Relevant bibliographies by topics / Combined Techniques in Difficult Airway Management / Journal articles

To see the other types of publications on this topic, follow the link: Combined Techniques in Difficult Airway Management.

Journal articles on the topic 'Combined Techniques in Difficult Airway Management'

Author: Grafiati

Published: 3 June 2025

Last updated: 13 July 2025

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 journal articles for your research on the topic 'Combined Techniques in Difficult Airway Management.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.

Kemal, Tolga Saracoglu. "Combined Techniques in Difficult Airway Management." Global Journal of Anesthesiology 2, no. 1 (2014): 001–2. https://doi.org/10.17352/2455-3476.000006.

Full text

Abstract:

Difficult or failed tracheal intubation is an important cause of mortality and morbidity. Approximately 30% of anesthesiarelated deaths are caused by the complications of difficult airway management. Also, 85% of respiratory complications result in brain damage or death [1]. Awake tracheal intubation is the most appropriate method for protection of airway reflexes in patients, who are expected or known to have difficult intubation. However, the use of video laryngoscope in awake patients in a way similar to the use of classic direct laryngoscope, which requires hanging of epiglottis or the use of fiber optic bronchoscope through nose, disturbs patients and complicates the procedure by causing gag reflex and mucosal bleeding.

APA, Harvard, Vancouver, ISO, and other styles

Tsay, Pei-Jiuan, Chih-Pin Yang, Hsiang-Ning Luk, Jason Zhensheng Qu, and Alan Shikani. "Video-Assisted Intubating Stylet Technique for Difficult Intubation: A Case Series Report." Healthcare 10, no. 4 (2022): 741. http://dx.doi.org/10.3390/healthcare10040741.

Full text

Abstract:

Induction of anesthesia can be challenging for patients with difficult airways and head or neck tumors. Factors that could complicate airway management include poor dentition, limited mouth opening, restricted neck motility, narrowing of oral airway space, restricted laryngeal and pharyngeal space, and obstruction of glottic regions from the tumor. Current difficult airway management guidelines include awake tracheal intubation, anesthetized tracheal intubation, or combined awake and anesthetized intubation. Video laryngoscopy is often chosen over direct laryngoscopy in patients with difficult airways because of an improved laryngeal view, higher frequency of successful intubations, higher frequency of first-attempt intubation, and fewer intubation attempts. In this case series report, we describe the video-assisted intubating stylet technique in five patients with difficult airways. We believe that the intubating stylet is a feasible and safe airway technique for anesthetized tracheal intubation in patients with an anticipated difficult airway.

APA, Harvard, Vancouver, ISO, and other styles

Moda, Nupur, and Niraj Kumar. "COMBINED USE OF VIDEO LARYNGOSCOPY AND FIBEROPTIC FOR AIRWAY MANAGEMENT IN A PATIENT WITH FIXED CERVICAL SPINE." Asian Journal of Pharmaceutical and Clinical Research 11, no. 11 (2018): 1. http://dx.doi.org/10.22159/ajpcr.2018.v11i11.27199.

Full text

Abstract:

Airway management may be difficult in patients with fixed cervical spine who have undergone previous spine surgery. Among the various techniques, fiber-optic intubation is a preferred method for securing the airway in such situation. However, it has some limitations also like identification of landmarks, especially in a case of distorted anatomy of the airway. To overcome this inadequacy, we used video laryngoscopy as a complement, to guide the tip of bronchoscope beneath the epiglottis into the trachea and thus achieving the goal. We present a case of difficult airway of fixed cervical spine with distorted anatomy in which combined use of fiberoptic and video laryngoscopy was performed to secure the airway. In our opinion, this technique can be utilized for other difficult airway case scenario also.

APA, Harvard, Vancouver, ISO, and other styles

Lin, Judy, Ryan Bellinger, Andrew Shedd, et al. "Point-of-Care Ultrasound in Airway Evaluation and Management: A Comprehensive Review." Diagnostics 13, no. 9 (2023): 1541. http://dx.doi.org/10.3390/diagnostics13091541.

Full text

Abstract:

Airway management is a common and critical procedure in acute settings, such as the Emergency Department (ED) or Intensive Care Unit (ICU) of hospitals. Many of the traditional physical examination methods have limitations in airway assessment. Point-of-care ultrasound (POCUS) has emerged as a promising tool for airway management due to its familiarity, accessibility, safety, and non-invasive nature. It can assist physicians in identifying relevant anatomy of the upper airway with objective measurements of airway parameters, and it can guide airway interventions with dynamic real-time images. To date, ultrasound has been considered highly accurate for assessment of the difficult airway, confirmation of proper endotracheal intubation, prediction of post-extubation laryngeal edema, and preparation for cricothyrotomy by identifying the cricothyroid membrane. This review aims to provide a comprehensive overview of the key evidence on the use of ultrasound in airway management. Databases including PubMed and Embase were systematically searched. A search strategy using a combination of the term “ultrasound” combined with several search terms, i.e., “probe”, “anatomy”, “difficult airway”, “endotracheal intubation”, “laryngeal edema”, and “cricothyrotomy” was performed. In conclusion, POCUS is a valuable tool with multiple applications ranging from pre- and post-intubation management. Clinicians should consider using POCUS in conjunction with traditional exam techniques to manage the airway more efficiently in the acute setting.

APA, Harvard, Vancouver, ISO, and other styles

Witkam, Richard L., Jörgen Bruhn, Nico Hoogerwerf, Rebecca M. Koch, and Lucas T. van Eijk. "Combining a McGrath Video Laryngoscope and C-MAC Video Stylet for the Endotracheal Intubation of a Patient with a Laryngeal Carcinoma Arising from the Anterior Side of the Epiglottis: A Case Report." Anesthesia Research 2, no. 1 (2025): 5. https://doi.org/10.3390/anesthres2010005.

Full text

Abstract:

Introduction: Difficult airway management is a critical challenge in anesthesia, often necessitating advanced techniques to ensure patient safety. A patient presented with a malignant lesion on the epiglottis, significantly altering the airway anatomy. Flexible rhinolaryngoscopy revealed a laryngeal carcinoma affecting the entire epiglottis, causing thickening and displacement, which suggested the potential for difficult intubation. Methods: Given the expected feasibility of bag-mask ventilation and front-of-neck access, an asleep intubation technique was selected. The combined use of a McGrath video laryngoscope and C-MAC video stylet allowed for fast and easy atraumatic intubation on the first attempt. The anesthetic and surgical course was uneventful. Discussion: This case report highlights the successful use of a combined approach involving a video laryngoscope and video stylet for intubation in a patient with known difficulties in airway management, providing insights into the benefits of enhanced visualization and maneuverability. The rigid design and steerable tip of the C-MAC video stylet provide advantages over traditional flexible optics, offering better maneuverability and reducing the need for a second operator. Although this technique was successful in this case, its use in patients with complex airway pathologies warrants careful preoperative assessment and collaboration with an experienced airway management team.

APA, Harvard, Vancouver, ISO, and other styles

Tsukamoto, Masanori, Kazuhiro Hano, and Takeshi Yokoyama. "Cuff Inflation Technique During Fiberoptic Nasal Intubation in Patients With Limited Mouth Opening." Anesthesia Progress 72, no. 1 (2025): 43–45. https://doi.org/10.2344/23-0056.

