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Airway and respiratory management

This section considers manuscripts relating to the establishment and maintenance of airways and respiratory control, as well as associated complications.

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  1. High frequency jet ventilation (HFJV) is an open ventilating technique to maintain ventilation for emergency or difficult airway. However, whether jet ventilation or conventional oxygen therapy (COT) is more e...

    Authors: Mingyuan Yang, Bin Wang, Qingwu Hou, Yunzhi Zhou, Na Li, Hongwu Wang, Lei Li and Qinghao Cheng

    Citation: BMC Anesthesiology 2021 21:65

    Content type: Research Article

    Published on:

  2. Routine preoperative methods to assess airway such as the interincisor distance (IID), Mallampati classification, and upper lip bite test (ULBT) have a certain risk of upper respiratory tract exposure and viru...

    Authors: Hao Wu, Dandan Hu, Xu Chen, Xuebing Zhang, Min Xia, Xiaoqing Chai, Sheng Wang and Wei Zhang

    Citation: BMC Anesthesiology 2021 21:28

    Content type: Research article

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  3. Although transesophageal echocardiography (TEE) is considered a relatively safe diagnostic monitoring method, blind probe insertion is associated with pharyngeal trauma. Through visual observation of the esoph...

    Authors: Taisuke Kumamoto, Koichiro Tashima, Chieko Hiraoka, Yoshihiro Ikuta and Tatsuo Yamamoto

    Citation: BMC Anesthesiology 2021 21:14

    Content type: Technical advance

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  4. The timing of laryngeal mask airway (LMA) removal remains undefined. This study aimed to assess the optimal timing for LMA removal and whether topical anesthesia with lidocaine could reduce airway adverse events.

    Authors: Ruiqiang Sun, Xiaoyun Bao, Xuesong Gao, Tong Li, Quan Wang and Yueping Li

    Citation: BMC Anesthesiology 2021 21:10

    Content type: Research article

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  5. There are doubts among anesthesiologists on the use of the Laryngeal Mask Airway (LMA) in nasal surgeries because of concerns about the occurrence of blood leakages to the airway. We hypothesized that the use ...

    Authors: Erol Karaaslan, Sedat Akbas, Ahmet Selim Ozkan, Cemil Colak and Zekine Begec

    Citation: BMC Anesthesiology 2021 21:5

    Content type: Research article

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  6. Topical anesthesia is a crucial step in awake endotracheal intubation for providing favorable intubation conditions. The standard of care technique for awake intubation at our institution, which consists of or...

    Authors: Chunji Han, Peng Li, Zhenggang Guo, Ying Guo, Li Sun, Gang Chen, Xiaojue Qiu, Weidong Mi, Changsheng Zhang and Lorenzo Berra

    Citation: BMC Anesthesiology 2020 20:301

    Content type: Research article

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  7. Sedation during elective fiberoptic intubation for difficult airway can cause respiratory depression, apnea and periods of desaturation. During apneic episodes, hypoxemia can be prevented by insufflation of ox...

    Authors: Daniel C. Schroeder, Wolfgang A. Wetsch, Simon-Richard Finke, Fabian Dusse, Bernd W. Böttiger and Holger Herff

    Citation: BMC Anesthesiology 2020 20:300

    Content type: Research article

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  8. Airway management is a part of routine anesthetic procedures; however, serious complications, including hypoxia and death, are known to occur in cases of difficult airways. Therefore, alternative techniques su...

    Authors: Go Un Roh, Joon Gwon Kang, Jung Youn Han and Chul Ho Chang

    Citation: BMC Anesthesiology 2020 20:282

    Content type: Research article

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  9. Postoperative hoarseness after general anesthesia is associated with patient discomfort and dissatisfaction. A recent large retrospective study showed that single-lumen endotracheal tube intubation by a traine...

    Authors: Yuji Kamimura, Toshiyuki Nakanishi, Aiji Boku Sato, Satoshi Osaga, Eisuke Kako and Kazuya Sobue

    Citation: BMC Anesthesiology 2020 20:278

    Content type: Research article

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  10. Endotracheal extubation is the most crucial step during emergence from general anesthesia and is usually carried out when patients are awake with return of airway reflexes. Alternatively, extubations can also ...

    Authors: Jeremy Juang, Martha Cordoba, Alex Ciaramella, Mark Xiao, Jeremy Goldfarb, Jorge Enrique Bayter and Alvaro Andres Macias

    Citation: BMC Anesthesiology 2020 20:274

    Content type: Research article

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  11. Alveolar recruitment maneuvers enable easily reopening nonaerated lung regions via a transient elevation in transpulmonary pressure. To evaluate the effect of these maneuvers on respiratory resistance, we used...

