The successful endotracheal intubation of pigs using the standard orotracheal method is challenging and technically difficult, because of the pig's oral anatomy and the presence of excess tissue in the oropharyngeal region. Hence, the operator, who is usually an anesthetist, requires extensive training in order to successfully perform the procedure in pigs. In this report, we describe a safe an...

BACKGROUND In the absence of specific guidelines, there is considerable variance in preprocedural intubation practices for endovascular treatment of acute ischemic stroke. The purpose of this study is to understand and characterize the variance in preprocedural intubation practices and identify the reasons that influence the choice of preprocedural intubation practices among treating physicians...

BACKGROUND Pre-hospital endotracheal intubation is more difficult than in the operating room (OR). Therefore, enhanced airway management devices such as video laryngoscopes may be helpful to improve the success rate of pre-hospital intubation. We describe the use of the Glidescope®-Ranger (GS-R) as an alternative airway tool used at the discretion of the emergency physician (EP) in charge. ME...

OBJECTIVES/HYPOTHESIS Vocal fold injury is a well-know complication of intubation, with rates reported as high as 69%. Laryngology textbooks recommend the use of a small endotracheal tube (ETT) to help avoid these complications and optimize visualization. Case reports have suggested that the rigid stylet can lead to laryngeal injury. Given the additional risks, intubation without the stylet is ...

Practical elective and emergency skills form an essential part of neonatal care. Paediatric trainees should be competent in certain procedures such as intubation and umbilical line placement. These are essential requirements for general paediatric training according to the Royal College of Physicians of Ireland. We sought to determine the current status of postgraduate neonatal procedural skill...

background: transport of the critically ill patient is potentially risky and the transport team should be careful in making decision and be prepared to deal with them in any condition. our physicians are not qualified in safe transport. we want to evaluate the effect of small group teaching method for promotion of physicians' skills in transport of critically ill patients. methods: in an interv...

AIM To study the availability and quality of adult and paediatric colonoscopy in three National Health Service (NHS) regions. METHOD A prospective four month study of colonoscopies in North East Thames, West Midlands, and East Anglia. PATIENTS Subjects undergoing colonoscopy in 68 endoscopy units. RESULTS A total of 9223 colonoscopies were studied. The mean number of colonoscopies perform...

Simulators aid airway training and also familiarization with new devices techniques. Direct laryngoscopy (DL) is the most used method for endotracheal intubation (ETI), followed by video-laryngoscopy (VLS). The combined use of fiberoptic bronchoscope (combined laryngo-bronchoscope intubation, CLBI) has been proposed but its performances in novices best timing introduction during remain not expl...

INTRODUCTION The ever-present risk of mass casualties and disaster situations may result in airway management situations that overwhelm local emergency medical services (EMS) resources. Endotracheal intubation requires significant user education/training and carries the risk of malposition. Furthermore, personal protective equipment (PPE) required in hazardous environments may decrease dexterit...

Cricoid pressure to occlude the upper end of the oesophagus, also called the Sellick manoeuvre, may be used to decrease the risk of pulmonary aspiration of gastric contents during intubation for rapid induction of anaesthesia. Effective and safe use of the technique requires training and experience. Cricoid pressure is contraindicated in patients with suspected cricotracheal injury, active vomi...