Airway recommendations for perioperative patients during the COVID-19 pandemic: a scoping review

Grudzinski, Alexa; Sun, Billy; Zhang, MengQi; Crnic, Agnes; Djokhdem, Abdul H; Hanna, Mary; Montroy, Joshua; Duggan, Laura V.; Hamilton, Gavin M.; Fergusson, Dean; Boet, Sylvain; McIsaac, Daniel I.; Lalu, Manoj M

doi:10.1007/s12630-022-02199-z

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…At the very beginning of the outbreak of COVID-19, it was intuitive to use VL in the management of patients with COVID-19, both in emergent and non-emergent tracheal intubation [157][158][159][160][161]. On the other hand, the safety (transmission rate to the airway managers and team members) and efficacy (e.g., first-pass success rate, intubation time, complications) of VL and DL had not yet been validated in COVID-19 cases [162,163].…”

Section: Covid-19 Pandemicmentioning

confidence: 99%

A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

Luk¹,

Luk²,

Qu³

et al. 2023

Advances in Tracheal Intubation

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Difficult or failed intubation is a major contributor to morbidity for patients and to liability for the provider. Research to improve understanding, prevention, and management of such complications remains an anesthetic priority, and a driving force behind continuous improvements in intubation techniques and intubation equipment. The purpose of this review article is to focus on the video-assisted intubating stylet technique (VS; also known as the Shikani optical stylet technique for intubation) and video-assisted optical stylet devices, both for routine use and alternative rescue application for tracheal intubation, and stress their advantages as compared to conventional direct laryngoscopy and videolaryngoscopy. The VS technique was introduced by Dr. Alan Shikani in 1996 and popularized with the advent of the Shikani optical stylet and subsequent similar stylets variations. We focus on the clinical details of the technique itself, and on the various advantages and troubleshooting under different clinical scenarios and practice settings. In our experience, video-assisted intubating stylet technique often constitutes the most appropriate approach both for daily routine and emergency airway management. Furthermore, we also emphasize the importance of video-assisted intubating stylets in enhancing the practitioner systems response when difficult or failed tracheal intubation is encountered.

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Section: Covid-19 Pandemicmentioning

confidence: 99%

A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

Luk¹,

Luk²,

Qu³

et al. 2023

Advances in Tracheal Intubation

View full text Add to dashboard Cite

show abstract

“…More recently, systematic identification of the beneficial and detrimental strategies to manage COVID-19 patients will ultimately lead to some standardization of care as we prepare for the endemic phase of the disease. [4] …”

mentioning

confidence: 99%

“…Although some heterogeneity remains, there is still substantial agreement between professionals and societies on numerous aspects of COVID-19 perioperative and clinical care, especially in terms of anesthetic and airway management. 4 , 5 , 6 The choice of anesthetic technique should be based on patient factors and the planned procedure. [6] Regional anesthesia is not contraindicated by COVID-19, although the coagulation status may affect the timing or decision to use regional techniques.…”

mentioning

confidence: 99%

Two years of the COVID-19 pandemic: an anesthesiology perspective

Schmidt

Módolo

Amorim

et al. 2022

Brazilian Journal of Anesthesiology (English Edition)

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The effects of a surgical mask and an N95 mask on intelligibility of explicit and ambiguous speech produced in the operating room environment

Ishido,

Oishi,

Yamazaki

et al. 2024

APS

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Purpose We investigated the effects of a surgical mask and an N95 mask on speech intelligibility using explicit and ambiguous sentences in Japanese. In addition, the effects of background noise specific to an operating room environment on the speech intelligibility of these sentences were also investigated. Methods We created 20 sets of five sentences; 10 sets consisting of explicit words, and 10 containing ambiguous words. Each set was recorded by a speaker while wearing a surgical mask or an N95 mask, combined with a face shield. A total of four combinations of speech data were created. Each subject was asked to listen to one set from each of the four combinations and write down the speech. The test was performed in normal background noise as well as in noise levels of 50, 60, and 70 dB. Results Twenty-eight volunteers were included in this study. In the tests for explicit sentences, intelligibility of speech with an N95 mask was significantly lower than that with a surgical mask in the presence of 60 dB noise. As for explicit sentences produced with a surgical mask, intelligibility was significantly decreased in the presence of 70 dB noise. Regarding explicit sentences produced with an N95 mask, intelligibility was significantly decreased in the presence of 60 and 70 dB noise. In the tests for ambiguous sentences, intelligibility of speech produced with an N95 mask was not significantly lower than that with a surgical mask at all noise levels. As for ambiguous sentences produced with a surgical mask, no significant decrease in intelligibility was observed at any noise level. Regarding ambiguous sentences produced with an N95 mask, intelligibility was significantly decreased in the presence of 60 and 70 dB noise. Conclusion Speech intelligibility was impaired both with a surgical mask and an N95 mask in the normal background noise specific in an operating room during surgery, even if the speech consisted of explicit words. The impairment of speech intelligibility was significantly exacerbated with the use of ambiguous language and in the background noise typical in an operating room environment. Speech intelligibility was further reduced with the use of an N95 mask. Trial Registration Registered at the University Hospital Medical Information Network Clinical Trials Registry on March 7, 2023 (UMIN R000050373).

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Airway recommendations for perioperative patients during the COVID-19 pandemic: a scoping review

Cited by 3 publications

References 22 publications

A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

A Paradigm Shift of Airway Management: The Role of Video-Assisted Intubating Stylet Technique

Two years of the COVID-19 pandemic: an anesthesiology perspective

The effects of a surgical mask and an N95 mask on intelligibility of explicit and ambiguous speech produced in the operating room environment

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