Upper airway reflex sensitivity following general anaesthesia for day‐case surgery

Caranza, R.; Nandwani, N; Tring, J. P.; Thompson, Jonathan P.; Smith, G.

doi:10.1046/j.1365-2044.2000.00806.x

Cited by 20 publications

(10 citation statements)

References 6 publications

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“…Protective laryngeal reflexes are impaired after tracheal extubation, and may be compromised following airway management with a supraglottic airway device [47][48][49].…”

Section: Reduced Airway Reflexesmentioning

confidence: 99%

Difficult Airway Society Guidelines for the management of tracheal extubation

Mitchell¹,

Dravid²,

Patel³

et al. 2012

Anaesthesia

415

139

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SummaryTracheal extubation is a high‐risk phase of anaesthesia. The majority of problems that occur during extubation and emergence are of a minor nature, but a small and significant number may result in injury or death. The need for a strategy incorporating extubation is mentioned in several international airway management guidelines, but the subject is not discussed in detail, and the emphasis has been on extubation of the patient with a difficult airway. The Difficult Airway Society has developed guidelines for the safe management of tracheal extubation in adult peri‐operative practice. The guidelines discuss the problems arising during extubation and recovery and promote a strategic, stepwise approach to extubation. They emphasise the importance of planning and preparation, and include practical techniques for use in clinical practice and recommendations for post‐extubation care.

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“…Protective laryngeal reflexes are impaired after tracheal extubation, and may be compromised following airway management with a supraglottic airway device [47][48][49].…”

Section: Reduced Airway Reflexesmentioning

confidence: 99%

Difficult Airway Society Guidelines for the management of tracheal extubation

Mitchell¹,

Dravid²,

Patel³

et al. 2012

Anaesthesia

415

139

View full text Add to dashboard Cite

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“…However, they were not applied to the patients tested in our study. But, as has been reported by Caranza et al [23], complete recovery and awareness after general anaesthesia do not prevent silent aspiration, which may contibute to the impaired speed and accuracy of speech. Therefore, inferior performance in reading non-words might be due both to phonological and motor impairment of speech organs.…”

Section: Discussionmentioning

confidence: 74%

Non-word reading test vs anaesthesia. How do anaesthetised patients decode the contents without referring to the meaning?

Płotek¹,

Cybulski²,

Łockiewicz³

et al. 2014

Anaesthesiol Intensive Ther

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Background: The aim of this study was to examine the phonological functioning (reading speed and accuracy) of hospital patients under general anaesthesia administered during colonoscopy. Methods: In this study the 'Łatysz' non-word reading test was used to measure the impact of selected anaesthetics on the phonological aspect of language processing (defined as decoding without referring to the meaning) in a group of 22 anaesthetised patients compared to 23 non-anaesthetised patients from university clinics. Results: Compared to the preoperative performance, a decrease in reading accuracy and reading speed was observed only in the Anaesthesia Group -AG (in the subjects aged ≥ 35 years) 1.5 h after the administration of anaesthetics. Postoperatively, the AG were significantly slower and less accurate than the Control Group -CG -after 1.5 h. After 3 h, the AG had regained their baseline values both in reading accuracy and reading speed. During the last assessment session, the AG pronounced 82% of the words correctly, while the CG pronounced 74% correctly. Moreover, subjects aged ≥ 35 years performed worse than younger subjects in their reading accuracy and speed. Conclusions: The patients who underwent colonoscopy under general anaesthesia manifested impaired phonological functioning shortly after the procedure, both in the speed and accuracy of reading non-words. However, the accuracy problems subsided relatively quickly.

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“…Bei der postoperativen Überwachung im Aufwachraum gilt es zu bedenken, dass die Schutzreflexe noch mehrere Stunden nach der Operation eingeschränkt sein können [3,36]. RSII-Patienten sollenwie es bei vielen Patienten mittlerweile gebräuchlich isteine PONV-Prophylaxe unter Bevorzugung prokinetisch wirkender Antiemetika (z.…”

Section: Ausleitung -Postextubationsmanagementunclassified

Einleitung des nicht nüchternen Patienten: Welche Techniken sind zu verwenden?

Knoth¹,

Weber²,

Croll³

et al. 2019

Anästhesiol Intensivmed Notfallmed Schmerzther

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ZusammenfassungDie Rapid Sequence Induction and Intubation (RSII) ist das Anästhesieverfahren der Wahl bei aspirationsgefährdeten Patienten, die sich einem operativen Eingriff in Allgemeinanästhesie unterziehen müssen. Die klassische RSII beschränkt sich auf wenige Behandlungsempfehlungen. Diesen liegen selten evidenzbasierte Erkenntnisse zugrunde. Neue Techniken (z. B. Videolaryngoskopie) sowie neue Diagnostika (z. B. Sonografie) erfordern eine Reevaluation der traditionell praktizierten Techniken. In diesem Artikel werden nichtpharmakologische Behandlungsstrategien der RSII behandelt und alte sowie neue Methoden zur Minimierung des Aspirationsrisikos kritisch diskutiert. Zu diesen gehören neben der Magensonde und der Magensonografie die Abläufe rund um die Narkoseeinleitung, wie Lagerung, Zwischenbeatmung, Relaxometrie sowie der Krikoid- bzw. linksparatracheale Druck. Innerklinisch müssen allen Teammitgliedern Behandlungsstandards für die RSII bekannt und die Abläufe etabliert und eingeübt sein. Ziel dieses Artikels ist es, Systematiken darzustellen, die eine Entscheidungsgrundlage für lokale Handlungsanweisungen bilden können.

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Upper airway reflex sensitivity following general anaesthesia for day‐case surgery

Cited by 20 publications

References 6 publications

Difficult Airway Society Guidelines for the management of tracheal extubation

Difficult Airway Society Guidelines for the management of tracheal extubation

Non-word reading test vs anaesthesia. How do anaesthetised patients decode the contents without referring to the meaning?

Einleitung des nicht nüchternen Patienten: Welche Techniken sind zu verwenden?

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