BACKGROUND Acoustic reflectometry can be used to create a "one-dimensional image" of a cavity, such as the airway and lung, with the image displayed as an area-length curve. This pilot study was undertaken to determine whether acoustic reflectometry could be used to distinguish between an endotracheal and an esophageal intubation. METHODS Ten adult patients underwent general endotracheal anes...

BACKGROUND Endotracheal intubation of patients with massive regurgitation represents a challenge in emergency airway management. Gastric contents tend to block suction catheters, and few treatment alternatives exist. Based on a technique that was successfully applied in our district, we wanted to examine if endotracheal intubation would be easier and quicker to perform when the patient is turne...

Thirty-four intensive care patients who received elective tracheostomies were studied to determine the incidence and nature of complications associated with tracheostomies. Indication for tracheostomy was long-term ventilation. Adverse consequences occurred in 47% of the patients. The most frequent problem was pneumonia. There were no intraoperative complications. Two deaths occurred due to del...

.. Objectives: The aim of our study is to determine the incidence of complications when using Laryngeal mask airway and compare it with endotracheal tube intubation, during administration of low flow anesthesia. Study Design: A randomized control trial. Period: 3 months from February 2015 to April 2015. Setting: Tertiary Care Hospital in Karachi Pakistan. Materials and Methods: The study popula...

BACKGROUND Out-of-hospital endotracheal intubation performed by paramedics using the Macintosh blade for direct laryngoscopy is associated with a high incidence of complications. The novel technique of video laryngoscopy has been shown to improve glottic view and intubation success in the operating room. The aim of this study was to compare glottic view, time of intubation and success rate of t...

OBJECTIVES (1) Present a unique case of partial necrosis of the dorsal tongue caused by an endotracheal tube; (2) highlight the importance of verifying proper endotracheal tube positioning during cases requiring prolonged intubation. METHODS Case report and literature review. RESULTS A 50 year-old man underwent total thyroidectomy and bilateral lymphadenectomies for papillary thyroid carcin...

OBJECTIVE To determine the number of and reasons for rapid sequence inductions done by accident and emergency (A&E) doctors out of hospital as part of the activities of the MEDIC 1 Flying Squad. "Rapid sequence induction" was defined as any attempted endotracheal intubation accompanied by use of drugs to assist intubation and ventilation, including opiates, benzodiazepines, intravenous and topi...

Objective-To determine the number of and reasons for rapid sequence inductions done by accident and emergency (A&E) doctors out of hospital as part of the activities of the MEDIC 1 Flying Squad. "Rapid sequence induction" was defined as any attempted endotracheal intubation accompanied by use of drugs to assist intubation and ventilation, including opiates, benzodiazepines, intravenous and topi...

BACKGROUND The EndoFlex is a new type of tracheal tube with an adjustable distal tip that can be bent without the use of a stylet. The aim of this study was to compare a standard endotracheal tube with the EndoFlex tracheal tube for intubation in patients with simulated cervical spine injury. METHODS A group of 60 patients without any kind of the cervical spine injury, classified as the ASA p...

IN THE PAST 2 DECADES, ADVANCEments in immunosuppressive strategies and major breakthroughs in surgical and organ preservation techniques have transformed organ transplantation into a therapy for an increasing population of patients with endstage organ failure. Although preventing rejection remains the principle focus in improving overall survival statistics, pulmonary complications following t...