scholarly journals Airway Trauma: Assessment and Management

2021 ◽  
Author(s):  
Yasser Mahmoud Hammad Ali Hammad ◽  
Nabil A. Shallik
Keyword(s):  
Airway Management ◽  
Safety Management ◽  
Early Assessment ◽  
Trauma Assessment ◽  
Airway Anatomy ◽  
Proper Management ◽  
Airway Trauma ◽  
Management Algorithms

Recognizing airway trauma and safety management is challenging for any anaesthesiologist. Many types of airway injuries require identifying airway anatomy correctly; early assessment and proper management are crucial for saving many lives. Proper management involves the classification of those patients into three categories. Each one has a unique and different control. Knowing your capabilities and skills are very important for safe airway management. It does not matter where you are but skills, knowledge of airway management algorithms and tools you have. After reading this book chapter, the participant will be able to define airway trauma, proper airway risk assessment and safety management.

Identification and Classification of Prokaryotes using whole-genome sequences.

2021 ◽  
pp. 217-230
Author(s):  
Luis M. Rodriguez-R ◽  
Ramon Rosselló-Móra ◽  
Konstantinos T. Konstantinidis
Keyword(s):  
Species Identification ◽  
Special Focus ◽  
Whole Genome ◽  
Genome Sequences ◽  
Future Directions ◽  
The Past ◽  
Major Genome ◽  
Taxonomic Studies

Abstract This book chapter attempts to summarize the major findings from genome-based taxonomic studies in the past two decades, and briefly describe the major genome-based approaches currently available for species identification and classification with special focus on the 'uncultivated majority' and associated limitations, as well as outlines future directions towards a truly genome-based taxonomy for prokaryotes that will equally encompass cultured and uncultivated taxa. Importantly, the need for a system to catalogue uncultivated taxa is very urgent, because the genomes and ecological/functional data that are becoming available are already overwhelming, and alphanumeric identifiers and synonyms are creating confusion of Babylonian dimensions.

E-Business Technologies in E-Market Literature

2011 ◽  
pp. 244-268
Author(s):  
Nikos Manouselis
Keyword(s):  
Conceptual Model ◽  
Market Research ◽  
Business Processes ◽  
Electronic Markets ◽  
Research Literature ◽  
Future Research ◽  
Research Attention ◽  
Novel Technologies

E-business processes are implemented through existing, as well as novel technologies. This book chapter focuses on the field of electronic markets (e-markets), and studies the technologies and solutions that are applied and proposed in this field. In particular, the chapter reviews e-market literature in order to identify which are the technological trends that have appeared in the e-markets field during the last decade. A conceptual model that allows for the classification of e-market research literature according to a number of technical topics is first introduced. Then, e-market literature is reviewed, and the technologies that seem to be attracting more research attention are identified. Representative contributions are discussed, and directions for future research are indicated. The overall aim of this chapter is to provide a blueprint of the literature related to e-business technologies for e-markets

Difficult airway management algorithms: a directed review

Anaesthesia ◽  
2019 ◽  
Vol 74 (9) ◽  
pp. 1175-1185 ◽  
Author(s):  
D. A. Edelman ◽  
E. J. Perkins ◽  
D. J. Brewster
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Difficult Airway Management ◽  
Management Algorithms

Classification of supraglottic devices for emergency airway management is needed

2015 ◽  
Vol 115 (eLetters) ◽  
Author(s):  
Nobuyasu Komasawa ◽  
Ryosuke Mihara ◽  
Toshiaki Minami
Keyword(s):  
Airway Management ◽  
Emergency Airway Management ◽  
Emergency Airway

scholarly journals (P1-62) The Risk Factors for Difficult or Failed Airway: A Prosepctive Cohor Study

2011 ◽  
Vol 26 (S1) ◽  
pp. s118-s118
Author(s):  
C. Hsu
Keyword(s):  
Risk Factors ◽  
Airway Management ◽  
Difficult Airway ◽  
Healthcare Providers ◽  
Positive Association ◽  
Daily Practice ◽  
Trauma Patients ◽  
Airway Trauma ◽  
Failed Airway ◽  
Airway Devices

