Article
Anesthesiology
Poonyanuch Charoenkoop, Punchika Luetrakool, Tipanan Puttapornpattana, Nakkanan Sangdee
Summary: There was no significant difference in the rate of successful first attempt intubation and intubation time between patients in the left lateral and supine positions, but the proportion of patients who required a jaw thrust maneuver was significantly lower in the left lateral position group. Blood pressure and oxygen saturation declined in both groups after intubation, with a lower risk of desaturation in patients in the left lateral position compared to the supine position.
BMC ANESTHESIOLOGY
(2022)
Article
Anesthesiology
Pascal Laferriere-Langlois, Alexandre Dion, Eric Guimond, Fannie Nadeau, Veronique Gagnon, Frederick D'Aragon, Yanick Sansoucy, Marie-Jose Colas
Summary: This study compared the efficacy of three second-generation SGA devices as conduits for bronchoscopy-guided endotracheal intubation. The results showed similar intubation times among the three groups, with the i-gel device being faster and easier to insert, and the Air-Q Blocker device being easier to remove. The study suggests that clinicians should choose the appropriate SGA device based on their clinical experience.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2023)
Article
Critical Care Medicine
Vincenzo Russotto, Elena Tassistro, Sheila N. Myatra, Matteo Parotto, Laura Antolini, Philippe Bauer, Jean Baptiste Lascarrou, Konstanty Szuldrzynski, Luigi Camporota, Christian Putensen, Paolo Pelosi, Massimiliano Sorbello, Andy Higgs, Robert Greif, Antonio Pesenti, Maria Grazia Valsecchi, Roberto Fumagalli, Giuseppe Foti, Giacomo Bellani, John G. Laffey
Summary: This study aimed to identify modifiable factors associated with cardiovascular instability/collapse during tracheal intubation in critically ill patients. The results showed that older age, higher heart rate, lower systolic blood pressure, lower oxygen saturation, and the use of propofol as an induction agent were associated with this event. Peri-intubation cardiovascular instability/collapse was associated with an increased risk of ICU and 28-day mortality, and propofol use was found to be a modifiable intervention significantly associated with this risk.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2022)
Article
Anesthesiology
Michael S. S. Kristensen, Rasmus Hesselfeldt, Henning K. K. Brinkenfeldt, Peter Biro
Summary: In patients with distorted airway anatomy, awake intubation with a flexible bronchoscope can be difficult. However, the use of a trans-cricothyroid infrared flashing light source can significantly improve the identification of the correct pathway to the trachea and make the procedure easier.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Medicine, Research & Experimental
Tao Zhang, Kai-Yuan Zhao, Ping Zhang, Ren-Hu Li
Summary: The use of video stylet and flexible videoscope in patients with difficult airways has shown better results, with higher success rates in first-pass intubation and clearer glottic exposure compared to video laryngoscope. Video stylet has the advantage of shorter intubation time compared to video laryngoscope.
Article
Health Care Sciences & Services
Andreas Sakkas, Christel Weiss, Wolfgang Zink, Camila Alejandra Rodriguez, Mario Scheurer, Sebastian Pietzka, Frank Wilde, Oliver Christian Thiele, Robert Andreas Mischkowski, Marcel Ebeling
Summary: The study aimed to assess the incidence of difficult airway and emergency tracheostomy in patients with orofacial infections originating in the mandible. It found that older age, limited mouth opening, higher Mallampati scores, and higher Cormack-Lehane classification grades were reliable predictors of difficult intubation in these patients. The study also showed that patients with a difficult airway were more likely to be admitted to the ICU after surgery.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Anesthesiology
A. Sajayan, A. Nair, A. F. McNarry, F. Mir, I Ahmad, K. El-Boghdadly
Summary: Difficult airway management has a negative impact on patient care and clinical outcomes and is difficult to predict. However, despite airway assessment, unanticipated difficult airway management continues to occur. The rate of airway-related critical incidents is high, highlighting the need for improvement in airway management.
