Is it safe to use frova airway intubating device during tracheal intubation in difficult airway patient with multiple and chest trauma?

Hajjar, Waseem; Alsubaie, Nourah; Nouh, Thamer; Alnassar, Sami

doi:10.4103/1658-354x.179121

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…477 Case reports observed intubation successes with bougies, introducers, and stylets for patients with unanticipated or emergency difficult airways (Category B4-B evidence). 114,[478][479][480][481][482][483][484][485] Nonrandomized studies comparing videolaryngoscopes with direct laryngoscopy reported equivocal findings for intubation success with difficult airways in emergency departments (Category B1-E evidence). 6,486,487 Observational studies indicated successful videolaryngoscope-guided intubation rates after failed intubation ranging from 92 to 100% for unanticipated and emergency difficult airways (Category B4-B evidence).…”

Section: Recommendations For Anticipated Difficult Airway Managementmentioning

confidence: 99%

See 1 more Smart Citation

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

Apfelbaum¹,

Hagberg²,

Connis³

et al. 2021

Anesthesiology

591

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: Recommendations For Anticipated Difficult Airway Managementmentioning

confidence: 99%

Section: Unanticipated and Emergency 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

591

547

View full text Add to dashboard Cite

show abstract

“…Moreover, difficult airway in GA is not common, but could inevitably increase the endotracheal intubation time. [ 14 , 15 ] After termination of operation under GA, the anesthetic drugs were discontinued, and neuromuscular blockade was reversed by using neostigmine and atropine. Recovery of consciousness occurred when the concentration of anesthetics in the brain dropped below a certain level.…”

Section: Discussionmentioning

confidence: 99%

Cervical plexus anesthesia versus general anesthesia for anterior cervical discectomy and fusion surgery

Wang

Yang

et al. 2017

Medicine

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Both general anesthesia (GA) and cervical plexus anesthesia (CPA) can be used for anterior cervical discectomy and fusion (ACDF) surgery. The aim of this study was to evaluate the influence of anesthetic techniques on perioperative mortality and morbidity in patients undergoing cervical surgery.From January 2008 to December 2015, 356 patients who underwent 1-level ACDF for cervical spinal myelopathy were prospectively reviewed. They were assigned to receive GA (group A) and CPA (group B). The analgesic efficacy of the block was assessed by anesthesia preparation time, the maximum heart rate, and mean arterial blood pressure changes compared with the baseline, time of postoperative revival, and duration of recovery stay. Duration of surgery, blood loss, and anesthesia medical cost were also recorded. Numerical rating scale (NRS) was used to evaluate pain at different time points. Postoperative nausea and vomiting (PONV) was assessed, and postoperative average administered dosages of meperidine and metoclopramide were also recorded. The spinal surgeon satisfaction, anesthetist satisfaction, and patient satisfaction were assessed.Both the anesthesia induction time and postoperative revival time were longer in group A than that in group B; both the duration of surgery and recovery stay were also longer in group A than that in group B, whereas there was no difference in blood loss between the 2 groups. The average dosage of both meperidine and metoclopramide was more in group A than that in group B, and the anesthesia medical cost was greater in group A than that in group B. There were no significant differences in baseline data of systolic blood pressure, diastolic blood pressure, and heart rate between the 2 groups. But the intraoperative data of systolic blood pressure, diastolic blood pressure, and heart rate were higher/larger in group B than that in group A. In group A, there was no complaint of pain in the surgery procedure, but the pain increased after GA, with highest degree at 8 hours postoperation; then the pain degree decreased, and the NRS was 1 at 24 hours postoperation. In group B, intraoperative pain was NRS 4, and pain degree decreased from 4 hours postoperation; the NRS was 2 at 24 hours postoperation. The incidence of severe PONV was higher in group A than that in group B. There was no significant difference in the spinal surgeon satisfaction and anesthetist satisfaction for the anesthetic techniques. There was significant difference in patient satisfaction between the 2 groups, with high satisfaction for GA.General anesthesia is superior to CPA in maintaining better intraoperative hemodynamic stability and providing high patient satisfaction with no intraoperative pain for patients receiving ACDF, but it entails longer surgery and anesthesia time, and requires more postoperative analgesic and anesthesia cost.

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“…Abzuwägen ist hierbei allerdings auch der potenzielle Schaden, der durch die Nutzung eines Guides bei eingeschränkter Sicht entstehen und ein vorhandenes Trauma vergrößern kann. In der Literatur sind verschiedene Komplikationen bei Traumapatienten wie Blutung oder Schädigungen der Atemwege benannt, sodass der Einsatz kritisch hinterfragt werden muss [8]. Nachdem der Bronchusabriss in der Klinik bekannt war, wäre auch ein Vorschieben des liegenden Tubus in den linken Hauptbronchus unter Bronchoskopie zu erwägen gewesen [9].…”

Section: Introductionunclassified

Selten, oft übersehen und tödlich: stumpfes Thoraxtrauma mit Bronchusabriss bei täglichen Unfällen

Rielage

2019

Notarzt

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ZusammenfassungEs wird von einer 32-jährigen Frau, die mit ihrem Kleinwagen mit überhöhter Geschwindigkeit innerstädtisch verunfallte und dabei ein isoliertes Hals-Thorax-Trauma erlitt, berichtet. Als lebensbedrohliches Verletzungsmuster kam es zu einem tracheobronchialen Trauma mit Einriss der Trachealhinterwand, einem Bronchusabriss und Pneumothorax. In der Folge verstarb die Patientin an einer Hypoxämie, bevor eine operative Versorgung erfolgen konnte. In der Diskussion wird auf die Prävalenz des Verletzungsmusters und auf die notfallmedizinische Versorgung eingegangen.

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Is it safe to use frova airway intubating device during tracheal intubation in difficult airway patient with multiple and chest trauma?

Cited by 4 publications

References 8 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

Cervical plexus anesthesia versus general anesthesia for anterior cervical discectomy and fusion surgery

Selten, oft übersehen und tödlich: stumpfes Thoraxtrauma mit Bronchusabriss bei täglichen Unfällen

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