Frequent use of alternative airway techniques makes difficult intubations less and easier.

Frequent use of alternative airway techniques makes difficult intubations less and easier. Research Abstract Details 

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Frequent use of alternative airway techniques makes difficult intubations less and easier. Abstract Text:

Yung-Tai Chung,Hung-Shan Wu,Yi-Hsi Lin,Allen Yi-jer Hsieh,Chao-Liang Chen,

BACKGROUND: This study is to evaluate how alternative airway techniques work at different scenarios of difficult airways in our department where those techniques are popularized in daily practice. METHODS: This is an open and observational study. Ten thousand two hundred and twenty nine adult patients were included in the 7-month period of investigation. When a difficult intubation was recognized, the responsible anesthesiologist would complete a questionnaire that was designed to explore the possible causes relative to the difficulty, i.e. the laryngoscopic view grade, the muscle relaxant administered during induction, any difficulty of mask ventilation, the eventually successful intubation technique, and the recommendation on the next intubation to the same patient. RESULTS: About 22% of the patients received various airway techniques for intubation other than laryngoscopic technique in general anesthesia. Laryngoscopic intubation was planned firstly on 8,058 cases; the incidence of difficult intubation was 0.44% (36/8058). Laryngoscopic view was found to be grade 2 in 10 patients, grade 3 in 24, and grade 4 in 2 patients, respectively. In these difficult airway intubations were accomplished ultimately with a conventional laryngoscope in 13 patients, a lighting stylet in 20 patients, a laryngeal mask airway (LMA) in 2 patients, and surface tactile oral intubation (STOI) in 1 patient. As to these patients with difficult airways who would undergo general anesthesia with endotracheal intubation next time awake intubation was suggested only to 4 patients. CONCLUSIONS: In elective general anesthesia, frequent use of the alternative airway techniques, such as LMA for a surgical procedure of short duration and lighting stylet for a possibly difficult airway, will decrease the events of difficult intubations. Lighting stylet seems more advantageous than laryngoscope in management of difficult intubation caused by poor laryngoscopic view.

Frequent use of alternative airway techniques makes difficult intubations less and easier. Publishing Authors By Initials

YT Chung,HS Wu,YH Lin,AY Hsieh,CL Chen,

For similar diagnosis: diagnostic techniques and procedures: diagnostic techniques, respiratory system: laryngoscopy research abstracts see: diagnosis: diagnostic techniques and procedures: diagnostic techniques, respiratory system: laryngoscopy research

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Frequent use of alternative airway techniques makes difficult intubations less and easier. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Acta anaesthesiologica Taiwanica : official journa

VOLUME: 42

Page Numbers: 141-5

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ISSN: 1875-4597

DAY: 7

MONTH: Sep

YEAR: 2004

Frequent use of alternative airway techniques makes difficult intubations less and easier. Information

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LANGUAGE: eng

NlmUniqueID: 101214918

Frequent use of alternative airway techniques makes difficult intubations less and easier. Keywords Mesh Terms:

KEYWORDS: Laryngoscopy

MESH TERMS: methods

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Grant and Affiliation Information for Frequent use of alternative airway techniques makes difficult intubations less and easier.

AFFILIATION: Department ofAnesthesiology, Changhua Christian Hospital, Changhua, Taiwan, ROC. 73260@cch.org.tw

Country: China (Republic: 1949- )

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MEDLINETA: Acta Anaesthesiol Taiwan

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