Clinical trial of a new device for fiberoptic orotracheal intubation (Augustine Scope).

Abstract:

:Blind oral intubation using the Augustine Guide is helpful for intubating the trachea of patients presenting with difficult airways. This device has been modified by adding a fiberoptic scope with a built-in battery-powered light. We studied this Augustine Scope in 104 patients (Group AS) and compared the results with 96 patients managed by direct laryngoscopy (Group DL). No significant differences in Mallampati class, thyromental distance, laryngoscopic view, and patients height or weight were observed between the two groups. The Augustine Scope provided conditions for successful intubation in 102 of 104 patients (98%), compared with a 97% success rate in the group where DL was used. The three patients who failed DL were successfully intubated with AS. The mean +/- SD time needed to perform intubation was 19 +/- 10 s in Group AS and 21 +/- 13 s in Group DL (P = not significant). No traumatizing effects were observed. We conclude that the Augustine Scope is an effective and safe device for orotracheal intubation in routine and difficult airways.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Krafft P,Krenn CG,Fitzgerald RD,Pernerstorfer T,Fridrich P,Weinstabl C

doi

10.1097/00000539-199703000-00026

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

606-10

issue

3

eissn

0003-2999

issn

1526-7598

journal_volume

84

pub_type

临床试验,杂志文章
  • Absence of autoregulation of cerebral blood flow during halothane and enflurane anesthesia.

    abstract::The effects of halothane and enflurane anesthesia under conditions of normo-, hyper-, and hypocarbia on the autoregulation of cerebral blood flow (CBF) in the goat were evaluated. The goat was selected because of its unique arterial blood supply to the head and the development of a method by which CBF may be continuou...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-197601000-00024

    authors: Miletich DJ,Ivankovich AD,Albrecht RF,Reimann CR,Rosenberg R,McKissic ED

    更新日期:1976-01-01 00:00:00

  • Arterial hypoxemia caused by intravenous ketamine.

    abstract::Ketamine given IV in a dose of 2 mg/kg caused a significant reduction in Pao2 in 7 patients spontaneously breathing with an unassisted airway. Under the same conditions, in 7 patients, ketamine (2 mg/kg IV) preceded by diazepam (0.2 mg/kg IV) also caused a reduction in Pao2 not significantly different from that caused...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-197605000-00005

    authors: Zsigmond EK,Matsuki A,Kothary SP,Jallad M

    更新日期:1976-05-01 00:00:00

  • Chinese Anesthesiologists Have High Burnout and Low Job Satisfaction: A Cross-Sectional Survey.

    abstract:BACKGROUND:The Chinese health care system must meet the needs of 19% of the world's population. Despite recent economic growth, health care resources are unevenly distributed. This creates the potential for job stress and burnout. We therefore conducted a survey among anesthesiologists in the Beijing-Tianjin-Hebei regi...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000002776

    authors: Li H,Zuo M,Gelb AW,Zhang B,Zhao X,Yao D,Xia D,Huang Y

    更新日期:2018-03-01 00:00:00

  • Fentanyl-air-oxygen anesthesia for ligation of patent ductus arteriosus in preterm infants.

    abstract::In 10 premature infants (1123 +/- 263 g), fentanyl citrate (30 to 50 microgram/kg) was used in conjunction with pancuronium (0.1 mg/kg) as the sole anesthetic for transthoracic ligation of patent ductus arteriosus. Ventilation was controlled with air and oxygen in concentrations sufficient to maintain transcutaneous P...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Robinson S,Gregory GA

    更新日期:1981-05-01 00:00:00

  • Immobilizing doses of halothane, isoflurane or propofol, do not preferentially depress noxious heat-evoked responses of rat lumbar dorsal horn neurons with ascending projections.

    abstract:BACKGROUND:The spinal cord is an important site where volatile anesthetics decrease sensation and produce immobility. Beyond this knowledge, our understanding of a site of anesthetic action is limited. Previous evidence suggests that dorsal horn neurons with ascending projections may be more susceptible to depression b...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ane.0b013e318163f8f3

    authors: Barter LS,Mark LO,Jinks SL,Carstens EE,Antognini JF

    更新日期:2008-03-01 00:00:00

  • Perioperative Management of the Patient With a Left Ventricular Assist Device for Noncardiac Surgery.

    abstract::The pandemic of heart failure and the limited options for treatment of end-stage disease have resulted in an increase in the utilization of left ventricular assist devices (LVADs). Improvements in device technology and patient survival have led to an expanding population of patients requiring noncardiac surgery while ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审

    doi:10.1213/ANE.0000000000002669

    authors: Chung M

    更新日期:2018-06-01 00:00:00

  • A prospective, randomized, controlled trial comparing ultrasound versus nerve stimulator guidance for interscalene block for ambulatory shoulder surgery for postoperative neurological symptoms.

