Effect of cricoid pressure on the success of endotracheal intubation with a lightwand.

Abstract:

BACKGROUND:The lightwand may be useful as an alternative for tracheal intubation during a rapid-sequence induction of anesthesia in the presence of a full stomach. This study was undertaken to assess the effect of application of cricoid pressure on the success of lightwand intubation. METHODS:Sixty adult female patients presenting for abdominal hysterectomy were randomly allocated to lightwand intubation with and without cricoid pressure. The time to successful intubation and number of attempts were recorded. RESULTS:All 30 patients allocated to intubation without cricoid pressure were intubated successfully at the first attempt within a median time of 28 s (95% confidence interval, 18-77 s). Lightwand intubation with cricoid pressure was successful in 26 of 30 patients at the first attempt, but the median time to successful intubation was significantly longer at 48.5 s (95% confidence interval, 36-78 s; P = 0.001). Three patients required two attempts for successful intubation, and one could not be intubated with the lightwand while cricoid pressure was being applied. CONCLUSIONS:The lightwand cannot be recommended for the first attempt at intubation where cricoid pressure is being applied because the time to successful intubation is significantly prolonged, and the failure rate for the first attempt at lightwand intubation is 13%.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Hodgson RE,Gopalan PD,Burrows RC,Zuma K

doi

10.1097/00000542-200102000-00015

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

259-62

issue

2

eissn

0003-3022

issn

1528-1175

journal_volume

94

pub_type

临床试验,杂志文章,随机对照试验
  • Effects of ondansetron in the prevention of postoperative nausea and vomiting in children.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) is a commonly observed adverse effect of general anesthesia. Recently, ondansetron, a new serotonin3 (5-hydroxytryptamine3) receptor antagonist was shown to be effective in the prophylaxis and prevention of chemotherapy-induced nausea and vomiting in children and adul...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199410000-00006

    authors: Ummenhofer W,Frei FJ,Urwyler A,Kern C,Drewe J

    更新日期:1994-10-01 00:00:00

  • Halothane-induced lipid peroxidation and glucose-6-phosphatase inactivation in microsomes under hypoxic conditions.

    abstract::Halothane-induced lipid peroxidation was studied in microsomes from phenobarbital-pretreated male rats at defined steady state oxygen partial pressures (PO2). At PO2 less than 10 mmHg on addition of halothane to NADPH-reduced microsomes, significant increases in malondialdehyde (MDA) formation, oxygen uptake, and conj...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198501000-00009

    authors: de Groot H,Noll T

    更新日期:1985-01-01 00:00:00

  • Enhanced cerebral blood flow autoregulation in the newborn piglet by d-tubocurarine and pancuronium but not by vecuronium.

    abstract::Neuromuscular blockers may affect cerebral blood flow (CBF) regulation in the newborn. We studied the effects of d-tubocurarine (0.1 mg.kg-1, n = 8), pancuronium (0.1 and 0.4 mg.kg-1, n = 6 and 7), and vecuronium (0.1 and 0.4 mg.kg-1, n = 6 and 7) on CBF measured over the same range of mean systemic blood pressure ([B...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199202000-00013

    authors: Chemtob S,Barna T,Beharry K,Aranda JV,Varma DR

    更新日期:1992-02-01 00:00:00

  • Efficacy of continuous insufflation of oxygen combined with active cardiac compression-decompression during out-of-hospital cardiorespiratory arrest.

    abstract:BACKGROUND:During experimental cardiac arrest, continuous insufflation of air or oxygen (CIO) through microcannulas inserted into the inner wall of a modified intubation tube and generating a permanent positive intrathoracic pressure, combined with external cardiac massage, has previously been shown to be as effective ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200006000-00007

    authors: Saïssy JM,Boussignac G,Cheptel E,Rouvin B,Fontaine D,Bargues L,Levecque JP,Michel A,Brochard L

    更新日期:2000-06-01 00:00:00

  • Dose-response curves for succinylcholine: single versus cumulative techniques.

    abstract::This study was performed to determine the potency of succinylcholine using the single-dose technique, and to test the ability of the cumulative dose technique for generating dose-response data. Thirty-eight adult patients received single doses (n = 18), cumulative doses (n = 10), or cumulative doses of succinylcholine...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Smith CE,Donati F,Bevan DR

    更新日期:1988-09-01 00:00:00

  • Artifact Processing Methods Influence on Intraoperative Hypotension Quantification and Outcome Effect Estimates.

