Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte I

Gómez-Ríos, M.Á.; Sastre, J.A.; Onrubia-Fuertes, X.; López, T.; Abad-Gurumeta, A.; Casans-Francés, R.; Gómez-Ríos, D.; Garzón, J.C.; Martínez-Pons, V.; Casalderrey-Rivas, M.; Fernández-Vaquero, M.Á.; Martínez-Hurtado, E.; Martín-Larrauri, R.; Reviriego-Agudo, L.; Gutierrez-Couto, U.; García-Fernández, J.; Serrano-Moraza, A.; Rodríguez Martín, L.J.; Camacho Leis, C.; Espinosa Ramírez, S.; Fandiño Orgeira, J.M.; Vázquez Lima, M.J.; Mayo-Yáñez, M.; Parente-Arias, P.; Sistiaga-Suárez, J.A.; Bernal-Sprekelsen, M.; Charco-Mora, P.

doi:10.1016/j.redar.2023.08.002

Revista Española de Anestesiología y Reanimación

2024

DOI: 10.1016/j.redar.2023.08.002

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Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte I

M.Á. Gómez-Ríos,

J.A. Sastre,

X. Onrubia-Fuertes

et al.

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2024

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Cited by 2 publications

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Optimizing intubation technique using a single-use video laryngoscope: A comparative study in a simulation model

Chen,

Liu,

Chi

et al. 2024

Medicine

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Tracheal intubation poses a high risk of infection to medical staff due to Coronavirus disease 2019 (COVID-19) highly infectious nature. To mitigate this risk, various medical devices, including video laryngoscopy, have been developed to assist intubation. This study compared conventional laryngoscopy (Macintosh) and disposable video laryngoscopes (Medcaptain VS-10s and Honestmc Laryngoscope_LA10000) in terms of their use and operation processes. We designed a questionnaire to assess the operator perception of performing intubation with the devices, and statistical analysis was performed on 50 clinical staff members from 2 hospitals who had performed intubation or had learned intubation techniques. The primary outcomes were time to glottic visualization, intubation time, intubation success rate, distance between the operator and training model, and time from glottic visualization to tube insertion. The secondary outcomes were as follows: overall laryngoscope quality, operative feel, maneuverability, ease of use, and video quality. This study showed that video laryngoscopes were superior to conventional laryngoscopes in terms of quality, operative feel, and ease of use. When LA10000 was employed, the intubation success rate was higher, and the operator risk of infection was lower because of the greater distance from the training model. However, the use of video laryngoscopes requires appropriate education and training use of the devices. This study also demonstrated that when participants viewed a simple operation video prior to using video laryngoscopes, tube insertion time was shorter. Overall, video laryngoscopy can provide a safer and more convenient option for clinical medical personnel during pandemics.

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Optimizing intubation technique using a single-use video laryngoscope: A comparative study in a simulation model

Chen,

Liu,

Chi

et al. 2024

Medicine

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Assessing Full Stomach Prevalence with Ultrasound Following Preoperative Fasting in Diabetic Patients with Dysautonomia: A Comparative Observational Study

Sastre,

López,

Julián

et al. 2024

Anesthesia &Amp; Analgesia

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BACKGROUND: Traditionally, diabetics have been considered patients with a high risk of aspiration due to having delayed gastric emptying; However, the evidence concerning residual gastric volume (GV) in fasting diabetic patients is inconsistent. This study aimed to compare the fasting GV of diabetic patients with or without dysautonomia with control patients scheduled for elective surgery using gastric ultrasound. METHODS: This bicentric prospective single-blinded case-control study was conducted at 2 university hospitals in Spain. Patients aged over 18 years, classified as American Society of Anesthesiologists (ASA) physical statuses I to III and having similar fasting statuses, were included in the study. The primary outcome was to compare the prevalence of risk stomach using the Perlas gastric content grading scale evaluated by ultrasound in the 3 groups. Secondary outcomes included the measurement of cross-sectional area (CSA) and GV in the right lateral decubitus (RLD) position, as well as the prevalence of solid gastric residue. RESULTS: A total of 289 patients were recruited for the study, comprising 145 diabetic patients (83 of whom had dysautonomia) and 144 patients in the control group. The percentage of patients classified as Perlas grade 2 was 13.2% in the control group, 16.1% in diabetic patients without dysautonomia, and 22.9% in diabetic patients with dysautonomia (P = .31). Antral CSA was significantly higher in diabetic patients with dysautonomia (6.5 [4.8–8.4]) compared to the control group (5.4 [4.0–7.2]; P = .04). However, no significant differences were observed between groups in residual GV. Among diabetic patients with dysautonomia, 12% exhibited solid gastric residue, which was twice the percentage observed in diabetic patients without dysautonomia (4.8%) and 3 times higher than that in the control group (3.5%; P = .03). The presence of dysautonomia was associated with an increased odds ratio of solid gastric residue (odds ratio [OR], 3.37; 95% confidence interval [CI], 1.28–8.87; P = .01) after adjusting for confounding factors. CONCLUSIONS: This study offers insights into the relationship between dysautonomia in patients with diabetes mellitus and the presence of full stomach, underscoring the significance of preoperative gastric ultrasound evaluation in managing perioperative risks in this population.

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Cited by 2 publications

References 306 publications

Optimizing intubation technique using a single-use video laryngoscope: A comparative study in a simulation model

Optimizing intubation technique using a single-use video laryngoscope: A comparative study in a simulation model

Assessing Full Stomach Prevalence with Ultrasound Following Preoperative Fasting in Diabetic Patients with Dysautonomia: A Comparative Observational Study

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