Airway Management During Upper GI Endoscopic Procedures: State of the Art Review

Digestive Diseases and Sciences

Volumn 62, Issue 1, 2017, Pages 45-53

  Goudra, Basavana ^a   Singh, Preet Mohinder ^b  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^b ALL INDIA INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

Advanced endoscopy; Airway devices endoscopy; Anesthesia; Anesthesia tips endoscopy; ERCP

Indexed keywords

AIRWAY MONITORING SYSTEM; ANATOMY; ANESTHESIA LEVEL; BITE BLOCK; BODY MASS; BODY POSITION; CAPNOMETRY; CARDIOPULMONARY INSUFFICIENCY; CHIN LIFT; DEAS ENDOSCOPY MASK; END TIDAL CARBON DIOXIDE TENSION; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; ENDOSCOPY MASK; FACE MASK; GASTROINTESTINAL ENDOSCOPY; GASTROLARYNGEAL TUBE; GOUDRA BIT BLOCK; HAGUE AIRWAY; HUMAN; HYPOXEMIA; INTESTINE PRESSURE; JAW THRUST; LARYNGEAL TUBE; MOUTH PROTECTOR; NASOPHARYNX AIRWAY; NECK EXTENSION; NUCLEAR MAGNETIC RESONANCE IMAGING; OXYGEN SATURATION; OXYGENATION; PANORAMIC FACE MASK; PNEUMOGRAPHY; PRIORITY JOURNAL; PRONE POSITION; RESPIRATION CONTROL; REVIEW; SAFETY GUARD; SEDATION; SLEEP DISORDERED BREATHING; UPPER GASTROINTESTINAL ENDOSCOPY; UPPER RESPIRATORY TRACT OBSTRUCTION; WAKEFULNESS; DEEP SEDATION; DEVICES; DIGESTIVE TRACT ENDOSCOPY; IMPEDANCE; INTRAOPERATIVE MONITORING; INTUBATION; MASK; PATIENT POSITIONING; PROCEDURES; RESPIRATORY ASPIRATION;

INTRAVENOUS ANESTHETIC AGENT; PROPOFOL;

AIRWAY MANAGEMENT; ANESTHETICS, INTRAVENOUS; CAPNOGRAPHY; CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE; DEEP SEDATION; ELECTRIC IMPEDANCE; ENDOSCOPY, DIGESTIVE SYSTEM; HUMANS; INTUBATION; MASKS; MONITORING, INTRAOPERATIVE; PATIENT POSITIONING; PROPOFOL; RESPIRATORY ASPIRATION;

EID: 84994761806     PISSN: 01632116     EISSN: 15732568     Source Type: Journal    
DOI: 10.1007/s10620-016-4375-z     Document Type: Review

References (26)

1. ®), airway, oxygenation, and ventilation: anticipating and managing the challenges. Dig Dis Sci. 2014;59:920–927.
2. Martin JF, Bridenbaugh P, Gustafson M. The SEDASYS system is not intended for the sedation of high-risk patients. Gastrointest Endosc. 2011;74:723.
3. Singh PM, Borle A, Goudra BG. Use of computer-assisted drug therapy outside the operating room. Curr Opin Anaesthesiol. 2016;29:506–511.
4. Goudra B, Nuzat A, Singh PM, Gouda GB, Carlin A, Manjunath AK. Cardiac arrests in patients undergoing gastrointestinal endoscopy: a retrospective analysis of 73,029 procedures. Saudi J Gastroenterol. 2015;21:400–411.
5. Goudra B, Nuzat A, Singh PM, Borle A, Carlin A, Gouda G. Association between type of sedation and the adverse events associated with gastrointestinal endoscopy: an analysis of 5 years’ data from a tertiary center in the USA. Clin Endosc. 2016. doi:10.5946/ce.2016.019.
6. Goudra BGB, Singh PM. Cardiac arrests during endoscopy with anesthesia assistance. JAMA Intern Med. 2013;173:1659–1660.
7. Reber A. Airway management in sedated patients. Anaesthesist. 2011;60:259–264.
8. Ellis H, Lawson A. Anatomy for Anaesthetists. 9th ed. Chichester: Wiley-Blackwell; 2013.
9. Goudra B, Singh PM. ERCP: The unresolved question of endotracheal intubation. Dig Dis Sci. 2014;59:513–519.
10. Goudra B, Nuzat A, Singh PM, Gouda GB, Carlin A, Manjunath AK. Cardiac arrests in patients undergoing gastrointestinal endoscopy: a retrospective analysis of 73,029 procedures. Saudi J Gastroenterol. 2015;21:400–411.
11. Reber A, Wetzel SG, Schnabel K, Bongartz G, Frei FJ. Effect of combined mouth closure and chin lift on upper airway dimensions during routine magnetic resonance imaging in pediatric patients sedated with propofol. Anesthesiology. 1999;90:1617–1623.
12. 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;86:217–222.
13. Reber A, Bobbià SA, Hammer J, Frei FJ. Effect of airway opening manoeuvres on thoraco-abdominal asynchrony in anaesthetized children. Eur Respir J. 2001;17:1239–1243.
14. Arai Y-CP, Fukunaga K, Hirota S, Fujimoto S. The effects of chin lift and jaw thrust while in the lateral position on stridor score in anesthetized children with adenotonsillar hypertrophy. Anesth Analg. 2004;99:1638–1641.
15. Arai Y-CP, Fukunaga K, Ueda W, Hamada M, Ikenaga H, Fukushima K. The endoscopically measured effects of airway maneuvers and the lateral position on airway patency in anesthetized children with adenotonsillar hypertrophy. Anesth Analg. 2005;100:949–952.
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;103:489–494.
17. Sato Y, Ikeda A, Ishikawa T, Isono S. How can we improve mask ventilation in patients with obstructive sleep apnea during anesthesia induction? J Anesth. 2013;27:152–156.
18. ® [Internet]. [cited 2016 Jun 23]. http://www.curaplex.com/pom.asp.
19. Vuyk J. Pharmacokinetic and pharmacodynamic interactions between opioids and propofol. J Clin Anesth. 1997;9:23S–26S.
20. Vuyk J. TCI: supplementation and drug interactions. Anaesthesia. 1998;53:35–41.
21. Goudra BG. Comparison of acoustic respiration rate, impedance pneumography and capnometry monitors for respiration rate accuracy and apnea detection during gi endoscopy anesthesia. Open J Anesthesiol. 2013;3:74–79.
22. Arnson LA, Rau JL, Dixon RJ. Evaluation of two electronic respiratory rate monitoring systems. Respir Care. 1981;26:221–227.
23. Vargo JJ, Zuccaro G, Dumot JA, Conwell DL, Morrow JB, Shay SS. Automated graphic assessment of respiratory activity is superior to pulse oximetry and visual assessment for the detection of early respiratory depression during therapeutic upper endoscopy. Gastrointest Endosc. 2002;55:826–831.
24. Fu ES, Downs JB, Schweiger JW, Miguel RV, Smith RA. Supplemental oxygen impairs detection of hypoventilation by pulse oximetry. Chest. 2004;126:1552–1558.
25. Applegate RL, Dorotta IL, Wells B, Juma D, Applegate PM. The relationship between oxygen reserve index and arterial partial pressure of oxygen during surgery. Anesth Analg. 2016;123:626–633.
26. Szmuk P, Steiner JW, Olomu PN, Ploski RP, Sessler DI, Ezri T. Oxygen reserve index: a novel noninvasive measure of oxygen reserve—a pilot study. Anesthesiology. 2016;124:779–784.