Journal of anesthesia
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Journal of anesthesia · Dec 2015
Letter Case ReportsContinuous rocuronium administration for tracheomalacia.
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Journal of anesthesia · Dec 2015
Randomized Controlled Trial Comparative StudyEvaluation of the efficacy of six supraglottic devices for airway management in dark conditions: a crossover randomized simulation trial.
During out-of-hospital cardiopulmonary resuscitation, several factors can render tracheal intubation more difficult, such as when rescuers must secure the airway in complete darkness or with limited illumination. The purpose of this study was to evaluate the efficacy of six supraglottic devices (SGDs), ProSeal(®) (ProSeal), Classic(®) (Classic), Supreme(®) (Supreme), Laryngeal Tube(®) (LT), air-Q(®) (air-Q), and i-gel(®) (i-gel), for airway management under light and dark conditions using a manikin. ⋯ Compared to ProSeal and Classic, Supreme, i-gel, LT, and air-Q are more effective for airway management in the dark. Our findings suggest that anatomically shaped SGDs may help novice doctors secure the airway under dark conditions.
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Journal of anesthesia · Dec 2015
Personal hand gel for improved hand hygiene compliance on the regional anesthesia team.
Hand hygiene reduces healthcare-associated infections, and several recent publications have examined hand hygiene in the perioperative period. Our institution's policy is to perform hand hygiene before and after patient contact. However, observation suggests poor compliance. This is a retrospective review of a quality improvement database showing the effect of personal gel dispensers on perioperative hand hygiene compliance on a regional anesthesia team. ⋯ On the Acute Pain Service, compliance with hand hygiene policy improves when individual sanitation gel dispensing devices are worn on the person.