The risk factors for difficult airway or failed airway: a prospective cohort study Airway management is always the first priority and time-treasures in critical ill-patients. Improper managementof difficult airway or resultant fail airway would bring poor prognosis to patients. We investigated the risk factors of difficult or fail airway from the multiple dimension of factors including patients, healthcare and airway devices. We enrolled 252 intubated patients, including 37 trauma patients, 55 patients (22%) with difficult airway, and 22 patients (8.7%) with fail airway. In analysis of risk factors of difficult airway, factors including obesity, short neck or thickness of soft tissue, facial deformities and oral-nasal bleeding have positive association with fail airway, but the seniority of healthcare providers had no effect. However, experienced healthcare providers have more success rate after the occurrence of fail airway. The most complications of fail airway include airway trauma and hypoxia. As compared with non-trauma patients, trauma patients have more episodes of fail airway, difficult airway, and use of RSI, rescue airway for fail airway, airway trauma and vomiting. Therefore, it is necessary to establish an easy and safe standard guideline in daily practice of difficult and urgent airway management for healthcare providers.

scholarly journals A Clinical Study of Patients with Acute Epiglottitis

2018 ◽  
Vol 01 (01) ◽  
pp. e1-e5 ◽  
Author(s):  
Michihisa Kono ◽  
Takashi Goto ◽  
Nobuyuki Bandoh ◽  
Yasuaki Harabuchi
Keyword(s):  
Airway Management ◽  
Median Duration ◽  
Blood Test ◽  
White Blood Cells ◽  
Acute Epiglottitis ◽  
Reactive Protein ◽  
Number Of Patients ◽  
Duration Of Hospitalization ◽  
Upper Respiratory

AbstractAcute epiglottitis is an acute inflammation of the upper respiratory airway that rarely causes airway obstruction. A retrospective study was conducted on 115 patients with acute epiglottitis from April 2007 to December 2017 (65 males and 50 females; aged 12–85 years old, median age of 45 years). When counting the number of patients according to the month, from April to September more than 10 patients were treated. Median duration from symptom onset to first visit was 3 days (1–14 days). Eight (7%) of 115 patients had diabetes, and 16 (13.9%) had epiglottic cyst. We divided all the patients into six groups by laryngeal findings according to the classification of Katori and Tsukuda. Number of patients classified as IA, IB, IIA, IIB, IIIA, and IIIB was 41 (35.7%), 21 (18.3%), 22 (19.1%), 15 (13%), 8 (7%), and 8 (7%), respectively. Median duration of hospitalization was 5 days (2–26 days). In the blood test on the first day of hospitalization, the number of white blood cells (WBC) ranged from 3,400 to 25,350/μL (median 10,350/μL) and the C-reactive protein (CRP) ranged from 0.01 to 23.3 mg/dL (median, 2.5 mg/dL). The number of WBC and CRP at the fourth day after the hospitalization was significantly lower than those at the first day. Eight (7%) patients required the airway management such as tracheotomy or cricothyroidotomy. Age, laryngeal finding (severe epiglottis swelling and arytenoid edema; Katori and Tsukuda's classification IIIB), and high inflammatory reaction in blood test (WBC ≥ 20,000/μL and CRP ≥ 20 mg/dL) were the factors that significantly correlated with the airway management.

Analysis of Perioperative Patient Adverse Event Reports and Anesthesia Safety Management in an Anesthesia Department of a Tertiary A Hospital in 2019-2020

2021 ◽  
Author(s):  
Hongyang Chen ◽  
Zining Wang ◽  
Weiyi Zhang ◽  
Tao Zhu
Keyword(s):  
Adverse Events ◽  
Safety Management ◽  
Surgical Patients ◽  
Anesthesia Induction ◽  
Medical Quality ◽  
Anesthesia Safety ◽  
Management Measures ◽  
Time Period ◽  
American Society

