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Ying Cao - One of the best experts on this subject based on the ideXlab platform.

  • supraglottic jet oxygenation and ventilation assisted fibre optic bronchoscope intubation in patients with Difficult Airways
    Internal and Emergency Medicine, 2017
    Co-Authors: Jianqi Wei, Qingyun Cen, Xuefan Sha, Qingxiang Cai, Ying Cao
    Abstract:

    A Difficult airway may lead to hypoxia and brain damage. The WEI Nasal Jet Tube (WNJ) is a new nasal pharyngeal tube that applies supraglottic jet oxygenation and ventilation (SJOV) for patients during tracheal intubation without the need for mask ventilation. We evaluated the effectiveness and safety of SJOV-assisted fibre-optic bronchoscopy (FOB) using the WNJ in the management of Difficult tracheal intubations. A total of 50 adult patients with Cormack–Lehane grade ≥3 and general anesthesia with tracheal intubation were randomly assigned to either the laryngeal mask airway (LMA) or WNJ groups. The primary outcome was the percentage of patients with SpO2 values lower than 94 % during intubation. The proportion of successful intubations, total time of intubation, and associated complications were also recorded. The percentage of patients with SpO2 values lower than 94 % during intubation was significantly higher in the LMA group (25 % in the LMA vs. 0 % in the WNJ, P = 0.01). Although there were no statistically significant differences in the total success rates of intubation, the first-attempt success rate was significantly higher in the WNJ group (100 vs. 79.2 %, P = 0.02). The total time required for intubation with the WNJ was shorter than that of the LMA (73.4 vs. 99.5 s, P < 0.001), although the duration of fibre-optic intubation was similar. The incidence of complications was similar between the two groups. SJOV-assisted FOB using the WNJ improved oxygenation and successful tracheal intubation in the management of Difficult Airways. This technique can be used as an alternative approach to improve success and minimize hypoxia during Difficult airway management.

  • laryngoscope and a new tracheal tube assist lightwand intubation in Difficult Airways due to unstable cervical spine
    PLOS ONE, 2015
    Co-Authors: Jianqi Wei, Qingyun Cen, Qingxiang Cai, Huafeng Wei, Ying Cao
    Abstract:

    Purpose The WEI Jet Endotracheal Tube (WEI JET) is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with Difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in Difficult tracheal intubation due to unstable cervical spine.

  • laryngoscope and a new tracheal tube assist lightwand intubation in Difficult Airways due to unstable cervical spine
    PLOS ONE, 2015
    Co-Authors: Jianqi Wei, Qingyun Cen, Qingxiang Cai, Huafeng Wei, Ying Cao
    Abstract:

    Purpose The WEI Jet Endotracheal Tube (WEI JET) is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with Difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in Difficult tracheal intubation due to unstable cervical spine. Methods Ninety patients with unstable cervical spine disorders (ASA I-III) with general anaesthesia were included and randomly assigned to three groups, based on the device used for intubation: lightwand only, lightwand under direct laryngoscopy, lightwand with WEI JET under direct laryngoscopy. Results No statistically significant differences were detected among three groups with respect to demographic characteristics and C/L grade. There were statistically significant differences between three groups for overall intubation success rate (p = 0.015) and first attempt success rate (p = 0.000). The intubation time was significantly longer in the WEI group (110.8±18.3 s) than in the LW group (63.3±27.5 s, p = 0.000) and DL group (66.7±29.4 s, p = 0.000), but the lowest SpO2 in WEI group was significantly higher than other two groups (p<0.01). The WEI JET significantly reduced successful tracheal intubation attempts compared to the LW group (p = 0.043). The severity of sore throat was similar in three groups (p = 0.185). Conclusions The combined use of WEI JET under direct laryngoscopy helps to assist tracheal intubation and improves oxygenation during intubation in patients with Difficult airway secondary to unstable spine disorders. Trial Registration Chinese Clinical Trial Registry ChiCTR-TRC-14005141

Jianqi Wei - One of the best experts on this subject based on the ideXlab platform.

