Airway Pharmacology and Treatment最新文献_第3页

5 best articles in airway journal since inception 自创立以来气道杂志上最好的5篇文章

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_43_22

V. Ramkumar

引用次数: 0

Correlation between predictors of difficult mask ventilation and its grading using a risk score 困难面罩通气预测因素与风险评分分级之间的相关性

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_16_22

Indu Manikonda, S. Aphale

{"title":"Correlation between predictors of difficult mask ventilation and its grading using a risk score","authors":"Indu Manikonda, S. Aphale","doi":"10.4103/arwy.arwy_16_22","DOIUrl":"https://doi.org/10.4103/arwy.arwy_16_22","url":null,"abstract":"Background: Maintenance of airway patency and oxygenation are the main objectives of face mask ventilation. Preoperative prediction can reduce the incidence of unanticipated difficult mask ventilation (DMV). Aim of Study: The aim of this study was to evaluate the correlation between predictors of DMV and its grading using a risk score. Study Setting and Design: This was an observational study approved by the Institutional Ethics Committee in a tertiary care hospital between 2020 and 2021. Patients and Methods: A total of 110 adult patients scheduled for elective surgery under general anaesthesia were studied. A detailed preoperative airway assessment was done to identify and risk score for seven standard predictors of DMV (male gender, age >55 years, body mass index ≥30 kg/m2, obstructive sleep apnoea [STOP-BANG score], edentulous state, modified Mallampati class and presence of beard). The risk score was correlated with the grading of mask ventilation in the operation theatre performed using the four-point scale as described by Han et al. Results: A statistically significant association was found with standard predictors such as male gender, obstructive sleep apnoea (STOP-BANG score) and the total preoperative risk score with the grading of mask ventilation (P < 0.05 for all). Additional risk factors found statistically significant were interincisor distance, thyromental distance, neck circumference, receding mandible, mandibular jaw protrusion, restricted neck movements, buck teeth and submucosal fibrosis. Conclusion: Prediction of DMV with preoperative risk score can lead to better anticipation of difficult airway management. Appropriate anticipatory airway management could potentially decrease the incidence of failed ventilation and resultant hypoxia.","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"32 22","pages":"115 - 122"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91436077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Difficult airway following inhalational burn injury in a child 儿童吸入性烧伤后气道困难

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_28_22

Renu Wakhloo, Hitesha Gurtoo, Megha Gandotra, Shruti Gupta

引用次数: 0

Awake fibreoptic bronchoscopy-guided nasal intubation in a burn patient: Role in sitting position 清醒纤维支气管镜引导下的鼻插管在烧伤患者中的作用

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_23_22

Sekar Loganathan, Ajay Singh, N. Naik

引用次数: 0

Influence of different head and neck positions on oropharyngeal leak pressures and cuff positions with Ambu® AuraGainTM laryngeal airway in children Ambu®AuraGainTM喉道导气管患儿不同头颈体位对口咽漏压及袖带体位的影响

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_36_22

Sugandhi Nemani, S. Mishra, P. Rudingwa, S. Padala, M. Senthilnathan, S. Parida

{"title":"Influence of different head and neck positions on oropharyngeal leak pressures and cuff positions with Ambu® AuraGainTM laryngeal airway in children","authors":"Sugandhi Nemani, S. Mishra, P. Rudingwa, S. Padala, M. Senthilnathan, S. Parida","doi":"10.4103/arwy.arwy_36_22","DOIUrl":"https://doi.org/10.4103/arwy.arwy_36_22","url":null,"abstract":"Background: Ambu® AuraGain™ laryngeal airway is a supraglottic airway device designed to provide better airway protection and airway seal pressures. Aim of Study: To quantify oropharyngeal leak pressures (OPLPs), fibreoptic view, peak airway pressure and ventilation scoring with Ambu® AuraGain™ in children in different head and neck positions such as maximum flexion, maximum extension and lateral rotation. Patients and Methods: Sixty-eight children aged between 1 and 6 years posted for surgery were enrolled. Ambu® AuraGain™ was inserted after the induction of anaesthesia and ventilation was confirmed. OPLP, fibreoptic view, peak airway pressure and ventilation scores were noted in different head and neck positions such as maximum flexion, maximum extension and lateral rotation. Results: The OPLP significantly increased in flexion (P < 0.001) and significantly decreased in extension (P < 0.001) when compared to the neutral position. Airway pressure (Paw) increased significantly in flexion (P < 0.001) and decreased in extension (P = 0.04) when compared to the neutral position. Tidal volume delivery was comparable in all positions. There was a statistically significant decrease in ventilation scoring in the flexed position when compared to the neutral position (P = 0.005). There was a significant worsening of fibreoptic view in flexion when compared to the neutral position (P < 0.001). Fibreoptic view in the lateral position and extension was comparable with the neutral position. Conclusions: Use of Ambu® AuraGain™ laryngeal airway provides the best ventilatory parameters and Paw in children with head in the neutral and lateral position but lower OPLP with head in extension. However, flexing the head results in the worst ventilatory parameters and Paw among the positions studied.","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"6 1","pages":"109 - 114"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80533439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Awake bronchoscopy-guided nasotracheal intubation in a child with Treacher Collins syndrome and obstructive sleep apnoea 清醒支气管镜引导下的鼻气管插管治疗一例伴有Treacher Collins综合征和阻塞性睡眠呼吸暂停的儿童

