed versus two-handed mask holding techniques in children during inhalational induction of anesthesia: A randomized crossover study. (jefferson.edu)
- 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)
Airway management2
- Therefore, various techniques have been introduced to extend the time available for airway management and for successful intubation in children with expected or unexpected difficult airway [ 1 ]. (ekja.org)
- Freehand fiberoptic intubation, fiberoptic-guided intubation through a supraglottic airway device (SAD), or intubation using a videolaryngoscope are the recommended techniques for difficult pediatric airway management [ 2 ]. (ekja.org)
Patent airway1
- 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)
Intravenous injection1
- In additional studies, the biokinetics of ultrafine particles and soluble 192Ir was studied after administra- tion by either gavage or intratracheal instillation or intravenous injection. (cdc.gov)
Sevoflurane4
- Neonates were administered cisatracurium 0.2 mg/kg followed by adjustment of inspired sevoflurane to target end-tidal concentration based on intubation condition of the preceding subject. (medscimonit.com)
- When the steady-state end-tidal sevoflurane concentration target was maintained for at least 15 min, endotracheal intubation by direct laryngoscope was performed. (medscimonit.com)
- A case of nonoliguric renal failure after general anesthesia with sevoflurane and desflurane. (uchicago.edu)
- Drug induced hepatitis following sevoflurane anesthesia in a child]. (uchicago.edu)
Inhalation1
- Inhalation anesthetics have advantages over intravenous agents in that the depth of anesthesia can be changed rapidly by altering the inhaled concentration. (lookformedical.com)
Lung3
- Double-lumen endobronchial tube (DLT) intubation is the method of choice for lung separation and one-lung ventilation during thoracic procedures [ 1 ]. (ekja.org)
- Prolonged translaryngeal endotracheal intubation increases the risk of ventilator-associated pneumonia (VAP) by bypassing and disabling the laryngeal mechanisms, promoting oropharyngeal contamination of the bronchial tree and lung. (rcjournal.com)
- The test lung was ventilated using an anesthesia respirator with volume controlled mode and PEEPs of 0, 5, 10, or 15 cm H 2 O. Using spirometry, percentages of expired to inspired tidal volumes (TVe/i) were calculated as a measure of air leakage. (accjournal.org)
Anesthetic5
- Components of the anesthetic that we thought would be difficult such as intravenous line placement and endotracheal intubation were accomplished without difficulty. (psu.edu)
- Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract. (lookformedical.com)
- A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth. (lookformedical.com)
- In general, the rate of absorption of local anesthetic agents following topical application occurs most rapidly after intratracheal administration. (nih.gov)
- It is also useful as an anesthetic lubricant for intubation and for the temporary relief of pain associated with minor burns, including sunburn, abrasions of the skin, and insect bites. (nih.gov)
Surgical2
- One patient required re-intubation due to upper airway obstruction related to the surgical procedure in the postoperative period. (mcmaster.ca)
- General anesthesia risk across pediatric surgical specialties: Low in otolaryngology. (jefferson.edu)
Instillation1
- In addition, we exposed male WKY rats to monodispersed Fe 2 O 3 particles by intratracheal instillation (1.3 or 4.0 mg/kg body weight) to examine in vivo inflammation. (biomedcentral.com)
Elective surgery1
- Methods This study included 220 patients scheduled for elective surgery under general anesthesia. (bvsalud.org)
Methods1
- 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)
Neonates1
- Association of anesthesia type with prolonged postoperative intubation in neonates undergoing inguinal hernia repair. (jefferson.edu)
EPIDURAL1
- Boco T, Deutsch H. Delayed symptomatic presentation of epidural hematoma after epidural catheter anesthesia: case report. (rush.edu)
Etomidate1
- Anesthesia was induced in a routine fashion with etomidate and midazolam and maintained with sufentanil and isoflurane. (biomedcentral.com)
Videolaryngoscope2
- We tested the hypothesis that teaching with a novel videolaryngoscope improves students' intubation skills. (nih.gov)