    abstract:BACKGROUND:Physiologic data that is automatically collected during anesthesia is widely used for medical record keeping and clinical research. These data contain artifacts, which are not relevant in clinical care, but may influence research results. The aim of this study was to explore the effect of different methods o...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003131

    authors: Pasma W,Peelen LM,van Buuren S,van Klei WA,de Graaff JC

    更新日期:2020-04-01 00:00:00

  • Laparoscopy explosion hazards with nitrous oxide.

    abstract:BACKGROUND:During laparoscopic surgery utilizing carbon dioxide as the insufflating agent, nitrous oxide will diffuse into the peritoneal cavity if it is used as part of the anesthetic. Bowel perforation and the subsequent release of volatile bowel gas could create a explosion hazard. METHODS:Two related studies were ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199305000-00011

    authors: Neuman GG,Sidebotham G,Negoianu E,Bernstein J,Kopman AF,Hicks RG,West ST,Haring L

    更新日期:1993-05-01 00:00:00

  • Effect of increased intracranial pressure on regional hypoxic pulmonary vasoconstriction.

    abstract::The effects of increased intracranial pressure (ICP) and increased cardiac output (QT) on the pulmonary vascular response to regional alveolar hypoxia were compared in pentobarbital-anesthetized, closed-chested dogs. A bronchial divider was inserted, the right lung (RL) was continuously ventilated with 100% O2, and th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199003000-00017

    authors: Domino KB,Hlastala MP,Cheney FW

    更新日期:1990-03-01 00:00:00

  • Halothane-induced changes in the release and disposition of norepinephrine at adrenergic nerve endings in dog saphenous vein.

    abstract::The effect of halothane on the release and metabolism of norepinephrine during resting conditions and in response to electrical stimulation at 2 Hz was studied in isolated superfused segments od dog saphenous vein. Liquid chromatography with electrochemical detection was used to measure endogenous norepinephrine overf...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198410000-00004

    authors: Lunn JJ,Rorie DK

    更新日期:1984-10-01 00:00:00

  • A new noninvasive method to measure blood pressure: results of a multicenter trial.

    abstract:BACKGROUND:Blood pressure (BP) monitoring with arterial waveform display requires an arterial cannula. We evaluated a new noninvasive device, Vasotrac (Medwave, Arden Hills, MN) that provides BP measurements approximately every 12-15 beats and displays pulse rate and a calibrated arterial waveform for each BP measureme...

    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00000542-199909000-00021

    authors: Belani K,Ozaki M,Hynson J,Hartmann T,Reyford H,Martino JM,Poliac M,Miller R

    更新日期:1999-09-01 00:00:00

  • Anesthesia for creation of a forearm fistula in patients with endstage renal failure.

    abstract::The effects of local infiltration anesthesia, brachial plexus blockade, isoflurane, or halothane anesthesia on blood flow through the brachial artery and through a newly created forearm arteriovenous fistula (AVF) were compared in 36 patients with endstage renal failure. Brachial artery blood flow was measured at two ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198906000-00005

    authors: Mouquet C,Bitker MO,Bailliart O,Rottembourg J,Clergue F,Montejo LS,Martineaud JP,Viars P

    更新日期:1989-06-01 00:00:00

  • Tranexamic acid reduces intraoperative blood loss in pediatric patients undergoing scoliosis surgery.

    abstract:BACKGROUND:Excessive bleeding often occurs during pediatric scoliosis surgery and is attributed to numerous factors, including accelerated fibrinolysis. The authors hypothesized that administration of tranexamic acid would reduce bleeding and transfusion requirements during scoliosis surgery. METHODS:Forty-four patien...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200504000-00006

    authors: Sethna NF,Zurakowski D,Brustowicz RM,Bacsik J,Sullivan LJ,Shapiro F

    更新日期:2005-04-01 00:00:00

  • The detrimental effects of prolonged hypothermia and rewarming in the dog.

    abstract::The authors had previously observed a deleterious cerebrovascular effect of prolonged hypothermia in primates and cats. In this study they examined the systemic as well as cerebral hemodynamic and metabolic effects of 24 hours of hypothermia in the dog. With decreases in temperature to 29 C, cardiac output (Q) and who...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198003000-00007

    authors: Steen PA,Milde JH,Michenfelder JD

    更新日期:1980-03-01 00:00:00

  • Concentration-effect relation of succinylcholine chloride during propofol anesthesia.

    abstract:BACKGROUND:The pharmacokinetics and pharmacodynamics of succinylcholine were studied simultaneously in anesthetized patients to understand why the drug has a rapid onset and short duration of action. A quantitative model describing the concentration-effect relation of succinylcholine was proposed. The correlation betwe...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200211000-00009

    authors: Roy JJ,Donati F,Boismenu D,Varin F

    更新日期:2002-11-01 00:00:00

  • Efficacy of oral clonidine premedication in children.

