Review
Anesthesiology
C. C. de Carvalho, D. M. Silva, V. M. Lemos, T. G. B. dos Santos, I. C. Agra, G. M. Pinto, I. B. Ramos, Y. S. C. Costa, J. M. Santos Neto
Summary: This systematic review with network meta-analyses found that different videolaryngoscopes have differential intubation performance, with C-MAC and C-MAC D-Blade ranking highly for avoiding failed intubation. However, the current evidence is not sufficient to ensure significant superiority of one device or a small set of them over the others for intubation-related outcomes.
Article
Anesthesiology
H. Kamga, A. Frugier, M. Boutros, J. Bourges, T. Doublet, J. J. Parienti
Summary: Videolaryngoscopy is a potential alternative to flexible bronchoscopy for awake tracheal intubation, but its effectiveness in clinical practice remains uncertain.
Review
Medicine, General & Internal
Hans van Schuppen, Kamil Wojciechowicz, Markus W. Hollmann, Benedikt Preckel
Summary: This systematic review and meta-analysis compared the effectiveness of Glidescope (R) videolaryngoscopy and direct laryngoscopy in clinicians with limited intubation experience, showing that Glidescope (R) videolaryngoscopy had a higher first-pass success rate and shorter time to successful intubation, as well as reduced chest compression interruption duration.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Joern Grensemann, Emma Moehlenkamp, Philipp Breitfeld, Pischtaz A. Tariparast, Tanja Peters, Mark A. Punke, Stefan Kluge, Martin Petzoldt
Summary: This study compared VST and VL for tracheal intubation in patients with expected difficult airways, finding that VST was non-inferior to VL in terms of oxygenation, provided better visualization but prolonged intubation.
FRONTIERS IN MEDICINE
(2021)
Editorial Material
Anesthesiology
Michael F. F. Aziz, Lauren Berkow
Summary: This article discusses the debate on whether videolaryngoscopy (VL) should be the standard of care for tracheal intubation. Dr Aziz argues in favor of VL being the standard of care, while Dr Berkow challenges that assertion. The benefits of VL include improved first-pass success rates, reduced risk of intubation failure and esophageal intubation, and benefits in difficult airway patients. However, VL is not without complications and does not guarantee a 100% success rate. The transition to VL as the standard of care may lead to a decline in competency in other airway techniques.
ANESTHESIA AND ANALGESIA
(2023)
Review
Anesthesiology
Jan Hansel, Andrew M. Rogers, Sharon R. Lewis, Tim M. Cook, Andrew F. Smith
Summary: Videolaryngoscopy (VL) is associated with lower rates of failed intubation and complications compared with direct laryngoscopy (DL), while also improving glottic views. It is particularly beneficial in individuals with difficult airway features and across different patient groups.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Review
Emergency Medicine
Yohei Okada, Yujiro Nakayama, Katsuhiko Hashimoto, Kaoru Koike, Norio Watanabe
Summary: This study compared the efficacy and safety of tracheal intubation in the ramped versus sniffing position through a systematic review and meta-analysis. The results indicated no significant advantages of the ramped position over the sniffing position, suggesting further research is needed to determine which position is better for tracheal intubation.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Review
Anesthesiology
J. Hansel, J. A. Law, N. Chrimes, A. Higgs, T. M. Cook
Summary: Unrecognized esophageal intubation can cause preventable harm to patients. This study aimed to evaluate the diagnostic accuracy of various clinical examination tests and the esophageal detector device in confirming tracheal intubation. The results showed that misting and auscultation have a high false positive rate and are not reliable for excluding esophageal intubation. The esophageal detector device may be considered as an alternative when other methods are not available, but waveform capnography remains the gold standard.
Review
Anesthesiology
Jordan Anderson, Annalize Ebeid, Catrin Stallwood-Hall
Summary: Severe traumatic brain injury (TBI) poses a significant burden on individuals, families, and society as a whole. A meta-analysis of 19 studies comparing pre-hospital definitive airway management with no pre-hospital airway in non-pediatric patients with severe TBI found no significant difference in mortality, but a slight trend favoring pre-hospital airway management in terms of long-term morbidity.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Anesthesiology
Sabine Nabecker, Thora Ottenhausen, Lorenz Theiler, Matthias Braun, Robert Greif, Thomas Riva
Summary: The study evaluated the feasibility of awake orotracheal intubations using the C-MAC Video Stylet, showing a high success rate with minimal complaints of sore throat and minor injuries on the first postoperative day.
MINERVA ANESTESIOLOGICA
(2021)
Review
Anesthesiology
Neel Desai, Gamunu Ratnayake, Desire N. Onwochei, Kariem El-Boghdadly, Imran Ahmad
Summary: The study found that optical stylets, unchannelled videolaryngoscopes, and flexible bronchoscopes had comparable first-pass success rates in awake tracheal intubation, but optical stylets had the shortest time to tracheal intubation. There were no differences among airway devices in terms of esophageal intubation, change of airway technique, oxygen desaturation, airway bleeding, hoarseness, and sore throat rates.
