PMID: 8595696Dec 1, 1995Paper

Evaluation of the Augustine Guide for difficult tracheal intubation

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
R CarrR Palahniuk

Abstract

Successful tracheal intubation with Augustine Guide (Augustine Medical, Inc., Eden Prairie, MN) in patients with normal airways has recently been described. There are no studies describing Augustine Guide (AG) use in patients with difficult airways. Accordingly, we studied AG intubation in a population of patients with expected difficult airways due to cervical spine pathology, limited mouth opening, obesity, facial trauma or deformity due to previous operation or radiation and in patients with unexpectedly difficult airways. A total of 44 patients were studied. The AG was used as a primary intubating tool in patients with known difficult airways (n = 36) and as a secondary intubating tool in patients with unexpected inability to intubate using conventional direct laryngoscopy (n = 8). Airway difficulty was predicted by history and physical examination. Intubations were performed under general anaesthesia in 40 of the 44 patients studied. In four patients with predictably difficult airways, topical anaesthesia and sedation were used. Backup methods to achieve intubation were available. Thirty-two of the 36 with known or suspected difficult airways were classified as Mallampati Class III or IV. In the remaining eight patients th...Continue Reading

References

Jul 1, 1988·Critical Care Medicine·P Barriot, B Riou
May 1, 1987·Anaesthesia·G L Samsoon, J R Young
Jul 1, 1987·Annals of Emergency Medicine·M FrassF Lackner
Aug 1, 1983·British Journal of Anaesthesia·A I Brain
Dec 6, 1980·British Medical Journal·T A Michael, A S Gordon
Feb 1, 1994·Anesthesia and Analgesia·S GelmanT Henderson
Dec 1, 1987·Journal of Cardiothoracic Anesthesia·M FrassC Leithner

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Citations

Nov 8, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A DuttaP Chari
May 2, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Edward Crosby
Jun 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·R M Meyer
May 2, 2000·Anaesthesia and Intensive Care·H Owen, I Waddell-Smith

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