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Adapt or perish
Romero, Carolina S.; Afshari, Arash; Kranke, Peter
doi : 10.1097/EJA.0000000000001535
August 2021 - Volume 38 - Issue 8 - p 803-805
First pass success of tracheal intubation using the C-MAC PM videolaryngoscope as first-line device in prehospital cardiac arrest compared with other emergencies
Hossfeld, Bjoern; Thierbach, Sylvi; Allgoewer, Andreas; Gaessler, Holger; Helm, Matthias
doi : 10.1097/EJA.0000000000001286
August 2021 - Volume 38 - Issue 8 - p 806-812
Successful airway management is a priority in the resuscitation of critically ill or traumatised patients. Several studies have demonstrated the importance of achieving maximum first pass success, particularly in prehospital advanced airway management.
Efficacy and airway complications of Parker Flex-Tip tubes and standard endotracheal tubes during airway manipulation
Hung, Kuo-Chuan; Chen, Jen-Yin; Feng, I-Jung; Chiang, Min-Hsien; Wu, Shao-Chun; Chen, I-Wen; Lin, Yao-Tsung; Chang, Ying-Jen; Wu, Zhi-Fu; Lu, Hsiao-Feng?; Sun, Cheuk-Kwan?
doi : 10.1097/EJA.0000000000001539
August 2021 - Volume 38 - Issue 8 - p 813-824
Despite reported superior intubation outcomes associated with Parker Flex-Tip (PFT) tubes compared with those associated with standard polyvinylchloride tubes, the efficacy and safety of PFT tubes remain uncertain.
Body position and the effectiveness of mask ventilation in anaesthetised paralysed obese patients
Chang, Jee-Eun; Seol, Taikyung; Hwang, Jin-Young
doi : 10.1097/EJA.0000000000001473
August 2021 - Volume 38 - Issue 8 - p 825-830
Airway management is more challenging in the obese. Compared with the supine position, the sitting position can decrease the collapsibility of the upper airway and improve respiratory mechanics.
Effects of prior exposure to a visual airway cognitive aid on decision-making in a simulated airway emergency
Zasso, Fabricio B.; Perelman, Vsevolod S.; Ye, Xiang Y.; Melvin, Martina; Wild, Evan; Tavares, Walter; You-Ten, Kong Eric
doi : 10.1097/EJA.0000000000001510
August 2021 - Volume 38 - Issue 8 - p 831-838
Decision-making deficits in airway emergencies have led to adverse patient outcomes. A cognitive aid would assist clinicians through critical decision-making steps, preventing key action omission.
High flow nasal oxygen during procedural sedation for cardiac implantable electronic device procedures
Conway, Aaron; Collins, Peter; Chang, Kristina; Kamboj, Navpreet; Filici, Ana Lopez; Lam, Phoebe; Parotto, Matteo
doi : 10.1097/EJA.0000000000001458
August 2021 - Volume 38 - Issue 8 - p 839-849
High flow nasal oxygen may better support the vulnerable respiratory state of patients during procedural sedation.
Rocuronium reversed with sugammadex for thymectomy in myasthenia gravis
Tsukada, Sayomi; Shimizu, Sayuri; Fushimi, Kiyohide
doi : 10.1097/EJA.0000000000001500
August 2021 - Volume 38 - Issue 8 - p 850-855
Postoperative respiratory failure is a serious problem in the anaesthetic management of patients with myasthenia gravis who undergo thymectomy. Although the classical recommendation is to avoid neuromuscular blockers, there is no strong evidence to support it.
Recovery of lower oesophageal barrier function: a pilot study comparing a mixture of atropine and neostigmine and sugammadex
Suganuma, Emiri; Ishikawa, Teruhiko; Kitamura, Yuji; Hayashida, Taiichiro; Matsumura, Tomoaki; Fujie, Mai; Nozaki-Taguchi, Natsuko; Sato, Yasunori; Isono, Shiroh
doi : 10.1097/EJA.0000000000001464
August 2021 - Volume 38 - Issue 8 - p 856-864
The lower oesophageal sphincter (LOS) barrier serves to prevent regurgitation of gastric contents. Although general anaesthesia depresses its function, its recovery process during emergence from anaesthesia has not been systematically examined.
