PURPOSE OF REVIEW The expected difficult airway in children is a rare, but predictable entity, which can lead to life-threatening situations, when sufficient oxygenation and ventilation cannot be achieved. This review gives an overview on current techniques and recommendations on where, who, when, and how to treat children with expected difficult airway. RECENT FINDINGS The equipment for a st...

BACKGROUND After radiotherapy to the head and neck, many patients experience swallowing difficulties. Preliminary work indicates that these patients benefit from the super-supraglottic swallow maneuver. METHODS Lateral videofluoroscopic studies examined oropharyngeal swallowing in 9 patients who suffered from dysphagia after radiation to the head and neck. Each patient completed two swallows ...

PICO question
 In rabbits, undergoing general anaesthesia, does the placement of a v-gel® device result in less airway trauma compared to use other management devices?
 
 Clinical bottom line
 Category research Treatment
 The number and type study designs reviewed
 Three papers were critically appraised, two blinded randomised experimental trial studies one crossov...

BACKGROUND The forced oscillation technique (FOT) is a non-invasive means of measuring respiratory resistance and reactance. We tested our hypothesis that endotracheal intubation would cause more substantial preoperative increases in FOT parameters than a supraglottic airway device (SGD). METHODS Forty patients requiring general anesthesia and mechanical ventilation for transurethral bladder ...

BACKGROUND Transoral, minimally invasive organ preservation surgeries are being increasingly used for laryngopharyngeal carcinomas to avoid the toxicities of combined chemotherapy and radiation therapy regimens. This study investigates the efficiency, safety, and functional outcomes of transoral robotic surgery (TORS) supraglottic laryngectomy. METHODS Patients with laryngeal cancer who under...

Study objective: The aim of the study was to determine if there is a clinically significant difference in the performance (Ease of insertion, manipulations, ventilator performance, leak pressures and complications) of two second generation supraglottic airways (LMA ProSeal® (Intavent Direct, UK) and the i-gel® (Intersurgical, Wokingham, UK) in non-paralysed European patient population group, du...

BACKGROUND The aim of this study was to compare the streamlined liner of the pharynx airway (SLIPA), a new supraglottic airway device (SGA), with the laryngeal mask airway ProSeal (PLMA) during general anesthesia. METHODS Sixty patients were randomly allocated to two groups; a PLMA group (n = 30) or a SLIPA group (n = 30). Ease of use, first insertion success rate, hemodynamic responses to in...

Over the last 15 years supraglottic airway devices (SADs), most notably the classic laryngeal mask airway (LMA) have revolutionised airway management in anaesthesia. In contrast for resuscitation, both in and outside hospital, facemask ventilation and tracheal intubation remain the mainstays of airway management. However there is evidence that both these techniques have complications and are of...