The effects of head and body positioning on upper airway collapsibility in normal subjects who received midazolam sedation

Journal of Clinical Anesthesia

Volumn 18, Issue 3, 2006, Pages 185-193

  Ikeda, Hidetoshi ^a   Ayuse, Takao ^a   Oi, Kumiko ^a  

^a College of Medical and Dental Sciences ^*  (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

FLUMAZENIL; MIDAZOLAM; WATER;

ADULT; AIRWAY PRESSURE; ARTICLE; BODY POSITION; BODY POSTURE; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTROENCEPHALOGRAM; ELECTROMYOGRAM; ELECTROOCULOGRAM; ESOPHAGUS PRESSURE; HEAD POSITION; HUMAN; INSPIRATORY CAPACITY; MALE; PLETHYSMOGRAPHY; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; SEDATION; SLEEP; SUPINE POSITION;

ADULT; AIRWAY OBSTRUCTION; HUMANS; HYPNOTICS AND SEDATIVES; MALE; MIDAZOLAM; POSTURE; RESPIRATORY SYSTEM;

EID: 33646820364     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jclinane.2005.08.010     Document Type: Article

References (33)

1. Montravers P., Dureuil B., and Desmonts J.M. Effects of i.v. midazolam on upper airway resistance. Br J Anaesth 68 (1992) 27-31
2. Oshima T., Masaki Y., and Toyooka H. Flumazenil antagonizes midazolam-induced airway narrowing during nasal breathing in humans. Br J Anaesth 82 (1999) 698-702
3. Shorten G.D., Opie N.J., Graziotti P., Morris I., and Khangure M. Assessment of upper airway anatomy in awake, sedated and anaesthetised patients using magnetic resonance imaging. Anaesth Intensive Care 22 (1994) 165-169
4. Drummond G.B. Comparison of sedation with midazolam and ketamine: effects on airway muscle activity. Br J Anaesth 76 (1996) 663-667
5. Neill A.M., Angus S.M., Sajkov D., and McEvoy R.D. Effects of sleep posture on upper airway stability in patients with obstructive sleep apnea. Am J Respir Crit Care Med 155 (1997) 199-204
6. Isono S., Tanaka A., Sho Y., Konno A., and Nishino T. Advancement of the mandible improves velopharyngeal airway patency. J Appl Physiol 79 (1995) 2132-2138
7. Kawauchi Y., Oshima T., Suzuki S., Saitoh Y., and Toyooka H. Advancement of the mandible facilitates nasal breathing in human subjects sedated with midazolam. Can J Anaesth 47 (2000) 215-219
8. Hammer J., Reber A., Trachsel D., and Fei F.J. Effect of jaw-thrust and continuous positive airway pressure on tidal breathing in deeply sedated infants. J Pediatr 138 (2001) 826-830
9. Reber A., Wetzel S.G., Schnabel K., Bongartz G., and Frei F.J. Effect of combined mouth closure and chin lift on upper airway dimensions during routine magnetic resonance imaging in pediatric patients sedated with propofol. Anesthesiology 90 (1999) 1617-1623
10. Chernik D.A., Gillings D., Laine H., et al. Validity and reliability of the Observer's Assessment of Alertness/Sedation Scale: study with intravenous midazolam. J Clin Psychopharmacol 10 (1990) 244-251
11. Ibrahim A.E., Taraday J.K., and Kharasch E.D. Bispectral index monitoring during sedation with sevoflurane, midazolam, and propofol. Anesthesiology 95 (2001) 1151-1159
12. Liu J., Singh H., and White P.F. Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation. Anesthesiology 84 (1996) 64-69
13. Schwartz A.R., O'Donnell C.P., Baron J., et al. The hypotonic upper airway in obstructive sleep apnea: role of structures and neuromuscular activity. Am J Respir Crit Care Med 157 4 Pt 1 (1998) 1051-1057
14. Schwartz A.R., Eisele D.W., and Smith P.L. Pharyngeal airway obstruction in obstructive sleep apnea: pathophysiology and clinical implications. Otolaryngol Clin North Am 31 (1998) 911-918
