scholarly journals Comparison of RAMP and New Modified RAMP Positioning in Laryngoscopic View During Intubation in Patients with Morbid Obesity: A Randomized Clinical Trial

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Mahzad Alimian ◽  
Behrooz Zaman ◽  
Seyed Alireza Seyed Siamdoust ◽  
Nasim Nikoubakht ◽  
Ramin Rounasi
Keyword(s):  
Clinical Trial ◽  
Morbid Obesity ◽  
Airway Management ◽  
Low Cost ◽  
Successful Intubation ◽  
Laryngoscopic View ◽  
Prevalence Of Obesity ◽  
Block Randomization ◽  
Single Blind ◽  
Randomization Method

Background: The prevalence of obesity is increasing worldwide, and anesthesiologists are facing challenges in the airway management of such patients. Excessive adipose tissue influences pharyngeal spaces and affects the laryngoscopic grade. Standard ramp positioning is time-consuming and difficult to prepare, and requires expensive equipment. Objectives: The aim of this study was to compare the standard ramp position with the proposed low-cost and easily accessible modified ramp position in laryngoscopic view during the intubation of patients with morbid obesity. Methods: In this single-blind clinical trial, 84 patients candidate for bariatric surgery at Rasoul Akram Hospital in 2020 were assigned to the rapid airway management positioner (RAMP) (R) and new modified RAMP (MR) groups by the block randomization method. The laryngoscopic view of the glottis based on the Cormack-Lehane scale, ventilation quality, duration of intubation, intubation attempts, oxygen saturation at the end of intubation, and the need for backward, upward, rightward pressure (BURP) maneuver for successful intubation were recorded. Normal distribution tests and Mann-Whitney and Kruskal-Wallis tests were used to analyze the data. Results: The results showed no significant differences between the two groups regarding ventilation score, laryngoscopy grade, number of intubation attempts, duration of intubation, and the need for BURP maneuvers during intubation (P > 0.05). Conclusions: The two methods are not significantly different, and the new modified ramp position can be used with more ease and availability and less cost.

scholarly journals Perbandingan Angka Keberhasilan Intubasi dan Waktu Intubasi antara Menggunakan Bougie dan Purwarupa Camera–Bougie pada Maneken Simulasi Kesulitan Intubasi

2019 ◽  
Vol 7 (1) ◽  
pp. 18-24
Author(s):  
Gavrila Diva Amelis ◽  
Dhany Budipratama ◽  
Ezra Oktaliansah
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
General Hospital ◽  
Difficult Intubation ◽  
Gold Standard ◽  
Analytic Study ◽  
Successful Intubation ◽  
Block Randomization ◽  
Randomization Method

