scholarly journals Current Recommendations for Airway Management Techniques in COVID-19 Patients without Respiratory Failure Undergoing General Anaesthesia: A Nonsystematic Literature Review

2021 ◽  
Vol 28 (1) ◽  
pp. 9
Author(s):  
Milda Grigonytė ◽  
Agnė Kraujelytė ◽  
Elija Januškevičiūtė ◽  
Giedrius Šėmys ◽  
Greta Bružytė-Narkienė ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Airway Management ◽  
General Anaesthesia ◽  
Literature Search ◽  
Management Techniques ◽  
Reduce Risk ◽  
New Challenges ◽  
New Evidence ◽  
Review Current ◽  
Comprehensive Literature Search

Background. Since severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) first emerged, many articles have been published on airway management for coronavirus disease 2019 (COVID-19) patients. However, there is a lack of clear and concise conceptual framework for working with infected patients without respiratory failure undergoing general anaesthesia compared to noninfected patients. The aim of this article is to review current literature data on new challenges for anaesthesia providers, compare standard airway management techniques protocols with new data, and discuss optimisation potential.Materials and methods. Literature search was performed in Google Scholar and PubMed databases using these keywords and their combinations: anaesthesia, preoxygenation, airway management, difficult airway, SARS-CoV-2, COVID-19. The following nonsystematic review is based on a comprehensive literature search of available data, wherein 41 articles were chosen for detailed analysis. Summarised and analysed data are presented in the article.Results. SARS-CoV-2 has unique implications for airway management techniques in patients without respiratory failure undergoing general anesthesia. Main differences with the standard practice include: institutional preparedness, team composition principles, necessary skills, equipment, drugs, intubation and extubation strategies. Failed or difficult intubation is managed with predominance of emergency front of neck access (FONA) due to increased aerosol generation.Conclusions. Airway management techniques in COVID-19 patients without respiratory failure are more challenging than in noninfected patients undergoing general anaesthesia. Safe, accurate and swift actions avoid unnecessary time delay ensuring the best care for patients, and reduce risk of contamination for staff. Appropriate airway strategy, communication, minimisation of time for aerosol generating procedures and ramped-up position aid to achieve these goals. During the pandemic, updated available literature data may change clinical practice as new evidence emerges.

Does the ‘Two Dogs’ Method of Clandestine Synthesis Use Precursors that are not Legally Regulated on the Australian East Coast?

2021 ◽  
Vol 3 (2) ◽  
pp. 26-28
Author(s):  
Victor Chiruta ◽  
Robert Renshaw
Keyword(s):  
Literature Search ◽  
East Coast ◽  
New South ◽  
New South Wales ◽  
The State ◽  
Criminal Proceedings ◽  
Legal Provisions ◽  
South Wales ◽  
Comprehensive Literature Search

In the State of New South Wales (NSW), Australia, the prosecution in criminal proceedings is seeking deterrence punishment for offenders manufacturing 3,4-methylenedioxyamphetamine (MDA) from the precursor helional via the ‘Two Dogs’ method (TDM). The reason given by the prosecution is a presumption that the TDM does not use any unrestricted chemicals in the synthesis of MDA. A comprehensive literature search was conducted. The relevant law was searched to fact-check the assertion of the prosecution. It was found that the prosecution was incorrect. Intermediate precursors of the TDM are restricted in NSW. However, the starting precursor helional remains unscheduled in NSW, yet helional is scheduled in some other Australian States. The prosecution’s position may play a significant factor in the sentencing proceedings of offenders. Therefore, as a matter of urgency, the prosecution must review and update its position and its submissions, keeping with the factual position in relation to the legal provisions of precursors used in the TDM.

Comparative Study of Airway Management Techniques with Restricted Access to Patient Airway

2007 ◽  
Vol 11 (3) ◽  
pp. 330-336 ◽  
Author(s):  
John D. Hoyle ◽  
Jeffrey S. Jones ◽  
Matthew Deibel ◽  
David T. Lock ◽  
Diann Reischman
Keyword(s):  
Comparative Study ◽  
Airway Management ◽  
Restricted Access ◽  
Management Techniques

scholarly journals Role of social support in tobacco cessation

2017 ◽  
Vol 4 (11) ◽  
pp. 3942 ◽  
Author(s):  
Shruthi P. S. ◽  
Niveditha B. S. ◽  
Punith Shetty ◽  
Krishna Chaitanya ◽  
Naveen Khargekar
Keyword(s):  
Social Support ◽  
Behaviour Change ◽  
Relapse Prevention ◽  
Tobacco Cessation ◽  
Literature Search ◽  
Well Being ◽  
Psychological Well Being ◽  
Tobacco Intervention ◽  
Comprehensive Literature Search

Most tobacco intervention focus on behavioural methods to reduce dependence, the role of social support is unclear. The objective is to evaluate the evidence of social support as well as its efficacy with respect to tobacco cessation. It explores to understand the role of social support for an individual to make a behaviour change. Social support is one resource in the environment, if used effectively can be extremely beneficial for someone wanting to quit tobacco. A comprehensive literature search on the contribution of social support with respect to tobacco cessation was conducted to give a practical review for practitioners in the field. Overall, it was seen that all the studies strengthened the evidence for the role of social support in tobacco cessation. Although, more research is required in this field to comprehend the long haul advantages of social support and additionally its effects on psychological well-being as well as relapse prevention. 

scholarly journals Development on Indigenous Homelands and the Need to Get Back to Basics with Scoping: Is there Still "Unceded" Land in Northern Ontario, Canada, with Respect to Treaty No. 9 and its Adhesions?

