CurrentAnesthesia — Airway management

Effect of Remifentanil vs Neuromuscular Blockers During Rapid Sequence Intubation on Successful Intubation Without Major Complications Among Patients at Risk of Aspiration: A Randomized Clinical Trial

2026-10-28T04:43:30.217Z

Randomised controlled trial · JAMA, 2023. Successful intubation on first attempt without major complications (as-randomized population): Remifentanil 374 (66.1%) · Neuromuscular blockers 408 (71.6%)

Recall of Awareness During Paralysis Among ED Patients Undergoing Tracheal Intubation

2026-10-28T04:40:50.491Z

Cohort study · Chest, 2022. Recalled awareness of paralysis (possible or definite): Possible or definite recalled awareness of paralysis, n = 66 7.4% (95% CI, 5.8-9.4)

Prediction of Difficult Laryngoscopy Using Ultrasound: A Systematic Review and Meta-Analysis

2026-10-28T04:21:38.918Z

Meta-analysis · Crit Care Med, 2022. Difficult laryngoscopy: Anterior tissue thickness: sensitivity 76% (95% CI, 71-81%); specificity 77% (95% CI, 72-81%); AUC 0.83 (95% CI, 0.80-0.86) · Anatomical position: sensitivity 74% (95% CI, 61-84%); specificity 86% (95% CI, 78-91%); AUC 0.87 (95% CI, 0.84-0.90) · Oral space: sensitivity 53% (95% CI, 0.36-0.69); specificity 77% (95% CI, 0.67-0.85); AUC 0.73 (95% CI, 0.69-0.77)

Real-Time Ultrasound Guidance as Compared With Landmark Technique for Subclavian Central Venous Cannulation: A Systematic Review and Meta-Analysis With Trial Sequential Analysis*

2026-10-28T04:21:38.918Z

Meta-analysis · Crit Care Med, 2023. Overall success rate; complication rate — Real-time ultrasound-guided vs Landmark: RR for overall successful cannulation 1.14 (95% CI 1.06-1.23); p = 0.0007; I2 = 55%; low certainty

Exhaled patient derived aerosol dispersion during awake tracheal intubation with concurrent high flow nasal therapy

2026-10-28T04:08:44.882Z

Cohort study · J Clin Monit Comput, 2023. Patient-derived aerosol concentration and dispersion: Greatest concentration within 0.5-1.0 m of the subject, along midline 2242 #/cm3

Is endotracheal tube displacement during head and neck extension due to ascending movement or tracheal lengthening? An observational ultrasonographic study

2026-10-28T04:08:44.882Z

Cohort study · J Clin Monit Comput, 2022. CC, TC and total tracheal length (TTL): Flexion mean 1.5 ± 0.6 cm; CC 1.5 ± 0.6 cm; TC 2.9 ± 1.0 cm

Quantification of respiratory sounds by a continuous monitoring system can be used to predict complications after extubation: a pilot study

2026-10-28T04:08:44.882Z

Cohort study · J Clin Monit Comput, 2022. Quantitative values (QV) of abnormal respiratory sounds and inspiratory sound volume, outcome vs non-outcome: Outcome 63.3 dB · Non-outcome 54.3 dB

The utility of a multi-orifice epidural catheter when using the “Spray-as-You-Go” technique for topical Airway Anesthesia during Flexible Bronchoscopy, a randomised trial

2026-10-28T04:08:44.882Z

Randomised controlled trial · J Clin Monit Comput, 2022. Cough severity score: group C median 3 · group E median 2

Comparison of Ambu AuraGain and BlockBuster laryngeal mask for controlled ventilation in children undergoing minor surgical procedures under general anesthesia: A prospective randomized controlled study

2026-10-28T04:04:03.147Z

Randomised controlled trial · Paediatr Anaesth, 2023. Oropharyngeal leak pressure: BlockBuster mean 24.72 ± 6.81 cm H2 O · Ambu AuraGain mean 17.20 ± 4.28 cm H2 O

Utilizing nasal‐tragus length to estimate optimal endotracheal tube depth in neonates: A prospective randomized control study

2026-10-28T04:04:03.147Z

Randomised controlled trial · Paediatr Anaesth, 2022. Distance from carina to ETT tip: N mean 9.41 (± 6.65) mm · W mean 3.21 (± 3.45) mm

Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Moderate-to-severe bleeding: Moderate-to-severe bleeding similar in both groups

Diagnostic Performance of Airway Ultrasound for the Assessment of Difficult Laryngoscopy: A Systematic Review and Meta-Analysis

2026-10-28T03:56:35.329Z

Meta-analysis · J Cardiothorac Vasc Anesth, 2023. Prediction of difficult laryngoscopy: SED: sensitivity 75%; specificity 86% · HMDR: sensitivity 61%; specificity 88% · pre-E/E-VC: sensitivity 82%; specificity 83%; diagnostic odds ratio 22.2