    abstract:BACKGROUND:Clonidine, an alpha 2-adrenoceptor agonist, has been shown to be effective as a preanesthetic medication in adults. The current study was designed to investigate the efficacy of two doses of oral clonidine as a premedicant preceding oral atropine in children. METHODS:In a prospective, randomized, double-bli...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199311000-00009

    authors: Mikawa K,Maekawa N,Nishina K,Takao Y,Yaku H,Obara H

    更新日期:1993-11-01 00:00:00

  • Involvement of adenosine in the antiinflammatory action of ketamine.

    abstract:BACKGROUND:Ketamine is an anesthetic drug. Subanesthetic doses of ketamine have been shown to reduce interleukin-6 concentrations after surgery and to reduce mortality and the production of tumor necrosis factor alpha and interleukin 6 in septic animals. Similarly, adenosine was shown to reduce tumor necrosis factor al...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200506000-00017

    authors: Mazar J,Rogachev B,Shaked G,Ziv NY,Czeiger D,Chaimovitz C,Zlotnik M,Mukmenev I,Byk G,Douvdevani A

    更新日期:2005-06-01 00:00:00

  • Volatile anesthetics enhance flash-induced gamma oscillations in rat visual cortex.

    abstract:BACKGROUND:The authors sought to understand neural correlates of anesthetic-induced unconsciousness. Cortical gamma oscillations have been associated with neural processes supporting conscious perception, but the effect of general anesthesia on these oscillations is controversial. In this study, the authors examined th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200505000-00012

    authors: Imas OA,Ropella KM,Ward BD,Wood JD,Hudetz AG

    更新日期:2005-05-01 00:00:00

  • Tissue factor and platelet glycoprotein Ib-alpha alleles are associated with age at first coronary bypass operation.

    abstract:BACKGROUND:Age is a known risk factor for postoperative complications, but the genetic factors that account for variability in age at presentation for surgery have not been characterized. Because thrombosis is a critical process in the development of coronary syndromes, the authors hypothesized that patients bearing th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200312000-00009

    authors: Donahue BS,Byrne DW,Gailani D,George AL Jr

    更新日期:2003-12-01 00:00:00

  • The thermoregulatory threshold in humans during halothane anesthesia.

    abstract::Although suppression of thermoregulatory mechanisms by anesthetics is generally assumed, the extent to which thermoregulation is active during general anesthesia is not known. The only thermoregulatory responses available to anesthetized, hypothermic patients are vasoconstriction and non-shivering thermogenesis. To te...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-198806000-00002

    authors: Sessler DI,Olofsson CI,Rubinstein EH,Beebe JJ

    更新日期:1988-06-01 00:00:00

  • Inhaled nitric oxide selectively decreases pulmonary vascular resistance without impairing oxygenation during one-lung ventilation in patients undergoing cardiac surgery.

    abstract:BACKGROUND:Inhaled nitric oxide (NO), an endothelium-derived relaxing factor, is a selective pulmonary vasodilator. The authors investigated whether inhaled NO decreases pulmonary vascular resistance (PVR) while preserving hypoxic pulmonary vasoconstriction and whether it maintains or improves oxygenation in patients d...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Rich GF,Lowson SM,Johns RA,Daugherty MO,Uncles DR

    更新日期:1994-01-01 00:00:00

  • Factor XIII substitution in surgical cancer patients at high risk for intraoperative bleeding.

    abstract:BACKGROUND:Excessive intraoperative bleeding is associated with significant morbidity and mortality. The authors and others have shown that fibrin monomer allows preoperative risk stratification for intraoperative blood loss, likely due to an imbalance between available factor XIII and prothrombin conversion. The autho...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e318194b21e

    authors: Korte WC,Szadkowski C,Gähler A,Gabi K,Kownacki E,Eder M,Degiacomi P,Zoller N,Devay J,Lange J,Schnider T

    更新日期:2009-02-01 00:00:00

  • High-efficiency delivery of salbutamol with a metered-dose inhaler in narrow tracheal tubes and catheters.

    abstract::We sought to determine the percent delivery by metered-dose inhaler (MDI) of a preparation of salbutamol (albuterol) to the distal end of either pediatric-size tracheal tubes or a narrow-gauge catheter. A bench model consisting of a swivel actuator; 3.0-6.0-mm ID tracheal tubes all 16 cm in length or a 19-G (standard ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199102000-00024

    authors: Taylor RH,Lerman J

    更新日期:1991-02-01 00:00:00

  • Insufflated halothane increases venous admixture less than nitroprusside in canine atelectasis.

