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  1. Article ; Online: Difficult Airway Society awake intubation guidelines: supraglottic airway-guided flexible bronchoscopic intubation as an alternative.

    Wong, Patrick / Lim, Wan Yen

    Korean journal of anesthesiology

    2020  Volume 73, Issue 4, Page(s) 352–353

    MeSH term(s) Airway Management/methods ; Airway Management/standards ; Bronchoscopy/methods ; Bronchoscopy/standards ; Humans ; Intubation, Intratracheal/methods ; Intubation, Intratracheal/standards ; Laryngeal Masks/standards ; Practice Guidelines as Topic/standards ; Societies, Medical/standards ; Supraglottitis ; Wakefulness
    Language English
    Publishing date 2020-04-23
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2557340-8
    ISSN 2005-7563 ; 2005-6419
    ISSN (online) 2005-7563
    ISSN 2005-6419
    DOI 10.4097/kja.20174
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Supraglottic airways in the management of COVID-19 patients.

    Lim, Wan Yen / Wong, Patrick

    Anaesthesia, critical care & pain medicine

    2020  Volume 39, Issue 5, Page(s) 589–590

    MeSH term(s) Airway Management ; Anesthetists ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Critical Care ; Faculty ; Humans ; Laryngeal Masks ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-30
    Publishing country France
    Document type Letter ; Comment
    ISSN 2352-5568
    ISSN (online) 2352-5568
    DOI 10.1016/j.accpm.2020.06.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Response to comments on "Awake supraglottic airway guided flexible bronchoscopic intubation in patients with anticipated difficult airways: a case series and narrative review".

    Wong, Patrick / Lim, Wan Yen

    Korean journal of anesthesiology

    2020  Volume 73, Issue 2, Page(s) 175–176

    MeSH term(s) Bronchoscopy ; Humans ; Intubation, Intratracheal ; Laryngeal Masks ; Wakefulness
    Language English
    Publishing date 2020-02-28
    Publishing country Korea (South)
    Document type Journal Article ; Comment
    ZDB-ID 2557340-8
    ISSN 2005-7563 ; 2005-6419
    ISSN (online) 2005-7563
    ISSN 2005-6419
    DOI 10.4097/kja.20081
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Aligning difficult airway guidelines with the anesthetic COVID-19 guidelines to develop a COVID-19 difficult airway strategy: a narrative review.

    Wong, Patrick / Lim, Wan Yen

    Journal of anesthesia

    2020  Volume 34, Issue 6, Page(s) 924–943

    Abstract: The coronavirus disease 2019 (COVID-19) pandemic is caused by a coronavirus that is transmitted primarily via aerosol, droplets or direct contact. This may place anesthetists at higher risk of infection due to their frequent involvement in aerosol- ... ...

    Abstract The coronavirus disease 2019 (COVID-19) pandemic is caused by a coronavirus that is transmitted primarily via aerosol, droplets or direct contact. This may place anesthetists at higher risk of infection due to their frequent involvement in aerosol-generating airway interventions. Many anesthethetic COVID-19 guidelines have emerged, whose underlying management principles include minimizing aerosol contamination and protecting healthcare workers. These guidelines originate from Australia and New Zealand, Canada, China, India, Italy, Korea, Singapore, the United States and the United Kingdom. Hospitalized COVID-19 patients may require airway interventions, and difficult tracheal intubation secondary to laryngeal edema has been reported. Pre-pandemic difficult airway guidelines include those from Canada, France, Germany, India, Japan, Scandinavia, the United States and the United Kingdom. These difficult airway guidelines require modifications in order to align with the principles of the anesthetic COVID-19 guidelines. In turn, most of the anesthetic COVID-19 guidelines do not, or only briefly, discuss an airway strategy after failed tracheal intubation. Our article identifies and compares pre-pandemic difficult airway guidelines with the recent anesthetic COVID-19 guidelines. We combine the principles from both sets of guidelines and explain the necessary modifications to the airway guidelines, to form a failed tracheal intubation airway strategy in the COVID-19 patient. Valuing, and a greater understanding of, these differences and modifications may lead to greater adherence to the new COVID-19 guidelines.
    MeSH term(s) Airway Management ; Anesthetics ; Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections ; Humans ; India ; Intubation, Intratracheal ; Italy ; Japan ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; United States
    Chemical Substances Anesthetics
    Keywords covid19
    Language English
    Publishing date 2020-07-08
    Publishing country Japan
    Document type Journal Article ; Review
    ZDB-ID 1107821-2
    ISSN 1438-8359 ; 0913-8668
    ISSN (online) 1438-8359
    ISSN 0913-8668
    DOI 10.1007/s00540-020-02819-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: A Feasibility Study on a Telemedicine Hybrid Protocol for Preoperative Anesthetic Assessment.