    Authors: Junko Nakahira, Shoko Nakano and Toshiaki Minami

    Citation: BMC Anesthesiology 2020 20:264

    Content type: Research article

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  12. Grisel’s syndrome is a non-traumatic atlantoaxial subluxation associated with inflammatory conditions of the head and neck, which occurs primarily in children. Increased flexibility of the ligaments during inf...

    Authors: Kavya N. Reddy, Shabaaz M. Baig, Meenu Batra, Kevin Colodner, Uchenna Madubuko, Anna Korban and Shridevi Pandya Shah

    Citation: BMC Anesthesiology 2020 20:255

    Content type: Case report

    Published on:

  13. We aimed to distinguish the preoperative radiological indicators to predict the application of assistant techniques during intubation for patients undergoing selective cervical surgery.

    Authors: Bingchuan Liu, Yanan Song, Kaixi Liu, Fang Zhou, Hongquan Ji, Yun Tian and Yong Zheng Han

    Citation: BMC Anesthesiology 2020 20:238

    Content type: Research article

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  14. There is a major paradigm shift for intraoperative mechanical ventilator support by the introduction of lung protective ventilation strategies to reduce postoperative pulmonary complications and improve overal...

    Authors: Chuan-Yi Kuo, Ying-Tung Liu, Tzu-Shan Chen, Chen-Fuh Lam and Ming-Cheng Wu

    Citation: BMC Anesthesiology 2020 20:236

    Content type: Research article

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  15. The challenges posed by the spread of COVID-19 disease through aerosols have compelled anesthesiologists to modify their airway management practices. Devices such as barrier boxes are being considered as poten...

    Authors: Praneeth Madabhushi, Sudhakar Kinthala, Abistanand Ankam, Nitin Chopra and Burdett R. Porter

    Citation: BMC Anesthesiology 2020 20:232

    Content type: Research article

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  16. Airway guidelines recommend an emergency surgical airway as a potential life-saving treatment in a “Can’t Intubate, Can’t Oxygenate” (CICO) situation. Surgical airways can be achieved either through a cricothy...

    Authors: Fabricio Batistella Zasso, Kong Eric You-Ten, Michelle Ryu, Khrystyna Losyeva, Jaya Tanwani and Naveed Siddiqui

    Citation: BMC Anesthesiology 2020 20:216

    Content type: Research article

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  17. Pregnancy is associated with higher incidence of failed endotracheal intubation and is exacerbated by labor. However, the influence of labor on airway outcomes with laryngeal mask airway (LMA) for cesarean del...

    Authors: Ming Jian Lim, Hon Sen Tan, Chin Wen Tan, Shi Yang Li, Wei Yu Yao, Yong Jing Yuan, Rehena Sultana and Ban Leong Sng

    Citation: BMC Anesthesiology 2020 20:213

    Content type: Research article

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  18. Endotracheal tube (ETT) designs to decrease the risk of ventilator associated pneumonia (VAP) include supraglottic suctioning, and/or modifications of the cuff shape. The TaperGuard™ ETT has a tapered, polyvin...

    Authors: Ross P. Martini, N. David Yanez, Miriam M. Treggiari, Praveen Tekkali, Cobin Soelberg and Michael F. Aziz

    Citation: BMC Anesthesiology 2020 20:211

    Content type: Research article

    Published on:

  19. Efficient airway management to facilitate tracheal intubation encompasses essential skills in anaesthesiologic and intensive care. The application of flexible fibreoptic intubation in patients with difficult a...

    Authors: Robert Ruemmler, Alexander Ziebart, Thomas Ott, Dagmar Dirvonskis and Erik Kristoffer Hartmann

    Citation: BMC Anesthesiology 2020 20:206

    Content type: Research article

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  20. Videolaryngoscopy is increasingly advocated as the standard intubation technique, while fibreoptic intubation is broadly regarded as the ‘gold standard’ for difficult airways. Traditionally, the training of th...

    Authors: Michael W. van Emden, Jeroen J. G. Geurts, Patrick Schober and Lothar A. Schwarte

    Citation: BMC Anesthesiology 2020 20:203

    Content type: Research article

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  21. Maintaining cervical immobilization is essential during tracheal intubation in patients with unstable cervical spines. When using the Macintosh laryngoscope for intubation in patients with cervical immobilizat...

    Authors: Hyesun Paik and Hee-Pyoung Park

    Citation: BMC Anesthesiology 2020 20:201

    Content type: Research article

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  22. Tracheal extubation is commonly performed in the supine position. However, in patients undergoing abdominal surgery, the supine position increases abdominal wall tension, especially during coughing and deep br...

    Authors: Qiongfang Zhu, Zheyan Huang, Qiaomei Ma, Zehui Wu, Yubo Kang, Miaoyin Zhang, Tiantian Gan, Minxue Wang and Fei Huang

    Citation: BMC Anesthesiology 2020 20:185

    Content type: Research article

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  23. The 4th National Audit Project of The Royal College of Anaesthetists and The Difficult Airway Society (NAP4) reported a higher incidence of supraglottic airway device (SAD) related pulmonary aspiration in obes...