Scalpel cricothyrotomy versus punctured cricothyrotomy in the context of the CICO crisis. A systematic review and Meta-analysis

2026-10-28T03:54:35.559Z

Meta-analysis · Anaesth Crit Care Pain Med, 2023. Overall success rate, first-time success rate and time taken to perform the procedure — PCT vs SCT: OR for overall success 0.91 (95% CI 0.52-1.58); p = 0.74; overall success rate 82.2% vs. 82.6%

Assessment of the reliability of virtual preanesthetic airway evaluation compared to traditional in-person airway evaluation: a prospective observational study

2026-10-28T03:51:30.684Z

Cohort study · Can J Anaesth, 2022. Inter-rater agreement of total airway scores (Cohen's Kappa) between in-person anesthesiologist evaluation and VAEs — Anesthesiologist VAE vs In-person anesthesiologist: Cohen's Kappa 0.21 (97.5% CI 0.07 to 0.34); fair agreement

Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study

2026-10-28T03:51:30.684Z

Cohort study · Can J Anaesth, 2023. First-pass success rate: Ward 57.5% · ICUs 66.1% · ED 84.3%

The incidence of awake tracheal intubation in anesthetic practice is decreasing: a historical cohort study of the years 2014–2020 at a single tertiary care institution

2026-10-28T03:51:30.684Z

Cohort study · Can J Anaesth, 2022. Yearly ATIs, 2014–2020: Statistically significant decrease in yearly ATIs over the seven-year period (Chi square goodness of fit) P < 0.001

Implementation of video laryngoscopes and the development in airway management strategy and prevalence of difficult tracheal intubation: A national cohort study

2026-10-28T03:44:37.230Z

Cohort study · Acta Anaesthesiol Scand, 2022. Advanced technique successfully used within two attempts (predominantly video laryngoscopy): 2008 2.7% · 2016 15.5%

Infrared flashing light through the cricothyroid membrane as guidance to awake intubation with a flexible bronchoscope: A randomised cross‐over study

2026-10-28T03:44:37.230Z

Randomised controlled trial · Acta Anaesthesiol Scand, 2023. Median anatomical level of correct identification of the trachea: Infrared median oropharynx · Conventional median past the epiglottis

Transcutaneous carbon dioxide monitoring during prolonged apnoea with high‐flow nasal oxygen

2026-10-28T03:44:37.230Z

Secondary analysis · Acta Anaesthesiol Scand, 2023. Agreement of transcutaneous vs arterial CO2: Bias range -0.55 to 0.81 kPa

Pre-operative ultrasound prediction of difficult airway management in adult patients: A systematic review of clinical evidence

2026-10-28T03:35:32.861Z

Meta-analysis · Eur J Anaesthesiol, 2023. Difficult laryngoscopy or intubation: 41 single parameters and 12 combinations of clinical and ultrasound parameters reported

High-Flow Nasal Cannula for Apneic Oxygenation in Obese Patients for Elective Surgery: A Systematic Review and Meta-Analysis

2026-10-28T03:28:59.708Z

Meta-analysis · Anesth Analg, 2022. Desaturation to SpO2 <92% from induction of anesthesia until intubation — HFNC vs FM: OR 0.49 (95% CI 0.15-1.63); P = .24

A multicentre randomised controlled trial of the McGrath ™ Mac videolaryngoscope versus conventional laryngoscopy

2026-10-28T03:25:23.999Z

Randomised controlled trial · Anaesthesia, 2023. First-pass tracheal intubation success: McGrath 987 (94%) · Direct laryngoscopy 848 (82%)

A quantitative evaluation of aerosol generation during awake tracheal intubation

2026-10-28T03:25:23.999Z

Mechanistic study · Anaesthesia, 2023. Peak aerosol concentration: Bronchoscope through vocal cords median 1020 (IQR [range] 645-1245 [120-48,948]) particles.l-1 · Coughing median 1460 (IQR [range] 390-2506 [40-12,280]) particles.l-1 · Lidocaine spray coughs median 91,700 (IQR [range] 41,907-166,774 [390-557,817]) particles.l-1 · Nasendoscopy median 180 (IQR [range] 120-525 [0-9552]) particles.l-1

Aerosol precautions and airway complications: a national prospective multicentre cohort study

2026-10-28T03:25:23.999Z

Cohort study · Anaesthesia, 2022. Airway complications — filtering facepiece class 2 or class 3 respirators: OR 1.38 (95% CI 1.04-1.83); mixed-effects logistic regression

Deep‐learning model associating lateral cervical radiographic features with Cormack–Lehane grade 3 or 4 glottic view