Full text

Abstract:

Airway management is critical, particularly in patients who undergo oral maxillofacial surgery, and often involves use of nasotracheal intubation which can be difficult. We previously described a technique involving use of a flexible fiberoptic scope to provide continuous indirect vision of the endotracheal tube (ETT) tip and the glottis to assist with successful advancement of the ETT during nasotracheal intubation. Nevertheless, we often have experienced difficulties during intubation using this method as spatial manipulation and direction of the nasal ETT into the trachea may occasionally be difficult. In such cases, combining visualization with the flexible fiberoptic scope along with the cuff inflation technique may be useful to aid manipulation of the ETT, unlike the technique previously combined with a video laryngoscope. We describe this clinical technique which may be used during fiberoptic nasal intubations to help increase success securing the airway.

APA, Harvard, Vancouver, ISO, and other styles

Stoimenova, Plamena, Stoilka Mandadzhieva, and Blagoi Marinov. "Clinical applications of forced oscillation technique (FOT) for diagnosis and management of obstructive lung diseases in children." Folia Medica 66, no. 4 (2024): 453–60. http://dx.doi.org/10.3897/folmed.66.e135040.

Full text

Abstract:

Obstructive lung diseases such as bronchial asthma, COPD, and cystic fibrosis are a burden on many patients across the globe. Spirometry is considered the gold standard for diagnosing airflow obstruction, but it can be difficult for pediatric patients to do and requires a lot of effort. As a result, healthcare providers need new, effortless methods to diagnose airway obstructions, particularly in young children and individuals unable to perform the spirometry maneuver. The forced oscillation technique is a modern method requiring only tidal breathing combined with the application of external, source of low-amplitude oscillations to evaluate the respiratory system’s response. It might be essential for identifying early respiratory changes caused by smoking, childhood asthma, and may prove more sensitive than spirometry in identifying peripheral airway disturbances or evaluating the long-term success of therapy. This review describes the methodology and the indications for the forced oscillation technique and outlines its relevance in clinical practice.

APA, Harvard, Vancouver, ISO, and other styles

Gentili, Luca, Gianclaudio Guerriero, Fabio Nania, and Chiara Angeletti. "Effective anesthesia management for super obesity-related compartment syndrome with ultrasound and Doppler guidance: A different strategy." Saudi Journal of Anaesthesia 19, no. 3 (2025): 428–31. https://doi.org/10.4103/sja.sja_782_24.

Full text

Abstract:

Acute compartment syndrome (ACS) arises from increased pressure within a confined osteofascial compartment, leading to tissue ischemia, metabolic deficits, and potential irreversible damage if untreated. Although trauma is the most common cause, obesity—especially when combined with immobility—can increase the risk of ACS, presenting significant challenges in anesthetic management. This case report details the anesthesiological management of a 42-year-old man with severe obesity (BMI 78 kg/m²), classified as super-super obese, who presented with ACS in his right lower limb. Given his complex airway and the limitations of performing general anesthesia (GA), a regional anesthetic approach was selected. Due to anatomical challenges posed by the patient’s obesity, an adductor canal block was performed using ultrasound and Doppler guidance to identify key structures and achieve a successful block. The patient was sedated, remained hemodynamically stable during surgery, and required minimal analgesics postoperatively. This case highlights the critical role of regional anesthesia in super obese patients, overcoming challenges like difficult anatomical landmarks and limited equipment, and underscores the importance of personalized, adaptive approaches to achieve optimal outcomes. Despite the technical difficulties, this successful use of regional anesthesia provides valuable insights into the management of high-risk super obese patients with ACS and reinforces the need for anesthesiologists to employ creative and flexible techniques, including advanced imaging tools, to ensure safe anesthesia care.

APA, Harvard, Vancouver, ISO, and other styles

FEROZE, FAHEEM, NAVEED MASOOD, AMIN KHUWAJA, and Fakhar Ilyas Malik. "NEONATAL RESUSCITATION." Professional Medical Journal 15, no. 01 (2008): 148–52. http://dx.doi.org/10.29309/tpmj/2008.15.01.2716.

Full text

Abstract:

Background: The key to success in newborn resuscitation is theknowledge about the neonatal physiology and adequate preparation of the staff involved in the resuscitation process.The pulmonary part of the resuscitation can be accomplished with either Endotracheal Tube (ETT) or Face Mask (FM),both of these techniques require expertise and are associated with high rates of failure. Hence a third potential optionhas been suggested to overcome these problems. Objectives: To evaluate the efficacy of Laryngeal Mask Airway(LMA) in neonatal resuscitation and artificial ventilation and to compare it with that of ETT and FM. To evaluate LMA’sefficiency in situation where endotracheal intubation and facemask ventilation is difficult or not possible. Design: A Noninterventional, analytical / comparative study Setting: Combined Military Hospital Rawalpindi. Period: 20 weeks (1stJanuary 2002 to 31 May 2002). Subjects: A group of 75 neonates born with C-Section were selected on the basis ofnon-probability convenience sampling. They were subdivided into three sub gps with 25 neonates in each sub gp.Interventions; 75 neonates born after C-Section, were divided into sub gps i.e. A, B, and C containing a no of 25neonates in each gp. They were ventilated with ETT, FM and LMA respectively. These newborn babies had an Apgarscore < 4. They were resuscitated using a fix protocol. The efficacy of ventilation with either technique was evaluatedin terms of placement and ventilation. Results: The LMA emerged, as a valuable and better option in newbornresuscitation. Moreover, it was a successful tool in situations where endotracheal intubation and facemask ventilationwas difficult or impossible. Conclusion: The LMA is a potential valuable adjunct for the management of neonatalairway.

APA, Harvard, Vancouver, ISO, and other styles

Hews, J., K. El-Boghdadly, and I. Ahmad. "Difficult airway management for the anaesthetist." British Journal of Hospital Medicine 80, no. 8 (2019): 432–40. http://dx.doi.org/10.12968/hmed.2019.80.8.432.

Full text

Abstract:

This article reviews the key considerations when managing a patient with a difficult airway. The difficult airway may be anticipated from preassessment allowing time for investigations and preparation. Alternatively, the unanticipated difficult airway can present in an emergency situation, or unexpectedly during a routine anaesthetic. The main airway management techniques are discussed with a description of their advantages and limitations. Current guidelines are included that demonstrate how the techniques are incorporated into an overall strategy with a plan A–D when failure occurs. It is critical to progress through such an algorithm in a timely manner to prevent the onset of hypoxia.

APA, Harvard, Vancouver, ISO, and other styles

Butler, Kenneth H., and Brian Clyne. "Management of the difficult airway: alternative airway techniques and adjuncts." Emergency Medicine Clinics of North America 21, no. 2 (2003): 259–89. http://dx.doi.org/10.1016/s0733-8627(03)00007-5.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Bryant, Jason, Joseph Tobias, and Senthil Krishna. "Management of the Difficult Airway in the Pediatric Patient." Journal of Pediatric Intensive Care 07, no. 03 (2018): 115–25. http://dx.doi.org/10.1055/s-0038-1624576.

Full text

Abstract:

AbstractLoss of airway control in children, if not resolved quickly, will lead to devastating consequences. Successful management of the pediatric difficult airway, both anticipated and unanticipated, is facilitated by preprocedure assessment and preparation. Accessibility of and continued hands-on training with modern airway instruments, familiarization with difficult airway guidelines, and collaboration with multidisciplinary airway teams can aid in the management of the difficult pediatric airway. This review outlines the importance of airway assessment and advanced airway equipment for children. It also discusses difficult airway management techniques and algorithms for the management and rescue of the pediatric difficult airway.

APA, Harvard, Vancouver, ISO, and other styles

Fiadjoe, John, and Paul Stricker. "Pediatric Difficult Airway Management: Current Devices and Techniques." Anesthesiology Clinics 27, no. 2 (2009): 185–95. http://dx.doi.org/10.1016/j.anclin.2009.06.002.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Borovcanin, Zana, and Janine R. Shapiro. "Design and Implementation of an Educational Program in Advanced Airway Management for Anesthesiology Residents." Anesthesiology Research and Practice 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/737151.

