European journal of anaesthesiology
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Observational Study
Positioning of double-lumen tubes based on the minimum peak inspiratory pressure difference between the right and left lungs in short patients: A prospective observational study.
Peak inspiratory pressures (PIPs) during one-lung ventilation (OLV) have served as a clinical marker that could indirectly verify the proper positioning of double-lumen tubes (DLTs). Patients of short stature are highly susceptible to initial DLT malpositioning. ⋯ Positioning the DLT based on the minimum PIP difference between the right and left lungs as a supplementation to routine auscultation serves as an easy and reliable method for DLT positioning and may improve the accuracy of DLT positioning as an adjuvant to FOB in short patients.
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Randomized Controlled Trial
Distance from the glottis to the grille: the LMA Unique, Air-Q and CobraPLA as intubation conduits: A prospective, randomised trial.
Supraglottic airway devices are often used in airway management to facilitate tracheal intubation. Knowledge of the distance from the grille of the device to the patient's vocal cords is essential for the safe passage of the tracheal tube below the vocal cords. ⋯ Using the LMA Unique as a conduit for tracheal intubation may pose a safety risk, whereas the use of the Air-Q would position the tracheal tube at a safe depth in the trachea.
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Multicenter Study
Collaborative intervention to improve airway assessment and safety in management for anaesthesia: The Qualitat & Via Aèria (QUAVA) study.
Airway assessment and management are cornerstones of anaesthesia, yet airway complications remain an important source of morbidity. ⋯ The collaborative intervention was effective in improving airway assessment but not in changing difficult airway management practices.
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Observational Study
Airway management in a bronchoscopic simulator based setting: An observational study.
Several simulation-based possibilities for training flexible optical intubation have been developed, ranging from non-anatomical phantoms to high-fidelity virtual reality simulators. These teaching devices might also be used to assess the competence of trainees before allowing them to practice on patients. ⋯ The increase in mean score is a learning effect indicating that simulator training allows for entry of the learning curve at a higher level. The anaesthetists in our study agreed completely that simulation-based training was useful regardless of the fidelity of the simulator. Local, practical issues such as cost and portability should decide available simulation modalities in each teaching hospital.
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Letter Case Reports
Breaking the needle: A rare complication on EZ-IO removal.