Elective use of supraglottic airway devices for primary airway management in children with difficult airways.

Abstract:

BACKGROUND:Supraglottic airways (SGAs) have an established role in airway management of difficult airways in both adults and children. However, there are limited data regarding the use of SGAs for primary airway management in children. The aim of this study is to assess the success rates and adverse events related to the use of SGAs for primary airway management during anaesthesia in children with difficult airways. METHODS:A retrospective analysis of SGA use for primary airway management in the difficult airway population in a single centre over a 4-yr period was performed. Difficult airway was defined as either a history of difficult direct laryngoscopy (a documented Cormack and Lehane Grade 3 or greater and the need for an alternate device to direct laryngoscopy for successful tracheal intubation), a history of difficult mask ventilation, or both. The difficult airway condition, patient characteristic data, type and length of procedure, type and size of SGA placed, number of attempts for successful device placement, success/failure associated with the device during anaesthetic maintenance, and complications were recorded. RESULTS:A total of 77,272 children received general anaesthesia in a free-standing paediatric institution. Four hundred and fifty-nine patients were reported to have a difficult airway. Of those, 109 received general anaesthesia and an SGA for primary management, meeting the inclusion criteria for this study during a 4-yr period. An SGA was successfully used in 96% of these patients. In four patients, an alternative airway was needed. CONCLUSIONS:SGAs can be effectively utilized for airway maintenance in the paediatric difficult airway population.

journal_name

Br J Anaesth

authors

Jagannathan N,Sequera-Ramos L,Sohn L,Wallis B,Shertzer A,Schaldenbrand K

doi

10.1093/bja/aet411

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

742-8

issue

4

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)30893-0

journal_volume

112

pub_type

杂志文章
  • Prone positioning for patients intubated for severe acute respiratory distress syndrome (ARDS) secondary to COVID-19: a retrospective observational cohort study.

    abstract:BACKGROUND:The role of repeated prone positioning in intubated subjects with acute respiratory distress syndrome caused by COVID-19 remains unclear. METHODS:We conducted a retrospective observational cohort study of critically ill intubated patients with COVID-19 who were placed in the prone position between March 18,...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2020.09.042

    authors: Weiss TT,Cerda F,Scott JB,Kaur R,Sungurlu S,Mirza SH,Alolaiwat AA,Kaur R,Augustynovich AE,Li J

    更新日期:2021-01-01 00:00:00

  • Propofol sparing effect of remifentanil using closed-loop anaesthesia.

    abstract:BACKGROUND:General anaesthesia is a balance between hypnosis and analgesia. We investigated whether an increase in remifentanil blood concentration would reduce the amount of propofol required to maintain a comparable level of anaesthesia in 60 patients undergoing ambulatory surgery. METHODS:Patients were allocated ra...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/aeg115

    authors: Milne SE,Kenny GN,Schraag S

    更新日期:2003-05-01 00:00:00

  • Pretreatment with paracetamol inhibits metabolism of enflurane in rats.

    abstract::We studied the interaction between paracetamol (acetaminophen U.S.P.) and enflurane. Sixteen rats were assigned to four groups (n = 4) to receive: paracetamol 7.5 mg/100 g body weight; paracetamol plus 1% enflurane; 1% enflurane alone, or no treatment (controls). Animals were killed 6 h later. A second series of 16 we...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/62.4.429

    authors: Hanna AN,McDonald JS,Miller CH Jr,Couri D

    更新日期:1989-04-01 00:00:00

  • Nitrous oxide (N(2)O) reduces postoperative opioid-induced hyperalgesia after remifentanil-propofol anaesthesia in humans.

    abstract:BACKGROUND:The aim of this study was to test if intraoperative administration of N(2)O during propofol-remifentanil anaesthesia prevented the onset of postoperative opioid-induced hyperalgesia (OIH). METHODS:Fifty adult ASA I-II patients undergoing elective open septorhinoplasty under general anaesthesia were studied....

