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  1 / 2063 MEDLINE  
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[PMID]:28494876
[Au] Autor:Li HX; Xue FS; Liu YY; Yang GZ
[Ad] Endereço:Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
[Ti] Título:Comparing performance of Fastrach ILMA vs flexible bronchoscope for awake intubation.
[So] Source:J Clin Anesth;39:1-2, 2017 06.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Broncoscópios
Intubação Intratraqueal
[Mh] Termos MeSH secundário: Broncoscopia
Seres Humanos
Máscaras Laríngeas
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170513
[St] Status:MEDLINE


  2 / 2063 MEDLINE  
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[PMID]:28474335
[Au] Autor:Schultz G
[Ad] Endereço:MDR, WRHA, Winnipeg, Canada. gschultz@wrha.mb.ca.
[Ti] Título:In reply: Anesthesia bronchoscopes and CSA Standard Z314.8-14.
[So] Source:Can J Anaesth;64(7):773-774, 2017 07.
[Is] ISSN:1496-8975
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Anestesia
Broncoscópios
[Mh] Termos MeSH secundário: Anestesiologia
Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170506
[St] Status:MEDLINE
[do] DOI:10.1007/s12630-017-0891-3


  3 / 2063 MEDLINE  
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[PMID]:28267940
[Au] Autor:Rapchuk IL; Kunju S; Smith IJ; Faulke DJ
[Ad] Endereço:Clinical Head, Acute Pain Service, Department of Anaesthesia and Perfusion Services, Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland.
[Ti] Título:A six-month evaluation of the VivaSight™ video double-lumen endotracheal tube after introduction into thoracic anaesthetic practice at a single institution.
[So] Source:Anaesth Intensive Care;45(2):189-195, 2017 03.
[Is] ISSN:0310-057X
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:For a six-month period, all airway options used for non-emergent patients undergoing thoracic surgery requiring one-lung ventilation at a single institution were assessed after introduction of the VivaSight™ double-lumen endotracheal tube (VivaSight-DL), a novel double-lumen tube with an integrated camera. This device displays a continuous view of the position of the tube relative to the carina. A total of 72 patients had lung separation with the VivaSight-DL. Lung separation was achieved on first attempt without additional manipulation in 85% of cases. In only three cases (4%) was a fibreoptic bronchoscope required, in each instance to reposition the tube after intraoperative dislodgement. The VivaSight-DL represents a novel method of one-lung ventilation allowing rapid identification of intraoperative airway problems and reducing the need for fibreoptic bronchoscopy.
[Mh] Termos MeSH primário: Intubação Intratraqueal/instrumentação
Ventilação Monopulmonar
Procedimentos Cirúrgicos Torácicos
[Mh] Termos MeSH secundário: Adulto
Idoso
Broncoscópios
Feminino
Tecnologia de Fibra Óptica
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE


  4 / 2063 MEDLINE  
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[PMID]:28235524
[Au] Autor:Hanna SF; Mikat-Stevens M; Loo J; Uppal R; Jellish WS; Adams M
[Ad] Endereço:Department of Anesthesiology, Loyola University Medical Center/Stritch School of Medicine, Maywood, IL 60153, USA. Electronic address: sherinehanna@hotmail.com.
[Ti] Título:Awake tracheal intubation in anticipated difficult airways: LMA Fastrach vs flexible bronchoscope: A pilot study.
[So] Source:J Clin Anesth;37:31-37, 2017 Feb.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY OBJECTIVE: To compare the use of LMA Fastrach intubating laryngeal mask airway (ILMA) to flexible bronchoscopy (FB) for awake intubation in patients with difficult airways. DESIGN: Randomized prospective study. SETTING: Large academic medical center. PATIENTS: Forty adult patients, American Society of Anesthesiologists I-IV, meeting the criteria for awake intubation based on history and physical examination. INTERVENTIONS: After sedation and airway topicalization, patients were randomized to either FB group, n=19, or ILMA group, n=21. All intubations were performed by or under the supervision of an attending anesthesiologists, with variable participation of residents or certified registered nurse anesthetists. A maximum of three attempts were permitted with the assigned technique, to be followed by the alternative method in case of failure. MEASUREMENTS: Times to carbon dioxide (end-tidal carbon dioxide) detection, endotracheal tube placement, number of attempts, training level of operator, and adverse events were recorded. Blood pressure, oxygen saturation, and heart rate were measured. Patients were interviewed the following day regarding their experience and satisfaction. MAIN RESULTS: Overall intubation success rate within three attempts was 95% for both groups. However, successful intubation on the first attempt occurred at a significantly higher rate with ILMA vs FB (95% vs 58%; P=.0028). Total mean time to endotracheal tube placement was also significantly shorter in the ILMA group vs FB (92 vs 246 seconds; P=.0001). There were no adverse events in either group, and patient satisfaction was not significantly different. CONCLUSION: Awake intubation can be performed successfully and expeditiously with the use of LMA Fastrach in patients with a difficult airway and no contraindication to a blind technique. It compared favorably to the use of the fiberoptic bronchoscope in the patient cohort presented in this study.
[Mh] Termos MeSH primário: Anestesia Geral/métodos
Broncoscópios/efeitos adversos
Intubação Intratraqueal/instrumentação
Máscaras Laríngeas/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Intubação Intratraqueal/efeitos adversos
Masculino
Meia-Idade
Satisfação do Paciente
Projetos Piloto
Estudos Prospectivos
Distribuição Aleatória
Fatores de Tempo
Resultado do Tratamento
Vigília
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170226
[St] Status:MEDLINE