Full text

Abstract:

Education and training in advanced airway management as part of an anesthesiology residency program is necessary to help residents attain the status of expert in difficult airway management. The Accreditation Council for Graduate Medical Education (ACGME) emphasizes that residents in anesthesiology must obtain significant experience with a broad spectrum of airway management techniques. However, there is no specific number required as a minimum clinical experience that should be obtained in order to ensure competency. We have developed a curriculum for a new Advanced Airway Techniques rotation. This rotation is supplemented with a hands-on Difficult Airway Workshop. We describe here this comprehensive advanced airway management educational program at our institution. Future studies will focus on determining if education in advanced airway management results in a decrease in airway related morbidity and mortality and overall better patients’ outcome during difficult airway management.

APA, Harvard, Vancouver, ISO, and other styles

Karlik, Joelle, and Michael Aziz. "Recent trends in airway management." F1000Research 6 (February 17, 2017): 159. http://dx.doi.org/10.12688/f1000research.10311.1.

Full text

Abstract:

Tracheal intubation remains a life-saving procedure that is typically not difficult for experienced providers in routine conditions. Unfortunately, difficult intubation remains challenging to predict and intubation conditions may make the event life threatening. Recent technological advances aim to further improve the ease, speed, safety, and success of intubation but have not been fully investigated. Video laryngoscopy, though proven effective in the difficult airway, may result in different intubation success rates in various settings and in different providers’ hands. The rescue surgical airway remains a rarely used but critical skill, and research continues to investigate optimal techniques. This review highlights some of the new thoughts and research on these important topics.

APA, Harvard, Vancouver, ISO, and other styles

Chou, Courtney, Carl Snyderman, Dennis Phillips, and Joseph Darby. "The Difficult Airway after Endoscopic Endonasal Skull Base Surgery: A Case Series and Management Algorithm." Otolaryngology–Head and Neck Surgery 159, no. 5 (2018): 927–32. http://dx.doi.org/10.1177/0194599818789099.

Full text

Abstract:

Objectives To analyze difficult airway situations affecting patients after endoscopic endonasal surgery (EES) for skull base tumors and to develop an airway management algorithm. Study Design Case series with chart review. Setting Single tertiary care center. Subjects and Methods Eleven difficult airway events occurred among patients after EES for skull base tumors, as identified through a retrospective review of our institutional Difficult Airway Management Team registry from January 2008 to March 2016. Data from these events included patient demographics, event characteristics, airway management techniques, and outcomes. Results were used to design a difficult airway protocol. Results The majority of patients were obese (63.6%) and had a dural defect (90.9%), each of which was repaired with a vascularized flap. The most common reasons for the difficult airway call were concern for using mask ventilation in a patient with a dural defect (27.3%) and difficult airway anatomy (27.3%). Two patients did not require airway intervention; 8 were intubated; and 1 underwent cricothyroidotomy. Videolaryngoscopy was the most common first-attempt intubation technique, followed by conventional direct laryngoscopy. Effective adjunctive techniques included intubation through a laryngeal mask airway and bougie-guided intubation. As compared with simple mask ventilation, laryngeal mask airway–assisted ventilation was associated with a decreased incidence of postevent cerebrospinal fluid leak. There were no incidences of postevent pneumocephalus, cardiopulmonary arrest, or mortality. Conclusions We propose a difficult airway algorithm for patients following EES of the skull base, with sequential recommendations for airway management methods and commentary on adjunctive techniques.

APA, Harvard, Vancouver, ISO, and other styles

Gravenstein, Dietrich, Edwin B. Liem, and David G. Bjoraker. "Alternative management techniques for the difficult airway: optical stylets." Current Opinion in Anaesthesiology 17, no. 6 (2004): 495–98. http://dx.doi.org/10.1097/00001503-200412000-00008.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Kuzmanovska, Biljana, Mirjana Shosholcheva, Andrijan Kartalov, Marija Jovanovski-Srceva, and Aleksandra Gavrilovska-Brzanov. "Survey of Current Difficult Airway Management Practice." Open Access Macedonian Journal of Medical Sciences 7, no. 17 (2019): 2775–79. http://dx.doi.org/10.3889/oamjms.2019.673.

Full text

Abstract:

BACKGROUND: Even for the most experienced anesthesiologists “can’t ventilate can’t intubate” scenario in difficult airway management is challenging, and although rare it is life-threatening. AIM: The aim of this survey was to analyse the current practice of difficult airway management at our University teaching hospital. MATERIAL AND METHODS: A ten-question-survey was conducted in the Tertiary University Teaching Hospital “Mother Theresa”, Clinic for Anesthesia, Reanimation and Intensive Care. The survey included demographic data, experience in training anaesthesia, practice in management of anticipated and non-anticipated difficult airway scenario, preferable equipment and knowledge of guidelines and protocols. Responses were noted, evaluated and analysed with the SPSS statistical program. RESULTS: The overall response rate was very good; 94.5% answered the survey. During the assessment of the level of comfort with diverse airway equipment, there was diversity of answers due the experience of anaesthesia training, although the most frequent technique among all responders for anticipated difficult intubation was video laryngoscopy (48%). As for non-anticipated difficult intubation when conventional techniques failed to secure the airway most of the responders answered that they used supra-gothic airway device – laryngeal mask (38%) as a rescue measure. CONCLUSION: Airway assessment, adequate training, experience, and availability of essential equipment are the pillars of successful airway management.

APA, Harvard, Vancouver, ISO, and other styles

Tobias, Joseph D. "Airway Management in the Pediatric Trauma Patient." Journal of Intensive Care Medicine 13, no. 1 (1998): 1–14. http://dx.doi.org/10.1177/088506669801300101.

Full text

Abstract:

The most immediate concern in the management of any pediatric emergency, including trauma, is airway assessment with assisted or controlled ventilation as needed. In the trauma setting, several factors may increase the risks associated with airway management including cardiorespiratory instability, associated maxillofacial injuries, cervical spine injuries, and the risk of acid aspiration. The author reviews the techniques used to manage the airway in the pediatric trauma patient including the evaluation of the cemcal spine and techniques to protect the cenical spine during endotracheal intubation. Airway management techniques including standard oral endotracheal intubation with sedation and neuromuscular blockade, the approach to the recognized difficult airway, and the techniques used in the “cannot intubate/cannot ventilation” scenario are discussed.

APA, Harvard, Vancouver, ISO, and other styles

Mendoza-Aceves, Rodrigo A., Enrique Ortega-Madrid, Karen Meade Yovanovich, et al. "Current treatment of difficult airway: a practical review of advanced techniques for airway management." International Journal of Research in Medical Sciences 9, no. 10 (2021): 3219. http://dx.doi.org/10.18203/2320-6012.ijrms20213964.

Full text

Abstract:

The airway by definition is a conduit through which the air passes; or it is the route by which the air travels from the nose or mouth to the lungs. An exhaustive review was performed with the available literature using the PubMed, ScienceDirect, Scopus and Cochrane databases from 2009 to 2021. The search criteria were formulated to identify reports related to difficult airway management. To allow controlled ventilation, the airway must meet two characteristics in priority order, be permeable and airtight. In assessing risk, in addition to looking for predictors of difficult airway, it was important to understand the global clinical circumstances. Faced with a patient with a difficult airway, decision-making must be agile and correct since any decision can modify the clinical outcome.

