A clinical evaluation of the pediatric i-gel™ for airway management during MRI examination

C'est au départ l'initiative "Frutch" de Jérôme Charron sur Motrech qui m'a alerté sur ces initiatives de moteurs collaboratifs, fonctionnant en P2P et qui pourraient à court ou moyen terme constituer une alternative à l'hégémonie des trois grands (voir le message et le commentaire - réservés - sur Motrech) Est-ce possible ? Où en est-on ? Quelles ont-été et quelles sont les tentatives actuelles de développement ? Après quelques péréginations sur le net voici les 3 seules références trouvées..

Post analysis simulated correlation of the El-Ganzouri airway difficulty score with difficult airway

ABSTRACT BACKGROUND: Difficult airway (DA) occurs frequently (5-15%) in clinical practice. The El-Ganzouri Risk Index (EGRI) has a high sensitivity for predicting a difficult intubation (DI). However difficult mask ventilation (DMV) was never included in the EGRI. Since DMV was not included in the EGRI assessment, and obstructive sleep apnea (OSA) is also correlated with DMV, a study correlating the prediction of DA and OSA (identified by STOP-Bang questionnaire, SB) seemed important. METHODS: We accessed a database previously collected for a post analysis simulation of the airway difficulty predictivity of the EGRI, associated with normal and difficult airway, particularly DMV. As secondary aim, we measured the correlation between the SB prediction system and DA, compared to the EGRI. RESULTS: A total of 2747 patients were included in the study. The proportion of patients with DI was 14.7% (95% CI 13.4-16) and the proportion of patients with DMV was 3.42% (95% CI 2.7-4.1). The incidence of DMV combined with DI was (2.3%). The optimal cutoff value of EGRI was 3. EGRI registered also an higher ability to predict DMV (AUC = 0.76 (95% CI 0.71-0.81)). Adding the SB variables in the logistic model, the AUC increases with the inclusion of "observed apnea" variable (0.83 vs. 0.81, p = 0.03). The area under the ROC curve for the patients with DI and DMV was 0.77 (95% CI 0.72-0.83). CONCLUSIONS: This study confirms that the incidence of DA is not negligible and suggests the use of the EGRI as simple bedside predictive score to improve patient safety

Successful combined use of videolaryngoscopy and pediatric stylet in an adult case of acute epiglottitis

To the Editor: Acute epiglottitis is a potentially life-threatening infection of the supraglottic structures, which can lead to sudden, fatal airway obstruction (1). Among children, the incidence of epiglottitis has been reduced by the introduction of vaccination against Haemophilus influenzae H. In contrast, the incidence in adults has shown a steady increase, becoming today a much more common disease (2,3). Epiglottitis in adults has many causes, and vigilance and familiarity with the clinical presentation is required for swift recognition and treatment. Non-infectious causes of epiglottitis also occur in the adult population; its onset is linked to the presence of foreign bodies, inhalation burns, inhalation of drugs, chemical burns, systemic disease, or reactions to chemotherap