    abstract:BACKGROUND:Visualization with ultrasound during regional anesthesia may reduce the risk of intraneural injection and subsequent neurological symptoms but has not been formally assessed. Thus, we performed this randomized clinical trial comparing ultrasound versus nerve stimulator-guided interscalene blocks for shoulder...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/ane.0b013e3181a3272c

    authors: Liu SS,Zayas VM,Gordon MA,Beathe JC,Maalouf DB,Paroli L,Liguori GA,Ortiz J,Buschiazzo V,Ngeow J,Shetty T,Ya Deau JT

    更新日期:2009-07-01 00:00:00

  • High-dose hydromorphone (Dilaudid) for coronary artery bypass surgery.

    abstract::The hemodynamic effects of high-dose hydromorphone hydrochloride (H), 1.25 mg/kg, were investigated in 10 patients with normal ventricular function undergoing coronary artery bypass graft (CABG) surgery. One patient with unstable angina was excluded from the study because of hypotension and facial flushing after a 6-m...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Welti RS,Moldenhauer CC,Hug CC Jr,Kaplan JA,Holbrook GW

    更新日期:1984-01-01 00:00:00

  • Preoperative screening for pediatric ambulatory surgery: evaluation of a telephone questionnaire method.

    abstract::The purpose of this study was to determine whether preoperative screening of pediatric patients, accomplished by means of a preoperative telephone call to their parents, would decrease the rate of cancellation or postponement of ambulatory surgical procedures. Data from 5031 patients scheduled for ambulatory surgery w...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199208000-00018

    authors: Patel RI,Hannallah RS

    更新日期:1992-08-01 00:00:00

  • Fast-tracking after outpatient laparoscopy: reasons for failure after propofol, sevoflurane, and desflurane anesthesia.

    abstract:IMPLICATIONS:In this study, although 41%-94% of the patients were fast-track eligible after laparoscopic surgery, only 35%-53% of the patients actually bypassed the postanesthesia care unit (PACU) because of anesthetic-related factors and surgical complications. Residual sedation was the most common anesthetic-related ...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000539-200107000-00024

    authors: Coloma M,Zhou T,White PF,Markowitz SD,Forestner JE

    更新日期:2001-07-01 00:00:00

  • The effect of universal leukodepletion of packed red blood cells on postoperative infections in high-risk patients undergoing abdominal aortic surgery.

    abstract:UNLABELLED:We evaluated, by using a before-and-after study, the influence of leukoreduction by filtration on postoperative infections and adverse outcomes in patients undergoing elective major aortic surgery. From January 1995 to October 2000, all patients who underwent elective abdominal aortic surgery were included i...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-200203000-00010

    authors: Baron JF,Gourdin M,Bertrand M,Mercadier A,Delort J,Kieffer E,Coriat P

    更新日期:2002-03-01 00:00:00

  • Validation of a stand-alone near-infrared spectroscopy system for monitoring cerebral autoregulation during cardiac surgery.

    abstract:BACKGROUND:Individualizing arterial blood pressure (ABP) targets during cardiopulmonary bypass (CPB) based on cerebral blood flow (CBF) autoregulation monitoring may provide a more effective means for preventing cerebral hypoperfusion than the current standard of care. Autoregulation can be monitored in real time with ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0b013e318271fb10

    authors: Ono M,Zheng Y,Joshi B,Sigl JC,Hogue CW

    更新日期:2013-01-01 00:00:00

  • The effects of maternal position during induction of combined spinal-epidural anesthesia for cesarean delivery.

    abstract:UNLABELLED:Combined spinal-epidural anesthesia (CSE) is a popular technique for cesarean delivery. Regional blocks in obstetrics are often performed with the parturient in the sitting position because the midline may be recognized more easily than in the lateral decubitus position. When conventional spinal anesthesia i...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199809000-00023

    authors: Yun EM,Marx GF,Santos AC

    更新日期:1998-09-01 00:00:00

  • Is succinylcholine after pretreatment with d-tubocurarine and lidocaine contraindicated for outpatient anesthesia?

    abstract:UNLABELLED:Because succinylcholine has obvious advantages for facilitating endotracheal intubation in the ambulatory setting (e.g., low cost, fast onset, and no need for reversal of neuromuscular block), it is important to determine whether this muscle relaxant is indeed associated with an increased incidence of postop...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-200008000-00015

    authors: Mikat-Stevens M,Sukhani R,Pappas AL,Fluder E,Kleinman B,Stevens RA

    更新日期:2000-08-01 00:00:00

  • Complement activation and cardiac surgery: a novel target for improving outcomes.

