Comparison of the clinical performances of Air-Qsp and i-Gel for airway management under general anesthesia with a muscle relaxant

2016 ◽  
Vol 34 ◽  
pp. 223-226
Author(s):  
Asako Watanabe ◽  
Mitsutaka Edanaga ◽  
Hiromichi Ichinose ◽  
Michiaki Yamakage
Keyword(s):  
Airway Management ◽  
General Anesthesia ◽  
Muscle Relaxant

scholarly journals Airway management in a patient with an intratracheal tumor near the carina by a two-stage operation

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110145
Author(s):  
Chaerim Oh ◽  
Hyun Joo Kim
Keyword(s):  
Mechanical Ventilation ◽  
Airway Management ◽  
General Anesthesia ◽  
Distal Part ◽  
High Flow ◽  
Tracheal Resection ◽  
Two Stage ◽  
Partial Obstruction ◽  
Surgical Access ◽  
Surgical Field

In patients with intratracheal tumors, airway management while maintaining oxygenation and providing surgical access to the airway can be challenging. Here, we present a case of a two-stage operation to remove an intratracheal tumor causing partial obstruction near the carina. In the otorhinolaryngology department, a biopsy was performed during apnea under high-flow nasal oxygenation support. A few days later, a thoracic surgeon performed tracheal resection after sternotomy under general anesthesia. Mechanical ventilation was performed by inserting a sterile endotracheal tube in the resected distal part of the trachea in the surgical field for tracheal end-to-end anastomosis. Airway was successfully secured through close communication between teams of anesthesiologists and surgeons.

scholarly journals When can we give general anesthesia to an infant with anticipated difficult airway management caused by facial vascular malformation?

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Kumi Moriyama ◽  
Masanori Mitsuda ◽  
Masakazu Kurita ◽  
Mine Ozaki ◽  
Kiyoshi Moriyama ◽  
...  
Keyword(s):  
Airway Management ◽  
General Anesthesia ◽  
Difficult Airway ◽  
Vascular Malformation ◽  
Difficult Airway Management

scholarly journals Hypoglossal Nerve Palsy After Airway Management for General Anesthesia

2015 ◽  
Vol 120 (1) ◽  
pp. 105-120 ◽  
Author(s):  
Aalap C. Shah ◽  
Christopher Barnes ◽  
Charles F. Spiekerman ◽  
Laurent A. Bollag
Keyword(s):  
Airway Management ◽  
General Anesthesia ◽  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Hypoglossal Nerve Palsy

scholarly journals A Retrospective Case Series of Anesthetic Patients With Epiglottic Cysts

2021 ◽  
Vol 68 (3) ◽  
pp. 168-177
Author(s):  
Kazumi Takaishi ◽  
Ryo Otsuka ◽  
Shigeki Josephluke Fujiwara ◽  
Satoru Eguchi ◽  
Shinji Kawahito ◽  
...  
Keyword(s):  
Airway Management ◽  
General Anesthesia ◽  
Oral Surgery ◽  
Case Series ◽  
Preoperative Imaging ◽  
Retrospective Case ◽  
Anesthetic Care ◽  
Retrospective Case Series

Previously undiagnosed or asymptomatic epiglottic cysts may be coincidentally detected during intubation. This retrospective case series identified undiagnosed epiglottic cysts that were discovered during intubation in 4 patients who underwent oral surgery under general anesthesia at our hospital during a 6-year period. Including 2 additional cases, 1 previously diagnosed and 1 detected during preoperative imaging, epiglottic cysts were observed in 6 of 1112 cases (0.54%) total. Among the undiagnosed epiglottic cyst cases, mild dyspnea on effort or snoring was reported in 2 patients, but all others were asymptomatic. Upon discovering previously undiagnosed epiglottic cysts during intubation, it is essential to proceed cautiously, remain alert for potential airway management difficulties, and avoid injuring or rupturing the cysts. In addition, any available preoperative imaging should be reviewed as information pertinent to the airway and any abnormalities may be useful. This report discusses the anesthetic care of 6 patients with epiglottic cysts that were previously known or initially discovered during intubation.