- Moreover, this technique demonstrated a higher success rate and lower incidence of hypoxia compared to indirect intubation using a videolaryngoscope in infants with difficult airways [ 6 ]. (ekja.org)
General13
- General vs local anesthesia. (nih.gov)
- Bronchoalveolar lavage (BAL) can be performed with the patient undergoing either local or general anesthesia (GA). This study investigates whether the type of anesthesia affects BAL fluid and cell recovery. (nih.gov)
- 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)
- The period of emergence from general anesthesia , where different elements of consciousness return at different rates. (lookformedical.com)
- This cross-sectional retrospective study was carried out in 102 (51 female, 51 male) children who underwent cardiac surgery under general anesthesia. (bjan-sba.org)
- Does it matter if a patient wakes up promptly after general anesthesia? (theanesthesiaconsultant.com)
- Anesthesia, General" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (jefferson.edu)
- This graph shows the total number of publications written about "Anesthesia, General" by people in this website by year, and whether "Anesthesia, General" was a major or minor topic of these publications. (jefferson.edu)
- Below are the most recent publications written about "Anesthesia, General" by people in Profiles. (jefferson.edu)
- Mraovic B, Hipszer B, Loeum C, Andonakakis A, Joseph J. Evaluation of continuous aspiration of subglottic secretions in prevention of microaspiration during general anesthesia: a randomized controlled pilot study. (jefferson.edu)
- Pierre O, Lovejoy JF, Stanton R, Skupski R, Previl H, Bernard J, Losonczy L, Walsh M. The Use of Emergency Physicians to Deliver Anesthesia for Orthopaedic Surgery in Austere Environments: The Expansion of the Emergency Physician's General Anesthesia Syllabus to Orthopaedic Surgery. (jefferson.edu)
- The goal of our research was to compare three previously described multivariate models in a group of adult patients undergoing general anesthesia. (bvsalud.org)
- Although modern medical technology has created less strenuous means of maintaining airways during general anesthesia, these tools present evident limitations in many pre-term and full-term babies. (actascientific.com)
Lidocaine3
- Lidocaine Ointment 5% effects local, topical anesthesia. (nih.gov)
- Providing sufficient urethral anesthesia with a lubricant containing lidocaine reduces the risk of injury from a patient's involuntary defensive movements. (glydo.com)
- GLYDO contains 2% lidocaine hydrochloride (20 mg per mL) that allows for effective surface anesthesia for prevention and control of pain in procedures involving the male and female urethra. (glydo.com)
Multivariate1
- CONCLUSIONS: High BMI is a weak but statistically significant predictor of difficult and failed intubation and may be more appropriate than weight in multivariate models of prediction of DTI. (regionh.dk)
Laryngoscopic1
- One patient was noted to have a diminished laryngoscopic view but no difficult intubations were encountered. (mcmaster.ca)
Tracheostomy2
- Placement of a tracheostomy has become a viable alternative to prolonged endotracheal intubation, with the benefits of improving patient comfort, reducing need for sedation, lowering airway resistance, and allowing for easier airway care. (rcjournal.com)
- Tracheostomy prevents laryngeal or upper airway damage from prolonged translaryngeal intubation, allows easy/frequent access to the lower airway for suctioning, and provides a stable airway in a patient who requires prolonged mechanical ventilation. (rcjournal.com)
Hypoxia2
- Correct endotracheal intubation results in better ventilation, prevents hypoxia and its possible damages, such as brain injury, and minimizes attempts for re-intubation. (bjan-sba.org)
- Therefore, this technique can maximize the safety of children and the success rate of intubation in children with both expected and unexpected difficult airways, who are prone to hypoxia and subsequent bradycardia during apnea [ 1 , 5 ]. (ekja.org)
Manikin1
- Trainees can obtain proficiency for fiberoptic-guided intubation through SAD within 25 times when using pediatric manikin. (ekja.org)
Ventilation2