APA, Harvard, Vancouver, ISO, and other styles

Xu, Mao, Xiaoxi Li, Jun Wang, and Xiangyang Guo. "Application of a new combined model including radiological indicators to predict difficult airway in patients undergoing surgery for cervical spondylosis." Chinese Medical Journal 127, no. 23 (2014): 4043–48. http://dx.doi.org/10.3760/cma.j.issn.0366-6999.20141345.

Full text

Abstract:

Background Airway management is crucial in clinical anesthesia. Many complications associated with airway management result from unexpected difficult airway, but predicting a difficult airway is a major challenge. We investigated the efficacy of a new combined model including radiological indicators to predict difficult airway in patients undergoing surgery for cervical spondylosis, a population with a high incidence of difficult airway. Methods We randomly enrolled 303 patients scheduled for elective surgery for cervical spondylosis at Peking University Third Hospital between August 2012 and March 2013. Preoperatively, patients were evaluated for difficult airway according to a clinical index and parameters on lateral cervical radiographs and magnetic resonance images. Difficult airway was defined as Cormack-Lehane grades III-IV. Logistic regression was used to identify a combined (clinical and radiological) model for difficult airway. A receiver operating characteristic (ROC) curve was used to describe the effectiveness of prediction. Results We identified three clinical predictive factors using the ROC curve: mouth opening, sternomental distance, and neck mobility. We created a clinical model using three factors: gender, age, and mouth opening, with odds ratios (OR) of 0.370, 1.034, and 0.358, respectively. Using the clinical and radiological parameters, we formulated a combined model with five risk factors: gender, mouth opening, atlanto-occipital gap, the angle from the second to sixth cervical vertebraes in the neutral position, and the angle difference of δ (the angle between the laryngeal axis and the epiglottic axis) from the neutral position to extension (OR: 0.107, 0.355, 0.846, 1.057, and 0.952, respectively). The sensitivity and specificity of the combined model were 80.0% and 65.7%, respectively, and the ROC curve confirmed that the combined model was better than any single clinical predictor and the clinical model. Conclusion The efficacy of the combined model including both clinical and radiological indicators was better than any single clinical predictor or the clinical model in patients undergoing elective surgery for cervical spondylosis.

APA, Harvard, Vancouver, ISO, and other styles

Weymuller, Ernest A., Donald Paugh, Edward G. Pavlin, and Charles W. Cummings. "Management of Difficult Airway Problems with Percutaneous Transtracheal Ventilation." Annals of Otology, Rhinology & Laryngology 96, no. 1 (1987): 34–37. http://dx.doi.org/10.1177/000348948709600108.

Full text

Abstract:

Percutaneous transtracheal jet ventilation was used in the management of 13 cases of upper airway obstruction. Cases are subdivided according to the nature of the presenting airway problem. The first group had stable upper airway abnormalities; the second group presented as emergencies with rapidly evolving upper airway obstruction. This technique has two major advantages: 1) it provides rapid access to the airway during acute emergencies; and 2) it provides control of the airway where tissue distortion from head and neck trauma or tumor surgery makes standard anesthetic techniques difficult. Complications including catheter displacement, total expiratory obstruction, pneumothorax, and subcutaneous emphysema have been encountered. The authors conclude that percutaneous transtracheal jet ventilation is effective. However, potential problems exist and an in-depth understanding of the technique is necessary for its appropriate application and successful use.

APA, Harvard, Vancouver, ISO, and other styles

Trikha, Anjan, Ajoy Roychoudhury, Devalina Goswami, Souvik Maitra, Ongkila Bhutia, and Dalim Kumar Baidya. "Perioperative airway management techniques and complications in patients with temporomandibular joint ankylosis: Experience from a tertiary care teaching institute." Saudi Journal of Anaesthesia 19, no. 1 (2025): 8–13. https://doi.org/10.4103/sja.sja_414_24.

Full text

Abstract:

Background and Aims: Temporomandibular Joint (TMJ) ankylosis patients pose serious anesthetic challenges due to difficult airway and obstructive sleep apnoea (OSA). However, data are sparse on anesthetic management and perioperative outcomes of such patients. This study aimed to identify the anesthetic and airway management techniques in children and adolescents with TMJ ankylosis and whether the presence of retrognathia and OSA increases the risk of airway-related complications. Materials and Methods: A retrospective anesthetic chart review of TMJ ankylosis patients undergoing maxillo-facial surgery from 2008 to 2018 in a tertiary care teaching hospital in India was performed. Available anesthetic data were tabulated and analyzed. Difficult mask ventilation, use of nasopharyngeal airway (NPA), difficult intubation, desaturation at induction and extubation, maneuvers to open the airway at extubation, and any post-operative anesthetic complications were noted. Results: Three hundred seventy-two children including 85 patients of OSA were available for analysis. All patients with OSA had retrognathia. Fiber-optic bronchoscopy (FOB) guided intubation was performed in 362 (97.3%) patients. Desflurane and fentanyl were common anesthetics used for the maintenance of anesthesia. Difficult mask ventilation, use of nasopharyngeal airway (NPA) and requirement of airway maneuvers were more common in OSA patients than in non-OSA patients. Difficult mask ventilation was observed in 18.0% and difficult intubation in 12.9% of patients. Desaturation at induction was noted in 5.1% of patients but none required emergency surgical airway access. Maneuvres to open the airway at extubation were required in 24.5% of patients and the incidence of desaturation at extubation was 7.2%. However, no serious adverse event was noted and only one patient required reintubation. Conclusion: FOB-guided intubation should be considered the technique of choice in TMJ ankylosis patients. In the presence of retrognathia and OSA chance of difficult mask ventilation, requirement of NPA and difficulty in maintaining the airway after extubation increase significantly.

APA, Harvard, Vancouver, ISO, and other styles

Krafft, Peter, and Karl Schebesta. "Alternative management techniques for the difficult airway: esophageal-tracheal Combitube." Current Opinion in Anaesthesiology 17, no. 6 (2004): 499–504. http://dx.doi.org/10.1097/00001503-200412000-00009.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Lim, M. S. T., and J. J. Hunt-Smith. "Difficult Airway Management in the Intensive Care Unit: Alternative Techniques." Critical Care and Resuscitation 5, no. 1 (2003): 53–62. http://dx.doi.org/10.1016/s1441-2772(23)01217-6.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Bonifacio, Karl Gabriel Alferi, Monace Zephyr S. Prudente, and Jorge Edward T. Masa. "Challenging Airway Management in a 5-year-old Male Child with Sublingual Lymphovascular Malformation." Philippine Journal of Anesthesiology 29, no. 1 (2024): 23–28. http://dx.doi.org/10.4103/pja.pja_5_23.

Full text

Abstract:

ABSTRACT We report a 5-year-old male child with a large lymphovascular malformation of the tongue presenting with signs of airway obstruction scheduled for bleomycin sclerotherapy and tracheostomy. Anesthetic concerns include limited mouth opening, airway obstruction, poor visualization, bleeding, and distorted anatomy, thereby rendering mask ventilation, laryngoscopy, intubation, and possible invasive airway access difficult. While awake airway management options are ideal for difficult airways in general, these techniques may be inapplicable to pediatric patients. Management options are further constrained in resource-limited clinical settings where critical equipment may be unavailable. By conducting a thorough preoperative evaluation and by adopting a multidisciplinary approach to case planning, preparation, and management, a strategy was developed, enabling successful airway management. The use of this approach may facilitate the successful anesthetic management of a difficult pediatric airway in austere clinical environments.

APA, Harvard, Vancouver, ISO, and other styles

Surbhi, Anand Atul, and Sinha Vineet. "Tracheostomy Challenges: Case Series Insights." International Journal of Pharmaceutical and Clinical Research 16, no. 5 (2024): 2172–76. https://doi.org/10.5281/zenodo.12957015.