    abstract::Complement activation and the resulting inflammatory response is an important potential mechanism for multisystem organ injury in cardiac surgery. Novel therapeutic strategies using complement inhibitors may hold promise for improving outcomes for cardiac surgical patients by attenuating complement activation or its b...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审

    doi:10.1213/ANE.0b013e3182652b7d

    authors: Stahl GL,Shernan SK,Smith PK,Levy JH

    更新日期:2012-10-01 00:00:00

  • Evaluating the long-term retention of a multidisciplinary electroencephalography instructional model.

    abstract:BACKGROUND:Clinical decision making and problem solving require a core of basic factual knowledge that must be accessed sometimes months or years after it has been learned. We examined whether 10 compared with 20 total electroencephalogram (EEG) interpretations impacted scores for long-term retention with the residents...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000000095

    authors: Fahy BG,Chau DF,Ozrazgat-Baslanti T,Owen MB

    更新日期:2014-03-01 00:00:00

  • Designing meaningful industry metrics for clinical productivity for anesthesiology departments.

    abstract:IMPLICATIONS:Clinical productivity measurements that account for differences in clinical settings and concurrencies provided more precise comparisons between two anesthesiology groups. The data show that different concurrencies confound the current industry standard, "per full-time equivalent" measurements, whereas "pe...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-200108000-00014

    authors: Abouleish AE,Prough DS,Zornow MH,Lockhart A,Abate JJ,Hughes J

    更新日期:2001-08-01 00:00:00

  • Does preoperative anxiety influence gastric fluid volume and acidity?

    abstract::Preoperative anxiety may increase gastric fluid acidity and volume. To pursue this possibility we evaluated the relationship between peroral premedication, preoperative anxiety, and gastric content in 246 consecutive patients presenting for elective gynecologic surgery. All patients fasted overnight and received eithe...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/00000539-199207000-00017

    authors: Haavik PE,Søreide E,Hofstad B,Steen PA

    更新日期:1992-07-01 00:00:00

  • Hemodynamic and catecholamine stress responses to insertion of the Combitube, laryngeal mask airway or tracheal intubation.

    abstract:UNLABELLED:In a prospective, randomized, and controlled trial, we compared the stress responses after insertion of the Combitube (CT; Kendall-Sheridan Catheter Corp., Argyle, NY), the laryngeal mask airway (LMA), or endotracheal intubation (ET). Seventy-five patients scheduled for routine urological or gynecological su...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199906000-00035

    authors: Oczenski W,Krenn H,Dahaba AA,Binder M,El-Schahawi-Kienzl I,Jellinek H,Schwarz S,Fitzgerald RD

    更新日期:1999-06-01 00:00:00

  • "Stay, give me your paw." The benefits of family-centered care.

    abstract::The value of family-centered care in general and subspecialty pediatrics has been well documented in the literature. Translation of these principles into perioperative medicine has its logistical challenges; however, there are theoretical benefits. Specifically, pediatric patients with psychiatric diagnoses or special...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0b013e31827ab89c

    authors: Ambardekar AP,Litman RS,Schwartz AJ

    更新日期:2013-06-01 00:00:00

  • A low approach to interscalene brachial plexus block results in more distal spread of sensory-motor coverage compared to the conventional approach.

    abstract::A low approach to the interscalene block (LISB) deposits local anesthetic farther caudad on the brachial plexus compared with the conventional interscalene block (ISB). We compared the efficacy of LISB and ISB in achieving anesthesia of the distal extremity in 254 patients having upper extremity surgery. The most freq...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0b013e31820b5e8e

    authors: Kim JH,Chen J,Bennett H,Lesser JB,Resta-Flarer F,Barczewska-Hillel A,Byrnes P,Santos AC

    更新日期:2011-04-01 00:00:00

  • Avoiding transfusions in children undergoing cardiac surgery: a meta-analysis of randomized trials of aprotinin.

    abstract::Aprotinin, a potent antifibrinolytic drug, reduces the proportion of adults who receive blood transfusions during cardiac surgery, although the effect in children remains unclear. We performed a systematic review of the literature to identify all English language, randomized controlled trials of aprotinin involving ch...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,meta分析

    doi:10.1213/01.ane.0000194954.64293.61

    authors: Arnold DM,Fergusson DA,Chan AK,Cook RJ,Fraser GA,Lim W,Blajchman MA,Cook DJ

