Evaluation of a Novel Multimodal Guidance Device for Difficult Airway Endotracheal Intubation in Spontaneously Breathing Pigs

2021 ◽  
Author(s):  
Ming Xia ◽  
Tianyi Xu ◽  
Shuang Cao ◽  
Ren Zhou ◽  
Hong Jiang
Keyword(s):  
Difficult Airway ◽  
Endotracheal Intubation ◽  
Spontaneously Breathing ◽  
Guidance Device

scholarly journals Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110100
Author(s):  
Min Ho Lee ◽  
Hyun Joo Kim
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Endotracheal Intubation ◽  
Difficult Intubation ◽  
Rescue Therapy ◽  
High Flow ◽  
Mask Ventilation ◽  
Induction Process ◽  
Management Method ◽  
Adequate Oxygenation

In difficult airway situations, the next step of the airway management method is selected according to the prior presence of difficulties in mask ventilation and endotracheal intubation. It is important for the practitioner to be calm, quick in judgment, and take action in cases of difficult intubation. Recently, high-flow nasal oxygenation has been rapidly introduced into the anesthesiology field. This technique could extend the safe apnea time to desaturation. Especially, it maintains adequate oxygenation even in apnea and allows time for intubation or alternative airway management. We report two cases in which high-flow nasal oxygenation was implemented in the middle of the induction process after quick judgment by clinicians. High-flow nasal oxygenation was successfully used to assist in prolonging the safe apnea time during delicate airway securing attempts.

scholarly journals Ultrasonography: The Third Eye of Anaesthesiologist

2021 ◽  
pp. 235-238
Author(s):  
Kirti Gujarkar Mahatme ◽  
Pratibha Deshmukh ◽  
Parag Sable ◽  
Vivek Chakole
Keyword(s):  
Chronic Pain ◽  
Critical Care ◽  
Pain Management ◽  
Difficult Airway ◽  
Real Time ◽  
Endotracheal Intubation ◽  
Regional Anesthesia ◽  
Chronic Pain Management ◽  
The Third ◽  
Safe Anesthesia

Anesthesiology is an evolving branch. Most of the procedures done by anesthesiologists, are blind except for endotracheal intubation. Ultrasonography (USG) helps anesthesiologists to see the actual anatomy in real time and thus helps them to give safe anesthesia minimizing the complications in every aspect of the field like difficult airway, vascular access, regional anesthesia, chronic pain management and critical care.

scholarly journals Difficult Airway Prediction Score for Intubation in Emergency Departments: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Sorravit Savatmongkorngul ◽  
Panrikan Pitakwong ◽  
Pungkava Srichar ◽  
Chaiyaporn Yuksen ◽  
Chetsadakon Jenpanitpong ◽  
...  
Keyword(s):  
Emergency Department ◽  
Difficult Airway ◽  
Endotracheal Intubation ◽  
Difficult Intubation ◽  
Prediction Score ◽  
Care Hospital ◽  
Inclusion Criteria ◽  
Assessment Score ◽  
Airway Assessment ◽  
Lehane Grade

Abstract Objective: Difficult intubation is associated with an increasing number of endotracheal intubation attempts. Repeated endotracheal intubation attempts are in turn associated with an increased risk of adverse events. Clinical prediction tools to predict difficult airway have limited application in emergency airway situations. This study was performed to develop a new model for predicting difficult intubation in the emergency department.Methods: This retrospective study was conducted using an exploratory model at the Emergency Medicine of Ramathibodi Hospital, a university-affiliated super-tertiary care hospital in Bangkok, Thailand. The study was conducted from June 2018 to July 2020. The inclusion criteria were an age of ≥15 years and treatment by emergency intubation in the emergency department. Difficult intubation was defined as a Cormack–Lehane grade III or IV laryngoscopic view. The predictive model and prediction score for detecting difficult intubation were developed by multivariable regression analysis.Results: During the study period, 617 patients met the inclusion criteria; of these, 83 (13.45%) had difficult intubation. Five independent factors were predictive of difficult intubation. The difficult airway assessment score that we developed to predict difficult airway intubation had an accuracy of 89%. A score of >4 increased the likelihood ratio of difficult intubation by 7.62 times.Conclusion: A difficult airway assessment score of >4 was associated with difficult intubation.

scholarly journals Recurrent Acute Upper Airway Obstruction after Anterior Cervical Fusion

1998 ◽  
Vol 26 (3) ◽  
pp. 305-307 ◽  
Author(s):  
A. Penberthy ◽  
N. Roberts
Keyword(s):  
Airway Obstruction ◽  
Difficult Airway ◽  
Endotracheal Intubation ◽  
Cervical Myelopathy ◽  
Surgical Repair ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Anterior Fusion ◽  
Dural Tear ◽  
Cervical Fusion

A 67-year-old man presented with cervical myelopathy for which a C3/4 discectomy and anterior fusion was performed. Recurrent episodes of acute upper airway obstruction necessitated laryngoscopy and endotracheal intubation. Drainage of a prevertebral collection of CSF and surgical repair of a dural tear corrected the obstructive symptoms. Management of the difficult airway is discussed.

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