- Fiberoptic-guided intubation via an SAD has the advantage of ventilation and continuous oxygenation during the procedure [ 1 , 5 ]. (ekja.org)
- Inclusion criteria were age 18 years or older, oral endotracheal intubation, and conventional mechanical ventilation (MV). Patients with obesity, chronic respiratory disease, laryngeal disease or anomaly, and difficult intubation (two or more trials), were excluded from the study. (biomedcentral.com)
Complications3
- 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)
- 2 S.F. Khatami, P. Parvaresh, S. Behjati Common complications of endotracheal intubation in newborns Iran J Neonatol IJN. (bjan-sba.org)
- Association of Anesthesia Duration With Complications After Microvascular Reconstruction of the Head and Neck. (jefferson.edu)
Mask1
- The tube is then secured to the face or neck and connected to a T-piece, anesthesia breathing circuit, bag valve mask device, or a mechanical ventilator. (wikipedia.org)
Procedures1
- Given the improvements in reptile sedation and anesthesia, even manageable reptiles may be preferentially sedated or anesthetized for procedures that would otherwise take longer to accomplish and cause unnecessary stress or discomfort. (merckvetmanual.com)
Physician3
- World War II was a time of growth and development of anesthesia as a physician specialty. (silverchair.com)
- With this in mind, consider how the effects of World War II on the growth of physician anesthesia loosely parallel the growth of anesthesia in Great Britain during the 19th century. (silverchair.com)
- This article investigates some of the factors of World War II and the European Theater of Operations that may have influenced the growth and development of anesthesia as a physician specialty. (silverchair.com)
Frequent1
- American dentists, on the other hand, embraced performing anesthesia, and became frequent and common practitioners. (silverchair.com)
Awake1
- 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)
Airways2
- Although fiberoptic-guided endotracheal intubation using a supraglottic airway device (SAD) is a good alternative for the management of difficult airways, its learning curve for residents has not been evaluated in pediatric patients. (ekja.org)
- Endotracheal intubation is an intricate process critical to maintaining airways during advanced neonatal resuscitation and administering surfactant to treat respiratory distress syndrome in premature infants. (actascientific.com)
Difficult1
- 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)
Dosage2
- The dosage varies and depends upon the area to be anesthetized, vascularity of the tissues, individual tolerance and the technique of anesthesia. (pfizermedicalinformation.com)
- The lowest dosage needed to provide effective anesthesia should be administered. (pfizermedicalinformation.com)
Rapidly1
- TRANSTRACHEAL INJECTION: For local anesthesia by the transtracheal route 2−3 mL should be injected through a large enough needle so that the injection can be made rapidly. (pfizermedicalinformation.com)
Surgery2
- With aging, there is an increased need for anesthesia and surgery. (psu.edu)
- It may be injected trans-tracheally to anesthetize the larynx and trachea, and it may be administered by retrobulbar injection to provide anesthesia for ophthalmic surgery. (pfizermedicalinformation.com)
Patient1
- Aoki M, Osaka Y, Ando K, Morita Y. Anesthesia Experience for Tonsillectomy in a Patient With Hypofibrinogenemia: A Case Report. (jefferson.edu)
Conventional1
- 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)
Study1
- Because ether was simple, safe, and effective, physicians and scientists had little reason to pursue the study of anesthesia. (silverchair.com)
Medical5
- Teaching endotracheal intubation to medical students is a task provided by many academic anesthesia departments. (nih.gov)
- Education using a video system mounted into a traditional Macintosh blade improves intubation skills in medical students. (nih.gov)
- Anesthesia became a medical profession in Great Britain because of the interest and support of physicians and the complexity of administering chloroform anesthesia. (silverchair.com)
- Anesthesia, then, did not develop as part of the medical profession in the United States. (silverchair.com)
- The use of ether further marginalized the medical practice of anesthesia. (silverchair.com)