A5025679457- Airway Management and Intubation Techniques
- Tracheal and airway disorders
- Foreign Body Medical Cases
- Trauma Management and Diagnosis
- Human-Automation Interaction and Safety
- Head and Neck Surgical Oncology
- Voice and Speech Disorders
- Delphi Technique in Research
- Respiratory Support and Mechanisms
- Business Process Modeling and Analysis
- Lysosomal Storage Disorders Research
- Calcium signaling and nucleotide metabolism
- Dysphagia Assessment and Management
- Cognitive Science and Mapping
- Software Engineering Techniques and Practices
- Obstructive Sleep Apnea Research
- Cardiac, Anesthesia and Surgical Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cellular transport and secretion
Universität Hamburg
2021-2024
University Medical Center Hamburg-Eppendorf
2021-2024
It is not certain whether the blade geometry of videolaryngoscopes, either a hyperangulated or Macintosh shape, affects glottic view, success rate and/or tracheal intubation time in patients with expected difficult airways. We hypothesised that using videolaryngoscope would visualise higher percentage opening compared
A model to classify the difficulty of videolaryngoscopic tracheal intubation has yet be established. The and difficult airway classification (VIDIAC) study aimed develop one based on variables associated with intubation. We studied 374 intubations in 320 adults scheduled for ear, nose throat or oral maxillofacial surgery, whom management was expected difficult. primary outcome whether an anaesthetist issued a 'difficult alert' after videolaryngoscopy. An alert 183 (49%) intubations. Random...
Transnasal flexible videoendoscopy (TVE) of the larynx is a standard care for detection and staging pharyngolaryngeal lesions in otorhinolaryngology. Patients frequently present with existing TVE examinations before anesthesia. Although these patients are considered high risk, diagnostic value airway risk stratification currently unknown. How can captured images or videos be used anesthesia planning, which most concerning? This study aimed to develop validate multivariable prediction model...
Summary Background Although videolaryngoscopy has been proposed as a default technique for tracheal intubation in children, published evidence on universal implementation programmes is scarce. We aimed to determine if universal, first‐choice reduces the incidence of restricted glottic views and diagnostic performance Cormack Lehane classification discriminate between easy difficult videolaryngoscopic intubations children. Methods conducted prospective observational study within structured...
Transnasal videoendoscopy (TVE) is the standard of care when staging pharyngolaryngeal lesions. This prospective study determined if preoperative TVE improves prediction difficult videolaryngoscopic intubation in adults with expected airway management addition to Simplified Airway Risk Index (SARI).374 anesthetics were included (252 TVE). The primary outcome was a alert issued by anesthetist after Macintosh videolaryngoscopy. SARI, clinical factors (dysphagia, dysphonia, cough, stridor, sex,...
Tracheal intubation is commonly performed after direct laryngoscopy using Macintosh laryngoscopes (MacL), but visualization of the larynx may be inadequate. The VieScope (VSC) as a new type laryngoscope consisting straight, shielded, illuminated tube used to perform via bougie was investigated in this prospective randomized trial patients without expected difficult airways.With ethics approval, 2 × 29 for elective surgery were 1:1 with VSC or MacL. Endpoints first attempt success rates...
It is unknown if direct epiglottis lifting or conversion to hyperangulated videolaryngoscopes, even with may optimize glottis visualization in situations where Macintosh videolaryngoscopy turns out be more difficult than expected. This study aims determine the percentage of glottic opening (POGO) improvement achieved by non-inferior one accomplished a these situations.One optimization techniques were applied 129 cases this secondary analysis prospective observational study. Stored videos...
The VIDIAC score, a prospectively developed universal classification for videolaryngoscopy, has shown excellent diagnostic performance in adults. However, there is no reliable system videolaryngoscopic tracheal intubation children. We aimed to develop and validate multivariable logistic regression model easy-to-use score classify difficult children compare it with the Cormack Lehane classification. A secondary aim was externally
Background: This prospective study aims to determine whether preoperative stair-climbing tests (SCT) predict postoperative pulmonary complications (PPC) better than self-reported poor functional capacity (SRPFC) in patients with known or suspected COPD. Methods: A total of 320 undergoing scheduled for major non-cardiac surgery, 240 verified COPD and 80 GOLD key indicators but disproved COPD, underwent SRPFC SCT were analyzed. Least absolute shrinkage selection operator (LASSO) regression was...
Mucolipidosis (ML) type II, intermediate, and III are lysosomal storage disorders with progressive multiorgan manifestations predisposing patients to a high risk of perioperative morbidity. The aims the study were systematically assess disease relevant anaesthesia as well anaesthesia-related complications. This retrospective includes ML who underwent in two centres between 2008 2022. We reviewed patients' demographics, medical history, manifestations, procedure- outcome-related data. A total...
Preclinical patient care is both mentally and physically challenging exhausting for emergency teams. The teams intensively use medical technology to help the on site. However, they must carry handle multiple heavy devices such as a monitor patient's vital signs, ventilator support an unconscious patient, resuscitation device. In industry project, we aim at developing combined device that lowers teams' mental physical load caused by screens, devices, their high weight. focus of this paper...
This report describes a patient with Goldenhar syndrome undergoing anesthesia for whom Macintosh videolaryngoscopy failed, as the epiglottis was adhered to posterior pharynx and could not be lifted tracheal introducer (Cormack-Lehane grade 3B). Hyperangulated revealed only arytenoids 2B), even after direct lifting of epiglottis, endotracheal tube advancement failed due unclear tissue resistance. combined tube-mounted camera (VivaSight single lumen tube). The combination both perspectives...