Full text

Abstract:

Difficulties arising during tracheostomy tube insertion can be fatal if the airway is not managed adequately. In ENT practice, a difficult airway is a commonly encountered problem that often requires expert decision-making to create a surgical airway. This report highlights cases of difficult tracheostomies performed at our centre, underscoring the complexities and critical nature of airway management in emergency situations. Through detailed case analysis, we aim to illustrate the challenges faced and the strategies employed to ensure successful outcomes in patients with compromised airways. Our findings emphasize the importance of preparedness, skill, and swift intervention in managing difficult airways to prevent life-threatening consequences. Introduction: Effective airway management can often present significant challenges, particularly in the field of otolaryngology (ENT). One frequently encountered issue is the difficult airway, which often necessitates expert decision-making to create a surgical airway. Patients presenting with stridor, combined with both a difficult airway and a challenging tracheostomy, can face life-threatening complications. This report highlights cases of difficult tracheostomies managed at our centre, underscoring the critical importance of skilled intervention in such scenarios.

APA, Harvard, Vancouver, ISO, and other styles

Doctor, Jeson Rajan, Urmila Phad, and Supriya Gholap. "Recent Advances in Paediatric Airway Management." Airway 7, no. 1 (2024): 1–10. http://dx.doi.org/10.4103/arwy.arwy_13_24.

Full text

Abstract:

Paediatric airway management is continuously evolving with the innovation of new devices and techniques. The paediatric airway presents notable anatomical and physiological challenges. The introduction of a wide array of videolaryngoscopes and flexible intubating video endoscopes in paediatric sizes has made airway management safer. In addition, second-generation supraglottic airways are increasingly utilised both independently and as a component of hybrid strategies. The introduction of various paediatric airway adjuncts such as Frova introducer, optical stylets and airway exchange catheters has been a valuable addition. Microcuff tubes have proven to be safe for use even in neonates and infants and reduce the number of endotracheal tube exchanges. Apnoeic oxygenation techniques using transnasal humidified rapid insufflation ventilatory exchange help in preventing desaturation during intubation. Point-of-care ultrasound has a multitude of applications in paediatric airway management and is useful technique for the identification of the cricothyroid membrane and assessment of gastric residual volume. Airway assessment and simulation in combination with three-dimensional printing can serve as useful adjuncts in difficult and complicated airways and help in training and skill development and retention. Artificial intelligence and machine learning are in the nascent stages but are continuously evolving and may revolutionise airway assessment in the near future. This narrative review describes the recent advances in airway devices and techniques that have revolutionised paediatric airway management over the past decade.

APA, Harvard, Vancouver, ISO, and other styles

Koppel, James N., and Allan P. Reed. "Formal Instruction in Difficult Airway Management: A Survey of Anesthesiology Residency Programs." Anesthesiology 83, no. 6 (1995): 1343–46. http://dx.doi.org/10.1097/00000542-199512000-00025.

Full text

Abstract:

Abstract Background Up to 30% of all deaths attributable to anesthesia are related to difficulties with airway management. The purpose of this study was to determine whether anesthesiology residents are receiving specialized instruction in the various techniques and mechanical devices currently recommended for airway management in patients with anticipated or unanticipated difficult airways.

APA, Harvard, Vancouver, ISO, and other styles

Délio, Tiago Martins Malaquias¹-¹⁶ Thayná Bezerra de Souza¹; Juliana Fontes Beltran Paschoal¹ Giovanna Vetter Paulino¹ ⁠Camila Santos da Costa¹ Isabelle Pinheiro Santos¹ Lucas de Souza Vieira¹ José Carlos Ferreira da Silva¹ Rayssa Prince Cardoso¹ Wellington da Silva Pereira da Cunha¹ Silvia de Oliveira Guion¹ Catarina Canaes Cação¹ Marcus Baia Fonseca¹ Rafael Pinheiro do Nascimento² Maria Quitéria Peixoto da Silva³ Levi Girão de Oliveira⁴ Gabriel Queiroz Sabbag⁵ Mariane Capeletti Alkamin⁶ Lívia Pinke Pinheiro⁷ Maria Eduarda Pellegrina Vieira⁸ Rodrigo Teixeira Zaiden Filho⁹ Jordana Duarte Pinto¹⁰ Giovana Casarini Yamashiro¹¹ Beatriz Randone Pereira¹¹ Jaqueline de Carvalho Ferreira¹¹ Rubens Rodrigues Tudela¹² Elisa Kelly Soares de Abreu¹³ Ana Clara Pavaneli Rodrigues De Souza¹⁴ Aline Cristina Couto da Silva¹⁴ Gabriel Vieira Rodrigues¹⁴ Alana Suelen de Lima Bozzi¹⁴ Pietra Kananovicz Fernandes¹⁴ Laura Yurico Mizuno¹⁷ Dalva Peixoto da Silva¹⁸ Daniela Costa de Souza¹⁸ Thiago Augusto Rochetti Bezerra¹⁴-¹⁵. "Difficult airway, rapid sequence intubation and respiratory failure." International Journal of Medical Science in Clinical Research and Review 7, no. 06 (2024): 1422–29. https://doi.org/10.5281/zenodo.14302415.

Full text

Abstract:

ABSTRACT: The article "Difficult Airway, Rapid Sequence Intubation, and Respiratory Failure" discusses the complexities of managing airways in patients experiencing respiratory failure, particularly when rapid sequence intubation (RSI) is necessary. It emphasizes the importance of recognizing both anatomical and physiological challenges that can complicate airway management. The article highlights the need for thorough assessment and preparation to mitigate risks associated with difficult airways and RSI. It also explores various strategies and techniques to enhance the safety and effectiveness of intubation in critically ill patients.   Keywords: Difficult airway, rapid sequence intubation, respiratory failure, airway management, pre-intubation assessment, sedation, paralytic protocols, rescue devices.

APA, Harvard, Vancouver, ISO, and other styles

Sundyeyev, O., and O. Topachevskyi. "EE475 Cost-Benefit Analysis of Difficult Airway Management Techniques in Ukraine." Value in Health 27, no. 12 (2024): S148—S149. https://doi.org/10.1016/j.jval.2024.10.756.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Nara, Jyoti, and Naveen Yalla. "Anesthetic management of difficult paediatric airway in a case of large facial Neurofibromatosis – A case report." Indian Journal of Clinical Anaesthesia 10, no. 4 (2023): 379–81. http://dx.doi.org/10.18231/j.ijca.2023.079.

Full text

Abstract:

Neurofibromatosis is tumor involving different parts of the body. Neurofibromatosis may potentially lead to difficult airway. These challenging cases need special considerations. Various anesthetic techniques and devices are described to secure the airway. In the present case we intubated a 11-year-old child with large left side facial tumor extending to the neck which had intraoral encroachment displacing the tongue and pharynx to the right. This is a case report illustrating intubation of difficult pediatrics airway using awake bronchoscopic intubation under conscious sedation.

APA, Harvard, Vancouver, ISO, and other styles

Shamim, Faisal, Amber Gulamani, Abdullah Nisar, Saima Rashid, and Humayun kaleem Siddiqui. "Flexible bronchoscopy combined with videolaryngoscope for tracheal intubation in a child with Hunter syndrome: a case report." Journal of the Pakistan Medical Association 73, no. 11 (2023): 2273–76. http://dx.doi.org/10.47391/jpma.8635.

