During routine nasal intubation of a premature infant, the endotracheal tube penetrated the brain. Bloodstained cerebrospinal fluid and neural tissue was apparent. Initial cranial sonography was normal, but the infant later developed extensive intracranial haemorrhage. Rotation of an endotracheal tube to facilitate insertion angles the bevel at the tip upwards, increasing risk of brain penetrat...

IN THE PAST 2 DECADES, ADVANCEments in immunosuppressive strategies and major breakthroughs in surgical and organ preservation techniques have transformed organ transplantation into a therapy for an increasing population of patients with endstage organ failure. Although preventing rejection remains the principle focus in improving overall survival statistics, pulmonary complications following t...

BACKGROUND Induction of anesthesia and endotracheal intubation often creates a period of hemodynamic instability in hypertensive patients. Endotracheal intubation of the trachea stimulates laryngeal and tracheal sensory receptors, resulting in a marked increase in the elaboration of sympathetic amines. OBJECTIVES This trial aimed to evaluate and compare the efficacy of fentanyl and fentanyl p...

BACKGROUND During McGrath videolaryngoscope (VL) intubation, a styletted endotracheal tube maintaining an upward distal tip angle is recommended by some manufacturers. However, a styletted endotracheal tube can elicit rare but potentially serious complications. The purpose of this study was to demonstrate that a nonstyletted tube with exaggerated curvature would be noninferior to a styletted tu...

Accurate endotracheal intubation for patients in extremis or at risk of physiologic decompensation is the gold standard for emergency medicine. Field intubation is a complex process and time to intubation, number of attempts, and hypoxia have all been shown to correlate with increases in morbidity and mortality. Expanding laryngoscope technology which incorporates active video, in addition to d...

OBJECTIVE Endotracheal intubation of newborn infants is a common and potentially lifesaving procedure but a skill that trainees find difficult. Despite widespread use, no data are available on whether the use of a stylet (introducer) improves success rates. We aimed to determine whether pediatric trainees were more successful at neonatal orotracheal intubation when a stylet was used. METHODS ...

OBJECTIVE Endotracheal intubation of patients is an effective method for controlling airway and breathing. However, laryngoscopy and endotracheal intubation is not easy in every case. There is a recent abundance of equipment used for controlling ventilation and intubation. Airtraq is one of those equipments. In this study, our main objective is to compare the success rates of the Airtraq and Ma...

OBJECTIVE To compare the effectiveness of continuous positive airway pressure (CPAP) with standard pharmacologic treatment in the management of prehospital acute pulmonary edema. METHODS Using a nonrandomized control group design, all consecutive patients presenting to two participating emergency medical services (EMS) systems with a field impression of acute pulmonary edema between July 1, 2...

OBJECTIVES Endotracheal intubation success rates in the prehospital setting are variable. Our objective was to describe the challenges encountered and corrective actions taken during the process of endotracheal intubation by paramedics. DESIGN Analysis of prehospital airway management using a prospective registry that was linked to an emergency medical services administrative database. SETT...