Background & Objective: With the extensive use of the laryngeal mask airway (LMA) for anesthesia ... more Background & Objective: With the extensive use of the laryngeal mask airway (LMA) for anesthesia as well as in emergency airway management, learning alternative techniques of insertion is essential for the safe and quick use of the device in some cases. The smooth and quick insertion of LMA leads without repeated attempts reduce the consequent complications. We compared standard technique with 180° rotation with inflated cuff technique for LMA Classic insertion. Methodology: This study was done in Basrah University Medical Center from 1st January 2019 to 31st December 2019. During this period, in 397 patients LMA was used for general anesthesia. Out of these, in 197 patients we used 180° rotation technique of insertion of LMA with fully inflated cuff and in 200 patients the standard method was used as a control group. The patients’ ages ranged between 15 and 45 y, and they were scheduled to undergo short surgical procedures and to require general anesthesia. Results: Three hundred a...
Objective: The best laryngeal view can be obtained when external laryngeal manipulation is undert... more Objective: The best laryngeal view can be obtained when external laryngeal manipulation is undertaken by the anesthesiologist to improve glottis visualization and enhance endotracheal intubation. This study aimed to evaluate the effectiveness of using anesthesiologist own left little finger to optimize laryngeal view during endotracheal intubation in small children. Methods: The study was conducted in Basra Teaching Hospital over a period from February 2013 to October 2013. Children below 5 years, ASA class I undergoing
Monitoring of patients in the recovery room is considered the most serious part for safe anesthes... more Monitoring of patients in the recovery room is considered the most serious part for safe anesthesia. Anesthesiologists are some times so busy in completing the list of the operations so they can not follow up thoroughly their discharged patient from the theatre. This study determines the most common recovery room incidents in the last three years at AlSadir Teaching Hospital in Basrah. Of the about 7000 patients operated upon in this period, 669 patients (9.5%) had some event in the recovery room. The most common incident was respiratory problems (26%), irritability (22%), thermal (19%), cardiovascular (18%), nausea and vomiting (9%), low urine output (5%) and fall from couch (1%). Most of these incidents were treated immediately at the recovery room. The outcome was 5 deaths and 61 ICU admissions. Skilled anesthesia assistant present in the recovery room is the keystone for taking care and reducing recovery room incidents.
Monitoring of patients in the recovery room is considered the most serious part for safe
anesthe... more Monitoring of patients in the recovery room is considered the most serious part for safe
anesthesia. Anesthesiologists are some times so busy in completing the list of the
operations so they can not follow up thoroughly their discharged patient from the
theatre. This study determines the most common recovery room incidents in the last
three years at AlSadir Teaching Hospital in Basrah. Of the about 7000 patients operated
upon in this period, 669 patients (9.5%) had some event in the recovery room. The most
common incident was respiratory problems (26%), irritability (22%), thermal (19%),
cardiovascular (18%), nausea and vomiting (9%), low urine output (5%) and fall from
couch (1%). Most of these incidents were treated immediately at the recovery room. The
outcome was 5 deaths and 61 ICU admissions. Skilled anesthesia assistant present in
the recovery room is the keystone for taking care and reducing recovery room incidents.
Objective: The best laryngeal view can be obtained when external laryngeal manipulation is undert... more Objective: The best laryngeal view can be obtained when external laryngeal manipulation is undertaken by the anesthesiologist to improve glottis visualization and enhance endotracheal intubation. This study aimed
to evaluate the effectiveness of using anesthesiologist own left little finger to optimize laryngeal view during endotracheal intubation in small children. Methods: The study was conducted in Basra Teaching Hospital over a period from February 2013 to October 2013. Children below 5 years, ASA class I undergoing *Jasim M. Salman, MB, ChB, FICMS, Anesthesiology, Lecturer, University of Basra, Al-Sadir Teaching Hospital, Basrah, Iraq. E-mail: drjassim67@yahoo.com.