    Authors: Ina Ismiarti Shariffuddin, Sook Hui Chaw, Ling Wei Ng, Ching Hooi Lim, Mohd Fitry Zainal Abidin, Wan A. Wan Zakaria and Wendy H. Teoh

    Citation: BMC Anesthesiology 2020 20:184

    Content type: Research article

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  24. Ultrasonography has been used to predict the necessary endotracheal tube (ETT) size by measuring the cricoid cartilage diameter. The aim of this study was to determine the accuracy of ultrasound to predict ETT...

    Authors: Jianhong Hao, Jie Zhang, Buhuai Dong and Zhenguo Luo

    Citation: BMC Anesthesiology 2020 20:183

    Content type: Research article

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  25. Intraoperative mechanical ventilation may influence postoperative pulmonary complications (PPCs). Current practice during thoracic surgery is not well described.

    Authors: Christopher Uhlig, Ary Serpa Neto, Meta van der Woude, Thomas Kiss, Jakob Wittenstein, Benjamin Shelley, Helen Scholes, Michael Hiesmayr, Marcos Francisco Vidal Melo, Daniele Sances, Nesil Coskunfirat, Paolo Pelosi, Marcus Schultz and Marcelo Gama de Abreu

    Citation: BMC Anesthesiology 2020 20:179

    Content type: Research article

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  26. Although the intraoperative alveolar recruitment maneuver (RM) efficiently treats atelectasis, the effect of Fio2 on atelectasis during RM is uncertain. We hypothesized that a high Fio2 (1.0) during RM would lead...

    Authors: Bo Rim Kim, Seohee Lee, Hansu Bae, Minkyoo Lee, Jae-Hyon Bahk and Susie Yoon

    Citation: BMC Anesthesiology 2020 20:173

    Content type: Research article

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  27. Ossification of the anterior longitudinal ligament (OALL) of the cervical spine is a common, but rarely symptomatic, condition mostly observed in the geriatric population. Although the condition usually requir...

    Authors: Min Xu, Yue Liu, Jing Yang, Hao Liu and Chen Ding

    Citation: BMC Anesthesiology 2020 20:161

    Content type: Case report

    Published on:

  28. Awake craniotomy requires specific sedation procedure in an awake patient who should be able to cooperate during the intraoperative neurological assessment. Currently, limited number of literatures on the appl...

    Authors: Ping Yi, Qiong Li, Zhoujing Yang, Li Cao, Xiaobing Hu and Huahua Gu

    Citation: BMC Anesthesiology 2020 20:156

    Content type: Research article

    Published on:

  29. After prehospital insertion of i-gel, a popular supraglottic airway (SGA), fiberoptic-guided intubation through i-gel is often required to switch the i-gel to a definitive airway for anticipated difficult airw...

    Authors: Yun Jeong Chae, Heirim Lee, Bokyeong Jun and In Kyong Yi

    Citation: BMC Anesthesiology 2020 20:152

    Content type: Research article

    Published on:

  30. Endotracheal intubation requires optimum position of the head and neck. In obese females, the usual ramped position might not provide adequate intubating conditions. We hypothesized that a new position, termed...

    Authors: Ahmed Hasanin, Hager Tarek, Maha M. A. Mostafa, Amany Arafa, Ahmed G. Safina, Mona H. Elsherbiny, Osama Hosny, Ahmed A. Gado, Tarek Almenesey, Ghada Adel Hamden, Mohamed Mahmoud and Sarah Amin

    Citation: BMC Anesthesiology 2020 20:151

    Content type: Research article

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  31. Double-lumen tube (DLT) intubation is necessary for thoracic surgery and other operations with the need for lung separation. However, DLT insertion is complex and might result in airway trauma. A new videolary...

    Authors: Joachim Risse, Ann-Kristin Schubert, Thomas Wiesmann, Ansgar Huelshoff, David Stay, Michael Zentgraf, Andreas Kirschbaum, Hinnerk Wulf, Carsten Feldmann and Karl Matteo Meggiolaro

    Citation: BMC Anesthesiology 2020 20:150

    Content type: Research article

    Published on:

  32. The application of bedside ultrasound to evaluate gastric content and volume can assist in determining aspiration risk. Applying positive pressure ventilation via supraglottic airway devices (SAD) can result i...

    Authors: Qiuping Ye, Di Wu, Weiping Fang, Gordon Tin Chun Wong and Yao Lu

    Citation: BMC Anesthesiology 2020 20:136

    Content type: Research article

    Published on:

  33. Abnormal laryngeal structures are likely to be associated with a difficult laryngoscopy procedure. Currently, laryngeal structures can be measured by ultrasonography, however, little research has been performe...