    Chai, Jia Xin / Lim, Wan Yen / Au Yong, Angie Phui Sze / Ong, Sharon Gek Kim

    Cureus

    2023  Volume 15, Issue 6, Page(s) e40449

    Abstract: Background Over the past decade, telemedicine has experienced significant growth due to technological advancement, and the coronavirus disease 2019 (COVID-19) pandemic further accelerated its adoption. However, the field of anesthesiology has been slow ... ...

    Abstract Background Over the past decade, telemedicine has experienced significant growth due to technological advancement, and the coronavirus disease 2019 (COVID-19) pandemic further accelerated its adoption. However, the field of anesthesiology has been slow in integrating and embracing telemedicine compared to other medical specialties. Methods We conducted an observational pilot feasibility study at a tertiary hospital in Singapore to assess the viability of a telemedicine hybrid protocol for preoperative anesthetic assessment. The study included patients aged 21 to 65 years, classified as American Society of Anesthesiology (ASA) physical status class 1 or 2, with a body mass index (BMI) below 35 kg/m
    Language English
    Publishing date 2023-06-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.40449
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Awake supraglottic airway guided flexible bronchoscopic intubation in patients with anticipated difficult airways: a case series and narrative review.

    Lim, Wan Yen / Wong, Patrick

    Korean journal of anesthesiology

    2019  Volume 72, Issue 6, Page(s) 548–557

    Abstract: Awake intubation is indicated in difficult airways if attempts at securing the airway after induction of general anesthesia may lead to harm due to potential difficulties or failure in those attempts. Conventional awake flexible bronchoscopic intubation ... ...

    Abstract Awake intubation is indicated in difficult airways if attempts at securing the airway after induction of general anesthesia may lead to harm due to potential difficulties or failure in those attempts. Conventional awake flexible bronchoscopic intubation is performed via the nasal, or less commonly, oral route. Awake oral flexible bronchoscopic intubation (FBI) via a supraglottic airway device (SAD) is a less common technique; we refer to this as 'supraglottic airway guided' FBI (SAGFBI). We describe ten cases with anticipated difficult airways in which awake SAGFBI was performed. After sedation and adequate airway topicalization, an Ambu AuragainTM SAD was inserted. A flexible bronchoscope, preloaded with a tracheal tube, was then inserted through the SAD. Finally, the tracheal tube was railroaded over the bronchoscope, through the SAD and into the trachea. The bronchoscope and the SAD were carefully removed, whilst keeping the tracheal tube in-situ. The technique was successful and well tolerated by all patients, and associated complications were rare. It also offered the advantages of performing an 'awake test insertion' of the SAD, an 'awake look' at the periglottic region, and an 'awake test ventilation.' In certain patients, awake SAGFBI offers advantages over conventional awake FBI or awake videolaryngoscopy. More research is required to evaluate its success and failure rates, and identify associated complications. Its place in difficult airway algorithms may then be further established.
    MeSH term(s) Adult ; Aged ; Anesthesia, General/methods ; Bronchoscopes ; Bronchoscopy/methods ; Contraindications, Procedure ; Female ; Humans ; Intubation, Intratracheal/adverse effects ; Intubation, Intratracheal/instrumentation ; Intubation, Intratracheal/methods ; Laryngeal Masks ; Laryngoscopy/instrumentation ; Laryngoscopy/methods ; Male ; Middle Aged ; Wakefulness
    Language English
    Publishing date 2019-09-02
    Publishing country Korea (South)
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2557340-8
    ISSN 2005-7563 ; 2005-6419
    ISSN (online) 2005-7563
    ISSN 2005-6419
    DOI 10.4097/kja.19318
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Anesthesiologist Burnout, Distress, and Depression: Comment.