elective surgical procedures under general anaesthesia with endotracheal intubation were included in the study. The glottis view was assessed by direct laryngoscopy. The same patient was assigned into two groups; group A are those whose larynx is manipulated with the aid of an assistant using external pressure and direction on the larynx, while in group B, external laryngeal manipulation was undertaken by the anesthesiologist's left little finger to aid visualization of the larynx and the time to obtain the best view was recorded in both groups. Results: Out of 320 patients, seventy five patients who were included in the analysis have variable glottis view grading, a grade IIb was obtained in 54 cases, III in 19 cases, and grade IV in 2 cases. Grade I view was obtained in seventy two patients in group B vs 54 patients in group A (p<0.05). The time spent to obtain grade I view was significantly less in group B than in group A (p<0.05). Conclusions: In this study, the glottis was manipulated to obtain an optimal view using the left little finger for patients in whom the epiglottis could not be visualized with standard laryngoscopy to improve the laryngoscopic view. Furthermore, the use of this technique routinely in every patient regardless of grade makes the technique more easy and familiar
Background & Objective: With the extensive use of the laryngeal mask airway (LMA) for anesthesia ... more Background & Objective: With the extensive use of the laryngeal mask airway (LMA) for anesthesia as well as in emergency airway management, learning alternative techniques of insertion is essential for the safe and quick use of the device in some cases. The smooth and quick insertion of LMA leads without repeated attempts reduce the consequent complications. We compared standard technique with 180° rotation with inflated cuff technique for LMA Classic insertion. Methodology: This study was done in Basrah University Medical Center from 1st January 2019 to 31st December 2019. During this period, in 397 patients LMA was used for general anesthesia. Out of these, in 197 patients we used 180° rotation technique of insertion of LMA with fully inflated cuff and in 200 patients the standard method was used as a control group. The patients’ ages ranged between 15 and 45 y, and they were scheduled to undergo short surgical procedures and to require general anesthesia. Results: Three hundred a...
Objective: The best laryngeal view can be obtained when external laryngeal manipulation is undert... more Objective: The best laryngeal view can be obtained when external laryngeal manipulation is undertaken by the anesthesiologist to improve glottis visualization and enhance endotracheal intubation. This study aimed to evaluate the effectiveness of using anesthesiologist own left little finger to optimize laryngeal view during endotracheal intubation in small children. Methods: The study was conducted in Basra Teaching Hospital over a period from February 2013 to October 2013. Children below 5 years, ASA class I undergoing
Monitoring of patients in the recovery room is considered the most serious part for safe anesthes... more Monitoring of patients in the recovery room is considered the most serious part for safe anesthesia. Anesthesiologists are some times so busy in completing the list of the operations so they can not follow up thoroughly their discharged patient from the theatre. This study determines the most common recovery room incidents in the last three years at AlSadir Teaching Hospital in Basrah. Of the about 7000 patients operated upon in this period, 669 patients (9.5%) had some event in the recovery room. The most common incident was respiratory problems (26%), irritability (22%), thermal (19%), cardiovascular (18%), nausea and vomiting (9%), low urine output (5%) and fall from couch (1%). Most of these incidents were treated immediately at the recovery room. The outcome was 5 deaths and 61 ICU admissions. Skilled anesthesia assistant present in the recovery room is the keystone for taking care and reducing recovery room incidents.
Monitoring of patients in the recovery room is considered the most serious part for safe
anesthe... more Monitoring of patients in the recovery room is considered the most serious part for safe
anesthesia. Anesthesiologists are some times so busy in completing the list of the
operations so they can not follow up thoroughly their discharged patient from the
theatre. This study determines the most common recovery room incidents in the last
three years at AlSadir Teaching Hospital in Basrah. Of the about 7000 patients operated
upon in this period, 669 patients (9.5%) had some event in the recovery room. The most
common incident was respiratory problems (26%), irritability (22%), thermal (19%),
cardiovascular (18%), nausea and vomiting (9%), low urine output (5%) and fall from
couch (1%). Most of these incidents were treated immediately at the recovery room. The
outcome was 5 deaths and 61 ICU admissions. Skilled anesthesia assistant present in
the recovery room is the keystone for taking care and reducing recovery room incidents.
Objective: The best laryngeal view can be obtained when external laryngeal manipulation is undert... more Objective: The best laryngeal view can be obtained when external laryngeal manipulation is undertaken by the anesthesiologist to improve glottis visualization and enhance endotracheal intubation. This study aimed
to evaluate the effectiveness of using anesthesiologist own left little finger to optimize laryngeal view during endotracheal intubation in small children. Methods: The study was conducted in Basra Teaching Hospital over a period from February 2013 to October 2013. Children below 5 years, ASA class I undergoing *Jasim M. Salman, MB, ChB, FICMS, Anesthesiology, Lecturer, University of Basra, Al-Sadir Teaching Hospital, Basrah, Iraq. E-mail: drjassim67@yahoo.com.