2026-10-28T03:25:23.999Z

Diagnostic or prognostic study · Anaesthesia, 2022. Brier score (95%CI; lower = better): New model 0.023 (95%CI 0.021-0.025) · VGG 0.034 (95%CI 0.034-0.035) · ResNet 0.033 (95%CI 0.033-0.035) · Xception 0.032 (95%CI 0.031-0.033) · ResNext 0.033 (95%CI 0.032-0.033) · DenseNet 0.030 (95%CI 0.029-0.032) · SENet 0.031 (95%CI 0.029-0.032)

Impact of direct laryngoscopy vs. videolaryngoscopy on signal quality of recurrent laryngeal nerve monitoring in thyroid surgery: a randomised parallel group trial

2026-10-28T03:25:23.999Z

Randomised controlled trial · Anaesthesia, 2022. Incidence of insufficient signal electromyogram amplitude level (< 500 μV) after successful tracheal intubation: Direct laryngoscopy 35 (27%) · C-MAC 12 (9%)

Apnoeic oxygenation in morbid obesity: a randomised controlled trial comparing facemask and high-flow nasal oxygen delivery

2026-10-28T03:18:44.786Z

Randomised controlled trial · Br J Anaesth, 2022. Apnoea time: High-Flow Nasal Oxygen median 18 (IQR 18-18) min · Facemask median 18 (IQR 4.1-18) min

Electroencephalogram-based prediction and detection of responsiveness to noxious stimulation in critical care patients: a retrospective single-centre analysis

2026-10-28T03:18:44.786Z

Cohort study · Br J Anaesth, 2022. EEG normalised band power: Before strong behavioural responses: higher normalised power, 2.5-5 Hz band (P<0.001) +17.1%

Risk patterns of consecutive adverse events in airway management: a Bayesian network analysis

2026-10-28T03:18:44.786Z

Research article · Br J Anaesth, 2022. Risk of first adverse airway event and conditional probabilities of event sequences: Targeted changes reduced the risk of a first event, independent of sex, age and ASA physical status

Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis

2026-10-28T03:18:44.786Z

Meta-analysis · Br J Anaesth, 2023. FONA success rate: Surgical median 100.0%; pooled rate 92.0%; 95% CI 88.0-95.0% · Needle median 50.0%; pooled rate 52.0%; 95% CI 28.0-76.0%

Clinicodemographic Predictors of Tracheotomy Tube Size and Decannulation: A Multiinstitutional Retrospective Cohort Study on Tracheotomy

2026-10-27T23:40:12.801Z

Cohort study · Ann Surg, 2023. Predictors of large (≥8) tracheostomy tube size (multivariable logistic regression) — Patient height: OR 1.060 per inch (95% CI 1.041-1.070)

Aerosol Box Use in Reducing Health Care Worker Contamination During Airway Procedures (AIRWAY Study)): A Simulation-Based Randomized Clinical Trial

2026-10-27T23:37:19.358Z

Randomised controlled trial · JAMA Netw Open, 2023. AOC on airway HCPs — Intervention vs Control: overall decreased AOC to the torso 77.5% (95% CI -86.3% to -62.9%); P < .001

Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults

2026-10-27T23:35:39.811Z

Randomised controlled trial · N Engl J Med, 2023. Successful intubation on the first attempt: Video laryngoscope 600 (85.1%) · Direct laryngoscope 504 (70.8%)

Individualized Treatment Effects of Bougie versus Stylet for Tracheal Intubation in Critical Illness

2026-10-27T23:32:30.547Z

Secondary analysis · Am J Respir Crit Care Med, 2023. Effect modification by predicted individualized treatment effects (validation cohort): Individualized treatment effects significantly modified effect of group assignment on primary outcome; P value for interaction 0.02

Effects of tracheostomy timing in adult patients receiving mechanical ventilation: A systematic review and network meta-analysis

2026-10-27T23:28:00.394Z

Meta-analysis · J Crit Care, 2023. Short-term mortality (mortality at any reported time point up to hospital discharge) — ≤ 4 days vs 5-12 days: RR 0.79 (95% CI 0.56-1.11); very low certainty

Etomidate as an induction agent for endotracheal intubation in critically ill patients: A meta-analysis of randomized trials

2026-10-27T23:28:00.394Z

Meta-analysis · J Crit Care, 2023. Mortality at the main timepoint defined by the study: Etomidate 319 (23%) · Other induction agents 267 (20%)

Preoxygenation with standard facemask combining apnoeic oxygenation using high flow nasal cannula versuss standard facemask alone in patients with and without obesity: the OPTIMASK international study

