Notice bibliographique
Résumé
We would like to thank the authors for their replies regarding our study [1]. We appreciate Curtis’s words of caution concerning potential complications when using the videolaryngoscope for awake intubation of the morbidly obese. The most commonly reported complication of videolaryngoscope-assisted intubation in anaesthetised patients is laceration or perforation of the palate or tonsil during tube insertion [2, 3], but we were unable to quantify this risk in our study. To our knowledge, no complications of this technique have been reported in conscious patients thus far, but this is most likely to reflect its limited implementation, as all other types of intubation technique are associated with airway trauma. To limit the risk of injury to the airway during our study, we did not persist with videolaryngoscopy if severe coughing/gagging occurred during insertion, but provided additional topical anaesthesia and sedation, before any further attempt was made. We agree that awake patients may be at increased risk of palatal trauma secondary to coughing/gagging, but they may be relatively protected from the same by being able to indicate pain or discomfort during tracheal tube insertion (depending on the level of sedation and airway anaesthesia). We also agree with Curtis that passing the tracheal tube through the vocal cords using a videolaryngoscope can be just as difficult as obtaining a view of the vocal cords. One patient in our study was given general anaesthesia after obtaining a videolaryngoscopic view of the vocal cords because attempted passage of the tube caused severe coughing and gagging. Although there is evidence that a good view of the vocal cords during conventional ‘awake look’ laryngoscopy persists after induction of general anaesthesia [4], this is not necessarily the case during videolaryngoscopy. We do not advocate a videolaryngoscopic ‘awake look’ before tracheal intubation, but suggest this method could provide the anaesthetist with useful information when determining definitive airway management. We appreciate Richardson and Hodzovic’s comments concerning the range of videolaryngoscopes that might be used to assist awake intubation, and how the blade design of each may variably affect the prevalence of difficulties encountered when performing this technique. It remains unclear if there is one ideal laryngoscope for awake tracheal intubations. We chose to use the Glidescope® for our study based solely on its availability in our department and our comfort and experience with its use, but agree that our results may have been different using other videolaryngoscopes with which we were less familiar. Further research is clearly required to evaluate and compare the strengths and weaknesses of the various methods and equipment used for awake tracheal intubation.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».