Objective To evaluate the feasibility of the Shikani Optical Stylet(SOS)-guided intubation through a new Intubating Laryngeal Airway(ILA)in anticipated difficult airways caused by scar contracture of the face and neck...Objective To evaluate the feasibility of the Shikani Optical Stylet(SOS)-guided intubation through a new Intubating Laryngeal Airway(ILA)in anticipated difficult airways caused by scar contracture of the face and neck.Methods Thirty-three adult patients with anticipated difficult airways undergoing selective faciocervical scar plastic surgery under general anesthesia were enrolled in this study.After anesthesia induction,a size 2.5,3.5 or 4.5 ILA was inserted.Following good lung ventilation being verified,the SOS preloaded with an endotracheal tube was inserted via the ILA.Once the clear vocal cords came into view under the SOS,the endotracheal tube was advanced through glottis into the trachea.Results The ILA provided an effective airway in all patients.Intubation was successful at the first attempt on 22/33(66.7%)occasions and at the second attempt on 6/33(18.2%).Intubation failed in 5(15.1%)patients who suffered from severe limitation of head extension due to scar contracture of the neck.These patients’tracheas were finally intubated using a fibreoptic bronchoscope via the ILA.Conclusions The SOS-guided intubating method via the ILA is a feasible technique in patients with scar contracture of the face and neck.However,in patients with severe limitation of head extension,the use of SOS cannot be recommended.The SOS can be used as an alternative apparatus when the fibreoptic bronchoscope is not available.展开更多
The Shikani Optical StyletTM or SOS （Clarus Medical, USA） was developed as an aid to intubation for difficult airways.^1 The-SOS is composed of a J-shaped malleable body and a lens and light source at the tip and an...The Shikani Optical StyletTM or SOS （Clarus Medical, USA） was developed as an aid to intubation for difficult airways.^1 The-SOS is composed of a J-shaped malleable body and a lens and light source at the tip and an eyepiece at the proximal end. It combines the features of a fiberoptic bronchoscope and a lightwand. It can be used alone or combined with a camera or monitor and both adult and pediatric versions are available.^2.3展开更多
Background： Airway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Styler （SOS） has become increasingly popular ...Background： Airway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Styler （SOS） has become increasingly popular in difficult airway. We compared the effects ofintubation with SOS versus Macintosh laryngoscope （MLS） in patients undergoing surgery for cervical spondylosis. Methods： A total of 270 patients scheduled for elective surgery for cervical spondylosis of spinal cord and nerve root type from August 2012 to January 2016 were enrolled and randomly allocated to the MLS or SOS group by random numbers. Patients were evaluated for difficult airway preoperatively, and Cormack-Lehane laryngoscopy classification was determined during anesthesia induction. Difficult airway was defined as Cormack-Lehane Grades IlI IV. Patients were intubated with the randomly assigned intubation device. The success rate, intubation time, required assistance, immediate complications, and postoperative complaints were recorded. Categorical variables were analyzed by Chi-square test, and continuous variables were analyzed by independent samples t-test or rank sum test. Results： The success rate of intubation among normal airways was 100% in both groups. In patients with difficult airway, the success rates in the MLS and SOS groups were 84.2% and 94.1%, respectively （P = 0.605）. lntubation with SOS took longer compared with MLS （normal airway： 25.1 ± 5.8 s vs. 24.5 ± 5.7 s, P = 0.426; difficult airway： 38.5± 8.5 s vs. 36.1 ±8,2 s, P = 0.389）. Intubation with SOS required less assistance in patients with difficult airway （5.9% vs. 100%, P 〈 0.001 ）. The frequency of postoperative sore throat was lower in SOS group versus MLS group in patients with normal airway （22.0% vs. 34.5%, P =0.034）. Conclusions： SOS is a sale and effective airway management device in patients undergoing surgery for cervical spondylosis. Compared with MLS, SOS appears clinically beneficial for intubation, especially in patients with difficult airway. Trial Registration： Chinese Clinical Trial Registry, ChiCTR-IOR- 16007821 ; http：//www.chictr.org.cn/showproj.aspx？proj-13203.展开更多
