Background: The i-gel, a new supraglottic airway device, has been touted to have acceptable airway seal pressure and better ventilatory parameters than Proseal laryngeal mask airway (PLMA) in adults. We propose to test this hypothesis objectively, by comparing fibreoptic grading of positioning of the above airways in adult patients. Methods: Ninety two adult patients undergoing minor surgeries ...

The blind bougie technique is performed when the epiglottis visible to intubator, but vocal cords cannot be seen (Grade III Cormack-Lehane view). for endotracheal intubation not routinely by Critical Care Paramedics a failed in prehospital setting. However, at Hamad Medical Corporation Ambulance Service State of Qatar, included their airway clinical practice guidelines. This case report aims de...

Objective: The objective of this study was to evaluate the effectiveness of firbreoptic intubation in patients with anticipated difficult airway. Methods: Forty patients of both sexes were included in the study. The patients were informed about the procedure in the preoperative visit. After one mg of midazolam and 0.2 mg of glycopyrrolate, local anesthesia of the upper airway, nasal cavity and ...

T he laryngeal mask airway (LMA) is accepted as both a rescue ventilation and a primary airway management device in both the prehospital and emergency department environments. A modified version of the LMA, the intubating laryngeal mask airway (ILMA, LMA-Fastrach; Intavent Ltd, Reading, UK) exists, which, when combined with a modified tracheal tube, can be used for blind tracheal intubation. Th...

Cervical spine surgery is one of the most commonly performed spine surgeries in the United States, and 90% of the cases are related to degenerative cervical spine disease (the rest to cervical spine trauma and/or instability). The airway management for cervical spine surgery represents a crucial step in the anesthetic management to avoid injury to the cervical cord. The crux for upper airway ma...

Haemophilia is an inherited bleeding disorder with variable deficiency of Factor VIII in the plasma and is characterised by bleeding into joints, muscles and tissues either spontaneously or in response to trivial trauma. Perioperative care requires multidisciplinary involvement. Perioperative management involves the risk of excessive bleeding from surgical site as well as spontaneous bleeding i...

Management of a "difficult airway" remains one of the most relevant and challenging tasks for anesthesiologists and pulmonary physicians. Several conditions, such as inflammation, trauma, tumor, and immunologic and metabolic diseases, are considered responsible for the difficult intubation of a critically ill patient. In this case report we present the case of a 46-year-old male with postintuba...