Pediatric airway surgery presents many significant challenges to the anesthesia provider. The clinical experience of the Massachusetts Eye and Ear Infirmary serves as a guide in this review to describe the clinical reasoning and perioperative management of the pediatric patient needing airway surgery, with specific emphasis on diagnostic procedures, trauma, laryngotracheal reconstruction, juven...

Background Effective airway management is a priority in early trauma management. Data on physician pre-hospital intubation is limited, despite its worldwide practice [1]. This study was conducted to establish intubation success rates in a physician-led system and examine the frequency and management of failed intubation in pre-hospital trauma patients. Failed intubation rates of anaesthetists a...

Introduction In the past 25 years with the development of various supraglottic airway devices, the armamentarium for airway management has increased. In our study, the laryngeal mask airway (LMA)-ProSeal is compared with the LMA-Classic with respect to as follows: (a) Ease of insertion and number of insertion attempts, (b) Device positional stability and possible oropharyngeal leak, (c) Airway ...

OBJECTIVE To evaluate the effects of physiotherapeutic respiratory maneuvers on cerebral and cardiovascular hemodynamics and blood gas variables. METHOD A descriptive, longitudinal, prospective, nonrandomized clinical trial that included 20 critical patients with severe craniocerebral trauma who were receiving mechanical ventilation and who were admitted to the intensive care unit. Each patie...

Management of airway in trauma victim with penetrating cervical/thoracic spine injury has always been a challenge to the anaesthesiologist. Stabilisation of spine during airway manipulation, to prevent any further neural damage, is of obvious concern to the anaesthesiologist. Most anaesthesiologists are not exposed to direct laryngoscopy and intubation in lateral position during their training ...

background: subglottic stenosis is defined as inflammatory narrowing of the airway. it can be related to trauma, intubation, autoimmune disorders, vascular malformations, infection and congenital abnormalities. pot-wine stain (pws) is a small dermis venous malformation which is present at birth. pws is found on face and neck, but can occur in throat and can cause subglottic stenosis. case repor...

many of injured children will require surgical treatment with involvement of the anesthesiologist. the anesthesia providers may have to take care of pediatric patients on following occasions: 1- initial stabilization in the emergency department 2- providing sedation and monitoring for imaging 3- preoperative management of emergent surgical procedures such as laparotomy or craniotomy 4- manageme...