FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3146049500> ?p ?o ?g. }

• W3146049500 endingPage "1192" @default.
• W3146049500 startingPage "1191" @default.
• W3146049500 abstract "We were pleased to see both a case report and accompanying editorial on sugammadex 1, 2. Paton et al. should be congratulated on making several important points related to the use of sugammadex in the ‘cannot ventilate’ scenario. We were interested to note that although the authors predicted difficulty with intubation, they did not predict difficulty with ventilation in their patient, despite a ‘woody neck’ and limited cervical spine movement secondary to radiotherapy. However, they did not mention the degree of jaw or tongue movement, limitations of which are associated with difficult mask ventilation 3, as occurred in the case presented. Despite a previous failed attempt at awake fibreoptic intubation, it is our view that an awake approach was indicated in this case, using either fibreoptic intubation or videolaryngoscopy 4. Paton et al.'s primary approach was the siting of a pre-emptive cricothyroid cannula, followed by intravenous induction of anaesthesia and direct laryngoscopy. However, the authors stated that there was ‘a high likelihood’ of the need for fibreoptic intubation under general anaesthesia, a technique we feel is inadvisable in this case. With upper airway collapse secondary to reduced muscle tone, passage of the fibrescope is likely to be more difficult than when the patient is awake. There was no mention of use of a supraglottic airway device, either to maintain ventilation during fibreoptic intubation in the management plan, to assist failing mask ventilation, or to aid exhalation during attempted transtracheal ventilation. We were similarly surprised that there was no attempt at conventional intubation (either direct or video-assisted): a single attempt under optimal (paralysed) conditions may have led to a secured airway. Finally, the use of sugammadex in this case led to a rapid ‘wake-up’ but with persistent airway obstruction. Even if neuromuscular blockade had been rapid and complete (which may not have been the case at the dosage used), the residual effects of propofol can cause ongoing airway obstruction. There is no assurance that return of spontaneous respiration will lead to satisfactory ventilation and this airway may have remained completely obstructed despite sugammadex reversal, with both jet ventilation via the cricothyroid cannula and a surgical airway more likely to fail after giving sugammadex." @default.
• W3146049500 created "2021-04-13" @default.
• W3146049500 creator A5011834864 @default.
• W3146049500 creator A5033976703 @default.
• W3146049500 creator A5081989687 @default.
• W3146049500 date "2013-10-15" @default.
• W3146049500 modified "2023-10-13" @default.
• W3146049500 title "Sugammadex in anticipated difficult airways4" @default.
• W3146049500 cites W1970725870 @default.
• W3146049500 cites W2018119908 @default.
• W3146049500 cites W2034700809 @default.
• W3146049500 cites W2076370877 @default.
• W3146049500 doi "https://doi.org/10.1111/anae.12466" @default.
• W3146049500 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24128019" @default.
• W3146049500 hasPublicationYear "2013" @default.
• W3146049500 type Work @default.
• W3146049500 sameAs 3146049500 @default.
• W3146049500 citedByCount "3" @default.
• W3146049500 countsByYear W31460495002015 @default.
• W3146049500 countsByYear W31460495002016 @default.
• W3146049500 countsByYear W31460495002020 @default.
• W3146049500 crossrefType "journal-article" @default.
• W3146049500 hasAuthorship W3146049500A5011834864 @default.
• W3146049500 hasAuthorship W3146049500A5033976703 @default.
• W3146049500 hasAuthorship W3146049500A5081989687 @default.
• W3146049500 hasBestOaLocation W31460495001 @default.
• W3146049500 hasConcept C105922876 @default.
• W3146049500 hasConcept C127413603 @default.
• W3146049500 hasConcept C141071460 @default.
• W3146049500 hasConcept C200457457 @default.
• W3146049500 hasConcept C2776888792 @default.
• W3146049500 hasConcept C2776988050 @default.
• W3146049500 hasConcept C2778074680 @default.
• W3146049500 hasConcept C2778560516 @default.
• W3146049500 hasConcept C2778716859 @default.
• W3146049500 hasConcept C2780978852 @default.
• W3146049500 hasConcept C42219234 @default.
• W3146049500 hasConcept C71924100 @default.
• W3146049500 hasConcept C78519656 @default.
• W3146049500 hasConceptScore W3146049500C105922876 @default.
• W3146049500 hasConceptScore W3146049500C127413603 @default.
• W3146049500 hasConceptScore W3146049500C141071460 @default.
• W3146049500 hasConceptScore W3146049500C200457457 @default.
• W3146049500 hasConceptScore W3146049500C2776888792 @default.
• W3146049500 hasConceptScore W3146049500C2776988050 @default.
• W3146049500 hasConceptScore W3146049500C2778074680 @default.
• W3146049500 hasConceptScore W3146049500C2778560516 @default.
• W3146049500 hasConceptScore W3146049500C2778716859 @default.
• W3146049500 hasConceptScore W3146049500C2780978852 @default.
• W3146049500 hasConceptScore W3146049500C42219234 @default.
• W3146049500 hasConceptScore W3146049500C71924100 @default.
• W3146049500 hasConceptScore W3146049500C78519656 @default.
• W3146049500 hasIssue "11" @default.
• W3146049500 hasLocation W31460495001 @default.
• W3146049500 hasLocation W31460495002 @default.
• W3146049500 hasOpenAccess W3146049500 @default.
• W3146049500 hasPrimaryLocation W31460495001 @default.
• W3146049500 hasRelatedWork W1986167255 @default.
• W3146049500 hasRelatedWork W2009067288 @default.
• W3146049500 hasRelatedWork W2009730715 @default.
• W3146049500 hasRelatedWork W2135649579 @default.
• W3146049500 hasRelatedWork W2147657468 @default.
• W3146049500 hasRelatedWork W2417505393 @default.
• W3146049500 hasRelatedWork W3146049500 @default.
• W3146049500 hasRelatedWork W3159882217 @default.
• W3146049500 hasRelatedWork W4220885092 @default.
• W3146049500 hasRelatedWork W2771538423 @default.
• W3146049500 hasVolume "68" @default.
• W3146049500 isParatext "false" @default.
• W3146049500 isRetracted "false" @default.
• W3146049500 magId "3146049500" @default.
• W3146049500 workType "article" @default.