2026-10-27T23:25:45.237Z

Cohort study · Ann Intensive Care, 2023. Lowest EtO2, within 2 min after intubation: Facemask-alone 89 (range 85-92) % · Facemask combined with HFNO 91 (range 88-93) %

Assessing a novel second generation laryngeal mask airway using the ‘ADEPT’ approach: results from the LMA® Protector™ observational study

2026-10-27T23:08:04.173Z

Cohort study · J Clin Monit Comput, 2022. Insertion time and ability to ventilate: Time to insertion of device, median (IQR [range]) 31 (26-40[14-780]) s

Assessment of stress response due to C-Mac D-blade guided videolaryngoscopic endotracheal intubation and docking of da Vinci surgical robot using perfusion index in patients undergoing transoral robotic oncosurgery

2026-10-27T23:08:04.173Z

Cohort study · J Clin Monit Comput, 2023. PI: Laryngoscopy 3.24; 1 min 3.68; 3 min 4.69; 10 min 6.17 · Docking 4.1; 1 min 4.02; 3 min 4.31; 10 min 4.79

To compare the influence of blind insertion and up-down optimized glottic exposure manoeuvre on oropharyngeal leak pressure using SaCoVLM™ video laryngeal mask among patients undergoing general anesthesia

2026-10-27T23:08:04.173Z

Randomised controlled trial · J Clin Monit Comput, 2022. OPLP: Blind insertion mean 32.4 ± 5.0 cmH2O · Up-down optimized glottic exposure manoeuvre mean 36.3 ± 5.2 cmH2O

Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy

2026-10-27T23:06:33.264Z

Cohort study · Perioper Med (Lond), 2023. Success rate of NIDP: NIDP 95%

A randomized controlled trial comparing three supraglottic airway devices used as a conduit to facilitate tracheal intubation with flexible bronchoscopy

2026-10-27T22:52:26.060Z

Randomised controlled trial · Can J Anaesth, 2023. Median intubation time: Air-Q Blocker median 44 sec · AuraGain median 45 sec · i-gel median 36 sec

Airway nerve blocks for awake tracheal intubation: A meta-analysis of randomized control trials and trial sequential analysis

2026-10-27T22:44:42.780Z

Meta-analysis · J Clin Anesth, 2023. Intubation time — Airway nerve blocks vs Without nerve blocks: SMD -2.57 (95% CI -3.59- -1.56); p < 0.00001

Comparing nasopharyngeal apnoeic oxygenation at 18 l/min to preoxygenation alone in obese patients – A randomised controlled study

2026-10-27T22:44:42.780Z

Randomised controlled trial · J Clin Anesth, 2023. Safe apnoea time: No-AO median 262 (IQR 190-316) s · NPA-O2 median 600 (IQR 600-600) s

Comprehensive quality initiative leads to immediate postoperative extubation following liver transplant

2026-10-27T22:44:42.780Z

Cohort study · J Clin Anesth, 2022. Incidence of IPE, 2013 vs 2018: IPE after PAC, 2013 9/67 (13.4%)

Single-use versus reusable metallic laryngoscopes for non-emergent intubation: A retrospective review of 72,672 intubations

2026-10-27T22:44:42.780Z

Cohort study · J Clin Anesth, 2023. Need for intubation rescue with an alternate device — Single-use vs Reusable: aOR 0.81 (95% CI 0.66-0.99); covariates-adjusted

The role of gastric ultrasound in anaesthesia for emergency surgery: A review and clinical guidance

2026-10-27T22:43:00.941Z

Meta-analysis · Eur J Anaesthesiol Intensive Care, 2023. Incidence of 'full stomach', at the time of induction: Incidence of 'full stomach' at induction (range across studies) between 18 and 56%

Arterial partial pressure of oxygen as a marker of airway closure does not correlate with the efficacy of pre-oxygenation: A prospective cohort study

2026-10-27T22:41:13.584Z

Cohort study · Eur J Anaesthesiol, 2023. Correlation of F E' O 2 at 3 min with PaO2: No linear correlation between F E' O 2 at 3 min and PaO2 (Pearson's r) -0.038, P = 0.684

Effect of head and neck positions on tracheal intubation using a McGRATH MAC video laryngoscope: A randomised, prospective study

2026-10-27T22:41:13.584Z

Randomised controlled trial · Eur J Anaesthesiol, 2023. Intubation difficulty — Head elevation only vs Simple head extension; P = 0.001; significantly easier with head elevation

A Prospective, Randomized Comparison of the Classical Altemir’s Method With the Newer Seldinger’s Technique of Submental Intubation

2026-10-27T22:35:32.011Z

Randomised controlled trial · Anesth Analg, 2023. Time taken to complete submental intubation: Seldinger median 170.5 (IQR 136.5-256.0) seconds · Altemir median 220.0 (IQR 205.5-289.0) seconds