Laryngoscope plastic blades in scheduled general anesthesia patients: a comparative randomized study

Galinski, Michel; Catineau, Jean; Rayeh, Fatima; Muret, Jane; Ciebiera, Jean-Pierre; Plantevin, Frédéric; Foucrier, Arnaud; Tual, L.; Combes, X.; Adnet, Frédéric

doi:10.1016/j.jclinane.2010.08.005

Cited by 15 publications

(9 citation statements)

References 21 publications

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“…For example, in the study of Seo et al [ 11 ] the percentage of patients presenting Mallampati grade 3 or 4 was 17.5% and in the study of Adnet et al [ 10 ] it was 8%. In another study which excluded candidates expected with difficult intubation like ours, the percentage of patients presenting IDS > 5 was 3.1% when the metal Macintosh blade was used [ 13 ]. Even though an IDS score of 0 was 45.5% of our current cases, only a single intubation attempt was required in 91.5% of our study patients and most intubations were completed at the first attempt by applying a simple maneuver such as additional lifting force and laryngeal pressure.…”

Section: Discussionmentioning

confidence: 99%

Encountering unexpected difficult airway: relationship with the intubation difficulty scale

Koh

Kim

et al. 2016

Korean J Anesthesiol

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BackgroundAn unexpected difficult intubation can be very challenging and if it is not managed properly, it may expose the encountered patient to significant risks. The intubation difficulty scale (IDS) has been used as a validated method to evaluate a global degree of intubation difficulty. The aims of this study were to evaluate the prevalence and characteristics of unexpected difficult intubation using the IDS.MethodsWe retrospectively reviewed 951 patients undergoing elective surgery in a single medical center. Patients expected to have a difficult intubation or who had history of difficult intubation were excluded. Each patient was assessed by the IDS scoring system with seven variables. Total prevalence of difficult intubation and the contributing individual factors were further analyzed.ResultsFor the 951 patients, the difficult intubation cases presenting IDS > 5 was 5.8% of total cases (n = 55). The prevalence of Cormack-Lehane Grade 3 or 4 was 16.2% (n = 154). Most of the difficult intubation cases were managed by simple additional maneuvers and techniques such as stylet application, additional lifting force and laryngeal pressure.ConclusionsUnexpected difficult airway was present in 5.8% of patients and most was managed effectively. Among the components of IDS, the Cormack-Lehane grade was most sensitive for predicting difficult intubation.

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Section: Discussionmentioning

confidence: 99%

Encountering unexpected difficult airway: relationship with the intubation difficulty scale

Koh

Kim

et al. 2016

Korean J Anesthesiol

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“…L'utilisation de lames de laryngoscopes métalliques permet d'obtenir de meilleures conditions d'intubation [20,21].…”

Section: Optimisation De La Procédure D'intubation Trachéale Difficilunclassified

Intubation en urgence

2015

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L'intubation trachéale en urgence est associée à une plus forte incidence de difficultés. Cette difficulté accrue est elle-même associée à une augmentation des complications et de la mortalité. La recherche de critères prédictifs d'une intubation difficile est plus délicate en urgence et moins pertinente. Le recours à des alternatives à l'intubation orotrachéale, l'optimisation de la procédure et l'utilisation de procédures spécifiques limitent la survenue et les conséquen-ces d'une intubation difficile. Le choix d'un matériel, une organisation et un entraînement éprouvés permettent de réduire les conséquences d'un cas d'intubation difficile, pré-vue ou non. Les nouveaux dispositifs de « vidéoscopie » semblent supérieurs aux techniques classiques d'intubation, en particulier en cas d'intubation difficile. Ils devront très certainement trouver leur place dans les prochains algorithmes de prise en charge des intubations difficiles en urgence, voire, plus globalement, des intubations en urgence. Chaque structure potentiellement confrontée à l'intubation en urgence devrait d'ores et déjà s'interroger sur son choix de matériel et sa stratégie.Abstract Tracheal intubation in emergency is associated with a higher incidence of difficulties, resulting in increased incidence of complications and mortality. The search for criteria predicting difficult intubation is more difficult and less relevant. The use of alternatives to tracheal intubation, such as optimization of the procedure, and use of specific procedures limit the onset and consequences of a difficult intubation. The choice of material, a good organization, and a proven training allow reducing the consequences of a case of difficult intubation, scheduled or not. The new "videoscopic" devices seem to be superior to conventional intubation techniques, especially in case of difficult intubation. They will probably have a good position in the next guidelines for difficult intubation in emergency or, more generally, for emergency intubation. Each structure potentially facing emergency intubation should question her choice of material and its strategy.

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“…Single-use, disposable instruments are already ubiquitous in modern medicine (gloves, needles, syringes, diagnostic kits) due to their tremendous appeal for issues including sterility, safety, efficiency, and when scaled sufficiently, cost. Such instruments have evolved in sophistication over the past century and are utilized regularly in the operating room for surgical specialties including anesthesia, general surgery, cardiothoracic surgery, and ophthalmology [15,16]. Disposable instrumentation into lower extremity total joint arthroplasty was initially used only in combination with patient-specific cutting blocks that are based on preoperatively obtained magnetic resonance imaging or CT scans.…”

Section: Disposable Instrumentation: Concept Efficiency and Infectimentioning

confidence: 99%

Disposable Instruments in Total Knee Arthroplasty

Haas¹,

Carli²

2015

Minimally Invasive Surgery in Orthopedics

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Laryngoscope plastic blades in scheduled general anesthesia patients: a comparative randomized study

Cited by 15 publications

References 21 publications

Encountering unexpected difficult airway: relationship with the intubation difficulty scale

Encountering unexpected difficult airway: relationship with the intubation difficulty scale

Intubation en urgence

Disposable Instruments in Total Knee Arthroplasty

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