Article
Anesthesiology
Paul Fennessy, Eugene Greco, Nicholas Gelber, David J. Brewster, John H. Reeves
Summary: The study found that in a simulated emergency front-of-neck airway rescue position, the trachea angulates more posteriorly in men compared to women. The majority of subjects required a minimum angle greater than 45 degrees for hypothetical cannula cricothyroidotomy. Male subjects had the cricothyroid membrane located at a lower position in the neck.
ANESTHESIA AND ANALGESIA
(2021)
Article
Anesthesiology
Amr Samir Wahdan, Nesrine Abdel Rahman El-Refai, Sohaila Hussien Omar, Shady Amr Abdel Moneem, Mennatallah Magdi Mohamed, Mohamed Mahmoud Hussien
Summary: The research showed that in patients undergoing abdominal surgery, endotracheal intubation in the lateral decubitus position with the video stylet device resulted in a shorter intubation time compared to the fiberoptic bronchoscope device. However, it was associated with a significant increase in hemodynamic response after intubation and a higher incidence of sore throat.
KOREAN JOURNAL OF ANESTHESIOLOGY
(2021)
Article
Anesthesiology
L. Price, P. Carter, I Hodzovic, M. Alderman, G. Hughes, P. Phillips, V. Varadarajan, A. Wilkes
Summary: Different introducers for tracheal intubation have significant impact on first-time insertion success rate and placement time. Armstrong and P3 devices showed poorer performance compared to others, indicating the need for improvement. The study protocol is effective in differentiating between introducers and can be used as a basis for evaluating other types of devices.
Editorial Material
Anesthesiology
Paul A. Baker, Ellen P. O'Sullivan, Michael F. Aziz
Summary: Unrecognised oesophageal intubation, resulting from human error, is an avoidable complication of airway management that leads to patient deaths worldwide. Despite improvements in monitoring, airway devices, and medical education, this problem persists. In this review, we examine these improvements and propose strategies to eliminate this issue.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Pediatrics
Donna Y. Chen, Bianca Devsam, Arun Sett, Elizabeth J. Perkins, Mitchell D. Johnson, David G. Tingay
Summary: This study aimed to describe intubation practice at a high-risk NICU and identify factors associated with successful intubation at the first attempt. The results showed that operator experience and glottic airway grades were key factors affecting the success rate of first attempt intubation.
PEDIATRIC RESEARCH
(2023)
Article
Anesthesiology
Kuo-Chuan Hung, Jen-Yin Chen, I-Jung Feng, Min-Hsien Chiang, Shao-Chun Wu, I-Wen Chen, Yao-Tsung Lin, Ying-Jen Chang, Zhi-Fu Wu, Hsiao-Feng Lu, Cheuk-Kwan Sun
Summary: The study found that the use of PFT tubes for airway manipulation was associated with a shorter intubation time compared with standard polyvinylchloride tubes, but further trials and meta-analysis are needed to compare other intubation outcomes.
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
(2021)
Article
Anesthesiology
Dong Won Kim, Kyu Nam Kim, Jung Eun Sun, Hyun Jin Lim
Summary: Nasal intubation is necessary for certain cases requiring intraoral surgical access, and the fiberoptic bronchoscope is the preferred tool for difficult airways. However, in cases with altered pharyngeal anatomy, using a fiberoptic bronchoscope is not always feasible. The authors present a novel technique for retrograde endotracheal oral-to-nasal conversion using a standard endotracheal tube exchange catheter, providing an alternative method for difficult airways where traditional methods are not effective.
BMC ANESTHESIOLOGY
(2021)
Review
Critical Care Medicine
Daniel R. Austin, Marvin G. Chang, Edward A. Bittner
Summary: Point-of-care ultrasound in emergency airway management has the potential to assist in rapid screening for difficult laryngoscopy, locating the cricothyroid membrane, assessing aspiration risk, and confirming proper endotracheal tube positioning. By providing an algorithm and framework, point-of-care ultrasound aims to enhance patient safety in EAM practices.