  5 / 2063 MEDLINE  
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[PMID]:28195840
[Au] Autor:Edenharter GM; Gartner D; Pförringer D
[Ad] Endereço:From the *Klinikum rechts der Isar, Technische Universität München, Klinik für Anaesthesiologie, München, Germany; †School of Mathematics, Cardiff University, United Kingdom; and ‡Klinikum rechts der Isar, Technische Universität München, Klinik und Poliklinik für Unfallchirurgie, München, Germany.
[Ti] Título:Decision Support for the Capacity Management of Bronchoscopy Devices: Optimizing the Cost-Efficient Mix of Reusable and Single-Use Devices Through Mathematical Modeling.
[So] Source:Anesth Analg;124(6):1963-1967, 2017 Jun.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Increasing costs of material resources challenge hospitals to stay profitable. Particularly in anesthesia departments and intensive care units, bronchoscopes are used for various indications. Inefficient management of single- and multiple-use systems can influence the hospitals' material costs substantially. Using mathematical modeling, we developed a strategic decision support tool to determine the optimum mix of disposable and reusable bronchoscopy devices in the setting of an intensive care unit. METHODS: A mathematical model with the objective to minimize costs in relation to demand constraints for bronchoscopy devices was formulated. The stochastic model decides whether single-use, multi-use, or a strategically chosen mix of both device types should be used. A decision support tool was developed in which parameters for uncertain demand such as mean, standard deviation, and a reliability parameter can be inserted. Furthermore, reprocessing costs per procedure, procurement, and maintenance costs for devices can be parameterized. RESULTS: Our experiments show for which demand pattern and reliability measure, it is efficient to only use reusable or disposable devices and under which circumstances the combination of both device types is beneficial. CONCLUSIONS: To determine the optimum mix of single-use and reusable bronchoscopy devices effectively and efficiently, managers can enter their hospital-specific parameters such as demand and prices into the decision support tool.The software can be downloaded at: https://github.com/drdanielgartner/bronchomix/.
[Mh] Termos MeSH primário: Broncoscópios/economia
Broncoscopia/economia
Técnicas de Apoio para a Decisão
Equipamentos Descartáveis/economia
Reutilização de Equipamento/economia
Custos Hospitalares
[Mh] Termos MeSH secundário: Broncoscopia/instrumentação
Redução de Custos
Análise Custo-Benefício
Necessidades e Demandas de Serviços de Saúde/economia
Seres Humanos
Unidades de Terapia Intensiva/economia
Modelos Econômicos
Determinação de Necessidades de Cuidados de Saúde/economia
Processos Estocásticos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170215
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000001729


  6 / 2063 MEDLINE  
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[PMID]:28194752
[Au] Autor:Wang L; Liu JH; Deng XM
[Ad] Endereço:Plastic Surgery Hospital, Chinese Academy of Medical Sciences &Peking Union Medical College, Beijing, China.
[Ti] Título:Continuous mask ventilation during intubation by fiberoptic bronchoscope.
[So] Source:Acta Anaesthesiol Scand;61(4):459, 2017 04.
[Is] ISSN:1399-6576
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Broncoscópios
Máscaras Laríngeas
[Mh] Termos MeSH secundário: Broncoscopia
Tecnologia de Fibra Óptica
Seres Humanos
Intubação Intratraqueal
Respiração
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170215
[St] Status:MEDLINE
[do] DOI:10.1111/aas.12865