  • supraglottic jet oxygenation and ventilation assisted fibre optic bronchoscope intubation in patients with Difficult Airways
    Internal and Emergency Medicine, 2017
    Co-Authors: Jianqi Wei, Qingyun Cen, Xuefan Sha, Qingxiang Cai, Ying Cao
    Abstract:

    A Difficult airway may lead to hypoxia and brain damage. The WEI Nasal Jet Tube (WNJ) is a new nasal pharyngeal tube that applies supraglottic jet oxygenation and ventilation (SJOV) for patients during tracheal intubation without the need for mask ventilation. We evaluated the effectiveness and safety of SJOV-assisted fibre-optic bronchoscopy (FOB) using the WNJ in the management of Difficult tracheal intubations. A total of 50 adult patients with Cormack–Lehane grade ≥3 and general anesthesia with tracheal intubation were randomly assigned to either the laryngeal mask airway (LMA) or WNJ groups. The primary outcome was the percentage of patients with SpO2 values lower than 94 % during intubation. The proportion of successful intubations, total time of intubation, and associated complications were also recorded. The percentage of patients with SpO2 values lower than 94 % during intubation was significantly higher in the LMA group (25 % in the LMA vs. 0 % in the WNJ, P = 0.01). Although there were no statistically significant differences in the total success rates of intubation, the first-attempt success rate was significantly higher in the WNJ group (100 vs. 79.2 %, P = 0.02). The total time required for intubation with the WNJ was shorter than that of the LMA (73.4 vs. 99.5 s, P < 0.001), although the duration of fibre-optic intubation was similar. The incidence of complications was similar between the two groups. SJOV-assisted FOB using the WNJ improved oxygenation and successful tracheal intubation in the management of Difficult Airways. This technique can be used as an alternative approach to improve success and minimize hypoxia during Difficult airway management.

  • laryngoscope and a new tracheal tube assist lightwand intubation in Difficult Airways due to unstable cervical spine
    PLOS ONE, 2015
    Co-Authors: Jianqi Wei, Qingyun Cen, Qingxiang Cai, Huafeng Wei, Ying Cao
    Abstract:

    Purpose The WEI Jet Endotracheal Tube (WEI JET) is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with Difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in Difficult tracheal intubation due to unstable cervical spine.

  • laryngoscope and a new tracheal tube assist lightwand intubation in Difficult Airways due to unstable cervical spine
    PLOS ONE, 2015
    Co-Authors: Jianqi Wei, Qingyun Cen, Qingxiang Cai, Huafeng Wei, Ying Cao
    Abstract:

    Purpose The WEI Jet Endotracheal Tube (WEI JET) is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with Difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in Difficult tracheal intubation due to unstable cervical spine. Methods Ninety patients with unstable cervical spine disorders (ASA I-III) with general anaesthesia were included and randomly assigned to three groups, based on the device used for intubation: lightwand only, lightwand under direct laryngoscopy, lightwand with WEI JET under direct laryngoscopy. Results No statistically significant differences were detected among three groups with respect to demographic characteristics and C/L grade. There were statistically significant differences between three groups for overall intubation success rate (p = 0.015) and first attempt success rate (p = 0.000). The intubation time was significantly longer in the WEI group (110.8±18.3 s) than in the LW group (63.3±27.5 s, p = 0.000) and DL group (66.7±29.4 s, p = 0.000), but the lowest SpO2 in WEI group was significantly higher than other two groups (p<0.01). The WEI JET significantly reduced successful tracheal intubation attempts compared to the LW group (p = 0.043). The severity of sore throat was similar in three groups (p = 0.185). Conclusions The combined use of WEI JET under direct laryngoscopy helps to assist tracheal intubation and improves oxygenation during intubation in patients with Difficult airway secondary to unstable spine disorders. Trial Registration Chinese Clinical Trial Registry ChiCTR-TRC-14005141

Allan J Goldman - One of the best experts on this subject based on the ideXlab platform.

  • the lma ctrach in patients with Difficult Airways
    Anesthesiology, 2009
    Co-Authors: Eugene H Liu, Regina Wender, Allan J Goldman
    Abstract:

    THE LMA CTrach™ system (The Laryngeal Mask Company, Singapore) was developed from the LMA Fastrach™ system (The Laryngeal Mask Company) and consists of an LMA CTrach™ airway with fiberoptic channels and a detachable liquid crystal display viewer cum light source. The LMA CTrach™ enables ventilation, glottis visualization, and tracheal intubation via a laryngeal mask conduit. 1 In this report, we describe our experience with the LMA CTrach™ in 48 patients with Difficult Airways.

  • awake insertion of the fibreoptic intubating lma ctrach in three morbidly obese patients with potentially Difficult Airways
    Anaesthesia, 2007
    Co-Authors: Regina Wender, Allan J Goldman
    Abstract:

    The Intubating Laryngeal Mask Airway (ILMA) is a supraglottic airway that facilitates ventilation and blind tracheal intubation. The LMA CTrach is functionally identical to the ILMA, but has an integrated fibreoptic bundle that provides a view of the larynx. This enables visualisation of tracheal intubation while delivering 100% oxygen, with or without an inhalational anaesthetic. We report awake insertion of the CTrach in three morbidly obese patients (BMI 60-63) with known or anticipated Difficult Airways. Pre-operatively, patients were given midazolam and glycopyrrolate intravenously, and then in the operating theatre the airway was anaesthetised with topical lidocaine 4%. The CTrach was inserted into the oropharynx of the still-awake patient, the vocal cords were visualised, and anaesthetic induction was commenced with sevoflurane and spontaneous ventilation. Neuromuscular blockers were not used and we were able to see the vocal cords during the entire anaesthetic induction and intubation.