Penatalaksanaan jalan napas merupakan hal fundamental bagi ahli anestesi. Kegagalan penatalaksanaan jalan napas mengakibatkan kematian. Berbagai modalitas tersedia untuk penatalaksanaan jalan napas  sulit, mulai dari alat sederhana seperti stylet dan bougie hingga alat canggih seperti video laryngsocope dan fiberoptic. Fiberoptik masih menjadi standar baku kesulitan intubasi, namun penggunaannya masih terbatas karena harganya mahal dan penggunaannya sulit. Purwarupa camera–bougie  merupakan modalitas baru yang diharapkan dapat mengatasi keterbatasan tersebut dan menjembatani antara bougie yang sederhana dan fiberoptik yang sangat canggih. Tujuan penelitian adalah membandingkan angka keberhasilan intubasi dan waktu intubasi antara bougie dan purwarupa camera–bougie pada maneken simulasi kesulitan intubasi di RSUP Dr. Hasan Sadikin Bandung. Penelitian analitik eksperimental ini dilakukan pada 41 peserta didik Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadaran/RSUP Dr. Hasan Sadikin Bandung semester 5 sampai dengan 11 yang melakukan intubasi dengan bougie dan purwarupa camera–bougie secara bergantian dengan metode randomisasi permutasi blok pada maneken simulasi kesulitan intubasi. Penelitian dilakukan dari tanggal 16–24 Oktober 2018. Keberhasilan dan waktu intubasi dicatat dan dianalisis secara statistik dengan Uji Mc. Nemar dan Wilcoxon. Keberhasilan intubasi dengan bougie sebesar 39% dan purwarupa camera-bougie 100% (p<0,001). Waktu intubasi dengan  bougie dan purwarupa camera-bougie sebesar 18,81 (12,19) detik dan  7,0 (1,47) detik (p<0,001). Simpulan, purwarupa camera–bougie meningkatkan keberhasilan intubasi dan memperpendek waktu intubasi pada maneken simulasi kesulitan intubasi.Comparison of Success Rate and Duration of Intubation between Bougie and Bougie–Camera Prototype in Simulated Difficult Airway ManikinAirway management is fundamental for anesthesiologist. Fiberoptic is still the gold standard for difficult intubation but its expensive price and complicated handling limit its use. Bougie–camera prototype is one of the new modalities that is expected to overcome these limitations and bridge the gap between simple bougie and very sophisticated fiberoptic. The aim of this study was to compare the success rate and duration of intubation between bougie and bougie–camera prototype in simulated difficult airway manikin at Dr. Hasan Sadikin General Hospital Bandung. This experimental analytic study was conducted on 41 fifth semester anesthesiology residents of the Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital who performed intubation with bougie and bougie–camera prototype alternately on  simulated difficult airway mannequin using permutation block randomization method. This study was held during the period of 16–24th of October 2018. The success rate and duration of intubation were recorded and analyzed statistically by Mc. Nemar and Wilcoxon tests. The rate of successful intubation with bougie was 39% and 100% with bougie–camera prototype (p<0.001). Duration of intubation with bougie and bougie–camera prototype  was 18.81 (12.19) seconds and 7.0 (1.47) seconds (p<0.001). The conclusion of this study is bougie–camera prototype increases the success rate of intubation and shortens the duration of intubation on simulated difficult airway on mannequin.

Intraoral versus extraoral photobiomodulation therapy in the prevention of oral mucositis in HSCT patients: a randomized, single-blind, controlled clinical trial

2021 ◽  
Author(s):  
Mariana Bitu Ramos-Pinto ◽  
Teresa Paula de Lima Gusmão ◽  
Jayr Schmidt-Filho ◽  
Graziella Chagas Jaguar ◽  
Manoela Domingues Martins ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Oral Mucositis ◽  
Photobiomodulation Therapy ◽  
Controlled Clinical Trial ◽  
Single Blind

scholarly journals An oropharyngeal device for airway management of conscious and semiconscious patients: A randomized clinical trial

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Kalev Freeman ◽  
Zachary D. Miller ◽  
Robert Ramsey Herrington ◽  
Nathan T. Dreyfus ◽  
Philip Buttaravoli ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Airway Management ◽  
Randomized Clinical Trial

scholarly journals Efficacy of auriculotherapy for the reduction of stress in nursing students: a randomized clinical trial

2012 ◽  
Vol 20 (4) ◽  
pp. 727-735 ◽  
Author(s):  
Juliana Miyuki do Prado ◽  
Leonice Fumiko Sato Kurebayashi ◽  
Maria Júlia Paes da Silva
Keyword(s):  
Clinical Trial ◽  
Nursing Students ◽  
Sham Group ◽  
School Of Nursing ◽  
The Third ◽  
Stress Symptoms ◽  
Single Blind ◽  
Very High ◽  
Single Blind Trial

This study is a randomized single-blind trial, which aimed to evaluate the efficacy of true auriculotherapy and placebo auriculotherapy in reducing the stress levels of mid-level Nursing students of the School of Nursing of the Beneficência Portuguesa Hospital. Seventy-one students with average, high and very high scores, according to Vasconcellos' List of Stress Symptoms, were divided into three groups: Control (25), Auriculotherapy (24), and Placebo/Sham (22). They were evaluated at the baseline, 8th and 12th sessions and at the follow-up (15 days) and received Shen Men and Brainstem points (Auriculotherapy Group) and Wrist and Outer Ear points (Placebo/Sham Group). The analysis of variance (ANOVA) showed statistically significant differences between the Control/Auriculotherapy groups from the 8th session, which was maintained in the third and fourth evaluations (p=0.000) and between the Control/Placebo groups (p<0.05) at the three evaluations. It was concluded that the true auriculotherapy obtained better responses (45.39%) than the placebo (34.18%) in the reduction of the stress, but further studies are recommended for the re-evaluation of the sham points for stress. ClinicalTrials.gov Identifier: NCT01420848.

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