trauma is a common cause of death and disability in children. proper approach to pediatric trauma involves adherence to abcde sequence in the primary survey and resuscitation in order to promptly recognize and manage life-threatening conditions immediately. this readily reviewed sequence includes a: establishment and maintenance of a patent airway while maintaining cervical spine immobilization...

OBJECTIVE To determine the effect of tracheotomy on polysomnographic and arterial blood gas data in patients with obstructive sleep apnea (OSA). DESIGN A retrospective study of all patients who underwent tracheotomy and were studied polysomnographically at the Johns Hopkins Sleep Disorders Center, Baltimore, Md, since 1981. SETTING A regional sleep disorders center. PATIENTS Twenty-eight ...

Background: Anterior mediastinal masses (AMMs), which can be benign or malignant, are a common cause of superior vena cava (SVC) syndrome. Because their location, AMMs significant airway compromise during the perioperative period, so anesthetic management patient with SVC syndrome present challenges. Case Report: A presented secondary to large AMM. After careful consider...

Park EJ, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220620 Description As experts of the human airway, it is our job as anaesthesiologists to control and secure the airway in the safest way possible for the patient. The perioperative anaesthetic plan always includes an airway component, ranging from bag-mask ventilation to endotracheal intubation. Routine surgical procedures may warrant a c...

Prognosis of inoperable or recurrent esophageal carcinoma is, at best, poor. Once an esophagotracheal fistula has developed, the overall condition of the patient declines rapidly. Aspiration pneumonia and severe coughing are common. The introduction of esophageal tubes does not always seal the fistula sufficiently and may compromise the airway causing stridor and dyspnea. In 30 patients (25 mal...

Prostaglandin E2 (PGE2), similar to beta-adrenergic receptor agonists, can protect airways from bronchoconstriction and resulting increase in airway resistance induced by a number of agents, including cholinergic receptor agonists and antigen. We examined the impact of sustained alterations in PGE2 pathways on changes in airway resistance. Genetic methods were utilized to alter PGE2 metabolism ...

PURPOSE Literature suggests that patients without pre-existing sleep-related breathing disorders who undergo orthognathic surgery for treatment of facial asymmetry may experience changes in their oropharyngeal airway. Mandibular retropositioning can compromise the posterior airway space, alter the physiologic airflow through the upper airway, and predispose patients to development of obstructiv...

OBJECTIVE To assess the diagnostic accuracy and safety of office-based tracheoscopy when combined with flexible fiberoptic laryngoscopy (FFLT). Flexible laryngoscopy on infants is routinely performed by otolaryngologists in the clinic. The addition of tracheoscopy may improve overall airway assessment but is rarely performed due to the suspected risk of airway compromise. DESIGN A 6-year retr...

Ludwig's angina is a potentially deadly condition that must not be missed in the emergency department (ED). The purpose of this narrative review article to provide summary epidemiology, pathophysiology, diagnosis, and management with focus on clinicians. rapidly spreading infection involves floor mouth. It occurs more commonly those poor dentition or immunosuppression. Patients may have woody i...

Sustained re-opening of collapsed lung tissue (recruitment) requires the application of airway pressures that exceed those of the tidal cycle. The post-maneuver PEEP as well as the duration of high pressure application are also key factors in its success, with their accompanying potential for hemodynamic compromise. Although a wide variety of recruiting maneuvers have been described, the techni...