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aer323

    authors: Echevarría G,Elgueta F,Fierro C,Bugedo D,Faba G,Iñiguez-Cuadra R,Muñoz HR,Cortínez LI

    更新日期:2011-12-01 00:00:00

  • Interactive effect of morphine and dexmedetomidine on gastric emptying and gastrointestinal transit in the rat.

    abstract::We studied the interactive effect of dexmedetomidine and morphine on gastric emptying and gastrointestinal transit in the rat. In one group of rats, to examine the interactive effect on gastrointestinal transit, the two drugs were injected i.p. in a fixed ratio (30: 1)--that of their ED50 values--in six doses (0.062-1...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/80.1.63

    authors: Asai T,Mapleson WW,Power I

    更新日期:1998-01-01 00:00:00

  • End-tidal carbon dioxide concentration as an indicator of pulmonary blood flow during closed heart surgery in children. A report of two cases.

    abstract::The value of the continuous monitoring of end-tidal carbon dioxide concentration as an indicator of the acute intraoperative interruption of pulmonary blood flow, in patients with pre-existing restrictions of pulmonary blood flow undergoing closed heart surgery, is illustrated by two case reports. Decreases in end-tid...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/57.12.1257

    authors: Schuller JL,Bovill JG,Nijveld A

    更新日期:1985-12-01 00:00:00

  • Doing a good job and getting something good out of it: on stress and well-being in anaesthesia.

    abstract::The anaesthetist's work, aimed at giving safe anaesthesia to patients, can do both harm and good to the anaesthetist. Research on stress in anaesthesia has traditionally focused on how the negative effects of stress can be avoided and much effort has been put into improving anaesthetists' work environment to reduce th...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aeq125

    authors: Larsson J,Sanner M

    更新日期:2010-07-01 00:00:00

  • Accuracy of new gas flowmeters.

    abstract::The accuracy of five new oxygen and nitrous oxide flowmeter units was investigated using the bubble meter method. The results were compared with those previously found in flowmeters withdrawn from clinical use. New oxygen flowmeters demonstrated less inaccuracies than old flowmeters. No differences were found between ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/52.1.97

    authors: Waaben J,Brinkløv MM,Stokke DB

    更新日期:1980-01-01 00:00:00

  • Value of a single preoperative PFA-100 measurement in assessing the risk of bleeding in patients taking cyclooxygenase inhibitors and undergoing total knee replacement.

    abstract:BACKGROUND:The usefulness of the PFA-100 in assessing the risk of bleeding in non-cardiac surgery is not clear. This study aims to examine this by correlating preoperative PFA-100 measurement with perioperative bleeding in patients receiving cyclooxygenase (COX) inhibitors. METHODS:PFA-100 with adenosine-5'-diphosphat...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aep091

    authors: Ng KF,Lawmin JC,Tsang SF,Tang WM,Chiu KY

    更新日期:2009-06-01 00:00:00

  • Inhibition of mitochondrial respiration by sodium nitroprusside and the mechanism of cyanide liberation.

    abstract::The influence of sodium nitroprusside (SNP) on mitochondrial respiration was examined in rat liver mitochondria. The addition of SNP 1 mmol litre-1 during state 3 respiration inhibited the oxygen uptake by 63.4%. A mixture of SNP 1 mmol litre-1 and glutathione (GSH) 1 mmol litre-1 inhibited the oxygen uptake more mark...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/49.12.1239

    authors: Nakamura S,Shin T,Hirokata Y,Shigematsu A

    更新日期:1977-12-01 00:00:00

  • Transoesophageal echocardiographic monitoring of pulmonary venous obstruction induced by sternotomy closure during infant heart transplantation.

    abstract::A case of an infant receiving orthotopic heart transplantation with over-sized donor heart was reported. Left lower pulmonary venous obstruction after sternotomy closure was detected by transoesophageal echocardiography (TOE) and the decision to delay sternal closure was made and the clinical outcome was very satisfac...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/88.4.590

    authors: Lin CP,Chan KC,Chou YM,Wang MJ,Tsai SK

    更新日期:2002-04-01 00:00:00

  • Psychological characteristics and the effectiveness of patient-controlled analgesia.

    abstract::We have evaluated the level of state and trait anxiety, neuroticism, extroversion and coping style as predictors of the effectiveness of patient-controlled analgesia (PCA) in 110 patients undergoing total abdominal hysterectomy. After operation patients were allocated to receive pain control with either PCA or i.m. in...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1093/bja/74.3.271

    authors: Thomas V,Heath M,Rose D,Flory P

    更新日期:1995-03-01 00:00:00

  • Randomized controlled study of colloid preload before spinal anaesthesia for caesarean section.

    abstract::We randomized women having elective Caesarean section to receive either no preload (control group, n=33) or 4% gelatin solution (Gelofusine) 15 ml kg(-1) (colloid group, n=35) i.v. before spinal anaesthesia. Intravenous metaraminol was titrated at 0.25-0.75 mg min(-1) to maintain systolic arterial pressure (SAP) in th...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/87.5.772

    authors: Ngan Kee WD,Khaw KS,Lee BB,Ng FF,Wong MM

    更新日期:2001-11-01 00:00:00

  • Transthoracic echocardiography for perioperative haemodynamic monitoring.