15. Gold A.R., and Schwartz A.R. The pharyngeal critical pressure. The whys and hows of using nasal continuous positive airway pressure diagnostically. Chest 110 (1996) 1077-1088
16. Rowley J.A., Permutt S., Willey S., Smith P.L., and Schwartz A.R. Effect of tracheal and tongue displacement on upper airway airflow dynamics. J Appl Physiol 80 (1996) 2171-2178
17. Boudewyns A., Punjabi N., Van de Heyning P.H., et al. Abbreviated method for assessing upper airway function in obstructive sleep apnea. Chest 118 (2000) 1031-1041
18. Ayuse T., Brienza N., O'Donnell C.P., and Robotham J.L. Pressure-flow analysis of portal vein and hepatic artery interactions in porcine liver. Am J Physiol 267 4 Pt 2 (1994) H1233-H1242
19. Galloway D.W. Upper airway obstruction by the soft palate: influence of position of head, jaw and neck (letter). Br J Anaesth 64 (1990) 383-384
20. Mathru M., Esch O., Lang J., et al. Magnetic resonance imaging of the upper airway. Effects of propofol anesthesia and nasal continuous positive airway pressure in humans. [see comments]. Anesthesiology 84 (1996) 273-279
21. Litman R.S., Hayes J.L., Basco M.G., Schwartz A.R., Bailey P.L., and Ward D.S. Use of dynamic negative airway pressure (DNAP) to assess sedative-induced upper airway obstruction. Anesthesiology 96 (2002) 342-345
22. Eastwood P.R., Szollosi I., Platt P.R., and Hillman D.R. Comparison of upper airway collapse during general anaesthesia and sleep. Lancet 359 (2002) 1207-1209
23. Power S.J., Morgan M., and Chakrabarti M.K. Carbon dioxide response curves following midazolam and diazepam. Br J Anaesth 55 (1983) 837-841
24. Schwartz A.R., Smith P.L., and Kashima H.K. Respiratory function of the upper airways. In: Murray J.F., and Nadel J.A. (Eds). Textbook of respiratory medicine. 2nd ed. (1994), W.B. Saunders, Philadelphia 1451-1470
25. Rowley J.A., Zhou X., Vergine I., Shkoukani M.A., and Badr M.S. Influence of gender on upper airway mechanics: upper airway resistance and Pcrit. J Appl Physiol 91 (2001) 2248-2254
26. Morikawa S., Safar P., and DeCarlo J. Influence of head-jaw position on airway patency. Anesthesiology 22 (1961) 265-270
27. Isono S., Tanaka A., and Nishino T. Lateral position decreases collapsibility of the passive pharynx in patients with obstructive sleep apnea. Anesthesiology 97 (2002) 780-785
28. Ishikawa T., Isono S., Aiba J., Tanaka A., and Nishino T. Prone position increases collapsibility of the passive pharynx in infants and small children. Am J Respir Crit Care Med 166 (2002) 760-764
29. Isono S., Tanaka A., Tagaito Y., Ishikawa T., and Nishino T. Influences of head positions and bite opening on collapsibility of the passive pharynx. J Appl Physiol 97 (2004) 339-346
30. Shorten G.D., Armstrong D.C., Roy W.I., and Brown L. Assessment of the effect of head and neck position on upper airway anatomy in sedated paediatric patients using magnetic resonance imaging. Paediatr Anaesth 5 (1995) 243-248
31. Isono S., Tanaka A., Tagaito Y., Sho Y., and Nishino T. Pharyngeal patency in response to advancement of the mandible in obese anesthetized persons. Anesthesiology 87 (1997) 1055-1062
32. Van de Graaff W.B. Thoracic influence on upper airway patency. J Appl Physiol 65 (1988) 2124-2131
33. Nishino T., Takizawa K., Yokokawa N., and Hiraga K. Depression of the swallowing reflex during sedation and/or relative analgesia produced by inhalation of 50% nitrous oxide in oxygen. Anesthesiology 67 (1987) 995-998