Advances in airway management in recent 10 years from 2013 to 2023

Liu, Yurui; He, Yuewen; Wang, Xia; Li, Jingjing; Zhang, Zhengze; Zhuang, Xuhui; Liu, Hao; Li, Ruogen; Liu, Huihui; Zhuang, Yuerong; Wang, Qiong; Tang, Zhihang; Wang, Yong; Ma, Wuhua

doi:10.1007/s44254-023-00029-z

Cited by 3 publications

(1 citation statement)

References 96 publications

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“…Airway management is one of the most important tasks in clinical anesthesia, intensive care units, and emergency rescue. A di cult airway is associated with a higher rate and severity of complications, and is a major cause of death during anesthesia [1,2]. Awake endotracheal intubation is recommended by different societies such as the American Society of Anesthesiologists (ASA) and Di cult Airway Society for managing di cult airways [3,4].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided superior laryngeal nerve block: a randomized comparison between parasagittal and transverse approach

Shan,

Tan,

Bao

et al. 2024

Preprint

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Background Different approach ultrasound-guided superior laryngeal nerve block was used to aid awake intubation, but little is known which approach was superior. We aimed to compare the parasagittal and transverse approaches for ultrasound-guided superior laryngeal nerve block in adult patients undergoing awake intubation. Methods Fifty patients with awake orotracheal intubation were randomized to receive either a parasagittal or transverse ultrasound-guided superior laryngeal nerve block. The primary outcome was patient’s quality of airway anesthesia grade during insertion of the tube into the trachea. The patients’ tube tolerance score after intubation, total procedure time, mean arterial pressure, heart rate, Ramsay sedation score at each time point, incidence of sore throat both 1 h and 24 h after extubation, and hoarseness before intubation, 1 h and 24 h after extubation were documented. Results Patients’ quality of airway anesthesia grade was significantly lower in the parasagittal group than in the transverse group (median grade[IQR], 0 [0–1] vs 1 [0–1], P = 0.036). Patients in the parasagittal approach group had lower tube tolerance scores (median score [IQR], 1[1–1] vs 1 [1–1.5], P = 0.042) and shorter total procedure time (median time [IQR], 113 seconds [98.5–125.5] vs 188 seconds [149.5–260], P < 0.001) than those in the transverse approach group. The incidence of sore throat 24 h after extubation was lower in the parasagittal group (8% vs. 36%, P = 0.041). Hoarseness occurred in more than half of the patients in parasagittal group before intubation (72% vs 40%, P = 0.023). Conclusions Compared to the transverse approach, the ultrasound-guided parasagittal approach showed improved efficacy in terms of the quality of airway topical anesthesia and shorter total procedure time for superior laryngeal nerve block. Trial registration This prospective, randomized controlled trial was approved by the Ethics Committee of Nanjing First Hospital (KY20220425-014) and registered in the Chinese Clinical Trial Registry (19/6/2022, ChiCTR2200061287) prior to patient enrollment. Written informed consent was obtained from all participants in this trial.

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Section: Introductionmentioning

confidence: 99%

Ultrasound-guided superior laryngeal nerve block: a randomized comparison between parasagittal and transverse approach

Shan,

Tan,

Bao

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Ultrasound-guided superior laryngeal nerve block: a randomized comparison between parasagittal and transverse approach

Shan,

Tan,

et al. 2024

BMC Anesthesiol

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Background Different approach ultrasound-guided superior laryngeal nerve block was used to aid awake intubation, but little is known which approach was superior. We aimed to compare the parasagittal and transverse approaches for ultrasound-guided superior laryngeal nerve block in adult patients undergoing awake intubation. Methods Fifty patients with awake orotracheal intubation were randomized to receive either a parasagittal or transverse ultrasound-guided superior laryngeal nerve block. The primary outcome was patient’s quality of airway anesthesia grade during insertion of the tube into the trachea. The patients’ tube tolerance score after intubation, total procedure time, mean arterial pressure, heart rate, Ramsay sedation score at each time point, incidence of sore throat both 1 h and 24 h after extubation, and hoarseness before intubation, 1 h and 24 h after extubation were documented. Results Patients’ quality of airway anesthesia was significantly better in the parasagittal group than in the transverse group (median grade[IQR], 0 [0–1] vs. 1 [0–1], P = 0.036). Patients in the parasagittal approach group had better tube tolerance scores (median score [IQR],1[1–1] vs. 1 [1–1.5], P = 0.042) and shorter total procedure time (median time [IQR], 113 s [98.5–125.5] vs. 188 s [149.5–260], P < 0.001) than those in the transverse approach group. The incidence of sore throat 24 h after extubation was lower in the parasagittal group (8% vs. 36%, P = 0.041). Hoarseness occurred in more than half of the patients in parasagittal group before intubation (72% vs. 40%, P = 0.023). Conclusions Compared to the transverse approach, the ultrasound-guided parasagittal approach showed improved efficacy in terms of the quality of airway topical anesthesia and shorter total procedure time for superior laryngeal nerve block. Trial registration This prospective, randomized controlled trial was approved by the Ethics Committee of Nanjing First Hospital (KY20220425-014) and registered in the Chinese Clinical Trial Registry (19/6/2022, ChiCTR2200061287) prior to patient enrollment. Written informed consent was obtained from all participants in this trial.

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Impact of airway devices and emergency airway techniques characteristics on airway adverse events in mainland China: a cross-sectional study

HE,

LIU,

ZHANG

et al. 2024

Minerva Anestesiol

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Advances in airway management in recent 10 years from 2013 to 2023

Cited by 3 publications

References 96 publications

Ultrasound-guided superior laryngeal nerve block: a randomized comparison between parasagittal and transverse approach

Ultrasound-guided superior laryngeal nerve block: a randomized comparison between parasagittal and transverse approach

Ultrasound-guided superior laryngeal nerve block: a randomized comparison between parasagittal and transverse approach

Impact of airway devices and emergency airway techniques characteristics on airway adverse events in mainland China: a cross-sectional study

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