elective surgical procedures under general anaesthesia with endotracheal intubation were included in the study. The glottis view was assessed by direct laryngoscopy. The same patient was assigned into two groups; group A are those whose larynx is manipulated with the aid of an assistant using external pressure and direction on the larynx, while in group B, external laryngeal manipulation was undertaken by the anesthesiologist's left little finger to aid visualization of the larynx and the time to obtain the best view was recorded in both groups. Results: Out of 320 patients, seventy five patients who were included in the analysis have variable glottis view grading, a grade IIb was obtained in 54 cases, III in 19 cases, and grade IV in 2 cases. Grade I view was obtained in seventy two patients in group B vs 54 patients in group A (p<0.05). The time spent to obtain grade I view was significantly less in group B than in group A (p<0.05). Conclusions: In this study, the glottis was manipulated to obtain an optimal view using the left little finger for patients in whom the epiglottis could not be visualized with standard laryngoscopy to improve the laryngoscopic view. Furthermore, the use of this technique routinely in every patient regardless of grade makes the technique more easy and familiar
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anesthesia. Anesthesiologists are some times so busy in completing the list of the
operations so they can not follow up thoroughly their discharged patient from the
theatre. This study determines the most common recovery room incidents in the last
three years at AlSadir Teaching Hospital in Basrah. Of the about 7000 patients operated
upon in this period, 669 patients (9.5%) had some event in the recovery room. The most
common incident was respiratory problems (26%), irritability (22%), thermal (19%),
cardiovascular (18%), nausea and vomiting (9%), low urine output (5%) and fall from
couch (1%). Most of these incidents were treated immediately at the recovery room. The
outcome was 5 deaths and 61 ICU admissions. Skilled anesthesia assistant present in
the recovery room is the keystone for taking care and reducing recovery room incidents.
to evaluate the effectiveness of using anesthesiologist own left little finger to optimize laryngeal view during endotracheal intubation in small children. Methods: The study was conducted in Basra Teaching Hospital over a period from February 2013 to October 2013. Children below 5 years, ASA class I undergoing *Jasim M. Salman, MB, ChB, FICMS, Anesthesiology, Lecturer, University of Basra, Al-Sadir Teaching Hospital, Basrah, Iraq. E-mail: drjassim67@yahoo.com.
elective surgical procedures under general anaesthesia with endotracheal intubation were included in the study. The glottis view was assessed by direct laryngoscopy. The same patient was assigned into two groups; group A are those whose larynx is manipulated with the aid of an assistant using external pressure and direction on the larynx, while in group B, external laryngeal manipulation was undertaken by the anesthesiologist's left little finger to aid visualization of the larynx and the time to obtain the best view was recorded in both groups. Results: Out of 320 patients, seventy five patients who were included in the analysis have variable glottis view grading, a grade IIb was obtained in 54 cases, III in 19 cases, and grade IV in 2 cases. Grade I view was obtained in seventy two patients in group B vs 54 patients in group A (p<0.05). The time spent to obtain grade I view was significantly less in group B than in group A (p<0.05). Conclusions: In this study, the glottis was manipulated to obtain an optimal view using the left little finger for patients in whom the epiglottis could not be visualized with standard laryngoscopy to improve the laryngoscopic view. Furthermore, the use of this technique routinely in every patient regardless of grade makes the technique more easy and familiar
anesthesia. Anesthesiologists are some times so busy in completing the list of the
operations so they can not follow up thoroughly their discharged patient from the
theatre. This study determines the most common recovery room incidents in the last
three years at AlSadir Teaching Hospital in Basrah. Of the about 7000 patients operated
upon in this period, 669 patients (9.5%) had some event in the recovery room. The most
common incident was respiratory problems (26%), irritability (22%), thermal (19%),
cardiovascular (18%), nausea and vomiting (9%), low urine output (5%) and fall from
couch (1%). Most of these incidents were treated immediately at the recovery room. The
outcome was 5 deaths and 61 ICU admissions. Skilled anesthesia assistant present in
the recovery room is the keystone for taking care and reducing recovery room incidents.
to evaluate the effectiveness of using anesthesiologist own left little finger to optimize laryngeal view during endotracheal intubation in small children. Methods: The study was conducted in Basra Teaching Hospital over a period from February 2013 to October 2013. Children below 5 years, ASA class I undergoing *Jasim M. Salman, MB, ChB, FICMS, Anesthesiology, Lecturer, University of Basra, Al-Sadir Teaching Hospital, Basrah, Iraq. E-mail: drjassim67@yahoo.com.
elective surgical procedures under general anaesthesia with endotracheal intubation were included in the study. The glottis view was assessed by direct laryngoscopy. The same patient was assigned into two groups; group A are those whose larynx is manipulated with the aid of an assistant using external pressure and direction on the larynx, while in group B, external laryngeal manipulation was undertaken by the anesthesiologist's left little finger to aid visualization of the larynx and the time to obtain the best view was recorded in both groups. Results: Out of 320 patients, seventy five patients who were included in the analysis have variable glottis view grading, a grade IIb was obtained in 54 cases, III in 19 cases, and grade IV in 2 cases. Grade I view was obtained in seventy two patients in group B vs 54 patients in group A (p<0.05). The time spent to obtain grade I view was significantly less in group B than in group A (p<0.05). Conclusions: In this study, the glottis was manipulated to obtain an optimal view using the left little finger for patients in whom the epiglottis could not be visualized with standard laryngoscopy to improve the laryngoscopic view. Furthermore, the use of this technique routinely in every patient regardless of grade makes the technique more easy and familiar