Tracheal intubation
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Consensus guidelines for managing the airway in patients with <span>COVID</span> ‐19 Open
Summary Severe acute respiratory syndrome‐corona virus‐2, which causes coronavirus disease 2019 (COVID‐19), is highly contagious. Airway management of patients with COVID‐19 is high risk to staff and patients. We aimed to develop principle…
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Intubation and Ventilation amid the COVID-19 Outbreak Open
The COVID-19 outbreak has led to 80,409 diagnosed cases and 3,012 deaths in mainland China based on the data released on March 4, 2020. Approximately 3.2% of patients with COVID-19 required intubation and invasive ventilation at some point…
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Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients From 29 Countries Open
In this observational study of intubation practices in critically ill patients from a convenience sample of 197 sites across 29 countries, major adverse peri-intubation events-in particular cardiovascular instability-were observed frequent…
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Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults Open
Summary Awake tracheal intubation has a high success rate and a favourable safety profile but is underused in cases of anticipated difficult airway management. These guidelines are a comprehensive document to support decision making, prepa…
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Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome Open
ISRCTN Identifier: 08256118.
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Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the <span>COVID</span> ‐19 adult patient group Open
Airway clinicians in Australia and New Zealand should now already be involved in regular intensive training for the airway management of the COVID-19 patient group. This training should focus on the principles of early intervention, meticu…
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Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation Open
Videolaryngoscopes may reduce the number of failed intubations, particularly among patients presenting with a difficult airway. They improve the glottic view and may reduce laryngeal/airway trauma. Currently, no evidence indicates that use…
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Postoperative sore throat: a systematic review Open
Summary Postoperative sore throat has a reported incidence of up to 62% following general anaesthesia. In adults undergoing tracheal intubation, female sex, younger age, pre‐existing lung disease, prolonged duration of anaesthesia and the …
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Expert Recommendations for Tracheal Intubation in Critically ill Patients with Noval Coronavirus Disease 2019 Open
Coronavirus Disease 2019 (COVID-19), caused by a novel coronavirus (SARS-CoV-2), is a highly contagious disease. It firstly appeared in Wuhan, Hubei province of China in December 2019. During the next two months, it moved rapidly throughou…
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All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal intubation in adults Open
The All India Difficult Airway Association (AIDAA) guidelines for management of the unanticipated difficult airway in adults provide a structured, stepwise approach to manage unanticipated difficulty during tracheal intubation in adults. T…
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A randomised controlled trial comparing transnasal humidified rapid insufflation ventilatory exchange ( <span>THRIVE</span> ) pre‐oxygenation with facemask pre‐oxygenation in patients undergoing rapid sequence induction of anaesthesia Open
Summary Pre‐oxygenation is an essential part of rapid sequence induction of general anaesthesia for emergency surgery, in order to increase the oxygen reservoir in the lungs. We performed a randomised controlled trial of transnasal humidif…
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Risks to healthcare workers following tracheal intubation of patients with COVID‐19: a prospective international multicentre cohort study Open
Summary Healthcare workers involved in aerosol‐generating procedures, such as tracheal intubation, may be at elevated risk of acquiring COVID‐19. However, the magnitude of this risk is unknown. We conducted a prospective international mult…
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Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults Open
Among critically ill adults undergoing tracheal intubation in an emergency department or ICU, the use of a video laryngoscope resulted in a higher incidence of successful intubation on the first attempt than the use of a direct laryngoscop…
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Management of Difficult Tracheal Intubation Open
Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New Background Difficult or failed intubation is a major contributor to morbidity for patients and liability for anesthesiologists. Updated diffi…
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The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study Open
The coronavirus disease 2019 pandemic has led to the manufacturing of novel devices to protect clinicians from the risk of transmission, including the aerosol box for use during tracheal intubation. We evaluated the impact of two aerosol b…
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Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults Open
Among critically ill adults undergoing tracheal intubation, patients receiving bag-mask ventilation had higher oxygen saturations and a lower incidence of severe hypoxemia than those receiving no ventilation. (Funded by Vanderbilt Institut…
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Association Between Tracheal Intubation During Pediatric In-Hospital Cardiac Arrest and Survival Open
Among pediatric patients with in-hospital cardiac arrest, tracheal intubation during cardiac arrest compared with no intubation was associated with decreased survival to hospital discharge. Although the study design does not eliminate the …
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A quantitative evaluation of aerosol generation during tracheal intubation and extubation Open
Summary The potential aerosolised transmission of severe acute respiratory syndrome coronavirus‐2 is of global concern. Airborne precaution personal protective equipment and preventative measures are universally mandated for medical proced…
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Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies* Open
Summary Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events occur in the hands of both inexperi…
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Cuffed vs. uncuffed tracheal tubes in children: a randomised controlled trial comparing leak, tidal volume and complications Open
Summary Cuffed tracheal tubes are increasingly used in paediatric anaesthetic practice. This study compared tidal volume and leakage around cuffed and uncuffed tracheal tubes in children who required standardised mechanical ventilation of …
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Neuraxial anaesthesia and peripheral nerve blocks during the COVID‐19 pandemic: a literature review and practice recommendations Open
Summary Coronavirus disease 2019 (COVID‐19) has had a significant impact on global healthcare services. In an attempt to limit the spread of infection and to preserve healthcare resources, one commonly used strategy has been to postpone el…
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Pediatric Airway Management in COVID-19 Patients: Consensus Guidelines From the Society for Pediatric Anesthesia’s Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society Open
The severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) pandemic has challenged medical systems and clinicians globally to unforeseen levels. Rapid spread of COVID-19 has forced clinicians to care for pati…
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Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient Open
Most studies comparing video laryngoscopy (VL) with direct laryngoscopy indicate a higher first attempt and overall success rate with VL, and lower complication rates. Thus, resources allowing, the CAFG now recommends use of VL with approp…
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Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anesthesia Open
ClinicalTrials.gov Identifier: NCT02080754.
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Measurement of airborne particle exposure during simulated tracheal intubation using various proposed aerosol containment devices during the COVID‐19 pandemic Open
Summary The COVID‐19 pandemic has led to the production of novel devices intended to protect airway managers during the aerosol‐generating procedure of tracheal intubation. Using an in‐situ simulation model, we evaluated laryngoscopist exp…
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Videolaryngoscopy vs. direct laryngoscopy use by experienced anaesthetists in patients with known difficult airways: a systematic review and meta‐analysis Open
Summary Experienced anaesthetists can be confronted with difficult or failed tracheal intubations. We performed a systematic review and meta‐analysis to ascertain if the literature indicated if videolaryngoscopy conferred an advantage when…
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Transnasal humidified rapid‐insufflation ventilatory exchange ( <span>THRIVE</span> ) vs. facemask breathing pre‐oxygenation for rapid sequence induction in adults: a prospective randomised non‐blinded clinical trial Open
Summary Transnasal humidified rapid‐insufflation ventilatory exchange ( THRIVE ) can prolong apnoea time in adults. Therefore, THRIVE used for pre‐oxygenation in rapid sequence induction of anaesthesia could extend safe apnoea time during …
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Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates Open
Moderate to very low quality evidence suggests that videolaryngoscopy increases the success of intubation in the first attempt but does not decrease the time to intubation or the number of attempts for intubation. However, these studies we…
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Precautions for Intubating Patients with COVID-19 Open
The major challenges in managing patients with the novel coronavirus disease (COVID-19) are bilateral pneumonia and acute respiratory distress syndrome. Many patients with COVID-19 will be in critical condition and will need intubation.1–4…
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COVID-19: time for paradigm shift in the nexus between local, national and global health Open
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