Introduction: Endotracheal intubation may create a period of hemodynamic instability in normotensive patients but more so in hypertensive patients. Endotracheal intubation produces stimulation of laryngeal and tracheal sensory receptors, resulting in a marked increase in the elaboration of sympathetic amines leading to hypertensive crisis. Objectives: The objective of study is to evaluate and c...

BACKGROUND In regards to peri-anesthetic morbidity considerations, morbidly obese patients often have full stomach for extended periods secondary to delayed gastric emptying. Additionally, they may have difficulty lying supine because of multiple reasons. STUDY OBJECTIVES The purpose of the study was to compare endotracheal intubation of morbidly obese patients placed in semi-erect position w...

Cardiopulmonary bypass and full median sternotomy have been recognized as major morbidity factors in cardiac surgery. Additional morbidity factors are general anesthesia and endotracheal intubation. Over the past several years high-thoracic epidural anesthesia (hTEA) has emerged as a potentially beneficial supplement to general anesthesia in the care of patients undergoing cardiac surgery. We r...

For acute respiratory distress or arrest, endotracheal intubation is a life-saving procedure in emergency airway management. There are many possible complications that may present with manipulation of the airway. This case will discuss factors that one may consider when adequate oxygenation or ventilation is not achieved after an endotracheal tube (ETT) is placed. Issues that can lead to diffic...

Volker Wenzel, MD, MSc* A half century ago, a patient with impaired ventilation was at high risk of imminent death. Successful airway management profoundly reduces the risk of morbidity and mortality in a severely injured or ill patient. Unsuccessful airway management kills patients. Studies have questioned the usefulness of endotracheal intubation by relatively inexperienced rescuers because o...

Introduction: The purpose of this study was to compare the GlideScope and Macintosh laryngoscopes for cardiovascular response laryngoscopy endotracheal intubation in elderly patients undergoing gynecological procedures. Methods: In clinical trial, performed using a (study group; n=35) laryngoscope (control n=35). Hemodynamic parameters were recorded, before induction anesthesia (baseline), 30 1...

Objectives: Endotracheal intubation of trauma patients is a vital and high-risk procedure in the emergency department (ED). The hypothesis was that implementation of a standardized, preprocedural checklist would improve the safety of this procedure. Methods: A preprocedural intubation checklist was developed and then implemented in a prospective pre-/postinterventional study in an academic trau...

IMAGES However, 48 hours after the operation, she had dyspnea along with subcutaneous emphysema on her shoulder (Fig. 1). Diagnostic bronchoscopy revealed an approximately 1.5-cm-sized vertical tracheal laceration above the carina with split thickness (Fig. 2). She was started on antibiotics, O2 inhalation, expectorants and non-per oral. The emphysema spontaneously resolved. The patient was dis...

Abstract Background Airway management by intubation is considered a major responsibility and vital skill for anaesthesiologists. Direct laryngoscopy endotracheal under vision continues to be the gold standard airway management. Though conventional done with Macintosh blade, it has its own drawbacks. The Airtraq™ tube/guide channelled video-laryngoscope can used in patients normal as well diffic...