Etomidate has become one of the most commonly used induction agents in the United States during emergency department (ED) endotracheal intubation. While etomidate may be popular, concerns have been raised about possible adrenal suppression and subsequent adverse effects. In this paper we critically evaluate the recent literature and perspectives regarding the effect of etomidate on the adrenoco...

A double curved nasal endotracheal tube has been incorporated into a standard head drape [or improved access and visibility when providing dental treatment [or the young patient under general anesthesia. The technique [or stabilization o[ the airway to provide sa[ety and protection o[ the patient is described in detail. This method has been used successfully [or over 100 dental patients. All pa...

Fazadinium at two dose levels (1 mg/kg and 1.5 mg/kg) and suxamethonium at three dose levels (50 mg, 75 mg and 100 mg) were investigated in 106 adult patients to determine the time interval from injection to tracheal intubation. The intubating conditions were graded according to the scheme described by Lund and Stovner. Suxamethonium 100 mg gave the shortest time interval between the end of inj...

In the last few years, the growth of l-day surgery and the introduction of new techniques have increased the need for general anesthesia with endotracheal intubation and mechanical ventilation. The end point of l-day anesthesia is early patient discharge home. Therefore, new muscle relaxant agents have been propounded to anesthetists to achieve this. In this paper, we analyze pharmacological an...

Successful tracheal intubation with the flexible fibreoptic bronchoscope requires a certain amount of skill which is acquired by practice. It has been suggested that the new Bullard laryngoscope may be mastered more easily. To determine if learning was superior with a flexible fibreoptic or the Bullard device, the ease of tracheal intubation with both devices was compared by first-year anaesthe...

Endotracheal intubation (ETI) is a valuable procedure which must be learnt and practised, and performing ETI on cadavers is probably the best way to do this, although lesser alternatives do exist. Performing ETI on a cadaver is viewed with a real and reasonable repugnance and if it is done without proper authorisation it might be illegal. Some form of consent is required. Presumed consent would...

There are significant complications associated with endotracheal intubation. Massive tracheal necrosis secondary to tracheoesophageal space abscess developed in a 71-year-old man during mechanical ventilation. Elevated endotracheal tube cuff pressures, sepsis, hypotension, and other risk factors predispose to this disastrous consequence.

BACKGROUND This was a prospective randomized single-blinded clinical trial comparing the glottic views obtained during direct laryngoscopy between the 'sniffing the morning air' position and simple head extension. METHODS A sample of 378 patients, aged 18 to 75 years old with ASA physical status I or II, scheduled for elective surgery under general anesthesia with endotracheal intubation, wer...

A case of sudden enlargement of the submandibular and parotid salivary glands following endotracheal intubation is described. The literature concerning this condition is reviewed, and the possible causes are discussed.

BACKGROUND Videolaryngoscopy has become increasingly attractive for the routine management of the difficult airway. Glidescope® is well studied in the literature while imago V-Blade® is a recent videolaryngoscope. This is a feasibility study with 1:1 case-control sequential allocation comparing Imago V-Blade ® and Glidescope® in predicted difficult airway settings. METHODS Two senior anesthes...