OBJECTIVES/HYPOTHESIS To review airway management in Pierre Robin sequence (PRS) newborns undergoing general anesthesia and to determine if endotracheal intubation is safe in this population. STUDY DESIGN Case series and retrospective chart review at a tertiary children's hospital. METHODS PRS newborns who underwent endotracheal intubation or other airway intervention before 3 months of age...

background there have been many concerns about alteration in hemodynamic parameters within and shortly after endotracheal intubation (eti) in patients scheduled for elective coronary artery bypass grafting (cabg). objectives we compared the attenuation effect of magnesium sulfate and lidocaine on hemodynamic responses after eti, in patients undergoing cabg. patients and methods in this randomiz...

The incidence, aetiology and long term outcomes of laryngotracheal complications secondary to Tracheostomy insertion in patients ventilated for COVID-19 critical Illness are currently unknown. We report a single case from our institutional series who developed early subglottic stenosis subsequent traceomalacia preventing permanent tracheostomy removal despite three decannulation attempts. consi...

objective neuromuscular disorders (diseases of the motor unit), can cause respiratory problems such as impaired cough reflex, chest deformity, recurrent pneumonia and acute respiratory failure; these are the worst most common complications of these diseases and the leading cause of death in such patients (1, 2). their management hence, very often, entails admission to the pediatric intensive ca...

BACKGROUND The Bonfils intubation fibrescope (BIF), a rigid, straight and reusable fibreoptic device, is being used increasingly to facilitate endotracheal intubation after direct laryngoscopy has failed. We tested the hypothesis that, with the BIF compared to direct laryngoscopy, the rate of failed endotracheal intubation could be reduced in patients with a difficult airway, simulated by means...

this study involved 154 anesthetized patients requiring endotracheal intubation, in whom the epiglottis was visible but not lifted, which restricted the view of the glottis. a simple stylet was used to lift the epiglottis, thus improving the view of the glottis with the glide scope®, allowing tracheal tubes to be inserted into the patients. the stylet easily resolved the difficulty of lifting t...

Submental endotracheal intubation is a simple and secure alternative to either nasoendotracheal intubation or a tracheostomy in the airway management of maxillofacial trauma. However, a submental endotracheal intubation is quite difficult to manage if adverse events such as a tube obstruction, accidental extubation, or a leaking cuff with the endotracheal tube in the submental route occur, whic...

While remaining prominent in paramedic care and beneficial to some patients, out-of-hospital endotracheal intubation has not clearly improved survival or reduced morbidity from critical illness or injury when studied more broadly. Recent studies identify equivocal or unfavorable clinical effects, adverse events and errors, interaction with other important resuscitation interventions, and challe...

Aims & Objective: Assessment of submental intubation as an intubation option for the facial trauma cases Material &Methods: 15 patients were intubated with submental approach in our institution during a one year time period from August 2009 to July 2010. Result: In our patients, submental intubation gave a better airway intubation for the reduction and fixation of all the facial fracture and in...

The airway management of patients with subglottic stenosis poses many challenges for the anesthesiologists. Many anesthesiologists use a narrow endotracheal tube for airway control. This, however, can lead to complications such as tracheal mucosal trauma, tracheal perforation or bleeding. The ASA difficult airway algorithm recommends the use of supraglottic airway devices in a failed intubation...