Full text

Abstract:

Hunter syndrome (mucopolysaccharidosis type II) has the highest reported prevalence of difficult tracheal intubation among the seven known types of mucopolysaccharidoses. Despite improved difficult airway guidelines and equipment, conventional approaches may fail in some cases. A 10-year-old child with Hunter syndrome, was scheduled for multiple dental extractions. On the first visit, failed intubation was declared as per Difficult Airway Society guidelines in the surgical day-care suite of our institute and the procedure was postponed. The case was then planned to be handled in the main operating room with additional preparation and input from the paediatric otolaryngologist for possible tracheostomy, paediatric intensive care for postoperative need for ventilation, and difficult airway resource faculty for an unconventional approach—videolaryngoscope combined with fibreoptic bronchoscope—which resulted in safe administration of anaesthesia. This case illustrates the importance of meticulous planning in the management of previously failed airway.

APA, Harvard, Vancouver, ISO, and other styles

Kothekar, Amol, and Sheila Nainan Myatra. "Emergency Front of Neck Access in ICU." Bangladesh Critical Care Journal 4, no. 2 (2016): 114–22. http://dx.doi.org/10.3329/bccj.v4i2.30028.

Full text

Abstract:

Difficult intubation and difficult mask ventilation are not uncommon in ICU. When intubation in ICU turns out to be difficult, chances of complications may be more due to various reasons like poor physiological reserve and physical status of patient, inadequate experience of operator, unavailability of help from airway experts and certain airway adjuvants. The cannot intubate cannot oxygenate (CICO) situation is the most feared complication in airway management, as it can lead to hypoxic brain damage and immediate cardiac arrest leading to death unless situation is rapidly resolved. Emergency cricothyroidotomy can come handy in such potentially life-threatening situations. Cricothyroidotomy and not tracheostomy is the recommended technique of choice for front of neck access in CICO situations with increasing hypoxemia. This article deals with the complexities of airway management in ICU, the various tools and techniques for performing emergency front of neck access by both surgical and percutaneous cricothyroidotomy including ventilation techniques and the current recommendations for performing this procedure. Considering the life saving potential of this technique, every anaesthesiologist, intensivist, or other physician dealing with airway management should be well versed with this procedure.Bangladesh Crit Care J September 2016; 4 (2): 114-122

APA, Harvard, Vancouver, ISO, and other styles

Choudhary, Annu, Swati Singh, and Saurabh Kumar. "Pediatric airway management: A narrative review of the current practices and challenges." Journal of Indira Gandhi Institute of Medical Sciences 10, no. 2 (2024): 100–106. http://dx.doi.org/10.4103/jigims.jigims_19_24.

Full text

Abstract:

Pediatric patients are more susceptible to critical events, the management of their airway necessitates skilled and meticulous interventions. Thus, it is essential to be well versed with the knowledge that can aid in our understanding of the pediatric airway. We conducted a narrative review of the current understanding of pediatric airway assessment techniques, various airway adjuncts and devices, the use of video laryngoscopes for endotracheal intubation and future trends. The databases Ovid, Medline, PubMed, Web of Science, and Google Scholar were searched regarding various aspects of pediatric airway management from 2005 to 2024. The search terms were pediatric or infant difficult airway, pediatric difficult airway, apneic oxygenation, and pediatric airway assessment. One hundred articles were deemed relevant by abstract, and their full text was obtained and examined further for compliance, and finally, 40 full-text articles were included in the study. This article discusses the various challenges of pediatric anesthesia related to airway management, emphasizing the need for individualized perioperative methods due to children’s unique anatomical and physiological features.

APA, Harvard, Vancouver, ISO, and other styles

Konduri, Sushma, Vibhavari Milind Naik, Basanth Kumar Rayani, Aanchal Rajkumar Bharuka, Poornachand Anne, and M. Asiel Christopher. "Lung Isolation Techniques for Challenging Airway Scenarios: A Narrative Review." Journal of Onco-Anaesthesiology and Perioperative Medicine 1, no. 3 (2024): 93–100. http://dx.doi.org/10.4103/joapm.joapm_13_24.

Full text

Abstract:

Lung isolation is a critical aspect of patient management during thoracic cancer surgeries. While conventional techniques are well established for patients with normal airway anatomy, anatomical alterations in the upper or lower airways, especially due to cancer, can pose significant challenges. This review thoroughly examines the available lung isolation techniques for challenging airway scenarios, aiming to guide clinicians in selecting the most appropriate approach for each patient. Here, we explore the intricacies and nuances of one-lung ventilation in patients with altered airway anatomy. A comprehensive literature search was conducted using PubMed from January 2000 to May 2024, and additional references were identified through manual review. A tailored approach using available techniques is warranted in difficult airway scenarios, especially in patients with complex anatomical variations. The techniques such as a single-lumen endotracheal tube with bronchial blocker and a double-lumen tube insertion using a video laryngoscope or paediatric fibre-optic bronchoscope are discussed in difficult upper airway abnormalities. In some of the lower airway abnormalities, diverse lung isolation techniques mentioned in the literature are described.

APA, Harvard, Vancouver, ISO, and other styles

Stocks, Rose Mary S., Robert Egerman, Jerome W. Thompson, and Michael Peery. "Airway Management of the Severely Retrognathic Child: Use of the Laryngeal Mask Airway." Ear, Nose & Throat Journal 81, no. 4 (2002): 223–26. http://dx.doi.org/10.1177/014556130208100410.

Full text

Abstract:

Successful airway management of an infant or child with moderate to severe retrognathia first requires recognition of a potential problem. If the child cannot be intubated in a standard fashion, the use of a laryngeal mask airway (LMA) should be considered. We describe two cases wherein a toddler and an infant with severe retrognathia failed multiple attempts at traditional intubation. Both had an anterior larynx and hypoplasia of the mandible. In both cases, a subsequent LMA was successfully placed. The severely retrognathic newborn or child presents to the physician a unique challenge in airway management. Techniques to manage this difficult pediatric airway are different from those used in the adult. Otolaryngologists should be aware of this intubation technique and include it in their armamentarium of airway-management strategies. The LMA is not recommended as the technique of choice for securing a difficult airway, but it is an effective alternative when indicated, and it might be life-saving.

APA, Harvard, Vancouver, ISO, and other styles

Deo, Gopendra Prasad, and Prakash Chandra Majhi. "Impacted tooth brush in retromolar area: a practical management of difficult airway." Journal of Society of Anesthesiologists of Nepal 1, no. 1 (2015): 51–54. http://dx.doi.org/10.3126/jsan.v1i1.13590.

Full text

Abstract:

Proper airway management is an important skill for an Anaesthesiologist. This case report deals with airway management performed in a forty five years lady, with impacted tooth brush in the retromolar region on the right side. She was intubated and the foreign body was removed surgically without any peri-operative complications. This case report discusses the complications and management of oropharyngeal injuries by stick-like foreign bodies such as a toothbrush or a chopstick. The article also focuses on basic airway management and some tracheal intubation techniques that may be performed to solve a difficult airway.Journal of Society of Anesthesiologists 2014 1(1): 51-54

APA, Harvard, Vancouver, ISO, and other styles

Maurya, Indubala, Syed M. Ahmed, and Rakesh Garg. "Simulation in airway management teaching and training." Indian Journal of Anaesthesia 68, no. 1 (2024): 52–57. http://dx.doi.org/10.4103/ija.ija_1234_23.

Full text

Abstract:

There is a gradual shift in training and teaching methods in the medical field. We are slowly moving from the traditional model and adopting active learning methods like simulation-based training. Airway management is an essential clinical skill for any anaesthesiologist, and a trained anaesthesiologist must perform quick and definitive airway management using various techniques. Airway simulations have been used for the past few decades. It ensures active involvement, upgrading the trainees’ airway management knowledge and skills, including basic airway skills, invasive procedures, and difficult clinical scenarios. Trainees also learn non-technical skills such as communication, teamwork, and coordination. A wide range of airway simulators are available. However, texture surface characteristics vary from one type to another. The simulation-based airway management training requires availability, understanding, faculty development, and a structured curriculum for effective delivery. This article explored the available evidence on simulation-based airway management teaching and training.