    abstract::Transoesophageal echocardiography (TOE) is valuable for perioperative monitoring in patients at risk from haemodynamic disturbance. However, its use is not practicable in patients undergoing surgical procedures under regional anaesthesia. We describe two cases showing that transthoracic echocardiography (TTE) has the ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.bja.a013596

    authors: Filipovic M,Seeberger MD,Schneider MC,Schmid M,Pargger H,Hunziker P,Skarvan K

    更新日期:2000-06-01 00:00:00

  • Placental transfer of 14C-dimethyltubocurarine during Caesarean section.

    abstract::Placental transfer of 14C-dimethyltubocurarine (14C-dmtc) was studied during Caesarean section. Liquid scintillation counting was used for determination of 14C activity from the maternal and foetal blood samples. Paper chromatography was used to confirm the stability of 14C-dmtc. In all cases 14C-dmtc was able to cros...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/48.3.239

    authors: Kivalo I,Saarikoski S

    更新日期:1976-03-01 00:00:00

  • Effects of a 5HT(2) receptor agonist on anaesthetized pigs susceptible to malignant hyperthermia.

    abstract:BACKGROUND:The pathophysiology of the serotoninergic system in malignant hyperthermia (MH) is not completely understood. The serotonin-2 (5HT(2A)) receptor agonist 1-(2,5-dimethoxy-4-iodophenyl)-2-aminopropane hydrochloride (DOI) induces typical MH symptoms, including skeletal muscle rigidity, an increase in body tempe...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeg172

    authors: Gerbershagen MU,Wappler F,Fiege M,Kolodzie K,Weisshorn R,Szafarczyk W,Kudlik C,Schulte Am Esch J

    更新日期:2003-08-01 00:00:00

  • Protective ventilation of patients with acute respiratory distress syndrome.

    abstract::The majority of patients with acute respiratory distress syndrome (ARDS) require mechanical ventilation. This support provides time for the lungs to heal, but the adverse effects of mechanical ventilation significantly influence patient outcome. Traditionally, these were ascribed to mechanical effects, such as haemody...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aeh031

    authors: Moloney ED,Griffiths MJ

    更新日期:2004-02-01 00:00:00

  • Use of post-tetanic count in assessment of a repetitive vecuronium-induced neuromuscular block.

    abstract::In order to evaluate the use of the post-tetanic count (PTC) method during repetitive administration of vecuronium, we studied 20 patients allocated randomly to one of two groups: 10 patients received droperidol-fentanyl anaesthesia (control group); 10 other patients were given droperidol-fentanyl anaesthesia modified...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/65.4.487

    authors: Eriksson LI,Lennmarken C,Staun P,Viby-Mogensen J

    更新日期:1990-10-01 00:00:00

  • Deep body temperature during the warming phase of cardiopulmonary bypass.

    abstract::We have compared deep body temperature (DBT) measured at the forehead with the core temperatures of the nasopharynx, oesophagus and rectum during the warming phase of cardiopulmonary bypass (CPB) (moderate hypothermia of 26.7-29.6 degrees C) in 12 patients. DBT was measured transcutaneously by an insulated thermistor ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/71.4.583

    authors: Sakuragi T,Mukai M,Dan K

    更新日期:1993-10-01 00:00:00

  • Althesin, ketamine and methohexitone at pressure--duration of action of a single i.v. dose.

    abstract::General anaesthesia for emergency surgery in a pressurized habitat is likely to involve the use of i.v. agents. The anaesthetic property of such agents is known to be antagonized by pressure, but the effect on their duration of action is not easily predicted. The recovery of mice from a single i.v. dose of Althesin, k...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/53.5.455

    authors: Shearer AJ,Ross JA,Manson HJ

    更新日期:1981-05-01 00:00:00

  • Nitrous oxide or halothane, or both, fail to suppress c-fos expression in rat spinal cord dorsal horn neurones after subcutaneous formalin.

    abstract::In rats injected s.c. with formalin, behavioural correlates of the amount and pattern of Fos-like immunoreactivity (Fos-Ll) (molecular responses to pain) were studied to test if early phase treatment with 75% nitrous oxide or 2% halothane, or both, suppressed subsequent spinal sensitization. Rats were allocated to fou...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/76.1.99

    authors: Sun WZ,Shyu BC,Shieh JY

    更新日期:1996-01-01 00:00:00

  • Effect of communication on pain during intravenous cannulation: a randomized controlled trial.

