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https://hdl.handle.net/11055/2
2024-03-28T09:17:09ZAirway management of adult epiglottitis: a systematic review and meta-analysis
https://hdl.handle.net/11055/1205
Title: Airway management of adult epiglottitis: a systematic review and meta-analysis
Authors: Booth AWG; Pungsornruk K; Llewellyn S; Sturgess D; Vidhani K
Abstract: Abstract
Background: Adult epiglottitis is a life-threatening airway emergency where airway protection is the immediate priority. Despite its importance, the optimal approach to airway management remains unclear. We performed a systematic review of the airway management for adult epiglottitis, including meta-analysis of trends over time.
Methods: We systematically searched PubMed, Ovid MEDLINE®, and Embase® for adult epiglottitis studies that described the airway management between 1980 and 2020. The primary outcome was the prevalence of airway intervention. Secondary outcomes were prevalence of tracheal intubation, tracheostomy, and failed intubation. A random-effects model meta-analysis was performed with subgroups defined by decade of study publication. Cases that described the specific method of airway intervention and severity of epiglottitis were included in a separate technique summary.
Results: Fifty-six studies with 10 630 patients were included in the meta-analysis. The overall rate of airway intervention was 15.6% (95% confidence interval [CI] 12.9-18.8%) but the rate decreased from 20% to 10% between 1980 and 2020. The overall rate of tracheal intubation was 10.2% (95% CI 7.1-13.6%) and that of failed intubation was 4.2% (95% CI 1.4-8.0%). The airway technique summary included 128 cases, of which 75 (58.6%) were performed awake and 53 (41.4%) involved general anaesthesia. We identified 32 cases of primary technique failure.
Conclusion: The rate of airway intervention for adult epiglottitis has decreased over four decades to a current level of 10%. Tracheal intubation is a high-risk scenario with a 1 in 25 failure rate. Specific technique selection is most likely influenced by contextual factors including the severity of epiglottitis.
Keywords: adult epiglottitis; airway intervention; epiglottitis; intubation; tracheostomy.2024-01-05T00:00:00ZANZCA Bulletin (Summer 2023)
https://hdl.handle.net/11055/1204
Title: ANZCA Bulletin (Summer 2023)
Authors: Hincks C
Description: President's message 2
CEO's message 4
Upcoming elections 5
Letters to the editor 6
ANZCA and FPM in the news 8
ANZCA and government 10
Our karakia 14
Perioperative medicine 16
National Anaesthesia Day wrap up 25
ANZCA's professional documents 28
SipTilSend 31
Safety and quality 34
Continuing Professional Development 44
Doctors' health and wellbeing 48
Directors of Professional Affairs 52
Environmental sustainability 56
Research grants for 2024 58
ANZCA Foundation 74
ANZCA Clinical Trials Network 79
Training and education 80
Faculty of Pain Medicine 88
Global development 94
Health equity 97
Library news 98
Obituaries 1002024-01-01T00:00:00ZANZCA Bulletin (Spring 2023)
https://hdl.handle.net/11055/1203
Title: ANZCA Bulletin (Spring 2023)
Authors: Hincks C
Description: President's message 2
CEO's message 4
National Anaesthesia Day - 16 October 5
Letters to the editor 6
ANZCA and FPM in the news 11
Advocacy at ANZCA 13
ANZCA Council Awards now open 16
ANZCA's professional documents 19
New look ANZCA and FPM CPD Committee 24
Doctors' health and wellbeing 26
Perioperative medicine 31
Beyond City Limits - Tasmanian attractions 37
Fellow profile - Dr Adam Mahoney 43
Safety and quality 47
Training and education 59
Artificial Intelligence 63
Gender equity 66
Faculty of Pain Medicine 69
Call for a rethink of the specialty 72
Global development 75
ANZCA Foundation 76
ANZCA Clinical Trials Network 78
Library news 80
Obituaries 822023-10-01T00:00:00ZANZCA Bulletin (Winter 2023)
https://hdl.handle.net/11055/1202
Title: ANZCA Bulletin (Winter 2023)
Authors: Hincks C
Description: President's message 2
CEOs message 4
Awards 5
Letters to the editor 6
ANZCA and FPM in the news 8
Advocacy at ANZCA 10
ANZCA's professional documents 14
Perioperative medicine 16
Continuing professional development 22
Doctors' health and wellbeing 25
Fellow profile - Dr Min-Qi Lee 30
Environmental sustainability 34
Safety and quality 36
Global development 46
It's a wrap! ANZCA ASM 2023 Sydney 50
Training and education 60
Successful candidates 64
Fellow profile - Dr Mike Martyn 68
Faculty of Pain Medicine 70
Library new 76
ANZCA Foundation 78
ANZCA Clinical Trials Network 80
Professional Practice Research Network Executive 81
Obituaries 822023-07-01T00:00:00Z