Article
Public, Environmental & Occupational Health
Morten B. Jensen, Cathrine E. Jensen, Claire Gudex, Kjeld M. Pedersen, Sabrina S. Sorensen, Lars H. Ehlers
Summary: The aims of this study were to provide Danish population norms for the EQ-5D-5L and assess its measurement properties in a Danish population. The results showed fewer ceiling effects for the EQ-5D-5L compared to the EQ-5D-3L. There were no significant differences in EQ-5D-5L utility scores across age groups and sexes, and there was a significant correlation between EQ-5D-5L utility and the EQ VAS.
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH
(2023)
Editorial Material
Anesthesiology
C. R. Bailey, K. El-Boghdadly
Editorial Material
Anesthesiology
B. Morton, H. Ranson, K. El-Boghdadly
Letter
Anesthesiology
J. Kua, E. Nurmi, D. J. N. Wong, T. Potter, J. N. Cronin, K. El-Boghdadly
Article
Infectious Diseases
Lars Holger Ehlers, Flemming Axelsen, Thomas Bojer Rasmussen, Jens Dollerup, Nils Abild Jespersen, Carsten Schade Larsen, Mette Norgaard
Summary: The economic burden of non-communicable diseases (NCDs) in people living with HIV (PLWH) in Denmark is estimated. Healthcare costs for PLWH were approximately three times higher compared to the non-HIV cohort. The annual costs for hospital care, primary care, and selected prescription medicine were significantly higher in PLWH compared to the non-HIV cohort. The cost of NCDs and psychiatric care in PLWH was also found to be higher than the cost of HIV care.
Article
Economics
Lars Borty, Rasmus F. Brondum, Heidi S. Christensen, Charles Vesteghem, Marianne Severinsen, Soren P. Johnsen, Lars H. Ehlers, Ursula Falkmer, Laurids O. Poulsen, Martin Bogsted
Summary: Expenditures on systemic anti-cancer therapy (SACT) have significantly increased in recent years. Understanding the characteristics of high-cost SACT patients is crucial for identifying cost-driving factors. The study found that high-cost patients accounted for 28.8% of total expenditures and were observed in all major cancer groups except for pancreatic cancer.
EUROPEAN JOURNAL OF HEALTH ECONOMICS
(2023)
Editorial Material
Anesthesiology
A. Dos Santos Rocha, E. Albrecht, K. El-Boghdadly
Article
Anesthesiology
K. El-Boghdadly, T. M. Cook, T. Goodacre, J. Kua, S. Denmark, N. Mercer, S. R. Moonesinghe, D. J. Summerton
Summary: Guidance for the timing of surgery following SARS-CoV-2 infection has been updated to reflect the impact of vaccination, less severe variants, recent evidence, and the need for safe access to surgery. Screening for SARS-CoV-2 is recommended for patients experiencing symptoms within 7 weeks of planned surgery. Elective surgery should generally be avoided within 2 weeks of a SARS-CoV-2 diagnosis. For low-risk patients recovering from SARS-CoV-2, most elective surgery can proceed 2 weeks after a positive test, while an individual risk assessment is necessary for higher-risk patients within 2 to 7 weeks of infection.
Editorial Material
Anesthesiology
J. Hansel, K. El-Boghdadly
Article
Anesthesiology
J. E. O'Carroll, L. Zucco, E. Warwick, G. Arbane, S. R. Moonesinghe, K. El-Boghdadly, N. Guo, B. Carvalho, P. Sultan
Summary: To assess postpartum recovery in patients receiving peripartum anaesthetic interventions, a UK-based multicentre cohort study was conducted. Data on recovery metrics, including quality of recovery measures, pain scores, length of hospital stay, readmission rates, and complications, were collected at 1 and 30 days postpartum. The study included 1638 patients, and the results showed variations in recovery outcomes based on delivery mode and identified a subset of patients who experienced complications and readmissions.