scholarly journals Comparison of Supreme laryngeal mask airway versus endotracheal intubation for airway management during general anesthesia for cesarean section: a randomized controlled trial

2019 ◽  
Author(s):  
Wei Yu Yao ◽  
Shi Yang Li ◽  
Yong Jin Yuan ◽  
Hon Sen Tan ◽  
Nian-Lin Reena Han ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Cesarean Section ◽  
Airway Management ◽  
General Anesthesia ◽  
Endotracheal Intubation ◽  
Airway Device ◽  
Elective Cesarean Section ◽  
Randomized Controlled ◽  
Elective Cesarean ◽  
Reduced Time

Abstract Background The obstetric airway is a significant cause of maternal morbidity and mortality. Endotracheal intubation is considered the standard of care but the laryngeal mask airway (LMA) has gained acceptance as a rescue airway and has been incorporated into the obstetric airway management guidelines. In this randomized controlled equivalence trial, we compared the Supreme LMA (SLMA) with endotracheal intubation (ETT) in managing the obstetric airway during cesarean section. Methods Parturients who underwent elective cesarean section under general anesthesia were randomized to receive either an SLMA or ETT as their airway device. Our primary outcome was first-attempt insertion success. Successful insertion was defined as adequate bilateral air entry with auscultation and the presence of end-tidal carbon dioxide on the capnogram. The first-attempt insertion success rate was compared using the Chi-Square test. Secondary outcomes included time-to-ventilation, seal pressure, ventilation/hemodynamic parameters, occurrence of clinical aspiration, fetal outcomes, and maternal side effects associated with the airway device. Results We recruited 920 parturients (460 SLMA, 460 ETT) who underwent elective cesarean section under general anesthesia. Patient characteristics were similar between the groups. First attempt success was similar (Odds Ratio--ORSLMA/ETA: 1.00 (95%CI: 0.25, 4.02), p = 1.0000). SLMA was associated with reduced time to effective ventilation (Mean Difference--MD -22.96; 95%CI: -23.71, -22.21 seconds) compared to ETT group (p<0.0001). Ventilation parameters, maternal and fetal outcomes were similar between the groups, and there was no aspiration. Conclusions SLMA could be an alternative airway management technique for a carefully selected low-risk obstetric population, with similar insertion success rates, reduced time to ventilation and less hemodynamic changes compared with ETT. Our findings are consistent with the airway guidelines in recommending the second-line use of LMA in the management of the obstetric airway.

AIRWAY SUPPORT FOR ENDOSCOPIC ENDONASAL SURGERY IN GERONTOLOGY

2021 ◽  
pp. 264-271
Author(s):  
В.Е. Павлов ◽  
В. А. Корячкин ◽  
С. А. Карпищенко
Keyword(s):  
Heart Rate ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Airway Management ◽  
General Anesthesia ◽  
Endoscopic Endonasal Surgery ◽  
Endonasal Surgery ◽  
Endoscopic Endonasal ◽  
Airway Patency ◽  
Intraoperative Bleeding

Поддержание проходимости дыхательных путей при вмешательствах на ЛОР-органах в условиях общей анестезии является важной задачей. Управление степенью интраоперационного кровотечения играет ведущую роль в улучшении видимости операционного поля и снижении риска развития осложнений. Выбор способа обеспечения проходимости дыхательных путей может влиять на выраженность интраоперационного кровотечения. Показано, что применение надгортанного воздуховода при эндоскопической эндоназальной риносинусохирургии у геронтологических больных в условиях общей анестезии снижает частоту развития вазопрессорных реакций, выражающихся в подъеме ЧСС, уровня среднего АД, уровня интраоперационного кровотечения, и уменьшает риск оперативного вмешательства. Airway patency during ENT surgery in general anesthesia is a serious problem. It is important to manage the degree of intraoperative bleeding to improve the visibility of the surgical site and reduce the risk of complications. Airway management may affect the severity of intraoperative bleeding. We have shown that the use of a laryngeal mask during endoscopic endonasal rhinosinus surgery during general anesthesia reduces the severity of the hemodynamic response, which is expressed in an increase in heart rate, mean arterial pressure and intraoperative bleeding, and also reduces the risk of surgery.

