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Airway Management With a Stereotactic Headframe In Situ-A Mannequin Study.

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Emergency airway management is feasible with a stereotactic headframe in place for deep brain stimulation surgery. Laryngeal mask insertion is the quickest method, proving effective even with the headframe secured.

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Area of Science:

  • Neurosurgery
  • Anesthesiology
  • Medical Devices

Background:

  • Stereotactic headframes are crucial for deep brain stimulator surgery target localization.
  • Emergency airway management poses a challenge for awake or sedated patients in stereotactic headframes.

Purpose of the Study:

  • To assess the ease of emergency airway management with a stereotactic headframe in place.

Main Methods:

  • An observational study using a mannequin with a Leksell stereotactic headframe.
  • Anesthesia personnel performed laryngeal mask insertion and tracheal intubation (direct and video laryngoscopy) with and without the headframe.
  • Time taken for airway management was analyzed and compared.

Main Results:

  • Nearly all participants successfully inserted a laryngeal mask (97%) and intubated using direct (93%) or video laryngoscopy (97%) with the headframe.
  • Laryngeal mask insertion and intubation times with the headframe were 39.3, 58.6, and 54.8 seconds, respectively.
  • All procedures were successful without the headframe.

Conclusions:

  • Airway management, including laryngeal mask insertion and tracheal intubation, is achievable with a stereotactic headframe in situ.
  • Laryngeal mask insertion is the fastest airway management technique in this scenario.
  • Further clinical studies are recommended to validate these findings in patients.