Increased intracranial pressure (ICP) is a medical emergency requiring immediate therapy which often includes airway control and endotracheal intubation. Given the need to prevent further increases in ICP, sedation and neuromuscular blockade is frequently used to facilitate endotracheal intubation. However, concerns regarding the ease of endotracheal intubation may complicate the decision proce...

OBJECTIVE To identify the associations between the duration of endotracheal intubation and developing post-extubational supraglottic and infraglottic aspiration (PEA) and subsequent aspiration pneumonia. METHODS This was a retrospective observational study from January 2009 to November 2014 of all adult patients who had non-neurologic critical illness, required endotracheal intubation and wer...

BACKGROUND In the perioperative period, it may be inappropriate to monitor vital signs during endotracheal intubation using the same interval as during a hemodynamically stable period. The aim of the present study was to determine whether it is appropriate to use the same intervals used during the endotracheal intubation and stable periods to monitor vital signs of patients under general anesth...

BACKGROUND Cardiac surgery is frequently associated with prolonged endotracheal intubation. Because oral feeding is an important component of patient recovery after high-risk surgery, we sought to examine the contribution of dysphagia in the recuperation process after prolonged endotracheal intubation. METHODS All 254 adult patients who survived cardiac surgery between 2001 and 2004 at the To...

BACKGROUND Especially in the emergency setting, rapid and successful airway management is of major importance. Conventional endotracheal intubation is challenging and requires high level of individual skills and experience. Videolaryngoscopes like the C-MAC are likely to offer better glottis visualization and serve as alternatives to conventional endotracheal intubation. The aim of this study i...

conclusions fentanyl and fentanyl plus lidocaine effectively decreased the hemodynamic response to tracheal intubation, however, neither fentanyl nor fentanyl plus lidocaine, could inhibit all hemodynamic responses, moreover fentanyl plus lidocaine was not more effective than fentanyl alone. background induction of anesthesia and endotracheal intubation often creates a period of hemodynamic ins...

abstract background: formation of biofilm and bacterial colonization within the endotracheal tube (ett) are significant sources of airway contamination and play a role in the development of ventilator-associated pneumonia (vap). this study was conducted to examine the effect of nebulized eucalyptus (ne) on bacterial colonization of ett biofilm. materials and methods: we performed a randomized c...

objectives the aim of this study was to compare hemodynamic changes following endotracheal intubation with gvl and mdl in patients undergoing cesarean section by general anesthesia. materials and methods seventy patients undergoing elective cesarean section by general anesthesia requiring endotracheal intubation were randomly allocated to be intubated with either gvl (n = 35) or mdl (n = 35). s...

The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. To overcome the obstacles...

a-56-year-old woman underwent carpal tunnel release surgery under general anesthesia. thirty minutes after extubation, the patient complained of chest discomfort with dyspnea. swelling of the neck and upper anterior chest was observed. computed tomography of the chest showed tracheal rupture at the brachiocephalic trunk level, and bronchoscopy demonstrated a 5 cm linear tracheal defect in the p...