    abstract::Although it generally is agreed that halothane is a pulmonary vasodilator, its effect on venous admixture and hypoxic pulmonary vasoconstriction are more controversial. The effects of 2.4% halothane on pulmonary vascular resistance and venous admixture were investigated in an isolated canine lobe made atelectatic. Hal...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199208000-00013

    authors: Johnson D,Hurst T,Mayers I

    更新日期:1992-08-01 00:00:00

  • Left ventricular mechanical consequences of dihydropyridine calcium channel modulation in conscious and anesthetized chronically instrumented dogs.

    abstract:BACKGROUND:Volatile anesthetics depress left ventricular contractile function by altering voltage-dependent slow calcium (Ca2+) channel activity in the sarcolemmal membrane. This investigation examined the left ventricular systolic and diastolic mechanical effects of the dihydropyridine Ca2+ channel antagonist nifedipi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199407000-00026

    authors: Pagel PS,Hettrick DA,Warltier DC

    更新日期:1994-07-01 00:00:00

  • Myocardial hypercarbic acidosis reduces cardiac resuscitability.

    abstract:BACKGROUND:The severity of spontaneous myocardial hypercarbic acidosis during cardiac arrest previously has been predictive of the likelihood of restoring spontaneous circulation. The present study investigated whether hypercarbia itself impairs cardiac resuscitation. Since coronary perfusion pressure is the overriding...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199302000-00019

    authors: Maldonado FA,Weil MH,Tang W,Bisera J,Gazmuri RJ,Johnson B,D'Alessio A

    更新日期:1993-02-01 00:00:00

  • A randomized study of the effects of single-dose gabapentin versus placebo on postoperative pain and morphine consumption after mastectomy.

    abstract:BACKGROUND:The anticonvulsant gabapentin has proven effective for neuropathic pain in three large placebo-controlled clinical trials. Experimental and clinical studies have demonstrated antihyperalgesic effects in models involving central neuronal sensitization. It has been suggested that central neuronal sensitization...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200209000-00007

    authors: Dirks J,Fredensborg BB,Christensen D,Fomsgaard JS,Flyger H,Dahl JB

    更新日期:2002-09-01 00:00:00

  • Sympathetic responses to induction of anesthesia in humans with propofol or etomidate.

    abstract::Anesthetic induction with propofol commonly results in hypotension. This study explored potential mechanisms contributing to hypotension by recording cardiovascular responses including sympathetic neural activity from patients during induction of anesthesia with propofol (2.5 mg.kg-1 plus 200 micrograms.kg-1.min-1) or...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199205000-00010

    authors: Ebert TJ,Muzi M,Berens R,Goff D,Kampine JP

    更新日期:1992-05-01 00:00:00

  • Mechanism of myocardial protection by isoflurane. Role of adenosine triphosphate-regulated potassium (KATP) channels.

    abstract:BACKGROUND:The mechanism of the protective actions of volatile anesthetics in ischemic myocardium has not been clearly elucidated. The role of myocardial adenosine triphosphate-regulated potassium (KATP) channels in isoflurane-induced enhancement of recovery of regional contractile function after multiple brief occlusi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199610000-00015

    authors: Kersten JR,Schmeling TJ,Hettrick DA,Pagel PS,Gross GJ,Warltier DC

    更新日期:1996-10-01 00:00:00

  • Toll-like receptor 4-myeloid differentiation factor 88 signaling contributes to ventilator-induced lung injury in mice.

    abstract:BACKGROUND:The mechanisms of ventilator-induced lung injury, an iatrogenic inflammatory condition induced by mechanical ventilation, are not completely understood. Toll-like receptor 4 (TLR4) signaling via the adaptor protein myeloid differentiation factor 88 (MyD88) is proinflammatory and plays a critical role in host...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181e89ab2

    authors: Li H,Su X,Yan X,Wasserloos K,Chao W,Kaynar AM,Liu ZQ,Leikauf GD,Pitt BR,Zhang LM

    更新日期:2010-09-01 00:00:00

  • Gestational differences in lidocaine toxicity in the fetal lamb.

    abstract::Effects of lidocaine on arterial pressure, heart rate and electrocortical activity were studied in nine fetal lambs at 0.77 to 0.92 gestation (116 to 138 days of gestation; term in sheep is 150 days). Lidocaine was administered into a fetal femoral vein either as a continuous infusion or as a bolus injection. Epilepti...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197602000-00008

    authors: Teramo K,Benowitz N,Heymann MA,Rudolph AM

    更新日期:1976-02-01 00:00:00