Large epiglottic cysts can block the glottis, leading to serious consequences. This condition presents a challenge in terms of airway management for anesthesiologists during induction of anesthesia. We report the use ...Large epiglottic cysts can block the glottis, leading to serious consequences. This condition presents a challenge in terms of airway management for anesthesiologists during induction of anesthesia. We report the use of a ShikaniTM Seeing Optical Stylet combined with a Macintosh laryngoscope to aid tracheal intubation in seven patients with large epiglottic cysts. Use of this technique can avoid cyst rupture and allow smooth, safe intubation.展开更多
Stylet penetration behaviors of Bemisia tabaci biotype B on two transgenic cotton lines ＂GK12＂ and ＂GK19＂ expressing Bt toxic protein CrylA （Bt cotton） and a non-Bt conventional cotton line ＂Simian-3＂ （CK cot...Stylet penetration behaviors of Bemisia tabaci biotype B on two transgenic cotton lines ＂GK12＂ and ＂GK19＂ expressing Bt toxic protein CrylA （Bt cotton） and a non-Bt conventional cotton line ＂Simian-3＂ （CK cotton） were recorded with the direct current electrical penetration graph （DC-EPG） technique. Our results suggested that EPG waveform patterns, types and characteristics [non-probe （NP）, pathway （C）, potential drops （pd） and phloem phase （E（pd））] ofBemisia tabaci biotype B were very similar on the three cotton lines. There were no obvious differences of pathway variables among whiteflies on the three cotton lines. Some phloem variables related to E（pd）l differed. Duration of 1st E（pd）l and mean duration of E（pd）l on both GK12 and GK19 were significantly shorter than that on CK cotton （P 〈 0.05）. Fewer whiteflies on GK have long E（pd）l. Other phloem variables including total duration of E（pd） summed, mean E（pd） duration and percentage of whiteflies reaching the phloem phase were similar among the three cotton lines.展开更多
Stylet penetration behaviors of cotton aphids Aphis gossypii Glover on a transgenic cotton line ＂GK-12＂ expressing Bt toxic protein of Cry 1A （Bt cotton） and a non- Bt conventional cotton line ＂Simian-3＂ （CK co...Stylet penetration behaviors of cotton aphids Aphis gossypii Glover on a transgenic cotton line ＂GK-12＂ expressing Bt toxic protein of Cry 1A （Bt cotton） and a non- Bt conventional cotton line ＂Simian-3＂ （CK cotton） were recorded with the direct current electrical penetration graph （DC-EPG） technique. Cotton aphids reared on Bt cotton （abbreviated as Bt-aphids） and its parental non-Bt control line （CK-aphids） for more than 20 generations each, were used for recordings on two cotton lines. Among 47 selected parameters reflecting the activities of aphid stylets within plant tissues, there were eight parameters of CK-aphids showing significant differences between the performances of CK- aphids on Bt cotton and CK cotton, while for Bt-aphids, all the parameters were statistically equal between the performances on the two cotton lines. All parameters with significant differences indicated that CK-aphids could penetrate into Bt cotton more easily, but the phloem saps of Bt cotton were not as good as those of regular cotton for CK-aphids. Based on the present results, we concluded that there were some factors in Bt cotton affecting penetration behaviors of CK-aphids, but it just took several generations for CK-aphids to completely adapt Bt cotton, and Bt-aphids could feed on two cotton lines without difficulty.展开更多
文摘Objective To evaluate the feasibility of the Shikani Optical Stylet(SOS)-guided intubation through a new Intubating Laryngeal Airway(ILA)in anticipated difficult airways caused by scar contracture of the face and neck.Methods Thirty-three adult patients with anticipated difficult airways undergoing selective faciocervical scar plastic surgery under general anesthesia were enrolled in this study.After anesthesia induction,a size 2.5,3.5 or 4.5 ILA was inserted.Following good lung ventilation being verified,the SOS preloaded with an endotracheal tube was inserted via the ILA.Once the clear vocal cords came into view under the SOS,the endotracheal tube was advanced through glottis into the trachea.Results The ILA provided an effective airway in all patients.Intubation was successful at the first attempt on 22/33(66.7%)occasions and at the second attempt on 6/33(18.2%).Intubation failed in 5(15.1%)patients who suffered from severe limitation of head extension due to scar contracture of the neck.These patients’tracheas were finally intubated using a fibreoptic bronchoscope via the ILA.Conclusions The SOS-guided intubating method via the ILA is a feasible technique in patients with scar contracture of the face and neck.However,in patients with severe limitation of head extension,the use of SOS cannot be recommended.The SOS can be used as an alternative apparatus when the fibreoptic bronchoscope is not available.