BRITISH JOURNAL OF ANAESTHESIA
(2021)
Article
Medicine, General & Internal
James Richard Skelly, Jessica Wauchope, Michael Collreavey, Bill Walsh
Summary: Formal guidelines for awake tracheal intubation have been recently published, providing a simplified process for the first time. This article presents a previously unreported case of awake videolaryngoscopy in a pediatric setting. The application of guidelines and thorough team preparation enabled the implementation of a novel technique in our pediatric institution. A multidisciplinary approach involving ENT colleagues resulted in a patient-specific airway management plan for a rare airway pathology.
CLINICAL CASE REPORTS
(2022)
Article
Medicine, General & Internal
Phillip Brenya Sasu, Jennifer-Isabel Pansa, Rupert Stadlhofer, Viktor Alexander Wuensch, Karolina Loock, Eva Katharina Buscher, Andre Dankert, Ann-Kathrin Ozga, Christian Zoellner, Martin Petzoldt
Summary: This prospective study found that preoperative transnasal videoendoscopy (TVE) improves the prediction of difficult videolaryngoscopic intubation in adults with expected difficult airway management, especially when combined with the Simplified Airway Risk Index (SARI).
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Medicine, General & Internal
Piotr Kostyk, Karen Francois, Irim Salik
Summary: This review article summarizes the techniques available for airway topicalization for difficult intubation, focusing on indications for use, local anesthetic dosages and safety profiles, sedation techniques, and potential trials and pitfalls during the process.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Medicine, General & Internal
Shusuke Utada, Hiromu Okano, Hiroshi Miyazaki, Shoko Niida, Hiroshi Horiuchi, Naoya Suzuki, Tsuyoshi Otsuka, Ryosuke Furuya
Summary: The combination of video laryngoscopy and fiberoptic bronchoscopy allows for safer awake intubation.
CLINICAL CASE REPORTS
(2022)
Editorial Material
Surgery
Alok Tiwari, Stewart R. Walsh, Alun H. Davies, Tjun Y. Tang
Review
Dermatology
Clement Loh, Qian Ying Tan, Diane L. K. Eng, Stewart R. Walsh, Tze Tec Chong, Tjun Yip Tang
Summary: Granulox is a topical hemoglobin wound spray designed to provide supplemental oxygen to wounds and aid in the healing process. While current clinical evidence suggests that Granulox helps with both wound healing and symptom relief in chronic wounds, larger studies are needed to further confirm its effectiveness.
INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS
(2021)
Article
Cell & Tissue Engineering
Sara Azhari Mohamed, Linda Howard, Veronica McInerney, Amjad Hayat, Janusz Krawczyk, Sean Naughton, Andrew Finnerty, Miriam Holohan, Aoife Duffy, Tony Moloney, Eamon Kayanagh, Paul Burke, Aaron Liew, Muhammad Tubassam, Stewart Redmond Walsh, Timothy O'Brien
Review
Surgery
Thomas M. Aherne, Eanna J. Ryan, Michael R. Boland, Kevin McKevitt, Ahmed Hassanin, Muhammad Tubassam, Tjun Y. Tang, Stewart Walsh
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2020)
Letter
Cardiac & Cardiovascular Systems
Colum R. Keohane, Stewart R. Walsh
JOURNAL OF CARDIOVASCULAR PHARMACOLOGY AND THERAPEUTICS
(2021)
Letter
Surgery
Colum Keohane, Stewart Walsh, Wael Tawfick
JOURNAL OF ENDOVASCULAR THERAPY
(2021)
Editorial Material
Surgery
Doireann Patricia Joyce, Stewart Redmond Walsh, Tjun Yip Tang
Article
Surgery
Ruth A. Benson, Sandip Nandhra
Summary: The mortality rate after vascular interventions during the pandemic was unexpectedly high, with suspected or confirmed COVID-19 cases being uncommon. Chronic obstructive pulmonary disease and active lower respiratory tract infection were associated with mortality, while elective procedures had lower risk. Antiplatelet and oral anticoagulation were linked to reduced risk of in-hospital mortality.
Article
Surgery
Simon De Freitas, Matthew J. Rossi, Steven D. Abramowitz, Javairiah Fatima, Misaki M. Kiguchi, Raghuveer Vallabhaneni, Stewart R. Walsh, Edward Y. Woo
Summary: The endovascular repair of Stanford type A aortic dissection is feasible and reproducible, providing an acceptable safety profile for inoperable patients with poor prognosis. However, data from clinical trials are still needed to confirm its feasibility in routine clinical practice.
