Masui. The Japanese journal of anesthesiology
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The i-gel is a relatively new supraglottic airway, which has been shown to be useful during general anesthesia, and it may have a potential role during cardiopulmonary resuscitation. In a manikin study, we have found that, compared with laryngeal mask airways, the i-gel was significantly easier and faster to insert, due mainly to no-necessity of cuff inflation. ⋯ The pack includes the i-gel O2 (which has a side port for oxygen delivery), a suction catheter, a sachet containing lubrication jelly, and a fixation strap. We describe the role of the i-gel during emergency airway management.
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Successful tracheal intubation with a double-lumen tube was achieved using Pentax-AWS Airwayscope (AWS) with an infant-size Intlock in a patient with restricted mouth opening and head tilting. A 78-year-old woman with rheumatoid arthritis was scheduled for extended thymectomy under general anesthesia, with anticipated difficult airway. ⋯ The AWS with an infant-size Intlock facilitated visualization of the glottis, leading to a successful placement of a 32-Fr double-lumen tube under the guidance of the AWS image. Double-lumen tube insertion assisted by the AWS with an infant-size Intlock may be useful for difficult airway management in patients with restricted mouth opening and head tilting.
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The McGRATH MAC Video laryngoscope (Covidien Japan) is a relatively new device for tracheal intubation, which provides an excellent glottis view. We here report the clinical experience of the McGRATH in 100 patients who received general anesthesia. ⋯ The McGRATH was easily handled not only by experienced anesthetists but also by novice personnel. The McGRATH seems to be a useful device in routine and difficult airway management.
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GlideScope Cobalt video laryngoscope is a new type of GlideScope series. A reusable camera baton is inserted into a disposable plastic curved blade. The blade has 5 choices of size and can be used from infants to adults. The aim of the current study was to evaluate the efficacy of GlideScope Cobalt in children. ⋯ GlideScope Cobalt is a useful tool in chidlren's airway management but it necessitates getting used to the tracheal tube maneuver and lacks the suitable blade size for 6-8 years old children.
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We conducted a retrospective study to evaluate the relationship between post-thoracotomy pain syndrome (PTPS) and early postoperative analgesia with multimodal analgesia administered via a combination of patient-controlled epidural analgesia (PCEA) and nonsteroidal anti-inflammatory drugs (NSAIDs) in patients who had undergone video-assisted lobectomy for lung cancer. ⋯ This study demonstrated a significant difference in early postoperative pain intensity between patients with PTPS and those without. We conclude that there is a possibility of intervention in the early postoperative period in patients who underwent thoracic surgery.