文摘The Shikani Optical StyletTM or SOS （Clarus Medical, USA） was developed as an aid to intubation for difficult airways.^1 The-SOS is composed of a J-shaped malleable body and a lens and light source at the tip and an eyepiece at the proximal end. It combines the features of a fiberoptic bronchoscope and a lightwand. It can be used alone or combined with a camera or monitor and both adult and pediatric versions are available.^2.3
文摘Background： Airway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Styler （SOS） has become increasingly popular in difficult airway. We compared the effects ofintubation with SOS versus Macintosh laryngoscope （MLS） in patients undergoing surgery for cervical spondylosis. Methods： A total of 270 patients scheduled for elective surgery for cervical spondylosis of spinal cord and nerve root type from August 2012 to January 2016 were enrolled and randomly allocated to the MLS or SOS group by random numbers. Patients were evaluated for difficult airway preoperatively, and Cormack-Lehane laryngoscopy classification was determined during anesthesia induction. Difficult airway was defined as Cormack-Lehane Grades IlI IV. Patients were intubated with the randomly assigned intubation device. The success rate, intubation time, required assistance, immediate complications, and postoperative complaints were recorded. Categorical variables were analyzed by Chi-square test, and continuous variables were analyzed by independent samples t-test or rank sum test. Results： The success rate of intubation among normal airways was 100% in both groups. In patients with difficult airway, the success rates in the MLS and SOS groups were 84.2% and 94.1%, respectively （P = 0.605）. lntubation with SOS took longer compared with MLS （normal airway： 25.1 ± 5.8 s vs. 24.5 ± 5.7 s, P = 0.426; difficult airway： 38.5± 8.5 s vs. 36.1 ±8,2 s, P = 0.389）. Intubation with SOS required less assistance in patients with difficult airway （5.9% vs. 100%, P 〈 0.001 ）. The frequency of postoperative sore throat was lower in SOS group versus MLS group in patients with normal airway （22.0% vs. 34.5%, P =0.034）. Conclusions： SOS is a sale and effective airway management device in patients undergoing surgery for cervical spondylosis. Compared with MLS, SOS appears clinically beneficial for intubation, especially in patients with difficult airway. Trial Registration： Chinese Clinical Trial Registry, ChiCTR-IOR- 16007821 ; http：//www.chictr.org.cn/showproj.aspx？proj-13203.
文摘Large epiglottic cysts can block the glottis, leading to serious consequences. This condition presents a challenge in terms of airway management for anesthesiologists during induction of anesthesia. We report the use of a ShikaniTM Seeing Optical Stylet combined with a Macintosh laryngoscope to aid tracheal intubation in seven patients with large epiglottic cysts. Use of this technique can avoid cyst rupture and allow smooth, safe intubation.
文摘Stylet penetration behaviors of Bemisia tabaci biotype B on two transgenic cotton lines ＂GK12＂ and ＂GK19＂ expressing Bt toxic protein CrylA （Bt cotton） and a non-Bt conventional cotton line ＂Simian-3＂ （CK cotton） were recorded with the direct current electrical penetration graph （DC-EPG） technique. Our results suggested that EPG waveform patterns, types and characteristics [non-probe （NP）, pathway （C）, potential drops （pd） and phloem phase （E（pd））] ofBemisia tabaci biotype B were very similar on the three cotton lines. There were no obvious differences of pathway variables among whiteflies on the three cotton lines. Some phloem variables related to E（pd）l differed. Duration of 1st E（pd）l and mean duration of E（pd）l on both GK12 and GK19 were significantly shorter than that on CK cotton （P 〈 0.05）. Fewer whiteflies on GK have long E（pd）l. Other phloem variables including total duration of E（pd） summed, mean E（pd） duration and percentage of whiteflies reaching the phloem phase were similar among the three cotton lines.
基金Acknowledgments We thank W. F. Tjallingii, Wageningen University, the Netherlands, for the scientific and technical support on DC-EPG applications, and E. A. Backus, USDA Agricultural Research Service, Crop Diseases, Pests ＆ Genetics Unit, USA, for help and comments on statistical data analysis. This work was supported jointly by National Key Basic Research Program of China （No. G2000046803）, National Natural Science Foundation of China （No. 39970153） and Jiangsu Science Foundation （BK2006501）.
文摘Stylet penetration behaviors of cotton aphids Aphis gossypii Glover on a transgenic cotton line ＂GK-12＂ expressing Bt toxic protein of Cry 1A （Bt cotton） and a non- Bt conventional cotton line ＂Simian-3＂ （CK cotton） were recorded with the direct current electrical penetration graph （DC-EPG） technique. Cotton aphids reared on Bt cotton （abbreviated as Bt-aphids） and its parental non-Bt control line （CK-aphids） for more than 20 generations each, were used for recordings on two cotton lines. Among 47 selected parameters reflecting the activities of aphid stylets within plant tissues, there were eight parameters of CK-aphids showing significant differences between the performances of CK- aphids on Bt cotton and CK cotton, while for Bt-aphids, all the parameters were statistically equal between the performances on the two cotton lines. All parameters with significant differences indicated that CK-aphids could penetrate into Bt cotton more easily, but the phloem saps of Bt cotton were not as good as those of regular cotton for CK-aphids. Based on the present results, we concluded that there were some factors in Bt cotton affecting penetration behaviors of CK-aphids, but it just took several generations for CK-aphids to completely adapt Bt cotton, and Bt-aphids could feed on two cotton lines without difficulty.
