Andrea Huang
Children's Memorial Hospital
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Featured researches published by Andrea Huang.
BJA: British Journal of Anaesthesia | 2015
Narasimhan Jagannathan; L. Sequera-Ramos; Lisa E. Sohn; Andrea Huang; Amod Sawardekar; N. Wasson; A. Miriyala; G. S. De Oliveira
BACKGROUND We hypothesized that the time to successful fibreoptic tracheal intubation through the nasal route would be faster than the oral route for both experts and trainees in children <2 yr of age. METHODS One hundred children, 24 months and under in age, were randomized to an operator (expert or trainee), and route (nasal or oral) for fibreoptic tracheal intubation. Three separate times were then measured: (i) time to first glottic view, (ii) time to carinal view, and (iii) total time to successful tracheal intubation. The number of attempts made, manoeuvres needed to obtain an adequate laryngeal view, and manoeuvres for tracheal tube passage were also recorded. RESULTS Time to successful tracheal intubation was significantly faster for experts than trainees. There was no difference in the time to tracheal intubation between the nasal and oral routes for experts. In trainees, intubation times were shorter for the nasal route-median (inter-quartile range) time (s) to carinal view was 35 (27-63) for the nasal route vs 59 (38-94) for the oral route (P=0.03), and the median time to successful tracheal intubation were 62 (49-122) vs 117 (61-224), P=0.05, for the nasal and oral routes, respectively. For trainees, the oral route required a greater number of airway manoeuvres for adequate laryngeal views and passage of the tracheal tube compared with the nasal route. CONCLUSIONS For clinicians with less experience in using paediatric bronchoscopes, fibreoptic tracheal intubation through the nasal route may be a more straightforward process than the oral route in children <2 yr of age. CLINICAL TRIAL REGISTRATION NCT02029300 (www.clinicaltrials.gov).
Anaesthesia | 2016
Narasimhan Jagannathan; John Hajduk; Lisa E. Sohn; Andrea Huang; Amod Sawardekar; E. R. Gebhardt; K. Johnson; G. S. De Oliveira
We conducted a randomised trial in 100 children in order to compare the clinical performance of the Ambu® AuraGain™ and the LMA® Supreme* for airway maintenance during mechanical ventilation. The primary outcomes were initial and 10‐min airway leak pressures. Ease, time and success rates for device and gastric tube insertion, fibreoptic grades of view, airway quality during anaesthetic maintenance, and complications were also assessed. There were no differences in the initial and ten min airway leak pressures between the Ambu AuraGain and LMA Supreme, median (IQR [range]) initial: 19 (16–22 [10–34]) vs 18 (14–24 [8–40]) cmH2O, p = 0.4; and ten min: 22 (18–26 [11–40]) vs 20 (16–26 [12–40]) cmH2O, p = 0.08, respectively. Ease, time and success rates for device placement, gastric tube insertion and complications were also not significantly different. Children receiving the LMA Supreme required more airway manouevers (7 vs 1 patient, p = 0.06) to maintain a patent airway. Our results suggest that the Ambu AuraGain may be a useful alternative to the LMA Supreme, as demonstrated by comparable overall clinical performance in children.
Expert Review of Medical Devices | 2016
Andrea Huang; John Hajduk; Narasimhan Jagannathan
ABSTRACT There are innumerable tools and devices available to facilitate airway management and life-saving gas exchange of the patient’s lungs. Over the years, various designs and generations of supraglottic airway devices have proven to be effective in accomplishing this function. Their application has grown beyond the original purpose of controlling the normal pediatric airway without tracheal intubation, and has been incorporated in the difficult airway management algorithms of anesthesia societies around the world based on clear evidence of efficacy. Older supraglottic airway devices since the 1980’s have been validated in multiple clinical trials to be safe and effective in the pediatric population, however there is also sufficient evidence that the newer designs have features that help overcome some limitations. These newer designs and features are effective in managing both the normal and difficult pediatric airway, and will be discussed in this comprehensive review.
Ambulatory Anesthesia | 2016
Andrea Huang; Lindsey Rutland; John Hajduk; Narasimhan Jagannathan
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Difficult airway management of children in ambulatory anesthesia: challenges and solutions
International Journal of Cardiovascular Imaging | 2007
Andrew L. Rivard; Cory Swingen; Donnevan Blake; Andrea Huang; Pooja Kanth; Grete F. Thomsen; Erin J. Cordova; Leslie W. Miller; Richard W. Bianco; Norbert Wilke
Canadian Journal of Anaesthesia-journal Canadien D Anesthesie | 2014
Narasimhan Jagannathan; Lisa E. Sohn; Melissa Ramsey; Andrea Huang; Amod Sawardekar; L. Sequera-Ramos; Loryn Kromrey; Gildasio S. De Oliveira
BJA: British Journal of Anaesthesia | 2017
Narasimhan Jagannathan; John Hajduk; Lisa E. Sohn; Andrea Huang; Amod Sawardekar; B Albers; S Bienia; G. S. De Oliveira
Clinical Pediatric Emergency Medicine | 2015
Andrea Huang; Narasimhan Jagannathan
Canadian Journal of Anaesthesia-journal Canadien D Anesthesie | 2015
Narasimhan Jagannathan; Andrea Huang; Loryn Kromrey; S. De Oliveira
Canadian Journal of Anaesthesia-journal Canadien D Anesthesie | 2015
Narasimhan Jagannathan; Lisa E. Sohn; Melissa Ramsey; Andrea Huang; Amod Sawardekar; L. Sequera-Ramos; Loryn Kromrey; Gildasio S. De Oliveira