2021 ◽  
Vol 12 (1) ◽  
pp. 1-49
Author(s):  
Leonard Tsuji ◽  
Stephen Tsuji
Keyword(s):  
Literature Search ◽  
Development Project ◽  
Lessons Learned ◽  
Development Projects ◽  
Northern Ontario ◽  
Starting Point ◽  
Library And Archives Canada ◽  
Bare Minimum ◽  
Comprehensive Literature Search

Scoping includes the establishment of unambiguous spatial boundaries for a proposed development project (e.g., a treaty) and is especially important with respect to development on Indigenous homelands. Improper scoping leads to a flawed product, such as a flawed treaty or environmental impact assessment, by excluding stakeholders from the process. A comprehensive literature search was conducted to gather (and collate) printed and online material in relation to Treaty No. 9 and its Adhesions, as well as the Line-AB. We searched academic databases as well as the Library and Archives Canada. The examination of Treaty No. 9 and its Adhesions revealed that there is unceded land in each of four separate scenarios, which are related to the Line-AB and/or emergent land in Northern Ontario, Canada. Lastly, we present lessons learned from our case study. However, since each development initiative and each Indigenous Nation is unique, these suggestions should be taken as a bare minimum or starting point for the scoping process in relation to development projects on Indigenous homelands.

scholarly journals Anaesthesia Trainees’ Exposure to Airway Management in an Australian Tertiary Adult Teaching Hospital

2008 ◽  
Vol 36 (4) ◽  
pp. 513-515
Author(s):  
R. C. Clarke ◽  
A. I. Gardner
Keyword(s):  
Airway Management ◽  
Teaching Hospital ◽  
Full Time ◽  
Laryngoscopic View ◽  
Double Lumen ◽  
Management Techniques ◽  
Grade 3

The purpose of this study was to estimate the exposure of trainees to airway management techniques in an Australian tertiary adult teaching hospital. Anaesthesia records for all patients over a 20-week period were reviewed and the following data were obtained: the presence of a trainee, the type of airway used, the grade of the laryngoscopic view and the use of non-standard laryngoscopy for intubation. Data was recorded contemporaneously and analysed retrospectively. The data was then extrapolated to give a yearly estimate of airway procedures per trainee. There were 28 full-time trainees in the department over the study period. The estimated mean number of standard intubations performed per trainee per year was 157.4, with 2.9% being grade 3 or 4 laryngoscopies. The estimated mean annual numbers for other airway techniques were: 1.2 fibreoptic intubations, 0.5 mask-only anaesthetics and 3.7 endobronchial double-lumen tubes. Our results suggest that trainees’ exposure to airway management techniques is not extensive. As there is no previous study to determine experience gained by trainees, we are unable to establish whether there has been a decrease in experience, however we believe this is likely. Although competency is difficult to assess, it may be that this data has implications for training, unsupervised practice and rostering. Experience in certain airway skills may need to be supplemented using techniques such as simulation.

scholarly journals Intervening to Reduce Sedentary Behaviors and Childhood Obesity among School-Age Youth: A Systematic Review of Randomized Trials

2012 ◽  
Vol 2012 ◽  
pp. 1-14 ◽  
Author(s):  
May May Leung ◽  
Alen Agaronov ◽  
Kateryna Grytsenko ◽  
Ming-Chin Yeh
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Childhood Obesity ◽  
Literature Search ◽  
Randomized Trials ◽  
School Setting ◽  
School Age ◽  
Sedentary Behaviors ◽  
Community Centers ◽  
Comprehensive Literature Search

Objective. To assess the effectiveness of interventions that focus on reducing sedentary behavior (SB) among school-age youth and to identify elements associated with interventions' potential for translation into practice settings.Methods. A comprehensive literature search was conducted using 4 databases for peer-reviewed studies published between 1980 and April 2011. Randomized trials, which lasted at least 12 weeks, aimed at decreasing SB among children aged 6 to 19 years were identified.Results. Twelve studies were included; 3 focused only on SB, 1 focused on physical activity (PA), 6 were combined SB and PA interventions, and 2 studies targeted SB, PA, and diet. The majority of the studies were conducted in a school setting, while others were conducted in such settings as clinics, community centers, and libraries.Conclusions. Overall, interventions that focused on decreasing SB were associated with reduction in time spent on SB and/or improvements in anthropometric measurements related to childhood obesity. Several of the studies did consider elements related to the intervention's potential for translation into practice settings.

Combined Airway Management Techniques

2013 ◽  
pp. 143-154
Author(s):  
Jay R. Pinsky ◽  
Carin A. Hagberg
Keyword(s):  
Airway Management ◽  
Management Techniques

Theatre-Based Hospital Placements for Firefighters

2005 ◽  
Vol 15 (9) ◽  
pp. 396-399
Author(s):  
Emma Durmaz
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Airway Obstruction ◽  
Cause Of Death ◽  
Pilot Project ◽  
Laryngeal Mask ◽  
Common Cause ◽  
Consultant Anaesthetist ◽  
Management Techniques ◽  
One Year

Airway obstruction is the most common cause of death in the prehospital environment. It is estimated that 85% of these patients had otherwise survivable injuries. The aim of the project was to increase firefighters' skills in airway management techniques, to include the laryngeal mask airway (LMA), by providing theatre-based hospital placements under the supervision of a consultant anaesthetist. The training in the use of the LMA by firefighters is currently a pilot project to assess the potential for its use operationally, based on ease of training to a competent level and retention of skills after one year.

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