  • use of the fibreoptic intubating lma ctrach in two patients with Difficult Airways
    Anaesthesia, 2006
    Co-Authors: Allan J Goldman, William H Rosenblatt
    Abstract:

    We report two patients with Difficult Airways who underwent tracheal intubation using the new fibreoptic intubating Laryngeal Mask Airway CTrach. The imaging technology of the LMA-CTrach was decisive in the management of these two patients. The first patient had lingual tonsillar hyperplasia, and an omega-shaped retroflexed epiglottis. The second patient had a C2-occipital fusion and was completely unable to extend her head. Given the anatomical Difficulties encountered, it was likely that intubation would have been Difficult or impossible through the LMA-Fastrach. The aim of this report is to describe the successful use of this new intubating laryngeal mask airway in these two challenging patients.

Qingxiang Cai - One of the best experts on this subject based on the ideXlab platform.

  • supraglottic jet oxygenation and ventilation assisted fibre optic bronchoscope intubation in patients with Difficult Airways
    Internal and Emergency Medicine, 2017
    Co-Authors: Jianqi Wei, Qingyun Cen, Xuefan Sha, Qingxiang Cai, Ying Cao
    Abstract:

    A Difficult airway may lead to hypoxia and brain damage. The WEI Nasal Jet Tube (WNJ) is a new nasal pharyngeal tube that applies supraglottic jet oxygenation and ventilation (SJOV) for patients during tracheal intubation without the need for mask ventilation. We evaluated the effectiveness and safety of SJOV-assisted fibre-optic bronchoscopy (FOB) using the WNJ in the management of Difficult tracheal intubations. A total of 50 adult patients with Cormack–Lehane grade ≥3 and general anesthesia with tracheal intubation were randomly assigned to either the laryngeal mask airway (LMA) or WNJ groups. The primary outcome was the percentage of patients with SpO2 values lower than 94 % during intubation. The proportion of successful intubations, total time of intubation, and associated complications were also recorded. The percentage of patients with SpO2 values lower than 94 % during intubation was significantly higher in the LMA group (25 % in the LMA vs. 0 % in the WNJ, P = 0.01). Although there were no statistically significant differences in the total success rates of intubation, the first-attempt success rate was significantly higher in the WNJ group (100 vs. 79.2 %, P = 0.02). The total time required for intubation with the WNJ was shorter than that of the LMA (73.4 vs. 99.5 s, P < 0.001), although the duration of fibre-optic intubation was similar. The incidence of complications was similar between the two groups. SJOV-assisted FOB using the WNJ improved oxygenation and successful tracheal intubation in the management of Difficult Airways. This technique can be used as an alternative approach to improve success and minimize hypoxia during Difficult airway management.

  • laryngoscope and a new tracheal tube assist lightwand intubation in Difficult Airways due to unstable cervical spine
    PLOS ONE, 2015
    Co-Authors: Jianqi Wei, Qingyun Cen, Qingxiang Cai, Huafeng Wei, Ying Cao
    Abstract:

    Purpose The WEI Jet Endotracheal Tube (WEI JET) is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with Difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in Difficult tracheal intubation due to unstable cervical spine.

  • laryngoscope and a new tracheal tube assist lightwand intubation in Difficult Airways due to unstable cervical spine
    PLOS ONE, 2015
    Co-Authors: Jianqi Wei, Qingyun Cen, Qingxiang Cai, Huafeng Wei, Ying Cao
    Abstract:

