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Patient barrier acceptance during airway management among anesthesiologists: a simulation pilot study

Querney J, Cubillos J, Ding Y, Cherry R, Armstrong K

Background: Protection of healthcare providers (HCP) has been a serious challenge in the management of patients during the coronavirus 2019 (COVID-19) pandemic. Additional physical barriers have been created to enhance...
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Endotracheal intubation in patients undergoing open abdominal surgery in the lateral position: a comparison between the intubating video stylet and fiberoptic intubating bronchoscopy

Wahdan AS, El-Refai NAr, Omar SH, Abdel Moneem SA, Mohamed MM, Hussien MM

Background: Some situations compel anesthetists to execute endotracheal intubation in the lateral position. We compared elective endotracheal intubation in the lateral decubitus position using the video stylet (VS) device...
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Endotracheal intubation using a three-dimensional printed airway model in a patient with Pierre Robin sequence and a history of tracheostomy -a case report-

Park S, Ahn J, Kim HJ, Choi EJ, Kim HY

Background: Pierre Robin sequence (PRS) patients have an increased risk of difficult intubation due to anatomical airway abnormalities, and intubation simulation with a three-dimensional (3D) printed airway model before anesthesia...
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Techniques for percutaneous transesophageal gastrotubing

Sato Y, Chatani S, Hasegawa T, Murata S, Inaba Y

Percutaneous transesophageal gastrotubing (PTEG) procedure was developed in Japan as an alternative access route into the gastrointestinal tract, and it has been performed for patients in whom percutaneous endoscopic gastrostomy...
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A comparative study of glottis visualization according to the method of lifting the epiglottis in video laryngoscopy: indirect and direct lifting methods

Oh JY, Lee JH, Kim YY, Baek SM, Jung DW, Park JH

Background: The direct entry of the camera under the epiglottis may provide a better view of the glottis than the indirect lifting of the epiglottis by placing the Macintosh blade...
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Protecting the tracheal tube cuff: a novel solution

Abel A, Behrman DA, Samuels JD

We describe the successful insertion of a nasotracheal tube following repeated cuff rupture. The patient was a 55-year-old woman with a history of nasal trauma and multiple rhinoplasties, who underwent...
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Effectiveness of four ultrasonographic parameters as predictors of difficult intubation in patients without anticipated difficult airway

Agarwal R, Jain G, Agarwal A, Govil N

Background: Predicting difficult intubation (DI) is a key challenge, as no single clinical predictor is sufficiently valid to predict the outcome. We evaluated the effectiveness of four upper airway ultrasonographic...
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Effect of preoperative dexmedetomidine nebulization on the hemodynamic response to laryngoscopy and intubation: a randomized control trial

Misra S, Behera BK, Mitra JK, Sahoo AK, Jena SS, Srinivasan A

Background: Dexmedetomidine, an alpha-2 agonist, has been used for attenuation of hemodynamic response to laryngoscopy but not through the nebulized route. We evaluated the effects of preoperative dexmedetomidine nebulization on...
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Implementation of Venoarterial Extracorporeal Membrane Oxygenation in Nonintubated Patients

Kim HA, Kim YS, Cho YH, Kim WS, Sung K, Jeong DS

Background: Although extracorporeal membrane oxygenation (ECMO) is generally performed percutaneously, the technology is deployed under sedation and necessitates endotracheal intubation. However, in some patients, the use of venoarterial (VA) ECMO...
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A prospective randomized trial of xylometazoline drops and epinephrine merocele nasal pack for reducing epistaxis during nasotracheal intubation

Patel S, Hazarika A, Agrawal P, Jain D, Panda NK

Background: The most frequent complication of nasotracheal intubation (NTI) is epistaxis. Epinephrine nasal gauze packing has been used conventionally as a pre-treatment for reducing epistaxis, but it carries a disadvantage...
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Optimal effect-site concentration of remifentanil to prevent hemodynamic changes during nasotracheal intubation using a video laryngoscope

Yoon JY, Park CG, Kim EJ, Choi BM, Yoon JU, Kim YH, Lee MO, Han KS, Ahn JH

Background: Nasotracheal intubation is the most commonly used method to secure the field of view when performing surgery on the oral cavity or neck. Like orotracheal intubation, nasotracheal intubation uses...
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A fiberoptic orotracheal intubation successfully performed using a modified Guedel airway in a sedated emergency patient - A case report -

Yang J, Kim S, Lee B, Lee K, Kim D, Lee J, Jun HJ, Yoon JS, Cho SS

Background An airway assessment is usually best performed before an elective operation. But in an emergency operation, proper airway assessment can often be difficult. Fiberoptic intubation is a powerful and safe...
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Incidentally Detected Hypopharyngeal Mass during Endotracheal Intubation

Cho A, So J, Ko EY, Choi D

Hypopharyngeal mass is an uncommon condition in the aerodigestive tract. There were only a few cases have been published in the medical literature. We experienced a case of incidentally detected...
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Delayed Detection of Middle Turbinate Fracture after Nasotracheal Intubation: Any Tips for Prevention?

Chung YH, Lee JH, Koo BS, Lee MS, Hong S, Park KN

Nasotracheal intubation is valuable during intra-oral surgery. A common complication of this technique is epistaxis. We experienced a case of middle turbinate fracture which showed no immediate signs of fracture...
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A novel technique of submandibular intubation with a camera cable drape: a case report

Yun HJ, Rhee SH, Park JY, Chae YS, Han JH, Ryoo SH, Seo KS, Kim HJ, Karm MH

Submental or submandibular intubation has been reported to cause fewer complications than tracheostomy. However, the risk of infection is always inherent because oral wounds are exposed to microbial flora and...
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Accidental Swallowing of Nasal Packing Gauze during Silicone Tube Intubation under Local Anesthesia

Kong JH, An Y, Choi YJ

Purpose: To report a case of accidental swallowing of nasal packing gauze during silicone tube intubation under local anesthesia. Case summary: A 58-year-old male patient underwent silicone tube intubation for partial...
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Novel alternative for submental intubation - A case report -

Jung I, Yoo BH, Ju JY, Choi S, Yon JH, Kim KM, Lim YH, Lee WY

Background: Submental intubation is commonly used during general anesthesia for maxillofacial surgeries as it provides a safe unrestricted surgical access compared to tracheostomy. During submental intubation, soft tissues and blood...
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Vocal cord paralysis following general anesthesia with endotracheal intubation: a clinical review on 43 cases

Lim S, Kim Dc, Cho K, Kim Mh, Moon S, Cho H, Ki S

Background: Vocal cord paralysis (VCP) is one of the most stressful experiences for patients undergoing general anesthesia. Moreover, it is a risk factor for aspiration pneumonia and may increase...
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Emergency medicine physicians infrequently perform pediatric critical procedures: a national perspective

Cabalatungan SN, Thode Jr. , Singer AJ

Objective To our knowledge, this is the first comprehensive study using a nationally representative database to estimate the frequency of critical procedures (endotracheal tube intubation [ETI], cardiopulmonary resuscitation [CPR], and...
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Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

Kim S, Lee DE, Moon S, Ahn JY, Lee WK, Kim JK, Park J, Ryoo HW

Objective The incidences of prehospital advanced airway management by emergency medical technicians in South Korea are increasing; however, whether this procedure improves the survival outcomes of patients experiencing out-of-hospital cardiac...
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