Earlier and lower dose administration of sugammadex
Duranteau, Olivier?; Fernandez, Wendy?; Tuna, Turgay; Engelman, Edgard; Van Obbergh, Luc; Tabolcea, Ionut
doi : 10.1097/EJA.0000000000001502
August 2021 - Volume 38 - Issue 8 - p 865-871
Sugammadex allows for rapid reversal of muscle relaxation after the use of rocuronium or vecuronium. The lowest recommended dose is 2 mg kg?1 intravenously when there are two twitches during the train-of-four stimulation.
Hand or foot train-of-four tests and surgical site muscle relaxation assessed with multiple motor evoked potentials
Betz, Michael?; Aguirre, José?; Schubert, Martin; G?tschi, Tobias; Huber, Barbara; Schüpbach, Regula; Brada, Muriel; Spirig, José M.; Farshad, Mazda
doi : 10.1097/EJA.0000000000001398
August 2021 - Volume 38 - Issue 8 - p 872-879
Intra-operative muscle relaxation is often required in orthopaedic surgery and the hand train-of-four (TOF) test is usually used for its quantification. However, even though full muscle relaxation is claimed by anaesthesiologists based on a TOF count of zero, surgeons observe residual muscle activity.
Home-Initiated-Programme-to-Prepare-for-Operation: evaluating the effect of an animation video on peri-operative anxiety in children
Nair, Tanuja; Choo, Candy S.C.; Abdullah, Nur S.; Lee, Sumin; Teo, Lois L.E.; Chen, Yong; Nah, Shireen A.; Chiang, Li-Wei
doi : 10.1097/EJA.0000000000001385
August 2021 - Volume 38 - Issue 8 - p 880-887
Hospital admissions and surgical operations commonly trigger anxiety in young children. Despite employing numerous support measures in our hospital, such as a pre-operative play room, the encouragement of parental companionship during induction of anaesthesia and distraction therapy, allaying the anxiety of our young surgical patients remains a challenge.
Reducing the time to successful intravenous cannulation in anaesthetised children with poor vein visibility using a near-infrared device
Gras, Severine; Roy-Gash, Fabian; Bruneau, Béatrice; Salvi, Nadège; Colas, Anne-Emmanuelle; Skhiri, Alia; Orliaguet, Gilles; Dahmani, Souhayl; Devys, Jean-Michel
doi : 10.1097/EJA.0000000000001467
August 2021 - Volume 38 - Issue 8 - p 888-894
During inhalational induction of anaesthesia for children, severe respiratory events can occur but can be rapidly treated once intravenous access is in place. Reducing the time to successful cannulation during inhalational induction for children with poor vein visibility would improve safety.
Comparative dose--response study on norepinephrine infusion for preventing hypotension during spinal anaesthesia for caesarean delivery in singleton versus twin pregnancies
Sheng, Zhimin; Sun, Haotian; Liu, Jinping; Qian, Xiaowei
doi : 10.1097/EJA.0000000000001404
August 2021 - Volume 38 - Issue 8 - p 895-897
Postprocedure delirium and time point of assessment after electroconvulsive therapy
Beilstein, Christian M.; Meyer, Agnes; Lehmann, Lutz E.; Wuethrich, Patrick Y.
doi : 10.1097/EJA.0000000000001550
August 2021 - Volume 38 - Issue 8 - p 897-899
Severe acute coronary syndrome after carbetocin injection during caesarean delivery: a case report
Crabbé, Moonia; Dangoisse, Michel; Catry, Adrien; Van der Linden, Philippe
doi : 10.1097/EJA.0000000000001463
August 2021 - Volume 38 - Issue 8 - p 899-901
Emergencies in anaesthesia
doi : 10.1097/EJA.0000000000001540
August 2021 - Volume 38 - Issue 8 - p 902-903
