STUDY OBJECTIVE To review the anesthetic management and perioperative course of children with an anterior mediastinal mass. DESIGN Retrospective review. SETTING University-affiliated children's hospital. MEASUREMENTS The records of 46 children presenting with an anterior mediastinal mass between October 1, 1998 and October 1, 2006 were studied. Preoperative symptoms, diagnostic imaging an...

Airway management in patients presenting with severe airway obstruction can present a challenge to the anaesthetist, as conventional difficult pathways are often inappropriate. The use of transtracheal jet cannula is an alternative means securement, but lack familiarity has limited its general tertiary hospitals. We report retrospective audit ventilation healthcare centre over past seven years,...

Airway management in the intensive care unit (ICU) is a challenging procedure and is frequently associated with life threatening complications. The incidence of difficult intubations ranges from 10% to 22%, depending on the setting and the patients in need of endotracheal intubation. Multiple attempts are often needed to secure the airway. Despite the high risk for patients in the ICU setting, ...

background: potassium permanganate (pp) is a highly corrosive and deadly agent with a reported lethal dose of 10 g in adults. in this report, successful treatment of a patient poisoned with three times the lethal dose of pp is presented, and effective and early approach to such emergency toxicologic condition is discussed. case presentation:a 24-year-old woman presented to emergency room of our...

Varicella is a nearly ubiquitous acquired childhood disease. Infectious complications of varicella can be life- or limb-threatening. These complications appear 3 to 4 days after the appearance of varicella exanthem and are heralded by fever, pain, and erythema of the overlying skin. Airway complications of varicella are rare, rapidly evolving, and, unfortunately, difficult to visualize. We repo...

Obstructive sleep apnoea (OSA) has become a major public health concern as its incidence and severity have increased in tandem with the obesity epidemic. In children, OSA is now recognized as a common disorder and can be associated with significant morbidity. OSA belongs to a spectrum of diagnoses known as sleep-related breathing disorders in which the airway is completely (apnoea) or partially...

Sir,—The article concerning the incidence of respiratory complications and hypoxic episodes during inhalation induction with isoflurane in children [1], raises several interesting points. The authors compared the incidences of three respiratory complications: coughing, breath-holding and laryngospasm during induction of anaesthesia; unfortunately, these complications were not clearly denned. We...

asthma is a chronic inflammatory disease of the airway with extensive airway remodeling. the ethical issues associated with the studies in asthmatic patients, required development of animal model of asthma. animal models of asthma can provide valuable information on several features of asthma pathogenesis and treatment. although these models cannot carry out all clinical features, they are valu...

Respiratory complications after tracheal extubation are associated with significant morbidity and mortality, suggesting that process improvements in this clinical area are needed. The decreased rate of respiratory adverse events occurring during tracheal intubation since the implementation of guidelines for difficult airway management supports the value of education and guidelines in advancing ...