    abstract:BACKGROUND:Clinicians frequently warn patients of discomfort before potentially painful procedures, despite the lack of evidence that such communications are helpful. We aimed to compare two communications (one with, and the other without, a warning of a 'sting') immediately before i.v. cannulation in order to measure ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aem308

    authors: Dutt-Gupta J,Bown T,Cyna AM

    更新日期:2007-12-01 00:00:00

  • Pharmacokinetics and haemodynamics of ketamine in intensive care patients with brain or spinal cord injury.

    abstract:BACKGROUND:Ketamine is used as an anaesthetic agent for short surgical procedures, and as a sedative and analgesic in intensive care patients. Intensive care patients with brain or spinal cord injury may have physiological changes that could alter the pharmacokinetics of ketamine. The pharmacokinetics of ketamine have ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeg028

    authors: Hijazi Y,Bodonian C,Bolon M,Salord F,Boulieu R

    更新日期:2003-02-01 00:00:00

  • Extrafascial injection for interscalene brachial plexus block reduces respiratory complications compared with a conventional intrafascial injection: a randomized, controlled, double-blind trial.

    abstract:BACKGROUND:Hemidiaphragmatic paresis after ultrasound-guided interscalene brachial plexus block is reported to occur in up to 100% of patients. We tested the hypothesis that an injection lateral to the brachial plexus sheath reduces the incidence of hemidiaphragmatic paresis compared with a conventional intrafascial in...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aew028

    authors: Palhais N,Brull R,Kern C,Jacot-Guillarmod A,Charmoy A,Farron A,Albrecht E

    更新日期:2016-04-01 00:00:00

  • Changes in apparent systemic clearance of propofol during transplantation of living related donor liver.

    abstract:BACKGROUND:Propofol is used during living-related donor liver transplantation because its metabolism is not greatly affected by liver failure. However, the pharmacokinetics of propofol during liver transplantation have not been fully defined. The purpose of this study was to evaluate the apparent systemic clearance of ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aei243

    authors: Takizawa D,Sato E,Hiraoka H,Tomioka A,Yamamoto K,Horiuchi R,Goto F

    更新日期:2005-11-01 00:00:00

  • Effect of diluting propofol on the incidence of pain on injection and venous sequelae.

    abstract::The effect of diluting propofol in 5% dextrose on the incidence of i.v. injection pain was studied in 100 adult patients. Severe injection pain occurred in 32% (16 patients) who received undiluted propofol, compared with 10% (five patients) who received dilute propofol. We concluded that the dilution of propofol signi...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/62.2.202

    authors: Stokes DN,Robson N,Hutton P

    更新日期:1989-02-01 00:00:00

  • IV clonidine for post-extradural shivering in parturients: a preliminary study.

    abstract::We have studied the efficacy of i.v. clonidine to suppress post-extradural shivering in parturients. Forty healthy parturients who received extradural block for labour (n = 20) or for Caesarean section (n = 20) and who required treatment for shivering after delivery were allocated randomly to two groups. Group I recei...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/71.2.294

    authors: Capogna G,Celleno D

    更新日期:1993-08-01 00:00:00

  • Termination of supraventricular tachycardia by propofol.

    abstract::It is known that propofol can have effects on atrioventricular node conduction. We report a case where administration of propofol was associated with termination of supraventricular tachycardia. Although a similar phenomenon has been reported in children, this is the first such case in an adult. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Kannan S,Sherwood N

    更新日期:2002-06-01 00:00:00

  • Isoflurane impairs odour discrimination learning in rats: differential effects on short- and long-term memory.

    abstract:BACKGROUND:Anaesthetics suppress the formation of lasting memories at concentrations that do not suppress perception, but it is unclear which elements of the complex cascade leading from a conscious experience to a lasting memory trace are disrupted. Experiments in conscious humans suggest that subhypnotic concentratio...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aer451

    authors: Pearce RA,Duscher P,Van Dyke K,Lee M,Andrei AC,Perouansky M

    更新日期:2012-04-01 00:00:00

  • Analgesic efficacy of bilateral continuous transversus abdominis plane blocks using an oblique subcostal approach in patients undergoing laparotomy for gynaecological cancer: a prospective, randomized, triple-blind, placebo-controlled study.

    abstract:BACKGROUND:The analgesic efficacy of continuous transversus abdominis plane (TAP) blocks in comparison with that of single-injection TAP blocks is not clear. This randomized, triple-blind, placebo-controlled trial investigated the benefits of adding continuous TAP blocks to single-injection TAP blocks after a laparotom...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aew339

    authors: Yoshida T,Furutani K,Watanabe Y,Ohashi N,Baba H

    更新日期:2016-12-01 00:00:00