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_29_22

A. Elayat, Vineeth Krishnan, R. Reddy, Dhaneesh CP, Shynimol George

引用次数: 0

Influence of protective lung ventilation on arterial-to-end tidal carbon dioxide gradient during one lung ventilation: A prospective observational study 保护性肺通气对单肺通气期间动脉至端潮汐二氧化碳梯度的影响:一项前瞻性观察研究

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_21_22

Shruthi Pendyala, A. Date

{"title":"Influence of protective lung ventilation on arterial-to-end tidal carbon dioxide gradient during one lung ventilation: A prospective observational study","authors":"Shruthi Pendyala, A. Date","doi":"10.4103/arwy.arwy_21_22","DOIUrl":"https://doi.org/10.4103/arwy.arwy_21_22","url":null,"abstract":"Background: One lung ventilation (OLV) results in a ventilation-perfusion (V/Q) mismatch. Protective lung ventilation (PLV) reduces postoperative pulmonary complications following OLV. However, PLV predisposes to areas of atelectasis in the ventilated lung and worsens the V/Q mismatch. Aim of Study: To evaluate the gradient between arterial carbon dioxide tension (PaCO2) and partial pressure of end-tidal carbon dioxide gas (ETCO2) during OLV using PLV. The second objective was to see if a high gradient could be predicted based on preoperative pulmonary function tests (PFTs), American Society of Anesthesiologists Physical Status (ASA-PS) or intraoperative haemodynamic changes. Patients and Methods: The PaCO2 and ETCO2 during two lung ventilation (TLV) and OLV were noted with patient in the lateral position. The PaCO2-ETCO2 gradients during TLV and OLV were calculated. The mean values of PaCO2, ETCO2 and PaCO2-ETCO2 gradient were compared for OLV and TLV. For gradients above 8 mm Hg, PFT, ASA-PS grade and blood pressure were assessed to identify any clinical association. Results: Sixty patients were enrolled in the study. The mean values of PaCO2 were 38.17 and 44.02 mm Hg during TLV and OLV respectively. The mean values of ETCO2 were 31.31 and 34.53 mm Hg during TLV and OLV respectively. The mean PaCO2-ETCO2 gradient was 6.74 and 9.71 mm Hg during TLV and OLV respectively. These values were significantly lower during TLV than OLV. Conclusion: ETCO2 does not correspond with PaCO2 during OLV using PLV. It is not possible to predict which patients will show a higher PaCO2-ETCO2 gradient. This study could not find any clinical association between the preoperative PFT, ASA-PS grade or intraoperative haemodynamics when PaCO2-ETCO2 gradient was greater than 8 mm Hg.","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"24 1","pages":"103 - 108"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83300471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unusual difficult airway view in a patient following corrosive poisoning: Videolaryngoscope replaces fibreoptic-guided intubation 腐蚀性中毒患者异常困难的气道观察:视频喉镜代替纤维引导插管

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_35_22

H. Subramanian, K. Govindaraj, M. Senthilnathan

引用次数: 1

Anaesthetic management of transoral endoscopic thyroidectomy via vestibular approach 经口前庭入路内镜甲状腺切除术的麻醉处理

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_33_22

S. Rajan, Roniya Roy, N. Sasikumar, J. Paul

引用次数: 0

Boxer's mouthguard to facilitate motor evoked potential monitoring during cervical intramedullary tumour excision: Protect and prevent rather than repair and repent! 在宫颈髓内肿瘤切除术中，拳击手护齿促进运动诱发电位监测:保护和预防而不是修复和忏悔!

Airway Pharmacology and Treatment Pub Date : 2022-09-01 DOI: 10.4103/arwy.arwy_37_22

Unmesh Bedekar, J. Monteiro

引用次数: 1