A new difficult airway management algorithm based upon the El Ganzouri Risk Index and GlideScope videolaryngoscope. A new look for intubation Full Text
Minerva Anestesiologica,

Caldiroli D et al. – Adherence to the decisional process of the algorithm and to GlideScope videolaryngoscopy achieved successful tracheal intubation in the cohort of patients.

Methods
  • Thirteen staff practitioners trained in videolaryngoscopic intubation followed the algorithm from 2008 through 2010.
  • Elective and emergency neurosurgical patients assessed as having an EGRI score of seven and higher underwent flexible fiberoptic bronchoscopy (FFB) intubation while conscious.
  • Those with a score of six and lower were intubated with the GlideScope, excluding patients with morbid obesity or pharyngo-laryngeal or neck tumors.
  • A decision to perform alternative procedures, difficult laryngeal exposure [Cormack and Lehane (CL) grades III-IV], difficult ventilation and failure to intubate were recorded.

Results
  • The decisional rule was applied in 6,276 patients and resulted in six FFB intubations in conscious patients.
  • The overall incidence of CL grade III-IV views was 0.2%.
  • Difficult videolaryngoscopy was found in 14 patients (0.14%) with a score of 6 and lower.
  • Post-hoc examinations of FFB intubations revealed five difficult laryngeal exposures.
  • The positive predictive value was 85.7%, while the negative predictive value was 99.9%.
  • The incidence of difficult ventilation and difficult laryngeal exposure was 0.03%.
  • Two patients with neck tumors were assigned to alternative procedures.

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access Full Text, PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Anesthesiology

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Anesthesiology Articles

1 Forearm bier block: a new regional anesthetic technique for upper extremity surgery Annals of Plastic Surgery, August 8, 2014    Review Article

2 Early versus delayed administration of norepinephrine in patients with septic shock Critical Care, October 7, 2014    Clinical Article

3 Comparison of subarachnoid block with bupivacaine and bupivacaine with fentanyl on entropy and sedation: A prospective randomized double-blind study Full Text Journal of Anaesthesiology Clinical Pharmacology, October 16, 2014    Free full text    Clinical Article

4 Serious adverse events associated with vasopressin and norepinephrine infusion in septic shock Critical Care Medicine, July 23, 2014    Clinical Article

5 The comparison of the effects of dexmedetomidine, fentanyl and esmolol on prevention of hemodynamic response to intubation Full Text Revista Brasileira de Anestesiologia, October 10, 2014    Free full text    Clinical Article

6 Effect of reversal of neuromuscular blockade with sugammadex versus usual care on bleeding risk in a randomized study of surgical patients Anesthesiology, October 23, 2014    Clinical Article

7 A cricoid cartilage compression device for the accurate and reproducible application of cricoid pressure Anaesthesia, October 2, 2014    Clinical Article

8 The effect of epidural lidocaine administration on sedation of propofol general anesthesia: A randomized trial Journal of Clinical Anesthesia, October 28, 2014    Clinical Article

9 Neurodevelopmental outcomes after initial childhood anesthetic exposure between ages 3 and 10 years Journal of Neurosurgical Anesthesiology , September 12, 2014    Clinical Article

10 Neostigmine vs. sugammadex: Observational cohort study comparing the quality of recovery using the Postoperative Quality Recovery Scale Acta Anaesthesiologica Scandinavica, September 10, 2014    Clinical Article

11 Fiberoptic assessment of the Laryngeal Mask Airway (Laryseal) position after one hour of positive pressure ventilation: An observational study Journal of Clinical Anesthesia, October 30, 2014    Clinical Article

12 A comparative study of magnesium sulfate vs dexmedetomidine as an adjunct to epidural bupivacaine Full Text Journal of Anaesthesiology Clinical Pharmacology, October 22, 2014    Free full text    Clinical Article

13 Pleth variability index predicts fluid responsiveness in mechanically ventilated adults during general anesthesia for noncardiac surgery Journal of Cardiothoracic and Vascular Anesthesia, October 17, 2014    Clinical Article

14 Postoperative cognitive function following general versus regional anesthesia: A systematic review Journal of Neurosurgical Anesthesiology , September 19, 2014    Evidence Based Medicine

15 Randomized comparison of recovery time after use of remifentanil alone versus midazolam and meperidine for colonoscopy anesthesia Digestive Endoscopy, October 6, 2014    Clinical Article

16 Continuous femoral nerve block versus intravenous patient controlled analgesia for knee mobility and long-term pain in patients receiving total knee replacement: A randomized controlled trial Full Text Evidence-based Complementary and Alternative Medicine , September 3, 2014    Free full text    Clinical Article

17 Comparison of postoperative sore throat and hoarseness between two types of double-lumen endobronchial tubes: A randomized controlled trial Journal of Cardiothoracic and Vascular Anesthesia, October 13, 2014    Clinical Article

18 Intravenous angiotensin II for the treatment of high-output shock (ATHOS trial): A pilot study Critical Care, October 9, 2014    Clinical Article

19 Gastric tube insertion under direct vision using the King Vision video laryngoscope: A randomized, prospective, clinical trial Full Text BMC Anesthesiology, October 3, 2014    Free full text    Clinical Article

20 Does the type of anesthetic agent affect remifentanil effect-site concentration for preventing endotracheal tube-induced cough during anesthetic emergence?: Comparison of propofol, sevoflurane, and desflurane Journal of Clinical Anesthesia, October 29, 2014    Clinical Article

Indexed Journals in Anesthesiology: Anaesthesia, Anesthesia & Analgesia, Current Anaesthesia and Critical Caremore

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Connect with us, stay current.

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More

Close