Abstract：
STUDY OBJECTIVES:To identify airway management and tracheal intubation techniques for glossopexy in infants with preexisting airway obstruction under general anesthesia. DESIGN:Retrospective, observational study. SETTINGS:Operating room of a university hospital between January 2003 and March 2015. All operations were performed by oral and maxillofacial surgeons. PATIENTS:Thirteen patients who received general anesthesia for glossopexy and reversal after 7 months. MEASUREMENTS:The medical records of these infants were retrospectively examined to evaluate the following: age, sex, height and weight at surgery, preoperative airway status, tracheal intubation route (oral or nasal), method for inducing general anesthesia, method for establishing the airway during mask ventilation, apparatus used for tracheal intubation, Cormack-Lehane classification when using a Macintosh laryngoscope and video laryngoscope, and the need for airway placement after extubation. RESULTS:Prone positioning and/or an airway of some kind before surgery were required in 38.5% of infants needing glossopexy. Difficult mask ventilation was common, occurring in 50% of the patients, and the incidence of airway placement during mask ventilation was significantly higher in infants with preoperative complete or incomplete obstruction (100%) than in infants with snoring (25%). Of these high-risk infants, 25% could not be intubated with a direct laryngoscope or Glidescope Cobalt and required fiberoptic intubation. CONCLUSION:There are severe cases of infants with difficult mask ventilation and difficult tracheal intubation in which a fiberscope is required because video laryngoscopy fails to improve the view of the larynx.
journal_name
J Clin Anesthjournal_title
Journal of clinical anesthesiaauthors
Morimoto Y,Ohyamaguchi A,Inoue M,Yokoe C,Hanamoto H,Imaizumi U,Sugimura M,Niwa Hdoi
10.1016/j.jclinane.2016.10.019subject
Has Abstractpub_date
2017-02-01 00:00:00pages
127-132eissn
0952-8180issn
1873-4529pii
S0952-8180(16)30926-6journal_volume
36pub_type
杂志文章abstract：STUDY OBJECTIVE:To evaluate airway changes in patients undergoing surgery in the prone position. DESIGN:Single-arm observational study. PATIENTS:Patients between 18 to 65 years old, scheduled for prone spinal surgery; 74 patients were enrolled and 54 patients were analyzed. INTERVENTION:The initial airway examinatio...
journal_title：Journal of clinical anesthesia
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abstract：STUDY OBJECTIVE:To evaluate the efficacy of thoracic epidural analgesia (TEA) in scoliosis surgery. DESIGN:Descriptive clinical study. SETTING:University hospital. PATIENTS:15 ASA physical status I, II, and III patients undergoing thoracolumbar scoliosis correction. INTERVENTIONS:TEA was performed at three to 5 cm ...
journal_title：Journal of clinical anesthesia
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abstract：STUDY OBJECTIVE:To compare the prophylactic administration of ondansetron with droperidol or placebo to determine its effectiveness in reducing postoperative nausea and vomiting after middle ear procedures. DESIGN:Prospective, randomized, double-blind study. SETTING:Inpatient otolaryngology service at a university me...
journal_title：Journal of clinical anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1997-09-01 00:00:00
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
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更新日期：2012-09-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章,评审
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章,评审
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journal_title：Journal of clinical anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
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pub_type： 信件
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更新日期：2017-11-01 00:00:00
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journal_title：Journal of clinical anesthesia
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doi：10.1016/j.jclinane.2008.01.011
更新日期：2008-08-01 00:00:00
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章,随机对照试验
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更新日期：2005-09-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 临床试验,杂志文章,多中心研究
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journal_title：Journal of clinical anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1996-11-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
doi：10.1016/j.jclinane.2008.12.030
更新日期：2010-03-01 00:00:00
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
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更新日期：2013-11-01 00:00:00