  7 / 2063 MEDLINE  
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[PMID]:28005836
[Au] Autor:Steinfort DP; Farmer MW; Irving LB; Jennings BR
[Ad] Endereço:*Department of Respiratory Medicine, Royal Melbourne Hospital†Department of Medicine, University of Melbourne, Parkville‡Department of Respiratory and Sleep Medicine, Monash Medical Centre, Clayton, Vic., Australia.
[Ti] Título:Pulmonologist-Performed Per-Esophageal Needle Aspiration of Parenchymal Lung Lesions Using an EBUS Bronchoscope: Diagnostic Utility and Safety.
[So] Source:J Bronchology Interv Pulmonol;24(2):117-124, 2017 Apr.
[Is] ISSN:1948-8270
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Transesophageal introduction of the endobronchial ultrasound (EBUS) videobronchoscope allows pulmonologists to perform endoscopic ultrasound fine-needle aspiration (EUS-B-FNA) of mediastinal lesions. Safety, diagnostic accuracy, and feasibility of EUS-B-FNA in evaluation of pulmonary parenchymal lesions are not established. METHODS: All patients undergoing pulmonologist-performed EUS-B-FNA of parenchymal lung lesions at 2 tertiary centers were included in this prospective observational cohort study. RESULTS: EUS-B-FNA sampling of parenchymal lesions was performed in 27 patients. Mean (±SD) lesion size was 36±16 mm. Seven lesions were ≤18 mm. Pneumothorax occurred in 1 patient (3.7%, 95% confidence interval, 0.001%-19%). Ten target lesions (36%) were in locations inaccessible to bronchoscopic sampling via the airways, and 9 lesions were inaccessible to EBUS-guided transbronchial needle aspiration and in locations associated with low diagnostic yield from radial EBUS. EUS-B-FNA was diagnostic in 26 patients (96%), and sensitivity of EUS-B-FNA was 100% (95% confidence interval, 87%-100%) for both lung cancer (n=21) and for pulmonary metastatic lesions (n=5). CONCLUSIONS: Pulmonologist-performed EUS-B-FNA is safe and accurate in the evaluation parenchymal lung lesions. Diagnostic accuracy is high. EUS-B-FNA may achieve access to sites not amenable to other forms of bronchoscopic sampling, or increase diagnostic accuracy in patients where anatomic position predicts a low diagnostic yield.
[Mh] Termos MeSH primário: Adenocarcinoma/patologia
Carcinoma Pulmonar de Células não Pequenas/patologia
Carcinoma de Células Escamosas/patologia
Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico/métodos
Esofagoscopia/métodos
Neoplasias Pulmonares/patologia
Complicações Pós-Operatórias/epidemiologia
Carcinoma de Pequenas Células do Pulmão/patologia
[Mh] Termos MeSH secundário: Adenocarcinoma/diagnóstico por imagem
Broncoscópios
Carcinoma Pulmonar de Células não Pequenas/diagnóstico por imagem
Carcinoma de Células Escamosas/diagnóstico por imagem
Estudos de Coortes
Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico/efeitos adversos
Esofagoscopia/efeitos adversos
Seres Humanos
Neoplasias Pulmonares/diagnóstico por imagem
Neoplasias Pulmonares/secundário
Pneumotórax/etiologia
Complicações Pós-Operatórias/etiologia
Estudos Prospectivos
Pneumologistas
Sensibilidade e Especificidade
Carcinoma de Pequenas Células do Pulmão/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170602
[Lr] Data última revisão:
170602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161223
[St] Status:MEDLINE
[do] DOI:10.1097/LBR.0000000000000350


  8 / 2063 MEDLINE  
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[PMID]:27900671
[Au] Autor:Hollingsworth JG; Herway ST; Benumof JL; Finneran J
[Ad] Endereço:Department of Anesthesiology, University of California, San Diego, San Diego, CA, USA. jesshollingsworth@gmail.com.
[Ti] Título:Exchanging a King Laryngeal Tube™ for an endotracheal tube using a fibreoptic bronchoscope-Aintree catheter combination in a known difficult airway.
[So] Source:Can J Anaesth;64(3):337-338, 2017 Mar.
[Is] ISSN:1496-8975
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Broncoscópios
Intubação Intratraqueal/instrumentação
[Mh] Termos MeSH secundário: Adulto
Tecnologia de Fibra Óptica
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE
[do] DOI:10.1007/s12630-016-0783-y


