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The Royal Marsden Manual of Clinical Procedures Ninth Edition. Addressed mainly to the Nursing Profession
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Laryngeal. Laryngeal Masks and Laryngoscopes are simply put devices that allow to view the larynx. The larynx can be looked at either directly or indirectly. Devices for direct laryngoscopy essentially establish a direct line of sight between the eye of the practitioner and the larynx. Early laryngoscopes used a straight “Magill Blade
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The case presented above is the first case of laryngeal mask airway and fiberoptic intubation in an awake infant. Resuscitation of newborns using laryngeal mask airway was recently reported although intubation of the trachea was not attempted in those situations. This case illustrates that combined use of laryngeal mask airway and fiberoptic
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Oct 01 2009· Summary In a randomised crossover study we compared times and success rates for tracheal placement of a fibrescope and railroading of a tracheal tube through the classic laryngeal mask airway by anaesthetists with limited experience in fibreoptic intubation (trainees) and those who were experts. Thirty‐two patients 32 trainees and three experts took part. The …
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@article{Bhat2014FiberopticIT title={Fiberoptic intubation through laryngeal mask airway for management of difficult airway in a child with Klippel–Feil syndrome} author={Ravi L Bhat and Rajesh S. Mane and Manjunath C. Patil and Sneha Suresh} journal={Saudi Journal of Anaesthesia} year={2014} volume={8} pages={412 414} }
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Nov 11 2014· Predicting difficulty in mask ventilation. Mask ventilation is the most basic and arguably most important skill in airway management. Patients who have been identified as having DMV or who are predicted to be difficult are or potentially are at the highest risk in airway management.
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Monitoring patients with pulse oximetry during bronchoscopy is an accurate non-invasive method for assessing hypoxaemia.9 – 11 Significant decreases in oxygen saturation are commonly seen during bronchoscopy commencing with administration of sedation and worsening on passage through the vocal cords.8 9 12 – 16 Patient positioning8 10
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The fibreoptic views obtained through the laryngeal mask were also sigdicantly different (Table 3). With the head in the normal position the vocal cords were directly visualised in 33/40 (82.5%) patients (scores 2 3 and 4). When cricoid pressure and manual in …
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Jul 05 2014· Forest plot of worst fibreoptic view of the glottis through the i-gel vs laryngeal mask airways (LMAs) defined as Brimacombe''s class 1 Cook''s class 4 and Van Zundert''s class 0 or 1. The pooled total and subgroup estimates are the centre of the solid diamonds the 95% CI indicated by their width.
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Introduction. Archie Brain introduced the laryngeal mask airway ie LMA-Classic in 1987. 1 Soon the need for an LMA to be used as an intubation conduit for endotracheal intubation was recognized. The LMA-Classic was unsuitable the airway tube was too narrow and too long to allow the endotracheal tube (ETT) to be reliably placed distal to the vocal cords and it was …
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These guidelines focus on the anesthetic management of pregnant patients during labor nonoperative delivery operative delivery and selected aspects of postpartum care and analgesia (i.e. neuraxial opioids for postpartum analgesia after neuraxial anesthesia for cesarean delivery).The intended patient population includes but is not limited to intrapartum and …
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Does efficacy of seal and fibreoptic view . The infant was intubated with a 3-mm endotracheal tube through the laryngeal mask airway (LMA) with guidance of a …
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Objective: Flexible fibreoptic intubation is challenging in paediatric patients. Very few studies have compared fibreoptic intubation via oral and nasal routes in children. We hypothesised that the total time to a successful fibreoptic-guided tracheal intubation would be faster through the nasal route when compared to the oral route.
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Stylets or intubating bougies may include a hollow core that can be used to provide a temporary means of oxygenation and ventilation. Conduits are usually inserted through the mouth and can be used for supraglottic ventilation and intubation. The intubating laryngeal mask airway and laryngeal mask airway are examples of conduits.
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Success was achieved when the FOB (without a preloaded tracheal tube) was placed orally to obtain a bird’s eye view of the larynx and a styletted tracheal tube was inserted orally and between the vocal cords under FOB guidance thereby avoiding impingement and laryngeal trauma. In a study by Malcharek et al awake FOI with mild sedation was
Chat OnlineThe tongue is larger and the mandible shorter in the young child. In infancy the child is an obligate nasal breather until 5 months of age. Prominent adenoids and tonsils are frequently found in preschool age children and are a frequent reason to present for elective ENT surgery.[] These factors all contribute to loss of upper airway space which can lead to difficulty with …
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Jan 01 2010· Fibreoptic views through the laryngeal mask and intubating laryngeal mask. Eur J Anaesthesiol 18 (2001) pp. 471-475. View Record in Scopus Google Scholar. 13. A. Higgs E. Clark K. Premraj. Low-skill fibreoptic intubation: use of …
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Mean (SD) total intubation times were significantly shorter in the intubating laryngeal mask-blind group (49 (20) s) than in either of the other two groups (intubating laryngeal mask …
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Intubation through an intubating laryngeal mask airway (iLMA™; Teleflex Medical Ltd) was included in the 2004 guidelines. 1 Although an overall success rate of 95.7% has been reported in a series of 1100 patients using a blind technique 237 first-attempt success rates are higher using fibre-optic guidance 238 239 and a guided technique has
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