Effect of progressive mandibular advancement on pharyngeal airway size in anesthetized adults

Anesthesiology

Volumn 109, Issue 4, 2008, Pages 605-612

  Kuna, Samuel T ^a   Woodson, Lee C ^b   Solanki, Daneshvari R ^b   Esch, Oliver ^c   Frantz, Donald E ^d   Mathru, Mali ^e  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b UNIVERSITY OF TEXAS   (United States)

^c UNIVERSITY OF TEXAS   (United States)

^d Frantz Design Inc   (United States)

^e UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

PROPOFOL;

ADULT; AIRWAY DYNAMICS; AIRWAY OBSTRUCTION; ANESTHESIA INDUCTION; ARTICLE; CONTINUOUS INFUSION; CONTROLLED STUDY; FEMALE; HUMAN; MALE; MANDIBLE RECONSTRUCTION; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; BODY POSTURE; HISTOLOGY; INTRAVENOUS ANESTHESIA; MANDIBLE; METHODOLOGY; PHARYNX;

ADULT; ANESTHESIA, INTRAVENOUS; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MANDIBLE; PHARYNX; POSTURE; PROPOFOL;

EID: 54749132735     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0b013e31818709fa     Document Type: Article

References (28)

1. Safar P, Escarraga LA, Chang F: Upper airway obstruction in the unconscious patient. J Appl Physiol 1959; 14:760-4
2. Eastwood PR, Szollosi I, Platt PR, Hillman DR: Collapsibility of the upper airway during anesthesia with isoflurane. ANESTHESIOLOGY 2002; 97:786-93
3. Inazawa T, Ayuse T, Kurata S, Okayasu I, Sakamoto E, Oi K, Schneider H, Schwartz AR: Effect of mandibular position on upper airway collapsibility and resistance. J Dent Res 2005; 84:554-8
4. Kato J, Isono S, Tanaka A, Watanabe T, Araki D, Tanzawa H, Nishino T: Dose-dependent effects of mandibular advancement on pharyngeal mechanics and nocturnal oxygenation in patients with sleep-disordered breathing. Chest 2000; 117:1065-72
5. Litman RS, Hayes JL, Basco MG, Schwartz AR, Bailey PL, Ward DS: Use of dynamic negative airway pressure (DNAP) to assess sedative-inducted upper airway obstruction. ANESTHESIOLOGY 2002; 96:342-5
6. Mathru M, Esch O, Lang J, Herbert ME, Chaljub G, Goodacre B, vanSonnenberg E: Magnetic resonance imaging of the upper airway: Effects of propofol anesthesia and nasal continuous positive airway pressure in humans. ANESTHESIOLOGY 1996; 84:273-9
7. Isono S, Tanaka A, Sho Y, Konno A, Nishino T: Advancement of the mandible improves velopharyngeal airway patency. J Appl Physiol 1995; 79: 2132-8
8. Isono S, Tanaka A, Tagaito Y, Sho Y, Nishino T: Pharyngeal patency in response to advancement of the mandible in obese anesthetized persons. ANESTHESIOLOGY 1997; 87:1055-62
9. Kuna ST, Giarraputo PC, Stanton DC, Levin LM, Frantz D: Evaluation of an oral mandibular advancement titration appliance. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101:593-603
10. Kuna ST, Bedi DG, Ryckman C: Effect of nasal airway positive pressure on upper airway size and configuration. Am Rev Respir Dis 1988; 138:969-75
11. Murashima K, Fukutome T: Effect of jaw-thrust manoeuvre on the laryn-geal inlet. Anaesthesia 1998; 53:203-4
12. Nandi PR, Charlesworth CH, Taylor SJ, Ninn JF, Dore CJ: Effect of general anesthesia on the pharynx. Br J Anaesth 1991; 66:157-62
13. Reber A, Paganoni R, Frei FJ: Effect of common airway manoeuvres on upper airway dimensions and clinical signs in anaesthetized, spontaneously breathing children. Br J Anaesth 2001; 86:217-22
14. Reed WR, Roberts JL, Thach BT: Factors influencing regional patency and configuration of the human infant upper airway. J Appl Physiol 1985; 58:635-44
15. Morikawa S, Safar P, De Carlo J: Influence of headjaw position upon upper airway patency. ANESTHESIOLOGY 1961; 22:265-70
16. Isono S, Tanaka A, Ishikawa T, Tagaito Y, Nishino T: Sniffing position improves pharyngeal airway patency in anesthetized patients with obstructive sleep apnea. ANESTHESIOLOGY 2005; 103:489-94
17. Sivarajan M, Joy JV: Effects of general anesthesia and paralysis on upper airway changes due to head position in humans. ANESTHESIOLOGY 1996; 85:787-93
18. Sivarajan M, Fink BR: The position and the state of the larynx during general anesthesia and muscle paralysis. ANESTHESIOLOGY 1990; 72:439-42
19. Norton JR, Ward DS, Karan S, Voter WA, Palmer L, Varlese A, Rackovsky O, Bailey P: Differences between midazolam and propofol sedation on upper airway collapsibility using dynamic negative airway pressure. ANESTHESIOLOGY 2006; 104:1155-64
20. Crawford MW, Arrica M, Macgowan CK, Yoo SJ: Extent and localization of changes in upper airway caliber with varying concentrations of sevoflurane in children. ANESTHESIOLOGY 2006; 105:1147-52
21. Crawford MW, Rohan D, Macgowan CK, Yoo SJ, Macpherson BA: Effect of propofol anesthesia and continuous positive airway pressure on upper airway size and configuration in infants. ANESTHESIOLOGY 2006; 105:45-50
22. Eastwood PR, Platt PR, Shepard K, Maddison K, Hillman DR: Collapsibility of the upper airway at different concentrations of propofol anesthesia. ANESTHESIOLOGY 2005; 103:470-7
23. Litman RS: Upper airway collapsibility: an emerging paradigm for measuring the safety of anesthetic and sedative agents. ANESTHESIOLOGY 2005; 103:453-4
24. Kheterpal S, Han R, Tremper KK, Shanks A, Tait AR, O'Reilly M, Ludwig TA: Incidence and predictors of difficult and impossible mask ventilation. ANESTHESIOLOGY 2006; 105:885-91
25. Drummond GB: Influence of thiopentone on upper airway muscles. Br J Anaesth 1989; 63:12-21
26. Hwang JC, St. John WM, Bartlett D: Respiratory-related hypoglossal nerve activity: Influence of anaesthetics. J Appl Physiol 1983; 55:785-92
27. Nishino T, Shirahata M, Yonezawa T, Honda Y: Comparison of changes in the hypoglossal and phrenic nerve activity in response to increasing depth of anesthesia in cats. ANESTHESIOLOGY 1984; 60:19-24
28. Ochiai R, Guthrie RD, Motoyama EK: Effects of varying concentrations of halothane on the activity of the genioglossus, intercostals and diaphragm in cats: An electromyographic study. ANESTHESIOLOGY 1989; 70:812-6