    Purpose The WEI Jet Endotracheal Tube (WEI JET) is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with Difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in Difficult tracheal intubation due to unstable cervical spine. Methods Ninety patients with unstable cervical spine disorders (ASA I-III) with general anaesthesia were included and randomly assigned to three groups, based on the device used for intubation: lightwand only, lightwand under direct laryngoscopy, lightwand with WEI JET under direct laryngoscopy. Results No statistically significant differences were detected among three groups with respect to demographic characteristics and C/L grade. There were statistically significant differences between three groups for overall intubation success rate (p = 0.015) and first attempt success rate (p = 0.000). The intubation time was significantly longer in the WEI group (110.8±18.3 s) than in the LW group (63.3±27.5 s, p = 0.000) and DL group (66.7±29.4 s, p = 0.000), but the lowest SpO2 in WEI group was significantly higher than other two groups (p<0.01). The WEI JET significantly reduced successful tracheal intubation attempts compared to the LW group (p = 0.043). The severity of sore throat was similar in three groups (p = 0.185). Conclusions The combined use of WEI JET under direct laryngoscopy helps to assist tracheal intubation and improves oxygenation during intubation in patients with Difficult airway secondary to unstable spine disorders. Trial Registration Chinese Clinical Trial Registry ChiCTR-TRC-14005141

Qingyun Cen - One of the best experts on this subject based on the ideXlab platform.

  • supraglottic jet oxygenation and ventilation assisted fibre optic bronchoscope intubation in patients with Difficult Airways
    Internal and Emergency Medicine, 2017
    Co-Authors: Jianqi Wei, Qingyun Cen, Xuefan Sha, Qingxiang Cai, Ying Cao
    Abstract:

    A Difficult airway may lead to hypoxia and brain damage. The WEI Nasal Jet Tube (WNJ) is a new nasal pharyngeal tube that applies supraglottic jet oxygenation and ventilation (SJOV) for patients during tracheal intubation without the need for mask ventilation. We evaluated the effectiveness and safety of SJOV-assisted fibre-optic bronchoscopy (FOB) using the WNJ in the management of Difficult tracheal intubations. A total of 50 adult patients with Cormack–Lehane grade ≥3 and general anesthesia with tracheal intubation were randomly assigned to either the laryngeal mask airway (LMA) or WNJ groups. The primary outcome was the percentage of patients with SpO2 values lower than 94 % during intubation. The proportion of successful intubations, total time of intubation, and associated complications were also recorded. The percentage of patients with SpO2 values lower than 94 % during intubation was significantly higher in the LMA group (25 % in the LMA vs. 0 % in the WNJ, P = 0.01). Although there were no statistically significant differences in the total success rates of intubation, the first-attempt success rate was significantly higher in the WNJ group (100 vs. 79.2 %, P = 0.02). The total time required for intubation with the WNJ was shorter than that of the LMA (73.4 vs. 99.5 s, P < 0.001), although the duration of fibre-optic intubation was similar. The incidence of complications was similar between the two groups. SJOV-assisted FOB using the WNJ improved oxygenation and successful tracheal intubation in the management of Difficult Airways. This technique can be used as an alternative approach to improve success and minimize hypoxia during Difficult airway management.

  • laryngoscope and a new tracheal tube assist lightwand intubation in Difficult Airways due to unstable cervical spine
    PLOS ONE, 2015
    Co-Authors: Jianqi Wei, Qingyun Cen, Qingxiang Cai, Huafeng Wei, Ying Cao
    Abstract:

    Purpose The WEI Jet Endotracheal Tube (WEI JET) is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with Difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in Difficult tracheal intubation due to unstable cervical spine.

  • laryngoscope and a new tracheal tube assist lightwand intubation in Difficult Airways due to unstable cervical spine
    PLOS ONE, 2015
    Co-Authors: Jianqi Wei, Qingyun Cen, Qingxiang Cai, Huafeng Wei, Ying Cao
    Abstract:

    Purpose The WEI Jet Endotracheal Tube (WEI JET) is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with Difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in Difficult tracheal intubation due to unstable cervical spine. Methods Ninety patients with unstable cervical spine disorders (ASA I-III) with general anaesthesia were included and randomly assigned to three groups, based on the device used for intubation: lightwand only, lightwand under direct laryngoscopy, lightwand with WEI JET under direct laryngoscopy. Results No statistically significant differences were detected among three groups with respect to demographic characteristics and C/L grade. There were statistically significant differences between three groups for overall intubation success rate (p = 0.015) and first attempt success rate (p = 0.000). The intubation time was significantly longer in the WEI group (110.8±18.3 s) than in the LW group (63.3±27.5 s, p = 0.000) and DL group (66.7±29.4 s, p = 0.000), but the lowest SpO2 in WEI group was significantly higher than other two groups (p<0.01). The WEI JET significantly reduced successful tracheal intubation attempts compared to the LW group (p = 0.043). The severity of sore throat was similar in three groups (p = 0.185). Conclusions The combined use of WEI JET under direct laryngoscopy helps to assist tracheal intubation and improves oxygenation during intubation in patients with Difficult airway secondary to unstable spine disorders. Trial Registration Chinese Clinical Trial Registry ChiCTR-TRC-14005141