A non-tracheal intubation (tubeless) anesthetic technique with spontaneous respiration for upper airway surgery

A non-tracheal intubation (tubeless) anesthetic technique with spontaneous respiration for upper airway surgery.

BACKGROUND The most important consideration for administration of anesthesia in upper airway surgery is maintenance of a patient's airway for optimal surgical exposure, adequate ventilation and sufficient depth of anesthesia. The tubeless anesthetic techniques, including total intravenous anesthesia with a combination of propofol and remifentanil or inhalation anesthesia with the insufflation o...

Tracheal Intubation Technique

As previously discussed, because of differences in anatomy, there are differences in techniques for intubating the trachea of infants and children compared with adults.[1–4,17–19,99,114,115] Because of the smaller dimensions of the pediatric airway there is increased risk of obstruction with trauma to the airway structures. A technique to be avoided is that in which the blade is advanced into t...

Tracheal Rupture: Airway Catastrophe Associated with Intubation

Disruption of the trachea following intubation is an uncommon but potentially fatal condition. The incidence is difficult to establish because many tracheal lacerations may be undetected clinically. Some patients present acutely with subcutaneous emphysema or may develop it only after several hours. Signs of tracheobronchial injury such as hemorgency Department (ED) of a tertiary care facility....

Ultrasound-guided tracheal intubation: a novel intubation technique.

medical practice. Ultrasonography can confirm endotracheal intubation, assess vocal cord function, detect endobronchial intubation and diagnose pneumothorax. We present a novel use of real time ultrasound to guide tracheal intubation in a series of 25 children. This new technique is called Ultrasound Guided Tracheal Intubation (UGTI). It is kinesthetically similar to the lighted stylet techniqu...

An Airway which Facilitates intubation with a Fiberoptic Laryngoscope