European journal of anaesthesiology
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Reflective intubation is a recently described technique to facilitate tracheal intubation. ⋯ Reflective intubation proved to be successful in moderately difficult intubation conditions (Cormack and Lehane classes 2 and 3a). Reflective intubation represents a very useful first-line methodological extension of direct laryngoscopic tracheal intubation.
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Randomized Controlled Trial Comparative Study
A comparison of the disconnection technique with continuous bronchial suction for lung deflation when using the Arndt endobronchial blocker during video-assisted thoracoscopy: A randomised trial.
The use of the Arndt endobronchial blocker has not gained widespread acceptance during video-assisted thoracoscopic surgery (VATS) because of its high cost and longer time to operative lung collapse especially in patients with chronic obstructive pulmonary disease (COPD). The use of a ventilator disconnection technique has been shown to produce a comparable degree of lung collapse when used with either a double-lumen tube or an Arndt endobronchial blocker. ⋯ The use of continuous bronchial suction through the lumen of the Arndt blocker offers an effective method to accelerate lung collapse.
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Intraoperative hypotension secondary to acute blood loss and fluid shifts increases morbidity and mortality. Intrathoracic pressure regulation (IPR) is a new therapy that enhances circulation by increasing venous return with a negative intrathoracic pressure created noninvasively, either actively (vacuum source or patient inspiration) or passively (chest recoil during cardiopulmonary resuscitation). ⋯ IPR may be useful in treating intraoperative hypotension without additional fluid or vasopressor therapy. No significant adverse events were observed. On the basis of this phase II pilot study, a larger study is justified.
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Letter Randomized Controlled Trial Comparative Study
Comparison of McGrath and Pentax-AWS Airwayscope for tracheal intubation by anaesthesiologists during chest compression in a manikin: A randomised crossover trial.