Comparison Between Isoflurane and Sevoflurane on Pulse Rate in Patients Under Going General Surgery

2021 ◽  
Vol 3 (1) ◽  
pp. 20-23
Author(s):  
Ismael Waadullah Ismael ◽  
Husam K. Mghames ◽  
Mortatha A. Khulaif ◽  
Zahraa T. Jaafer
Keyword(s):  
Prospective Study ◽  
General Anesthesia ◽  
Pulse Rate ◽  
General Surgery ◽  
Muscle Relaxant ◽  
Depth Of Anesthesia ◽  
Anesthetic Agents ◽  
Medical City ◽  
Anesthetic Gases ◽  
Time Of Operation

The inhalational agents are very important to maintain the depth of anesthesia, provide analgesia and muscle relaxant. Many factors have effect of anesthetic gases, including type in an anesthetic agents and its MAC and other properties and postoperative stays. This study were designed to comparison between isoflurane  and sevoflurane as inhalational agents on the pulse rate during general anesthesia. This prospective study were carried out at Baghdad Teaching Hospital, Medical City Complex, Baghdad/Iraq from 2nd January 2020 –  20th February 2020. Thirty (30) patients between 7 - 68 years old were enrolled in this study. Male was 13 and female was 17, in all selected patients, pulse rate was recorded at baseline, at intubation at 5 min, 10 min, 15 min, 20 min, 25 min, 30min, 40 min of the time of operation, extubation, and recovery. Results showed that the pulse rate at baseline there is not significant different in pulse rate of each gas, at intubation there is significant change in pulse rate, at 5 min ,10 min, 15 min, 20 min, 25 min, 30 min, 40 min, extubation, recovery there is not significant different in pulse rate.

Is Neuromuscular Blocker Necessary in Pediatric Patients Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing?

2016 ◽  
Vol 27 (03) ◽  
pp. 263-268 ◽  
Author(s):  
İlker İnce ◽  
Elif Ahiskalioglu ◽  
Akgun Oral ◽  
Mehmet Aksoy ◽  
Murat Yiğiter ◽  
...  
Keyword(s):  
Hernia Repair ◽  
General Anesthesia ◽  
Muscle Relaxant ◽  
Airway Pressure ◽  
Recovery Time ◽  
Pediatric Patients ◽  
Operating Conditions ◽  
Peak Airway Pressure ◽  
Neuromuscular Blocker ◽  
Internal Ring

Purpose The aim of this study is to evaluate operating conditions during general anesthesia with or without neuromuscular blocker (NMB) in patients undergoing percutaneous internal ring suturing (PIRS). Materials and Methods In this study, 40 patients, with American Society of Anesthesiologists I and II between the ages of 1 and 12 years, were randomly assigned to two groups to receive muscle relaxant with endotracheal tube (ETT) (ETT group) or without muscle relaxant with supreme laryngeal mask airway (sLMA) (LMA group). Anesthesia was maintained with sevoflurane in oxygen (Fio 2 0.3–0.5), thiopental sodium, fentanyl, and rocuronium in ETT group. In LMA group, same protocol was used without rocuronium. Heart rate, blood pressure, peak airway pressure, end-tidal carbon dioxide (EtCO2), and Spo 2 were recorded before and during pneumoperitoneum maintained at a pressure of 8 to 10 mm Hg. Duration of surgery, recovery time, anesthetic time, and grade of quality view were also recorded. Airway problems (cough, hoarseness, laryngospasm, and aspiration) were recorded. Results In LMA group, there was a statistically significant reduction in recovery time versus ETT group (11.6 ± 4.08 vs. 17.15 ± 5.32 minutes; p = 0,001). There were no statistically significant differences grade of quality view between the two groups (p = 0.548). There were no statistically significant differences in oxygen saturation (Spo 2), peak airway pressure, and EtCO2 between the two groups before or during insufflation (p > 0.05). Postoperative airway complications were significantly more prevalent in the ETT group. There was no case of inadequate ventilation, regurgitation, or aspiration recorded. Conclusion sLMA is safe and suitable alternative to ETT and NMB is not necessary in general anesthesia with sLMA, pediatric patients undergoing laparoscopic hernia repair with PIRS.

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