APA, Harvard, Vancouver, ISO, and other styles

Wang, Huiyue, Xiao Huang, Anshi Wu, and Qianyu Li. "Management of anesthesia in a patient with osteogenesis imperfecta and multiple fractures: a case report and review of the literature." Journal of International Medical Research 49, no. 6 (2021): 030006052110284. http://dx.doi.org/10.1177/03000605211028420.

Full text

Abstract:

Patients with osteogenesis imperfecta (OI) usually also show osteoporosis and bone fragility. Because these defects may also be combined with an airway that is difficult to manage, abnormal platelet function, and other problems, the perioperative management of anesthesia represents a substantial challenge. Therefore, it is important to be able to predict the risks during the perioperative period and to formulate and implement specific high-quality anesthesia management plans for such patients when they experience trauma. We report the case of a 59-year-old female patient with OI who experienced trauma resulting in fractures of the left proximal humerus and right hip. She required open reduction and internal fixation of her humerus and total hip arthroplasty. However, she also had obstructive sleep apnea syndrome, and an airway assessment indicated that her airway would be difficult to maintain. General anesthesia combined with a nerve block was administered. An ultrasound-guided bilateral superior laryngeal nerve block and cricothyroid membrane puncture were used to facilitate endotracheal intubation. An ultrasound-guided “hourglass-pattern” fascia iliaca block was performed for perioperative analgesia. The use of a regional block and preparation for the difficult airway access represented important and successful aspects of the management of anesthesia in this patient.

APA, Harvard, Vancouver, ISO, and other styles

Matouk, M., F. Chettibi, M. Ait Amirat, et al. "Audit of Preoperative Difficult Airway Management in Algeria: Challenges and Strategies." International Journal of Advanced Multidisciplinary Research and Studies 4, no. 3 (2024): 52–54. http://dx.doi.org/10.62225/2583049x.2024.4.3.2739.

Full text

Abstract:

Most respiratory complications during intubation are unanticipated and can lead to severe injuries or even death, especially in general anesthesia. Mitigating factors include preparation, evaluation, communication, teamwork, and situational awareness. However, in the absence of national recommendations, airway management in Algeria remains a challenge. Methodology: A cross-sectional study over one year (2019-2020) was conducted by distributing a questionnaire covering demographic data, difficulties encountered during intubation and ventilation, access to specific equipment and training, and the desire for training or algorithms. Data were entered and analyzed using SPSS 18 software. Results: Out of 110 distributed questionnaires, the participation rate was 78%, covering 25 wilayas. The prevalence of intubation difficulties was 100%, with a higher prevalence among those without local protocols or specific training. Public health specialists in EPH and CHU were more likely to encounter ventilation difficulties. Discussion: This audit identifies the challenges faced by anesthesiologists in Algeria, emphasizing the importance of pre-planning and advancements in techniques to simplify the management of difficult intubations. The development of algorithms could facilitate patient care, provided that the techniques are widely known and feasible. Conclusion: Improving airway management in Algeria requires pre-planning, increased awareness, and appropriate training. Advances in techniques and the development of algorithms could help reduce complications during difficult intubations.

APA, Harvard, Vancouver, ISO, and other styles

Walujo, Albertus Medianto, I. Gde Agus Shuarsedana Putra, I. Wayan Widana, and Ida Ayu Manik Manuaba. "Nasotracheal Intubation under Videolaryngoscopy in Mandibular Abscess with Trismus." Jurnal Ilmiah Kedokteran Wijaya Kusuma 11, no. 1 (2022): 68. http://dx.doi.org/10.30742/jikw.v11i1.1570.

Full text

Abstract:

Management of a difficult airway is a challenge for every anesthesiologist. Mandibular stiffness, trismus, and facial structural deformities often limit the available airway management options. With a variety of techniques that have been developed today, the management of difficult airways is more optimal than conventional management. One technique that can be used is video laryngoscopy. The authors report a case of nasotracheal intubation by video laryngoscopy in a mandibular abscess patient with trismus. The purpose of this case report is to demonstrate the effectiveness of the video laryngoscopy technique to assist nasotracheal intubation and to add insight for nasotracheal intubation technique in difficult airway conditions, especially trismus. Female, 60-year-old, come with a left mandibular abscess with complicated trismus who was planned for incision and drainage of the abscess. Nasotracheal intubation was performed under video laryngoscopy and during the surgical procedure the patient's vital signs were stable. This case report concludes that video laryngoscopy can be an alternative to conventional techniques and awake fiberoptic intubation in the case of nasotracheal intubation.

APA, Harvard, Vancouver, ISO, and other styles

Kheterpal, Sachin, David Healy, Michael F. Aziz, et al. "Incidence, Predictors, and Outcome of Difficult Mask Ventilation Combined with Difficult Laryngoscopy." Anesthesiology 119, no. 6 (2013): 1360–69. http://dx.doi.org/10.1097/aln.0000435832.39353.20.

Full text

Abstract:

Abstract Background: Research regarding difficult mask ventilation (DMV) combined with difficult laryngoscopy (DL) is extremely limited even though each technique serves as a rescue for one another. Methods: Four tertiary care centers participating in the Multicenter Perioperative Outcomes Group used a consistent structured patient history and airway examination and airway outcome definition. DMV was defined as grade 3 or 4 mask ventilation, and DL was defined as grade 3 or 4 laryngoscopic view or four or more intubation attempts. The primary outcome was DMV combined with DL. Patients with the primary outcome were compared to those without the primary outcome to identify predictors of DMV combined with DL using a non-parsimonious logistic regression. Results: Of 492,239 cases performed at four institutions among adult patients, 176,679 included a documented face mask ventilation and laryngoscopy attempt. Six hundred ninety-eight patients experienced the primary outcome, an overall incidence of 0.40%. One patient required an emergent cricothyrotomy, 177 were intubated using direct laryngoscopy, 284 using direct laryngoscopy with bougie introducer, 163 using videolaryngoscopy, and 73 using other techniques. Independent predictors of the primary outcome included age 46 yr or more, body mass index 30 or more, male sex, Mallampati III or IV, neck mass or radiation, limited thyromental distance, sleep apnea, presence of teeth, beard, thick neck, limited cervical spine mobility, and limited jaw protrusion (c-statistic 0.84 [95% CI, 0.82–0.87]). Conclusion: DMV combined with DL is an infrequent but not rare phenomenon. Most patients can be managed with the use of direct or videolaryngoscopy. An easy to use unweighted risk scale has robust discriminating capacity.

APA, Harvard, Vancouver, ISO, and other styles

Paul, Anju, Amit Hiwarkar, Madhuri Patil, and Kshitija Dipak Tonapi. "A child with congenital hypothyroidism posted for emergency surgery- anaesthesia challenges." Southeast Asian Journal of Health Professional 7, no. 2 (2024): 50–52. http://dx.doi.org/10.18231/j.sajhp.2024.012.

Full text

Abstract:

Paediatric cases pose considerable anaesthetic challenges and are more challenging if they are posted for emergency surgeries with associated comorbidities like congenital hypothyroidism. Few reported cases of anaesthesia management of congenital hypothyroid cases are there in the literature. Challenges are due to the difficult airway, associated congenital anomalies and increased sensitivity to anaesthetic drugs. Knowledge of pathophysiology, preoperative optimization and proper selection and planning of anaesthesia techniques are essential for successful anaesthesia management of children with congenital hypothyroidism for emergency surgeries. Congenital hypothyroidism in a child poses significant challenges for anaesthesiologists because of altered physiology, airway anatomy and difficult airway and drug metabolism.

