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Dr. Healy: "The authors have explained the reasons for progressing directly to videolaryngoscopy, but being at high risk of difficulty is distinct from true difficulty.
The authors have explained the reasons for progressing directly to videolaryngoscopy, but being at high risk of difficulty is distinct from true difficulty.
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She remains "at higher risk of difficulty" but the reality remains unknown.
Studies examining patients with cervical spine limitation and obesity were included into the "at higher risk of difficulty group" as the authors and publishers considered these subjects to be at higher risk of difficulty.
Previous investigators have reported the use of videolaryngoscopy in patients at higher risk of difficulty, in obese subjects [ 8- 11] or those with cervical spine limitation [ 12- 19].
This systematic review of the efficacy of videolaryngoscopy in orotracheal intubation classifies the patient groups under study into four clinical entities: unselected, at higher risk of difficulty, difficult direct laryngoscopy, and failed direct laryngoscopy.
Individuals were recruited from: a sexual problems clinic (n = 6; clinical sample); the diabetes and depression patient lists of a General Practice (n = 13; community members at higher risk of difficulties); an HIV charity (n = 3; community members at higher risk of difficulties); and the waiting room of a General Practice (n = 10; community sample).
We did not preferentially enrol new mothers deemed at high risk of sleep difficulties as we viewed the intervention as a means to prevent sleep problems in a population in which sleep disturbance was to be expected.
The MOT mean error (both within group and between groups), RVP A′, and SWM strategy scores showed significant changes (p < 0.05), suggesting that individuals taking esomeprazole would be at high risk of developing difficulties in maintaining sustained attention, retaining and manipulating spatial memory, and planning strategy.
Because individuals at high risk of diabetes experience difficulties in increasing their MVPA [ 4], identifying additional behavioural targets should inform the development of future preventive interventions in these populations.
Preterm infants are at high risk of encountering oral feeding difficulties.
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