Difficult Direct Laryngoscopy Complicating Intubation for Anaesthesia

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Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients.

BACKGROUND The Berci-Kaplan video laryngoscope was developed to improve the visualization of the glottis and ease tracheal intubation. Whether this technique is also effective in patients with an expected difficult intubation is unclear. We have prospectively evaluated the conditions and success rate of tracheal intubation in patients with a Mallampati score of III or IV. METHODS Two hundred ...

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[Difficult laryngoscopy and tracheal intubation: observational study].

INTRODUCTION Since anesthesia complications associated with unexpected difficult airway are potentially catastrophic, they should be avoided. The modified Mallampati test and jaw-thrust maneuver enable the identification of difficult airway. The aim of this study was to associate the modified Mallampati test and the jaw-thrust maneuver with laryngoscopy (Cormack-Lehane) in an attempt to identif...

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Comparison of remifentanil and alfentanil during anaesthesia for patients undergoing direct laryngoscopy without intubation.

BACKGROUND Remifentanil and alfentanil are opioids often used during direct laryngoscopy (DL). This prospective, randomized study compared these agents with respect to haemodynamic and Bispectral Index (BIS) responses, glottic visualization, and rapidity of recovery (spontaneous ventilation, eye opening) in DL without intubation. METHODS A total of 60 patients undergoing DL were randomized in...

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Brief report: tracheal intubation using the Bonfils intubation fibrescope or direct laryngoscopy for patients with a simulated difficult airway.

BACKGROUND The Bonfils intubation fibrescope (BIF), a rigid, straight and reusable fibreoptic device, is being used increasingly to facilitate endotracheal intubation after direct laryngoscopy has failed. We tested the hypothesis that, with the BIF compared to direct laryngoscopy, the rate of failed endotracheal intubation could be reduced in patients with a difficult airway, simulated by means...

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Crisis management during anaesthesia: difficult intubation.

BACKGROUND Anaesthetists may experience difficulty with intubation unexpectedly which may be associated with difficulty in ventilating the patient. If not well managed, there may be serious consequences for the patient. A simple structured approach to this problem was developed to assist the anaesthetist in this difficult situation. OBJECTIVES To examine the role of a specific sub-algorithm f...

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ژورنال

عنوان ژورنال: BMJ

سال: 1956

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.1.4965.488