APA, Harvard, Vancouver, ISO, and other styles

Malan, T. Philip, and Mark D. Johnson. "The difficult airway in obstetric anesthesia: Techniques for airway management and the role of regional anesthesia." Journal of Clinical Anesthesia 1, no. 2 (1988): 104–11. http://dx.doi.org/10.1016/0952-8180(88)90029-3.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Varghese, Merin, Reshma B. Muniyappa, SS Harsoor, and Gangisetty Sri Madhuri. "Bilateral TMJ Ankylosis with limited mouth opening in pediatric patients: An anesthetic challenge." Saudi Journal of Anaesthesia 18, no. 3 (2024): 447–49. http://dx.doi.org/10.4103/sja.sja_29_24.

Full text

Abstract:

Restricted mouth opening is a challenging airway in pediatric patients with temperomandibular joint (TMJ) ankylosis. The fiber-optic bronchoscopic nasotracheal intubation technique continues to be the gold standard for difficult airway, among the techniques available such as submandibular intubation, retrograde intubation, and tracheostomy. However, awake fiber-optic bronchoscopy (FOB) is difficult to achieve in pediatric patients. Prior planning of the anesthetic method and effective collaboration with the surgeon are crucial for excellent outcomes in such challenging airway cases. We present a successful awake fiber-optic bronchoscopy with high-flow nasal oxygen (HFNO), airway blocks, and deep sedation in the case of bilateral TMJ ankylosis of a pediatric age group with reduced mouth opening. We conclude that awake intubation using HFNO and airway blocks helps to achieve oxygenation and ease of intubation in difficult airway management.

APA, Harvard, Vancouver, ISO, and other styles

Ambrosio, Art, Kastley Marvin, Colleen Perez, et al. "Pediatric Trainees Managing a Difficult Airway: Comparison of Laryngeal Mask Airway, Direct, and Video-Assisted Laryngoscopy." OTO Open 1, no. 2 (2017): 2473974X1770791. http://dx.doi.org/10.1177/2473974x17707916.

Full text

Abstract:

Objective Difficult airway management is a key skill required by all pediatric physicians, yet training on multiple modalities is lacking. The objective of this study was to compare the rate of, and time to, successful advanced infant airway placement with direct laryngoscopy, video-assisted laryngoscopy, and laryngeal mask airway (LMA) in a difficult airway simulator. This study is the first to compare the success with 3 methods for difficult airway management among pediatric trainees. Study Design Randomized crossover pilot study. Setting Tertiary academic medical center. Methods Twenty-two pediatric residents, interns, and medical students were tested. Participants were provided 1 training session by faculty using a normal infant manikin. Subjects then performed all 3 of the aforementioned advanced airway modalities in a randomized order on a difficult airway model of a Robin sequence. Success was defined as confirmed endotracheal intubation or correct LMA placement by the testing instructor in ≤120 seconds. Results Direct laryngoscopy demonstrated a significantly higher placement success rate (77.3%) than video-assisted laryngoscopy (36.4%, P = .0117) and LMA (31.8%, P = .0039). Video-assisted laryngoscopy required a significantly longer amount of time during successful intubations (84.8 seconds; 95% CI, 59.4-110.1) versus direct laryngoscopy (44.9 seconds; 95% CI, 33.8-55.9) and LMA placement (36.6 seconds; 95% CI, 24.7-48.4). Conclusions Pediatric trainees demonstrated significantly higher success using direct laryngoscopy in a difficult airway simulator model. However, given the potential lifesaving implications of advanced airway adjuncts, including video-assisted laryngoscopy and LMA placement, more extensive training on adjunctive airway management techniques may be useful for trainees.

APA, Harvard, Vancouver, ISO, and other styles

Abuokra, Kaothar S., Afaf J. Hamza, Sumia R. Emhmed, Arwa M. Al farnouk, Malak A. Abooadn, and Mariam M. Al taloua. "Assessment of difficult Airway management protocols used in selected Libyan hospitals and identify Major complications (Survey)." Libyan Journal of Medical Research 16, no. 2 (2022): 108–25. http://dx.doi.org/10.54361/ljmr.16209.

Full text

Abstract:

Airway management is a medical process that used to control the ventilation in clear airway problems. Most of times obstructed airway occurs due to loss of consciousness which is common in patients with serious illness or patients who require resuscitation, which may lead to cardiorespiratory arrest. In which a rapid assessment of a patient’s airway, ventilation and lung oxygenation is required to avoid hypoxia and its complications on the brain and other organs. Difficult airway management is being an alarming issue in anesthesia and in emergencies that the anesthesiologists faced with ventilation mask, tracheal incubation in some cases. The current study's goals are to evaluate and contrast the procedures and recommendations for difficult airway management that employed in selected Libyan hospitals. Using a questionnaire, the study was conducted in five hospitals in western Libya between December 2017 and June 2018. SPSS software and the F test used to analyze the collected data. The results of this study confirmed that there is no significant difference in techniques used in management patients with of difficult intubation among compared hospitals in the selected sample. To conclude, most of airway complications are unsuspected and can increase the mortality rate, particularly in the intensive care unit and emergency department, which must have well trained, prepared and educated staff in addition the most developed devices. These complications include; pulmonary aspiration, esophageal intubation, and failed airway management.

APA, Harvard, Vancouver, ISO, and other styles

Cattano, Davide, Rabail Chaudhry, Rashida Callender, Peter V. Killoran, and Carin A. Hagberg. "Recent trends in airway management: we are not ready to give up fiberoptic endoscopy." F1000Research 3 (May 16, 2014): 114. http://dx.doi.org/10.12688/f1000research.3829.1.

Full text

Abstract:

The purpose of this correspondence is to discuss recent findings related to current trends in airway management and to discuss the utilization rates of video laryngoscopes versus traditional techniques in USA, UK, and Canada. To highlight the increased use of video laryngoscopes in difficult airway situations, data on the use of alternative airway devices at our institution collected from 2008 to 2010 are presented alongside the results of previously published surveys collected from 2002 to 2013.

APA, Harvard, Vancouver, ISO, and other styles

Sudrial, Jérôme, Caroline Birlouez, Anne-Laurette Guillerm, Jean-Luc Sebbah, Roland Amathieu, and Gilles Dhonneur. "Difficult Airway Management Algorithm in Emergency Medicine: Do Not Struggle against the Patient, Just Skip to Next Step." Emergency Medicine International 2010 (2010): 1–3. http://dx.doi.org/10.1155/2010/826231.

Full text

Abstract:

We report a case of prehospital “cannot intubate” and “cannot ventilate” scenarios successfully managed by strictly following a difficult airway management algorithm. Five airway devices were used: the Macintosh laryngoscope, the gum elastic Eschmann bougie, the LMA Fastrach, the Melker cricothyrotomy cannula, and the flexible fiberscope. Although several airway devices were used, overall airway management duration was relatively short, at 20 min, because for each scenario, failed primary and secondary backup devices were quickly abandoned after 2 failed attempts, each attempt of no more than 2 min in duration, in favor of the tertiary rescue device. Equally, all three of these rescue devices failed, an uncuffed cricothyroidotomy cannula was inserted to restore optimal arterial oxygenation until a definitive airway was secured in the ICU using a flexible fiberscope. Our case reinforces the need to strictly follow a difficult airway management algorithm that employs a limited number of effective devices and techniques, and highlights the imperative for early activation of successive preplanned steps of the algorithm.

APA, Harvard, Vancouver, ISO, and other styles

We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!