Ether Resources for Anesthesia Research and Education

Vladimir Nekhendzy's Top Ten ENT/Difficult Airway Articles (4/1/2009)



Dr. Vladimir Nekhendzy
Clinical Associate Professor of Anesthesia

Vladimir Nekhendzy, MD is a Clinical Associate Professor of Anesthesia at the Stanford University School of Medicine and is a member of the ENT anesthesia group. He graduated from the Pavlov Medical School (Russia) in 1979 and completed anesthesiology residency training at UCSF in 1996. His research interests include transcranial electrostimulation and advanced airway anesthetic techniques for ENT surgery. Dr. Nekhendzy is a founding member of the Stanford ENT anesthesia group.

Dr. Nekhendzy notes, "An article by Mort establishes the Combitube as an essential in-hospital airway rescue device when the simple intubating aids and different types of LMA fail. Cook's paper provides comprehensive review of the Proseal LMA and troubleshooting for its safe use with PPV. Keller's report and review turns our attention to the risk factors for aspiration associated with the LMA use. Ferson's landmark study has established an indispensable role of the ILMA in difficult airway management. The paper by Burkle deals with the outcomes of failed intubation in the large teaching hospital and draws attention to a limited number of techniques that are taught to the trainees. The paper by Ahmed confirms safe use of FLMA for nasal and intranasal surgery in a large number of patients. Recent article by Jungbauer prospectively validates the advantages of video laryngoscopy in patients with predicted difficult airways. An extensive study by Langeron has prospectively identified predictors of difficult mask ventilation after induction of general anesthesia: age > 55 yr, BMI > 26, beard, lack of teeth, Hx of snoring. Paper by Liu provides comprehensive evaluation of the LMA-CTrach. A must-read terrific editorial by Mason and Fielder on obstructed airway provides a safe and rational approach to airway management in this patient population. An paper by Vuyk on propofol-opioid interactions is an excellent read for those who are interested in or do TIVA."


The reinforced laryngeal mask airway (RLMA) protects the airway in patients undergoing nasal surgery--an observational study of 200 patients.
Can J Anaesth. , 1 October 2002

PubMed: 12374717

Category: General OR Anesthesia
Added by Erin Reiland


Airway management after failure to intubate by direct laryngoscopy: outcomes in a large teaching hospital.
Can J Anaesth. , 1 June 2005

PubMed: 15983152

Category: General OR Anesthesia
Added by Erin Reiland


Laryngeal mask airway and bougie intubation failures: the Combitube as a secondary rescue device for in-hospital emergency airway management.
Anesth Analg. , 1 November 2006

PubMed: 17056966

Category: General OR Anesthesia
Added by Erin Reiland


The ProSeal laryngeal mask airway: a review of the literature.
Can J Anaesth. , 1 August 2005

PubMed: 16103390

Category: General OR Anesthesia
Added by Erin Reiland


Use of the intubating LMA-Fastrach in 254 patients with difficult-to-manage airways.
Anesthesiology. , 1 November 2001

PubMed: 11684987

Category: General OR Anesthesia
Added by Erin Reiland


Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients.
Br J Anaesth., 1 April 2009

PubMed: 19233881

Category: General OR Anesthesia
Added by Erin Reiland


Aspiration and the laryngeal mask airway: three cases and a review of the literature.
Br J Anaesth., 1 October 2004

PubMed: 15247112

Category: General OR Anesthesia
Added by Erin Reiland


Prediction of difficult mask ventilation.
Anesthesiology. , 1 May 2000

PubMed: 10781266

Category: General OR Anesthesia
Added by Erin Reiland


An evaluation of poor LMA CTrach views with a fibreoptic laryngoscope and the effectiveness of corrective measures.
Br J Anaesth. , 1 December 2006

PubMed: 16984953

Category: General OR Anesthesia
Added by Erin Reiland


The obstructed airway in head and neck surgery.
Anaesthesia, 1 July 1999

PubMed: 10417451

Category: General OR Anesthesia
Added by Erin Reiland


Clinical interpretation of pharmacokinetic and pharmacodynamic propofol-opioid interactions.
Acta Anaesthesiol Belg. , 19 March 2009

PubMed: 11799580

Category: General OR Anesthesia
Added by Erin Reiland

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