  9 / 2063 MEDLINE  
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[PMID]:27868188
[Au] Autor:Elfgen J; Buehler PK; Thomas J; Kemper M; Imach S; Weiss M
[Ad] Endereço:Department of Anaesthesia, University Children's Hospital, Zurich, Switzerland.
[Ti] Título:Patency of paediatric endotracheal tubes for airway instrumentation.
[So] Source:Acta Anaesthesiol Scand;61(1):46-52, 2017 Jan.
[Is] ISSN:1399-6576
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Airway exchange catheters (AEC) and fiberoptic bronchoscopes (FOB) for tracheal intubation are selected so that there is only a minimal gap between their outer and inner diameter of endotracheal tube (ETT) to minimize the risk of impingement during airway instrumentation. This study aimed to test the ease of passage of FOBs and AECs through paediatric ETT of different sizes and from different manufacturers when using current recommendations for dimensional equipment compatibility taken from text books and manufacturers information. METHODS: Twelve different brands of cuffed and uncuffed ETT sized ID 2.5 to 5.0 mm were evaluated in an in vitro set-up. Ease of device passage as well as the locations of an impaired passage within the ETT were assessed. Redundant samples were used for same sized ETT and all measurements were triple-checked in randomized order. RESULTS: In total, 51 paired samples of uncuffed as well as cuffed paediatric ETT were tested. There were substantial differences in the ease of ETT passage concordantly for FOBs and AECs among different manufacturers, but also among the product lines from the same manufacturer for a given ID size. Restriction to passage most frequently was found near the endotracheal tube tip or as a gradually increasing resistance along the ETT shaft. CONCLUSIONS: Current recommendations for dimensional equipment compatibility AECs and FOBs with ETTs do not appear to be completely accurate for all ETT brands available. We recommend that specific equipment combinations always must be tested carefully together before attempting to use them in a patient.
[Mh] Termos MeSH primário: Intubação Intratraqueal/instrumentação
[Mh] Termos MeSH secundário: Broncoscópios
Cateteres
Criança
Desenho de Equipamento
Tecnologia de Fibra Óptica
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161122
[St] Status:MEDLINE
[do] DOI:10.1111/aas.12828


  10 / 2063 MEDLINE  
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[PMID]:25919949
[Au] Autor:Singh SK; Tiwari KK
[Ad] Endereço:Department of Pulmonary Medicine, Gajra Raja Medical College, Jayarogya Group of Hospitals, Gwalior, Madhya Pradesh, India.
[Ti] Título:Bronchial thermoplasty: a non-pharmacological approach.
[So] Source:Clin Respir J;11(1):13-20, 2017 Jan.
[Is] ISSN:1752-699X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Asthma is a chronic inflammatory disorder of the airway characterized by the episodic symptoms of breathlessness, wheezes and cough. Even with the use of maximum anti-asthmatic pharmacological treatment sometimes it remains uncontrolled. For such patients, bronchial thermoplasty is the new mode of treatment. OBJECTIVE: To review published article on bronchial thermoplasty. METHODS: We identified 102 English articles on PubMed, and 56 were excluded by the abstract. The remaining articles were retrieved for full-text detailed evaluation by authors, and 28 relevant articles were selected for final review. RESULTS: Bronchial thermoplasty is the radiofrequency ablation of the airway smooth muscle with the help of flexible fiberoptic bronchoscope. It reduces the smooth muscle mass of the bronchial wall and decreases its contractility. CONCLUSION: Bronchial thermoplasty causes improvement in the quality of life, and causes reduction in the emergency room visit and exacerbation due to asthma. Long-term safety has been established by various prospective studies.
[Mh] Termos MeSH primário: Asma/terapia
Tratamento por Radiofrequência Pulsada/métodos
[Mh] Termos MeSH secundário: Adulto
Broncoscópios
Seres Humanos
Tratamento por Radiofrequência Pulsada/instrumentação
Qualidade de Vida
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150429
[St] Status:MEDLINE
[do] DOI:10.1111/crj.12315



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