EDITOR: We report a case in which we used the GlideScope to facilitate the successful insertion of nasogastric tube. A 66-yr-old male was scheduled for an elective left-sided hemi-mandibulectomy with radial free flap reconstruction for squamous cell carcinoma of the oral cavity. On assessment, the patient’s airway was Mallampati 2 and mouth opening was three fingerbreadths wide. We induced anae...

BACKGROUND The transesophageal echocardiograhpy (TEE) has been studied worldwide. However, identifying additional factors on top of operator's experience and patient's cooperation which could influence the success of the procedure in unsedated patients with heart disease  is not well documented. METHODS Under the cross-sectional descriptive design, 85 target patients were fulfilling the crite...

BACKGROUND Research regarding difficult mask ventilation (DMV) combined with difficult laryngoscopy (DL) is extremely limited even though each technique serves as a rescue for one another. METHODS Four tertiary care centers participating in the Multicenter Perioperative Outcomes Group used a consistent structured patient history and airway examination and airway outcome definition. DMV was de...

STUDY OBJECTIVE To determine whether the timely correction of endotracheal tube (ETT) positioning prevents further inappropriate positions. DESIGN Prospective crossover study. SETTING University-affiliated hospital. PATIENTS 44 adult, ASA physical status 1, 2, and 3 patients undergoing open or laparoscopic abdominal procedures. INTERVENTIONS ETT positioning was verified by both ausculta...

BACKGROUND AND RATIONALE Since anesthesia, unlike medical or surgical specialties, does not constitute treatment, The Royal College of Anesthesiologists of Thailand host the Thai Anesthesia Incidents Study (THAI Study) of anesthetic outcomes to determine factors related to anesthesia related adverse events. MATERIAL AND METHOD A prospective descriptive study of occurrence screening was conduc...

Background: The LMA CTrach system is a new device for airway management and endotracheal intubation under direct vision in both anticipated and unexpected difficult intubation situations. Methods: We used this system in 100 patients undergoing general anesthesia for different types of elective surgeries. After randomly selecting the patients for intubation with this new device, the airway chara...

klippel-feil syndrome is known by the classic triad of shortness of the neck , limitation of neck movements, and a low posterior hairline. there are often accompanying cervical spinal abnormalities such as kyphoscoliosis as well as urogenital and cardiac abnormalities. presented here we have a 20 year old young man with hypoesthesia and decreased motor function in the right hand. the problem be...

BACKGROUND Obstructive sleep apnea (OSA) is an independent risk factor to develop perioperative complications during weight loss surgery, but the mechanisms are unclear. It is possible, that patients with OSA have a higher incidence of desaturation during induction of anesthesia. METHODS We enrolled 100 morbidly obese (body mass index: 53+/-10) adult patients undergoing open bariatric surgery...

OBJECTIVES We wanted to evaluate whether the presence of nasal obstruction makes a change on the association between the modified Mallampati score and the severity of sleep-disordered breathing (SDB) and the sleep quality. METHODS Polysomnography (PSG), the modified Mallampati score (MMS), the body-mass index, and a questionnaire about nasal obstruction were acquired from 275 suspected SDB pa...