    更新日期:2006-03-01 00:00:00

  • Elevated Presepsin Is Associated With Perioperative Major Adverse Cardiovascular and Cerebrovascular Complications in Elevated-Risk Patients Undergoing Noncardiac Surgery: The Leukocytes and Cardiovascular Perioperative Events Study.

    abstract:BACKGROUND:Perioperative major adverse cardiovascular and cerebrovascular events (MACCEs) are incompletely understood, and risk prediction is imprecise. Atherogenic leukocytes are crucial in cardiovascular events. However, it is unclear if surgical interventions affect leukocyte counts or activation status. Therefore, ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000003738

    authors: Handke J,Scholz AS,Gillmann HJ,Janssen H,Dehne S,Arens C,Kummer L,Uhle F,Weigand MA,Motsch J,Larmann J

    更新日期:2019-06-01 00:00:00

  • A comparison of target- and manually controlled infusion propofol and etomidate/desflurane anesthesia in elderly patients undergoing hip fracture surgery.

    abstract::Elderly patients have a higher risk of developing adverse drug reactions during anesthesia, especially anesthesia affecting cardiovascular performance. In this prospective randomized study we compared quality of induction, hemodynamics, and recovery in elderly patients scheduled for hip fracture surgery and receiving ...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/01.ANE.0000149542.04833.55

    authors: Passot S,Servin F,Pascal J,Charret F,Auboyer C,Molliex S

    更新日期:2005-05-01 00:00:00

  • Toxicity of chloroprocaine and sodium bisulfite on human neuroblastoma cells.

    abstract::The effects of commercial and crystalline solutions of chloroprocaine (CP) (1.6 X 10(-3)-0.4 X 10(-3)M) and sodium bisulfite (SB) (0.8 X 10(-3)-0.08 X 10(-3)M) were studied on the multiplication of human neuroblastoma cells. These cells were chosen because of putative neurotoxicity associated with CP; cell multiplicat...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Seravalli E,Lear E

    更新日期:1987-10-01 00:00:00

  • Volatile anesthetic requirements differ in mice selectively bred for sensitivity or resistance to diazepam: implications for the site of anesthesia.

    abstract::One approach to elucidating the general anesthetic target has used genetic selection procedures, wherein animals are bred for sensitivity or resistance to general anesthetics and correlations are sought with a specific neuronal structural or functional defect. For example, murine strains have been developed that are e...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199376060-00022

    authors: McCrae AF,Gallaher EJ,Winter PM,Firestone LL

    更新日期:1993-06-01 00:00:00

  • Subhypnotic doses of propofol possess direct antiemetic properties.

    abstract::Propofol is associated with a low incidence of postoperative nausea and vomiting. In a prospective, randomized, double-blind, placebo-controlled study, we investigated the possible direct antiemetic properties of a subhypnotic dose of propofol. Fifty-two ASA physical status I or II patients, aged 15-60 yr with nausea ...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/00000539-199204000-00013

    authors: Borgeat A,Wilder-Smith OH,Saiah M,Rifat K

    更新日期:1992-04-01 00:00:00

  • Supplemental oxygen does not reduce myocardial ischemia in premedicated patients with critical coronary artery disease.

    abstract::This randomized, prospective clinical study investigated the effects of supplemental inspired oxygen on arterial hemoglobin desaturation and myocardial ischemia in premedicated patients who have critical coronary artery stenosis, identified predictors for these adverse events, and examined the temporal relationship be...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/00000539-199305000-00006

    authors: Kavanagh BP,Cheng DC,Sandler AN,Chung F,Lawson S,Ong D

    更新日期:1993-05-01 00:00:00

  • Pulse oximetry for perioperative monitoring: systematic review of randomized, controlled trials.

    abstract::Monitoring with pulse oximetry might improve patient outcome by enabling an early diagnosis and, consequently, correction of perioperative events that might otherwise cause postoperative complications or even death. The aim of the study was to clarify the effect of perioperative monitoring with pulse oximetry and to i...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,meta分析

    doi:10.1097/00000539-200302000-00024

    authors: Pedersen T,Møller AM,Pedersen BD

    更新日期:2003-02-01 00:00:00

  • Capnographic Parameters in Ventilated Patients: Correspondence with Airway and Lung Tissue Mechanics.

    abstract:BACKGROUND:Although the mechanical status of the lungs affects the shape of the capnogram, the relations between the capnographic parameters and those reflecting the airway and lung tissue mechanics have not been established in mechanically ventilated patients. We, therefore, set out to characterize how the mechanical ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000001185

    authors: Csorba Z,Petak F,Nevery K,Tolnai J,Balogh AL,Rarosi F,Fodor GH,Babik B

    更新日期:2016-05-01 00:00:00