Difficult Airway Management

1.- Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway.

General anaesthesia for Caesarean section has dramatically declined in many nations around the world and it is used disproportion- ately more frequently for category 1 Caesarean section (immediate risk to life of mother or fetus) because of the perceived need for urgent delivery of the fetus. 1 In this pressured situ- ation, patient assessment, positioning, and pre- oxygenation may be compromised and anxiety may impair the performance of the anaesthetist. A number of interesting developments have occurred over the last 5 yr which may already be influencing how the obstetric airway is managed. Rigid indirect laryngoscopy has become increasingly popular for performing tracheal intubation, established notions of the role muscle relaxation plays in difficult airway management have been questioned, 2 and a

The original Guidelines and the first update in 2002 were developed by means of a seven-step process. First, the Task Force reached consensus on the criteria for evidence. Second, original published research studies from peer-reviewed jour- nals relevant to difficult airway management were reviewed and evaluated. Third, expert consultants were asked to: (1) participate in opinion surveys on the effectiveness of vari- ous difficult airway management recommendations and (2) review and comment on a draft of the Guidelines. Fourth, opinions about the Guideline recommendations were solic- ited from a sample of active members of the ASA. Fifth, opinion-based information obtained during open forums for the original Guidelines, † and for the previous updated Guidelines, ‡ was evaluated. Sixth, the consultants were surveyed to assess their opinions on the feasibility of imple- menting the updated Guidelines. Seventh, all available infor- mation was used to build consensus to finalize the updated Guidelines.

Though a lot of strategies have been developed to facilitate selective cannulation of the common bile duct and to prevent the major complication of difficult ERCPs, little is known about the factors responsible for the difficulty to gain access to the common bile duct. Variables related to the anatomy of the patient and the papilla can be used to predict success or failure (1) .

A continuación, el paciente puede usar la tarjeta de datos para actualizar los parámetros de su VPAP. Indique al paciente que siga las instrucciones para el “Copiado de datos a la tarje[r]

In the eastern neighbour states, increased border control and the re- strictions in entering Poland were perceived as a threat, excluding the western parts of the former Soviet Union fr[r]

El período de rampa, diseñado para que el inicio del tratamiento sea más cómodo, es el tiempo durante el cual la presión aumenta desde una presión baja hasta la presión de tratamiento..[r]

Lituania; DTEDH (Sección 4ª) de 7 de octubre de 2014, sobre la admisibilidad del caso Hösl-Daum y otros c. Ésta ha sido la posición que el TEDH ha mantenido también para supuestos de re[r]

In normal rat ASMC, the exposure to 10% FBS, produces a mitogen-induced proliferation, which was inhibited by muscarinic agonist, via an M2mAChR as above discussed. It is well known that asthma and COPD exhibit an “inflammatory environment”, rich in ASMC mytogens (Barnes, 2008). Interestingly, it has been reported that in murine (BALB/c mice) models of chronic asthma, sensitized and challenged to ovalbu- min, the expression of the M3mAChR was inhibited and M2mAChR was elevated by the administration of tiotropium bromide (Kang et al., 2012). It is well known that anticholinergic drug (tiotropium bromide) (Kang et al., 2012; Busse et al., 2016),which selec- tively antagonizes the M3mAChR subtype, could be beneficial in attenuating airway remodeling in chronic asthma. These findings on the ability of M2mAChR to be an anti-mitogenic receptor, can explain these experimental findings of tiotropium bromide (Kang et al., 2012) and open new avenues for drug design to treat these chronic inflammatory respiratory diseases such as asthma and COPD (Kang et al., 2012; Busse et al., 2016; Kang et al 2012).

Pulse (Ok) para borrar el mensaje del visor y póngase en contacto con el proveedor del servicio o el médico.... spa.[r]

En este sentido, los videolaringoscopios han transformado, profundamente, este panorama, hasta el punto de ser incluidos en el algoritmo de la ASA de 2013 para ser utilizados, in[r]

En pacientes con riesgo de presentar aspiración pulmonar que requieren manejo de la vía aérea, se recomienda la técnica de intubación traqueal mediante la inducción de secuencia rápi[r]

The general objective of this course is for the student to develop the values, approach and interpersonal skills necessary for management of people and communication in the workplace. Although it draws on a number of key concepts of management theory, the focus is primarily practical. In an increasingly globalized workplace, students have an opportunity to develop personally as communicators in international business.

Estos discursos, no reproducidos por otros textos impresos durante el mencionado siglo, plantean una problemática compleja: la relación entre ley, violencia y espacio conquistado; pero[r]

Operations management designs, operates, and improves productive systems—systems for getting work done. Operations managers are found in banks, hospitals, factories, and government. They design systems, ensure quality, produce products, and deliver services. To perform these activities they work with customers and suppliers. They solve problems, reengineer processes, innovate and integrate to improve quality, speed-to-market, customization, or low cost. To get excellence in operations is critical to a firm’s success.

Operations management designs, operates, and improves productive systems—systems for getting work done. Operations managers are found in banks, hospitals, factories, and government. They design systems, ensure quality, produce products, and deliver services. To perform these activities they work with customers and suppliers. They solve problems, reengineer processes, innovate and integrate to improve quality, speed-to-market, customization, or low cost. To get excellence in operations is critical to a firm’s success.

Gestión de la información y de datos como elementos clave para la toma de decisiones y la identificación, formulación y resolución de problemas empresariales.. RA 1.Busca, conoce, sin[r]

The best way of gaining a full understanding of Operations Management consists of showing and having real experiences on this topic. Consequently, all the proposed activities are focused on providing students real cases and practical experiences where implementation of operations management is essential for the improvement on company activities.

This course will help the student to acquire the management capabilities related to quality, productivity, flexibility, planning and task management.. As operations are [r]

The Marketing Function is one of the most relevant within a business organization. It is crucial for a Business Administration Bachelor to learn the marketing decision variables and the way to obtain marketing information in order to be able to design a Strategic Marketing Plan and place it into action. In order to achieve this, the student must acquire a methodology that allows him/her to implement the process and phases of marketing planning and its management