Letter
Anesthesiology
Philippa Bridgen, Shaihan Malik, Thomas Wilkinson, John N. Cronin, Tahzeeb Bhagat, Nicholas Hart, Stuart Mc Corkell, Joanne Perkins, Shane Tibby, Sara Hanna, Richard Kirwan, Thomas Pauly, Arthur Weeks, Geoff Charles-Edwards, Francesco Padormo, David Stell, Kariem El-Boghdadly, Sebastien Ourselin, Sharon L. Giles, Anthony D. Edwards, Joseph V. Hajnal, Benjamin J. Blaise
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Urology & Nephrology
Marc A. Furrer, Imran Ahmad, Jonathan Noel, Kariem El-Boghdadly, Ben Challacombe
Summary: High intensity theatre (HIT) lists are a successful and efficient measure to address elective surgery backlogs, without compromising outcomes and safety. A recent pilot trial in the UK, focusing on standard and complex urological surgery, proved successful for both patients and staff involved.
NATURE REVIEWS UROLOGY
(2023)
Article
Anesthesiology
J. Kua, T. Potter, D. J. N. Wong, E. Nurmi, K. El-Boghdadly, J. N. Cronin
Review
Economics
Henrik Vitus Bering Laursen, Emmelie Ploug Jorgensen, Peter Vestergaard, Lars Holger Ehlers
Summary: This study provides a systematic overview of the cost-effectiveness analyses comparing Non-insulin antidiabetic drugs (NIADs) for the treatment of type 2 diabetes mellitus (T2DM). It highlights the limitations of the included studies, such as outdated model assumptions and sponsorship bias, in informing cost-effective treatment choices for T2DM patients.
Article
Anesthesiology
Kariem El-Boghdadly, Eric Albrecht, Morne Wolmarans, Edward R. Mariano, Sandra Kopp, Anahi Perlas, Athmaja Thottungal, Jeff Gadsden, Serkan Tulgar, Sanjib Adhikary, Jose Aguirre, Anne M. R. Agur, Basak Altiparmak, Michael J. Barrington, Nigel Bedforth, Rafael Blanco, Sebastien Bloc, Karen Boretsky, James Bowness, Margaretha Breebaart, David Burckett-St Laurent, Brendan Carvalho, Jacques E. Chelly, Ki Jinn Chin, Alwin Chuan, Steve Coppens, Ioana Costache, Mette Dam, Matthias Desmet, Shalini Dhir, Christian Egeler, Hesham Elsharkawy, Thomas Fichtner Bendtsen, Ben Fox, Carlo D. Franco, Philippe Emmanuel Gautier, Stuart Alan Grant, Sina Grape, Carrie Guheen, Monica W. Harbell, Peter Hebbard, Nadia Hernandez, Rosemary M. G. Hogg, Margaret Holtz, Barys Ihnatsenka, Brian M. Ilfeld, Vivian H. Y. Ip, Rebecca L. Johnson, Hari Kalagara, Paul Kessler, M. Kwesi Kwofie, Linda Le-Wendling, Philipp Lirk, Clara Lobo, Danielle Ludwin, Alan James Robert Macfarlane, Alexandros Makris, Colin Mccartney, John Mcdonnell, Graeme A. Mcleod, Stavros G. Memtsoudis, Peter Merjavy, E. M. Louise Moran, Antoun Nader, Joseph M. Neal, Ahtsham U. Niazi, Catherine Njathi-Ori, Brian D. O'Donnell, Matt Oldman, Steven L. Orebaugh, Teresa Parras, Amit Pawa, Philip Peng, Steven Porter, Bridget P. Pulos, Xavier Sala-Blanch, Andrea Saporito, Axel R. Sauter, Eric S. Schwenk, Maria Paz Sebastian, Navdeep Sidhu, Sanjay Kumar Sinha, Ellen M. Soffin, James Stimpson, Raymond Tang, Ban C. H. Tsui, Lloyd Turbitt, Vishal Uppal, Geert J. van Geffen, Kris Vermeylen, Kamen Vlassakov, Thomas Volk, Jeff L. Xu, Nabil M. Elkassabany
Summary: Through a Delphi international consensus study, standardized names and anatomical descriptions for upper and lower limb peripheral nerve blocks were established, with strong consensus achieved for the majority of items. This framework will improve research, education, and clinical practice in regional anesthesia, ultimately benefiting patient care.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)