Focus is in the gaze of the beholder.
Surgical cricothyroidostomy. Analysis and comparison between teaching and validation models of simulator models
ABSTRACT Objective: to compare the acquisition and retention of knowledge about surgical cricothyroidostomy by the rapid four-step technique (RFST), when taught by expository lecture, low fidelity and high-fidelity simulation models. Methods: ninety medical students at UFPR in the first years of training were randomized assigned into 3 groups, subm...
Definitive Airway Management of Patients with a King Laryngeal Tube TM in Place in the COVID-19 Pandemic
Determinants of successful tracheostomy decannulation in children: a multicentric cohort study.
Published in The Journal of laryngology and otology
Determining prognostic factors for the probability of tracheostomy decannulation is key to an adequate therapeutic plan. A retrospective cohort study of 160 paediatric patients undergoing tracheostomy was conducted. Associations between different parameters and eventual tracheostomy decannulation were assessed. Mean follow-up duration was 27.8 mont...
Recommendations for Prehospital Airway Management in Patients with Suspected COVID-19 Infection
In light of the rapid spread of coronavirus disease 2019 (COVID-19) across the United States, the Centers for Disease Control and Prevention (CDC) and hospitals nationwide have developed new protocols to address infection control as well as the care of critical patients. Airway management has been particularly difficult; the challenge of quickly es...
Systematic review and meta-analysis comparing ventilatory support in chemical, biological and radiological emergencies
Objective: to compare the mean development time of the techniques of direct laryngoscopy and insertion of supraglottic devices; and to evaluate the success rate in the first attempt of these techniques, considering health professionals wearing specific personal protective equipment (waterproof overalls; gloves; boots; eye protection; mask). Method:...
Predictors of difficulty in bedside percutaneous dilatational tracheostomy: pilot study
ABSTRACT Introduction: percutaneous dilatational tracheostomy is currently one of the main procedures performed in an intensive care unit (ICU). However, there are no well-defined indicators of technical difficulty in performing the procedure. Objectives: to define predictors of difficulty in performing bedside percutaneous dilatational tracheostom...
Development and evaluation of physical properties of a low-cost handheld device for airway clearance therapy
ABSTRACT Several respiratory diseases are characterized by hypersecretion, requiring airway clearance therapy (ACT). Oral high-frequency oscillation (OHFO) devices are effective to enable daily ACT; however, they are still too expensive to become available for low-income patients. We sought to develop a low-cost device (OHFO-LC) and compare its phy...
Airway management of a patient incidentally diagnosed with Mounier-Kuhn syndrome during general anesthesia.
Published in Journal of dental anesthesia and pain medicine
Mounier-Kuhn syndrome (MKS) is a disease characterized by dilation of the trachea and mainstem bronchi. Due to the risk of airway leakage, pulmonary aspiration, and tracheal damage, MKS can be fatal in patients undergoing tracheal intubation. Moreover, MKS may not be diagnosed preoperatively due to its rarity. In this case, a patient undergoing neu...
Feasibility and potential of three-dimensional printing in laryngotracheal stenosis.
Published in The Journal of laryngology and otology
The use of three-dimensional printing has been rapidly expanding over the last several decades. Virtual surgical three-dimensional simulation and planning has been shown to increase efficiency and accuracy in various clinical scenarios. To report the feasibility of three-dimensional printing in paediatric laryngotracheal stenosis and discuss potent...
