Airway management of patients with very limited mouth opening remains a challenge for the anaesthetist. We describe the use of the Bonfils Intubation Fiberscope for awake intubation in two patients with a very limited mouth opening. In the first case, a 60-year-old 80 kg female, scheduled for a right modified radical mastectomy for infiltrating ductal carcinoma (15 mm mouth opening, a short thi...

BACKGROUND Near-fatal asthma attacks are life threatening events that often require mechanical ventilation. Extracorporeal carbon dioxide removal (ECCO2R) is, beside extracorporeal membrane oxygenation (ECMO), a well-established rescue option whenever ventilation gets to its limits. But there seems to be very rare experience with those techniques in avoiding mechanical ventilation in severe ast...

1 Webster AC, Morley-Foster PK, Dain S, et al. Anaesthesia for adenotonsillectomy: a comparison between tracheal intubation and the armoured laryngeal mask airway. Can J Anaesth 1993; 40:1171-7. 2 Taylor MB, Whitwam JG. The accuracy of pulse oximeters. A comparative clinical evaluation of five pulse oximeters. Anaesthesia 1988; 43: 229-32. 3 Patel RI, Hannallah RS, Norden J, Casey WE Verghese S...

To the Editor: We read with interest the report by Arndt et aLl Recurarization appears to occur frequently and we would like to provide two further reports. Patient #1 sustained a gunshot to her neck causing an intimal flap injury to the carotid artery. During stent placement under conscious sedation an intracranial AV fistula was discovered during arteriography. Subsequently, invasive radiolog...