A5004759284- Airway Management and Intubation Techniques
- Anesthesia and Sedative Agents
- Anesthesia and Neurotoxicity Research
- Trauma Management and Diagnosis
- Anesthesia and Pain Management
- Nausea and vomiting management
- Cardiac, Anesthesia and Surgical Outcomes
- Tracheal and airway disorders
- Innovations in Medical Education
- Spinal Fractures and Fixation Techniques
- Electrolyte and hormonal disorders
- Treatment of Major Depression
- Healthcare Operations and Scheduling Optimization
- Hospital Admissions and Outcomes
- Urticaria and Related Conditions
- Craniofacial Disorders and Treatments
- Head and Neck Surgical Oncology
- Dermatology and Skin Diseases
- Electroconvulsive Therapy Studies
- Potassium and Related Disorders
- Intensive Care Unit Cognitive Disorders
- Simulation-Based Education in Healthcare
- Antiplatelet Therapy and Cardiovascular Diseases
- Restraint-Related Deaths
- Aviation Industry Analysis and Trends
University of Iowa
1997-2017
University of Iowa Hospitals and Clinics
2017
Colorado State University
2014-2016
Rush University Medical Center
2015-2016
Foundation for Orthopaedic Research and Education
2014-2016
American Society of Anesthesiologists
2014-2015
Queen's Medical Centre
1991
Burroughs Wellcome Fund
1991
Triangle
1991
Marymount University
1984
Abstract Introduction: Laryngoscopy and endotracheal intubation in the presence of cervical spine instability may put patients at risk cord injury. Nevertheless, biomechanics (cervical motion as a function applied force) have not been characterized. This study characterized compared relationship between laryngoscope force using two laryngoscopes hypothesized to differ force. Methods: Fourteen adults undergoing elective surgery were intubated twice (Macintosh, Airtraq). During each...
Advancing the endotracheal tube (ETT) over a flexible bronchoscope (FB) during awake fiberoptic orotracheal intubation is often impeded. The goal of this study was to identify sites and mechanisms that inhibit passing ETT into trachea.Forty-five consenting patients underwent clinically indicated intubation. After topical anesthesia, nerve block, or both, an performed. placement FB advancement were videotaped using second nasally inserted FB. An otolaryngologist later reviewed data.The right...
An accurate high-frequency response is mandatory when end-tidal CO2 (PETCO2) monitored during pediatric general anesthesia. The purpose of this study was to assess the accuracy six infrared-based capnometers and one multiplexed mass spectrometer available at our institution increasing frequency. Capnometers studied were Data-scope Accucap, Hewlett-Packard 47210A capnometer, Narkomed 3 Capnomed, Novametrix Capnogard model 1250, Perkin-Elmer Advantage, Puritan-Bennett Datex monitor, Traverse...
Anesthesiologists often select fiberoptic endotracheal intubation as part of the care patients with difficult airways. An important goal in airway management is to prevent damage laryngeal structures. We report three who sustained injury during intubation, suggesting that this procedure may not be free traumatic complications. Case Report Patient 1 A 69-yr-old woman was scheduled for a total knee replacement. Her history remarkable rheumatoid arthritis stable cervical spine. She had small...
The aims of this study are to characterize (1) the cadaver intubation biomechanics, including effect repeated intubations, and (2) relation between force motion an injured cervical segment.Fourteen cadavers were serially intubated using force-sensing Macintosh Airtraq laryngoscopes in random order, with simultaneous spine recorded lateral fluoroscopy. Motion C1-C2 segment was measured intact state (type II odontoid fracture). Injured proportionately corrected for changes forces that occurred...
Anesthesiologists often select fiberoptic endotracheal intubation as part of the care patients with difficult airways. An important goal in airway management is to prevent damage laryngeal structures. We report three who sustained injury during intubation, suggesting that this procedure may not be free traumatic complications. Case Report Patient 1 A 69-yr-old woman was scheduled for a total knee replacement. Her history remarkable rheumatoid arthritis stable cervical spine. She had small...
The standard anesthetic agent for electroconvulsive therapy (ECT) has been methohexital. We compared sevoflurane, a short-acting halogenated anesthetic, to methohexital induction in ECT. Twelve subjects received sevoflurane or on alternating treatment days. Seizure duration, time administering ECT, emergence and recovery, as well several hemodynamic measures were recorded. A total of 69 treatments analyzed. When was used, seizure durations recorded by observation EEG, shorter 10 23 seconds,...
Both retrospective and prospective analyses of the effects various fasting regimens were carried out on achievement calculated caloric needs patients with severe burns. The records who received enteral feedings while undergoing burn debridements divided into three groups retrospectively analyzed to determine effect that duration had an risks aspiration. Patients in two other prospectively studied safety efficacy stopping continuous 1 4 hours before surgery, respectively. Techniques airway...
OBJECTIVE With application of the forces intubation, injured (unstable) cervical segments may move more than they normally do, which can result in spinal cord injury. The authors tested whether, during endotracheal intervertebral motion an C3–4 segment 1) is greater that intact (stable) state and 2) differs when a high- or low-force laryngoscope used. METHODS Fourteen cadavers underwent 3 intubations using force-sensing laryngoscopes while simultaneous spine was recorded with lateral...
An interactive, self-study learning system for airway management instruction that utilizes a "sensorized" manikin head (Actronics Inc., Pittsburgh, PA) was compared to didactic from anesthesiologists during third-year medical student anesthesia rotations. Before students were allowed participate in on anesthetized patients, they randomly separated into two groups. One group received the system, and other given lecture with guided practice standard tracheal intubating manikin. Differences...
Treatment of ischemic stroke for a patient on left ventricular assist device (LVAD) by neurointerventional means is rare and many anesthesia providers are unfamiliar with both LVAD protocols. Examples this include: 1) filling continuous-flow depend preload the flow inversely related to afterload; as mean arterial pressure (MAP) increases above 80 to90 mmHg, decreases; 2) there may be no palpable pulse in patients continuous LVADs; 3) oximetry not work when pump high native myocardial...
OBJECTIVE Because of limitations inherent to cadaver models endotracheal intubation, the authors’ group developed a finite element (FE) model human cervical spine and spinal cord. Their aims were 1) compare FE predictions intervertebral motion during intubation with measured in patients intact spines cadavers injuries at C-2 C3–4 2) estimate cord strains under these conditions. METHODS The was designed replicate properties an (stable) patients, injury (Type II odontoid fracture), severe...
Background: Novel methods for teaching are needed to enhance the efficiency of academic anesthesia departments as well provide approaches learning that aligned with current trends and advances in technology. Methods:A video was produced taught key elements machine checkout room set up.Novice learners were randomly assigned receive either new format or traditional lecture-based this topic during their regularly scheduled lecture series.Primary outcome difference written examination score...
Hindman, Bradley J.; Santoni, Brandon G.; Puttlitz, Christian M.; From, Robert P.; Todd, Michael M. Author Information
PEARSON, K. S.; FROM, R. P.; CHOI, W. W.; ABOU-DONIA, M.; SOKOLL, M. D. Author Information
Tredrea, C. R. FFARACS; Pathak, D. FFARCS; From, P. D.O.; Grucza, J. C.R.N.A. Author Information