    Authors: Hongwei Ni, Chunming Guan, Guangbao He, Yang Bao, Dongping Shi and Yijun Zhu

    Citation: BMC Anesthesiology 2020 20:134

    Content type: Research article

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  34. The anesthesia of patients with large mediastinal mass is at high-risk. Avoidance of general anesthesia in these patients is the safest option, if this is unavoidable, maintenance of spontaneous ventilation is...

    Authors: Zhuo Liu, Qianqian Jia and Xiaochun Yang

    Citation: BMC Anesthesiology 2020 20:125

    Content type: Case report

    Published on:

  35. The double lumen endotracheal tube (DLT) is the most widely-used device for single lung ventilation in current thoracic anesthesia practice. In recent years, the routine application of the videolaryngoscope fo...

    Authors: Ping Huang, Renlong Zhou, Zhixing Lu, Yannan Hang, Shanjuan Wang and Zhenling Huang

    Citation: BMC Anesthesiology 2020 20:119

    Content type: Research article

    Published on:

  36. Immobilization with cervical spine worsens endotracheal intubation condition. Though various intubation devices have been demonstrated to perform well in oral endotracheal intubation, limited information is av...

    Authors: Kwon Hui Seo, Kyung Mi Kim, Hyunji John, Joo Hyun Jun, Minsoo Han and Soyoun Kim

    Citation: BMC Anesthesiology 2020 20:114

    Content type: Research article

    Published on:

  37. Various airway techniques have been employed for endoscopic procedures, with an aim to optimise patient outcomes by improving airway control and preventing hypoxia whilst avoiding the need for intubation. The ...

    Authors: Andre Tran, Venkatesan Thiruvenkatarajan, Medhat Wahba, John Currie, Anand Rajbhoj, Roelof van Wijk, Edward Teo, Mark Lorenzetti and Guy Ludbrook

    Citation: BMC Anesthesiology 2020 20:113

    Content type: Research article

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  38. The intubating laryngeal tube (ILTS-D™) and the intubating laryngeal mask (Fastrach™) are devices that facilitate both extraglottic application and blind tracheal intubation. A revised model of the iLTS-D (for...

    Authors: Thomas Ott, Katharina Tschöpe, Gerrit Toenges, Holger Buggenhagen, Kristin Engelhard and Marc Kriege

    Citation: BMC Anesthesiology 2020 20:111

    Content type: Research article

    Published on:

  39. Hyperinflation of laryngeal mask cuffs may carry the risk of airway complications. The manufacturer recommends inflating cuff until the intracuff pressure reaches 60 cmH2O, or inflate with the volume of air to no...

    Authors: Narut Ruananukun, Jittiya Watcharotayangul, Suchaya Jeeranukosol and Rojnarin Komonhirun

    Citation: BMC Anesthesiology 2020 20:108

    Content type: Research article

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  40. Incidence of difficult endotracheal intubation ranges between 3 and 10%. Bougies have been recommended as an airway adjunct for difficult intubation, but reported success rates are variable. A new generation f...

    Authors: Kurt Ruetzler, Jacek Smereka, Cristian Abelairas-Gomez, Michael Frass, Marek Dabrowski, Szymon Bialka, Hanna Misiolek, Tadeusz Plusa, Oliver Robak, Olga Aniolek, Jerzy Robert Ladny, Damian Gorczyca, Sanchit Ahuja and Lukasz Szarpak

    Citation: BMC Anesthesiology 2020 20:90

    Content type: Research article

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  41. Difficult tracheal intubation is a common problem encountered by anesthesiologists in the clinic. This study was conducted to assess the difficulty of tracheal intubation in infants with Pierre Robin syndrome ...

    Authors: Yanli Liu, Jiashuo Wang and Shan Zhong

    Citation: BMC Anesthesiology 2020 20:82

    Content type: Research article

    Published on:

  42. Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this ...

    Authors: Chiara Robba, Sabrine N. T. Hemmes, Ary Serpa Neto, Thomas Bluth, Jaume Canet, Michael Hiesmayr, M. Wiersma Hollmann, Gary H. Mills, Marcos F. Vidal Melo, Christian Putensen, Samir Jaber, Werner Schmid, Paolo Severgnini, Hermann Wrigge, Denise Battaglini, Lorenzo Ball…

    Citation: BMC Anesthesiology 2020 20:73

    Content type: Research article

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  43. In clinical practice, the laryngeal mask airway is an easy-to-use supraglottic airway device. However, the cis-atracurium dosage for laryngeal mask insertion has not been standardised. We aimed to determine the o...

    Authors: Xiaohua Wang, Ke Huang, Hao Yan, Fei Lan, Dongxu Yao, Yanhong Li, Jixiu Xue and Tianlong Wang

    Citation: BMC Anesthesiology 2020 20:68

    Content type: Research article

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