Abstract Objective: To analyze the characteristics of anesthesia adverse events in our department and propose measures for anesthesia safety management, to achieve better improvement of medical quality and promote medical safety. Methods: A total of 589 cases of anesthesia adverse events were collated and analyzed, including the time period of anesthesia adverse events and ASA (American Society of Aneshesiologists) classification of anesthesia adverse events. Results: The anesthesia induction and awakening periods were the main time periods for the occurrence of anesthesia adverse events, other human factors were the main reasons for the occurrence of anesthesia adverse events, and ASA grading II and III surgical patients accounted for the main proportion (mainly because of the heavy proportion of II and III surgical patients). Conclusion: Understanding the causes of adverse anesthesia events and implementing strict anesthesia safety management measures are conducive to reducing the occurrence of adverse anesthesia events and improving the safety of anesthesia.

What can genome analysis offer for bacteria?

2021 ◽  
pp. 255-281
Author(s):  
Markus Göker
Keyword(s):  
Polyphasic Taxonomy ◽  
Genome Analysis ◽  
Bacterial Species ◽  
Species Level ◽  
Taxonomic Classification ◽  
Taxon Sampling ◽  
Branch Support ◽  
Genome Scale

Abstract This book chapter is organized as follows: (i) the main approaches to the philosophy of taxonomic classification are recapitulated; (ii) the paradigm of polyphasic taxonomy is discussed in this context; (iii) the causes of conflict between previous classifications and genome-scale analyses are investigated, using examples from recent phylum-wide studies, with a discussion of how markers used in polyphasic taxonomy can be replaced by genome-derived ones; and (iv) the challenges in assigning taxonomic ranks using genome-scale or other data are revisited. The conclusion assesses the chances, or lack thereof, of reconciling taxonomic classifications. Phenetic and phylogenetic thinking still compete with each other on the classification of bacteria, with potentially conflicting and confusing results. Some causes of problematic taxonomic classifications are independent of the type and number of characters that can be used and can only be mitigated if, for example, taxon sampling and branch support are more appropriately taken into account. It may be possible to devise objective criteria for separating bacterial species, but the currently dominating approaches for microbial species delineation may be inadequate. It is even harder to delineate higher taxa; in contrast to claims in the literature, it may prove to be impossible to objectively assign taxonomic ranks above species level.

STAT Caesarean Delivery

2017 ◽  
Author(s):  
Michael G. Richardson
Keyword(s):  
General Anesthesia ◽  
Early Assessment ◽  
Emergency Cesarean ◽  
Advanced Airway ◽  
Maternal Morbidity And Mortality ◽  
Risk Patients ◽  
Delivery Unit ◽  
Airway Devices ◽  
Epidural Catheters ◽  
Management Algorithms

During emergency cesarean delivery (CD), indicated by immediate threat to fetal or maternal life, the anesthesiologist must quickly provide anesthesia that is rapid in onset and safe for both patients. Neuraxial anesthesia using well-functioning in-dwelling epidural catheters is achievable with early enough notification. Still, general anesthesia is often the most expedient method. Advanced airway devices and evolving difficult airway management algorithms have likely contributed to observed reductions maternal morbidity and mortality associated with general anesthesia. Long before the crisis arises, other measures can mitigate against risk, including early assessment and identification of at-risk patients, establishment of effective neuraxial labor analgesia in high-risk patients, and effective teamwork and communication. Establishing interprofessional labor and delivery unit goals and strategies, conducting team debrief sessions after each STAT CD, and identifying obstacles and generating case-specific strategies to overcome them constitute a resource-effective way to substantially reduce decision-to-delivery intervals and improve neonatal outcomes.

Management of the Traumatized Airway

2016 ◽  
Vol 124 (1) ◽  
pp. 199-206 ◽  
Author(s):  
Uday Jain ◽  
Maureen McCunn ◽  
Charles E. Smith ◽  
Jean-Francois Pittet
Keyword(s):  
Airway Management ◽  
Upper Airway ◽  
Trauma Patients ◽  
Airway Trauma

Abstract Previous reviews have addressed airway management of trauma patients without a detailed description of management of the traumatized airway. This clinical commentary focuses on the approach to patients with upper airway trauma.

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