Anaesthetic management of a parturient with spondylothoracic dysostosis

Zbeidy, Reine; Buendia, Nathalia Torres; Souki, Fouad G.

doi:10.1136/bcr-2019-232964

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…Case reports observed videolaryngoscope intubation successes with a wide range of difficult airway conditions (Category B4-B evidence ). 160,276–297 Adverse outcomes that may occur include sore throat, laryngospasm, lip, dental, or mucosal injuries ( Category B4-H evidence ). 278,298…”

Section: Anticipated Difficult Airway Managementmentioning

confidence: 99%

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway

Apfelbaum¹,

Hagberg²,

Connis³

et al. 2021

Anesthesiology

602

547

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The American Society of Anesthesiologists; All India Difficult Airway Association; European Airway Management Society; European Society of Anaesthesiology and Intensive Care; Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care, Learning, Teaching and Investigation Difficult Airway Group; Society for Airway Management; Society for Ambulatory Anesthesia; Society for Head and Neck Anesthesia; Society for Pediatric Anesthesia; Society of Critical Care Anesthesiologists; and the Trauma Anesthesiology Society present an updated report of the Practice Guidelines for Management of the Difficult Airway.

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Section: Anticipated Difficult Airway Managementmentioning

confidence: 99%

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway

Apfelbaum¹,

Hagberg²,

Connis³

et al. 2021

Anesthesiology

602

547

View full text Add to dashboard Cite

show abstract

“…Videolaryngoscopy has further been utilized in the setting of awake tracheal intubation. 24,48 The experience of the intubator was not reported in most cases. Further, our search uncovered some limitations of videolaryngoscopy, including the inability to fully insert a channelled videolaryngoscope (e.g., Airtraq TM ; Prodol Meditec S.A., Vizcaya, Spain that tends to be bulkier to accommodate the channel for the ETT) in the presence of restricted mouth opening, and the development of complications such as split ETT T-shaped connectors following insertion of the GlideriteÒ stylet which accompanies the GlidescopeÒ (Verathon; Bothell, Australia), palatal perforation, and postoperative hoarseness.…”

Section: Resultsmentioning

confidence: 99%

Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis

Howle

Onwochei

Harrison

et al. 2021

Can J Anesth/J Can Anesth

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The incidence of difficult and failed intubation is higher in obstetrical patients than in the general population because of anatomic and physiologic changes in pregnancy. Videolaryngoscopy improves the success rate of intubation and reduces complications when compared with direct laryngoscopy in adults; however, it is not known whether this extends to obstetrical surgery. The aim of this study was to examine the efficacy, efficiency, and safety of videolaryngoscopy compared with direct laryngoscopy in obstetrics. Source Central, CINAHL, Embase, MEDLINE and Web of Science databases were searched from inception to 27 May 2020 with no restrictions. Inclusion criteria included randomized-controlled trials (RCTs), observational studies, case series, and case reports that reported the application of videolaryngoscopy to intubate the trachea in pregnant patients having general anesthesia. Principal findings Overall, four RCTs with 428 participants, nine observational studies, and 35 case reports/series with 100 participants were included. On meta-analysis of three trials, the co-primary outcomes of first-attempt success rate (risk ratio, 1.02; 95% confidence intervals [CI], 0.98 to 1.06; P = 0.29; I 2 = 0%) and time to tracheal intubation (mean difference, 1.20 sec; 95% CI,-6.63 to 9.04; P = 0.76; I 2 = 95%) demonstrated no difference between videolaryngoscopy and direct laryngoscopy in parturients without difficult airways. Observational studies and case reports underline the role of videolaryngoscopy as a primary choice when difficulty with tracheal intubation is expected or as a rescue modality in difficult or failed intubations. Conclusions Evidence for the utility of videolaryngoscopy continues to evolve but supports its increased adoption in obstetrics where videolaryngoscopes should be immediately available for use as a first-line device. Trial registration PROSPERO (CRD42020189521); registered

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“…Recording of images and videoclips aid evaluation of the procedure, planning future airway management, teaching and providing evidence in litigation claims. VLS have helped DA intubations in a variety of conditions like ankylosing spondylitis, genetic syndromes and airway masses [ 19 - 22 ]. VLS have truly revolutionised airway management and practically taken over as a first choice intubation aid in many countries.…”

Section: Reviewmentioning

confidence: 99%

Innovations in the Management of the Difficult Airway: A Narrative Review

Ravindran¹

2023

Cureus

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The difficult airway (DA) remains a perpetual challenge and its implications have led to multiple advances, technological and otherwise in this area. This article investigates the latest developments in the definition, prediction tools and diagnostics like airway and neck Ultrasonography (USG), Magnetic Resonance Imaging (MRI) and Computed tomography (CT) scans, preoperative Virtual endoscopy (VE) and 3D printing. Innovations in airway devices and adjuncts are analysed. Difficult airway society (DAS) guidelines, American Society of Anaesthesiologists (ASA) Practice Guidelines and Vortex approach for the management of DA are explored. Other breakthroughs include novel oxygen supplementation techniques throughout airway management and tools like Anaesthesia Information Management Systems (AIMS) and Clinical Decision Support (CDS) systems. The delivery of DA training and patient counselling has also undergone vast changes with emerging technology like Virtual Reality (VR), mobile applications and toolkits. The enormous, everevolving and endless possibilities in this area have only helped improve clinical standards and enhance patient safety.

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Anaesthetic management of a parturient with spondylothoracic dysostosis

Cited by 4 publications

References 17 publications

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway

Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis

Innovations in the Management of the Difficult Airway: A Narrative Review

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