Journal of clinical anesthesia
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Review Comparative Study
Obstructive sleep apnea as a risk factor associated with difficult airway management - A narrative review.
The association between obstructive sleep apnea (OSA) and difficult airway had been studied in various clinical trials but the relationship between the two conditions has not been clearly established. The objective of this narrative review is to determine if OSA is a risk factor associated with difficult airway. ⋯ OSA was found to be a risk factor associated with difficult tracheal intubation and difficult mask ventilation. There was no association between OSA and difficult SGA use.
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Letter Case Reports
Anesthesia management of a newborn with Pena-Shokeir Syndrome.
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Review Meta Analysis Comparative Study
Diagnostic accuracy of radiology (CT, X-ray, US) for predicting difficult intubation in adults: A meta-analysis.
The aim of this study was to evaluate the overall accuracy of radiological measurements in prediction of difficult airway and compare the diagnostic value between the radiological measurements and the modified Mallampati score through a meta-analysis of published studies. ⋯ The results indicated that the diagnostic value of CT, X-ray and US was much better than that of modified Mallampati score. Ultrasound had diagnostic indices and the area under curve similar to those of CT and X-ray in predicting difficult airway. Considering being easy, readily availability, low cost, and free from radiological hazards, it can be considered as prior diagnostic strategy in this condition.
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Randomized Controlled Trial Comparative Study
A comparison between inhalational (Desflurane) and total intravenous anaesthesia (Propofol and dexmedetomidine) in improving postoperative recovery for morbidly obese patients undergoing laparoscopic sleeve gastrectomy: A double-blinded randomised controlled trial.
Laparoscopic sleeve gastrectomy is commonly performed under total intravenous anaesthesia (TIVA) or balanced anaesthesia using an intravenous and inhalation agent. It is still unclear which anaesthesia regimen is better for this group of patients. The present study has been conducted to compare the use of the inhalation anaesthesia technique using desflurane with the TIVA technique, using propofol and dexmedetomidine. ⋯ NCT03029715.