Investigation of a novel oral airway for awake flexible bronchoscopy

McKay, William P.; Krysak, Trevor; Tyan, Chung-Chun

doi:10.1007/s12630-020-01658-9

Cited by 1 publication

(1 citation statement)

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“…Common clinical practice for securing the airway includes head tilt-chin lift, jaw thrust, head lateral rotation and oral airway insertion during sedation [ 19 , 20 , 21 , 22 ]. These airway interventions are effective and widely practiced maneuvers to establish the structural patency of the pharyngeal airway, but clinicians often have to be at the head side of the patient with their hands occupied for airway control throughout the procedure.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Jaw Elevation Device vs. Conventional Airway Assist during Sedation in Chronic Kidney Diseases Undergoing Arteriovenous Fistula Surgery: A Randomized Controlled Trial

Lee

Jeong

Jang

et al. 2021

JCM

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Patients with chronic renal failure (CRF) are likely to have obstructive sleep apnea (OSA) underdiagnosed, and maintaining airway patency is important during sedation. This study compared Jaw elevation device (JED) with conventional airway interventions (head lateral rotation, neck extension, oral or nasal airway insertion, and jaw thrust maneuver) during sedation and hypothesized that JED may be effective to open the airway. A total of 73 patients were allocated to a conventional group (n = 39) and a JED group (n = 34). The number of additional airway interventions was the primary outcome. Percentage of patients with no need of additional interventions and apnea-hypopnea index (AHI) were secondary outcomes. The number of additional interventions was significantly less in the JED group compared to the conventional group (0 (0–0) vs. 1 (0–2); p = 0.002). The percentage of patients with no requirement for additional interventions was significantly higher in the JED group compared to the conventional group (76.5% vs. 43.6%; p = 0.004). AHI was significantly lower in the JED group compared to the conventional group (4.5 (1.5–11.9) vs. 9.3 (3.8–21.9), p = 0.015). In conclusion, JED seems to be effective in opening the airway patency during sedation in CRF patients.

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Section: Introductionmentioning

confidence: 99%