Role of the Truview EVO2 laryngoscope in the airway management of elective surgical patients: A comparison with the Macintosh laryngoscope

A comparative analysis of the MEDLINE, EMBASE, CINAHL and Cochrane Registry databases was carried out to identify the advantages of puncture-dilatation tracheostomy methods over standard tracheotomy in critically ill patients. In addition, bibliographies and selected conference proceedings were reviewed; included randomized clinical trials comparing puncture-dilatation techniques with standard tracheotomy in critically ill adults, which reported clinically significant outcomes. The extracted data are focused on the criteria for the validity of the studies and the results relevant to practice. Puncture methods are less traumatic and can reduce the likelihood of infection of the surgical wound. Compared to the traditional method, a puncture tracheostomy can be applied in just 2 minutes,which can play a significant role in the prognosis of patient survival. The role of the experience of the operators performing the procedures has a significant impact on the results, which cannot be formally and quantitatively assessed in our analysis.

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Airway Management in Surgical Patients With Obstructive Sleep Apnea

Anesthesia & Analgesia ◽

10.1213/ane.0000000000005298 ◽

2021 ◽

Vol 132 (5) ◽

pp. 1321-1327

Author(s):

Edwin Seet ◽

Mahesh Nagappa ◽

David T. Wong

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Airway Management ◽

Surgical Patients ◽

Obstructive Sleep

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The role of integrated assessment of the indicators of external respiration function in cardiac surgical patients

Terapevticheskii arkhiv ◽

10.17116/terarkh2017899109-114 ◽

2017 ◽

Vol 89 (9) ◽

pp. 109-114

Author(s):

O V Kamenskaja ◽

A S Klinkova ◽

I Ju Loginova ◽

V V Lomivorotov ◽

D N Ponomarev ◽

...

Keyword(s):

Integrated Assessment ◽

Pulmonary Ventilation ◽

Surgical Patients ◽

External Respiration ◽

Diffusing Capacity ◽

Body Plethysmography ◽

Operational Risks ◽

Respiration Function

This literature review dedicated to the importance of an integrated assessment of external respiratory function in cardiovascular diseases (CVDs), including an analysis of up-to-date techniques, such as spirometry, body plethysmography, examination of the diffusing capacity of the lung, determination of O2 consumption with evaluation of the effectiveness of pulmonary ventilation. It considers the pathogenetic components of impairments in pulmonary ventilation and gas exchange, which develop in different CVDs, as well as during and after cardiac surgery. The authors analyze the results of international investigations and their own experience, which emphasize the prognostic value of lung function tests and suggest that there is a need for a comprehensive functional assessment of the respiratory system in cardiac surgical patients for their effective preoperative preparation, assessment and reduction of operational risks, and improvement of the prognosis of surgical treatment.

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Prognostic Value of Tissue Hypoxaemia in Septic Surgical Patients: The Role of Serum Lactate and Pyruvate Levels

Wahrung des Bestandes, Wandel und Fortschritt der Chirurgie ◽

10.1007/978-3-642-80295-9_406 ◽

1996 ◽

pp. 1286-1286

Author(s):

P. Antony-Móré ◽

K. Darvas ◽

M. Tarjányi ◽

I. Irtó ◽

L. Flautner

Keyword(s):

Prognostic Value ◽

Serum Lactate ◽

Surgical Patients ◽

Lactate And Pyruvate

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COVID-19 and Total Laryngectomy—A Report of Two Cases

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489420935500 ◽

2020 ◽

Vol 130 (1) ◽

pp. 104-107

Author(s):

Alberto Paderno ◽

Milena Fior ◽

Giulia Berretti ◽

Francesca Del Bon ◽

Alberto Schreiber ◽

...

Keyword(s):

Airway Management ◽

Total Laryngectomy ◽

Oxygen Therapy ◽

Clinical Course ◽

Support Staff ◽

Vulnerable Population ◽

Case Presentation ◽

Anatomical Changes ◽

Choice Of Treatment

Objective: To date, no cases have been reported on the effects of COVID-19 in laryngectomees. Case Presentation: We herein presented two clinical cases of laryngectomized patients affected by COVID-19, detailing their clinical course and complications. Discussion: In our experience, permanent tracheostomy did not significantly affect the choice of treatment. However, dedicated devices and repeated tracheal toilettes may be needed to deal with oxygen-therapy-related tracheal crusting. Conclusion: In conclusion, laryngectomees should be considered a vulnerable population that may be at risk for worse outcomes of COVID-19 due to anatomical changes in their airways. The role of the ENT specialist is to guide airway management and inform the support-staff regarding specific needs of these patients.

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Endoscopic Retrograde Cholangiopancreatography in General Surgery: How Much are We Outsourcing?

The American Surgeon ◽

10.1177/000313480907501104 ◽

2009 ◽

Vol 75 (11) ◽

pp. 1050-1053

Author(s):

Wesley B. Jones ◽

Richard H. Roettger ◽

William S. Cobb ◽

Alfredo M. Carbonell

Keyword(s):

Endoscopic Retrograde Cholangiopancreatography ◽

Tertiary Care ◽

Patient Characteristics ◽

Surgical Patients ◽

Time Interval ◽

Endoscopic Retrograde ◽

Care Surgery ◽

Surgery Department ◽

Nonsurgical Patients

Although surgeons can safely perform endoscopic retrograde cholangiopancreatography (ERCP), it has fallen within the domain of gastroenterologists. We sought to quantify the role of ERCP in a tertiary-care surgery department. The hospital discharge database was queried for all ERCPs performed from January 2007 to December 2007. Gastroenterologists performed all ERCPs in our query. Surgical patients were admitted and/or under the care of a surgeon; whereas nonsurgical patients had no surgeon involvement. Patient characteristics and diagnoses were compared between groups. ERCP procedural details were recorded. Surgical patients comprised 48 per cent (n = 151) of the total 311 ERCPs performed. The mean time interval from a surgeon's request for ERCP to actual procedure was 2.43 days (standard deviation [SD] 2.55; range, 0-13 days). The surgical group had significantly different diagnoses and underwent less diagnostic (22% vs 56%) and more therapeutic ERCPs (72% vs 38%). Surgical patients were more likely inpatients (82.1% vs 16.8%) with a longer length of stay (6.7 vs 3.9 days; P = 0.0029) compared with nonsurgical patients. We found surgical patients requiring ERCP differ significantly from nonsurgical patients, with a significant number of technical interventions being outsourced. Given the benefits of a surgical ERCP program and the potential volume of these unique patients, this procedure should be performed by appropriately trained surgeons.

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