Anesthesia & Analgesia

?? Is there any difference between opioid-free anesthesia (OFA) and opioid-sparing anesthesia (OSA) in decreasing postoperative nausea and vomiting (PONV)? ?? OFA is a more effective anesthesia protocol for obese patients undergoing laparoscopic bariatric surgery (LBS) in reducing PONV than OSA, but affords no advantages in postoperative pain control or recovery. ?? Current evidence supports the advantages of OFA for general anesthesia in managing PONV for obese patients undergoing LBS. https://buff.ly/41vaUCT

?? Don't miss the review article, "The Future of Artificial Intelligence Using Images and Clinical Assessment for Difficult Airway Management" from Drs. Silvia De Rosa , Elena Bignami, Valentina Bellini , & Denise Battaglini ?? Several machine-learning and deep-learning models using imaging techniques have been recently developed and validated to predict difficult airways. They also discuss predictive modeling for difficult laryngoscopy using machine-learning and the future approach with intelligent intubation devices. https://buff.ly/3X8c0D5

?? ?? Wonder what the value of #AI might be in your #anesthesia practice? Can we use #artificialintelligence more effectively in #difficult airway assessments? The benefits of clinical evaluation and #machinelearning can improve decision-making! ?? Read more here: https://buff.ly/3X8c0D5 @iars_journals @iars_360

??? Is a 3-D printed video laryngoscope noninferior to the McGrath MAC video laryngoscope in a simulated setting for novice learners? ??? The 3-D printed video laryngoscope was inferior to the McGrath MAC video laryngoscope by a margin of 7.5% when tested by novice learners. ??? The McGrath MAC device is superior to this easy-to-make and low cost alternative. Thus, the design of this novel device requires further improvement, for which specific training may be needed to validate its use. https://buff.ly/4hrwv5H #Airway #VideoLaryngoscope #3DPrinting

?? Is bronchial blocker use associated with a reduced risk of airway complications compared to endobronchial intubation in children <3 years of age undergoing one-lung ventilation for thoracic surgery? ?? Bronchial blocker use is associated with a slightly decreased incidence of critical airway complications compared to endobronchial intubation in young children undergoing one-lung ventilation. I?? t might be safer to perform one-lung ventilation with a bronchial blocker as compared to an endobronchial intubation in young children during thoracic surgery. https://buff.ly/4gLVi3i

? Does awake supraglottic airway placement in pediatric patients with difficult airways lead to successful ventilation and subsequent intubation? ? Awake supraglottic airway placement resulted in adequate ventilation and successful subsequent intubation in neonates as well as older, larger patients with few if any complications associated with device placement. ? Clinicians should strongly consider awake placement of a supraglottic airway in children with airway anatomy that raises concern for a “can’t intubate, can’t oxygenate” scenario after induction of anesthesia. https://buff.ly/3CZiCge

?? How do clinical decisions made during difficult airway management for elective surgery relate to multiple airway management attempts (intubation/supraglottic airway insertion), difficult bag-mask ventilation (BMV), hypoxemia, and cardiovascular destabilization? ??No cases were postponed for airway management failure and all intubations were eventually successful. Patients intubated awake had more difficult airway indicators than those intubated after anesthetic induction (anesthetized). Only 1 patient (0.08%) required conversion between anesthetized and awake/sedated approaches. ??Although difficult airway management is almost always successful, the incidence of multiple attempts and process complications were common among a diverse group of patients and across all airway management strategies. https://buff.ly/4hNAsSi

?? Can an endotracheal tube in pharynx (TTIP) ventilation be an effective rescue technique for failed mask ventilation? ?? The success rate of TTIP ventilation is comparable with that of facemask ventilation in adult patients with potentially difficult airways. ?? TTIP is a potential alternative for managing difficult airways. https://buff.ly/3EYXffn #DifficultAirway #Ventilation #Airway #Anesthesiology

Sip 'til Send? Thoughts on #NPO Guidelines for #pediatric patients amongst #anesthesiologists Perceived benefits ?? Improved patient/family satisfaction ?? Less dehydration ? Improved schedule flexibility ? Fewer delays Where do you land? Is 1 hour clear liquids NPO suitable? @IARS_Journals https://buff.ly/3Xce9xr

?? Key Question: Should #ACGME #anesthesiology residency programs offer curricula in sleep medicine to encourage dual-accreditation in #sleep medicine? ?? Is #continuing education another opportunity for practicing #anesthesiologists to obtain this training? @iars_journals @MndpSingh7