    Ong, John / Lim, Wan Yen / Ong, Sharon

    Anesthesiology

    2020  Volume 132, Issue 6, Page(s) 1599–1601

    MeSH term(s) Anesthesiologists ; Anesthesiology ; Burnout, Psychological ; Cross-Sectional Studies ; Depression ; Humans ; Surveys and Questionnaires
    Language English
    Publishing date 2020-03-20
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 269-0
    ISSN 1528-1175 ; 0003-3022
    ISSN (online) 1528-1175
    ISSN 0003-3022
    DOI 10.1097/ALN.0000000000003261
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.133: Show issues Location:
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  8. Article: Comparison of glottic visualisation through supraglottic airway device (SAD) using bronchoscope in the ramped versus supine 'sniffing air' position: A pilot feasibility study.

    Lim, Wan Yen / Fook-Chong, Stephanie / Wong, Patrick

    Indian journal of anaesthesia

    2020  Volume 64, Issue 8, Page(s) 681–687

    Abstract: Background and aims: Airway management in obese patients is associated with increased risk of difficult airway and intubation. After failed intubation, supraglottic airway-guided flexible bronchoscopic intubation (SAGFBI) may be required. It is ... ...

    Abstract Background and aims: Airway management in obese patients is associated with increased risk of difficult airway and intubation. After failed intubation, supraglottic airway-guided flexible bronchoscopic intubation (SAGFBI) may be required. It is uncertain whether SAGFBI is best performed in the ramped versus conventional supine "sniffing air" position. We conducted a feasibility study to evaluate the logistics of positioning, compared glottic views, and evaluated SAGFBI success rates.
    Methods: We conducted a prospective, pilot study in patients with a body mass index (BMI) 30-40 kg/m
    Results: Of 17 patients recruited, 15 patients were repositioned successfully. There were no differences in glottic views observed in the two positions. SAGFBI was successful in 92.9% of patients (median time 91.5 s). Haemodynamic changes were noted in 42.7% of patients which resolved spontaneously.
    Conclusion: Our pilot study was completed within 5 months, achieved low dropout rate and protocol feasibility was established. SAGFBI was successfully and safely performed in obese patients, with a median time of 91.5 s. The time taken for SAGFBI was similar to awake intubation using FBI and videolaryngoscopy. Our study provided preliminary data supporting future, larger-scale studies to evaluate glottic views in the ramped versus supine positions.
    Language English
    Publishing date 2020-07-31
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.IJA_320_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 1841: Show issues Location:
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  9. Article ; Online: Supraglottic Airway-Guided Intubation During the COVID-19 Pandemic: A Closed Technique.

    Wong, Patrick / Lim, Wan Yen / Mok, May

    Anesthesia and analgesia

    2020  Volume 131, Issue 2, Page(s) e120–e121

    MeSH term(s) Betacoronavirus ; Bronchoscopy/instrumentation ; Bronchoscopy/methods ; COVID-19 ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Humans ; Intubation, Intratracheal/instrumentation ; Intubation, Intratracheal/methods ; Laryngeal Masks ; Manikins ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-05
    Publishing country United States
    Document type Letter
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000004951
    Database MEDical Literature Analysis and Retrieval System OnLINE

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