JOURNAL OF VASCULAR SURGERY
(2021)
Review
Surgery
Doireann Patricia Joyce, Carlos Sebastian Gracias, Fiona Murphy, Muhammed Tubassam, Stewart Redmond Walsh, Shane O'Hanlon
Summary: The review found that patients with PAD are more likely to have undiagnosed cognitive impairment compared to healthy controls, and they perform significantly worse on neuropsychological measures.
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND
(2022)
Article
Surgery
Mohammed Alagha, Thomas M. Aherne, Ahmed Hassanin, Adeel S. Zafar, Doireann P. Joyce, Waqas Mahmood, Muhammad Tubassam, Stewart R. Walsh
Summary: ABIs have moderate predictive value in the diagnosis of LEAD, and normal range outcomes cannot infer the absence of LEAD. Further arterial imaging should be considered in those with suspected underlying disease, and noninvasive tests may be helpful in cases of diagnostic uncertainty.
Article
Medicine, General & Internal
James C. Glasbey, Tom E. F. Abbott, Adesoji Ademuyiwa, Adewale Adisa, Ehab AlAmeer, Sattar Alshryda, Alexis P. Arnaud, Brittany Bankhead-Kendall, M. K. Abou Chaar, Daoud Chaudhry, Ainhoa Costas-Chavarri, Miguel F. Cunha, Justine I. Davies, Anant Desai, Muhammed Elhadi, Marco Fiore, J. Edward Fitzgerald, Maria Fourtounas, Alex James Fowler, Kay Futaba, Gaetano Gallo, Dhruva Ghosh, Rohan R. Gujjuri, Rebecca Hamilton, Parvez Haque, Ewen M. Harrison, Peter Hutchinson, Gabriella Hyman, Arda Isik, Umesh Jayarajah, Haytham M. A. Kaafarani, Bryar Kadir, Ismail Lawani, Hans Lederhuber, Elizabeth Li, Markus W. Loffler, Maria Aguilera Lorena, Harvinder Mann, Janet Martin, Dennis Mazingi, Craig D. McClain, Kenneth A. McLean, John G. Meara, Antonio Ramos-De La Medina, Mengistu Mengesha, Ana Minaya, Maria Marta Modolo, Rachel Moore, Dion Morton, Dmitri Nepogodiev, Faustin Ntirenganya, Francesco Pata, Rupert Pearse, Maria Picciochi, Thomas Pinkney, Peter Pockney, Gabrielle H. van Ramshorst, Toby Richards, April Camilla Roslani, Sohei Satoi, Raza Sayyed, Richard Shaw, Joana Filipa Ferreira Simoes, Neil Smart, Richard Sulliva, Malin Sund, Sudha Sundar, Stephen Tabiri, Elliott H. Taylor, Mary L. Venn, Dakshitha Wickramasinghe, Naomi Wright, Sebastian Bernardo Shu Yip, Aneel Bhangu
Summary: This study developed and validated a novel index (SPI) to support the strengthening of local elective surgical systems and address growing backlogs. The findings showed that hospitals with a higher SPI were associated with an increased planned surgical volume ratio, independent of income status, COVID-19 burden, and hospital type. Annual self-assessment of surgical preparedness is recommended to identify areas for improvement and enhance the resilience of local surgical systems.
Article
Surgery
Megan Power Foley, Daniel Westby, Stewart R. Walsh
Summary: Mondor's disease of the penis is a rare condition that can occur after endovenous mechanochemical ablation of the great saphenous vein with adjunct foam sclerotherapy. This case report highlights the treatment and outcomes of a patient with Mondor's disease after such a procedure. The findings suggest that the thrombotic complication is self-limiting and can be managed with anti-thrombotic therapy at the surgeon's discretion.
VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Medicine, General & Internal
Megan Power Foley, Muhammad Tubassam, Stewart R. Walsh
Summary: Symptomatic peripheral arterial disease (PAD) is frequently referred from primary care to vascular surgery. Best medical therapy (BMT), including anti-platelets, statins, smoking cessation, blood pressure, and glycaemic control, is essential but often overlooked between referral and clinic review.
IRISH JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Medicine, Research & Experimental
Thomas M. Aherne, Colm Keohane, Matthew Mullins, Adeel S. Zafar, Stephen A. Black, Tjun Y. Tang, Gerard J. O'Sullivan, Stewart R. Walsh
Summary: This study aims to investigate the role of iliac interrogation and intervention in conjunction with standard operative therapy in managing venous ulceration related to superficial truncal venous incompetence. Early superficial venous ablation combined with early treatment of ilio-caval stenotic disease may significantly improve ulcer healing and recurrence rates.
PILOT AND FEASIBILITY STUDIES
(2021)