BACKGROUND Morbidly obese patients are at elevated risk of perioperative pulmonary complications, including airway obstruction and atelectasis. Continuous positive airway pressure may improve postoperative lung mechanics and reduce postoperative complications in patients undergoing abdominal surgery. METHODS Forty morbidly obese patients with known obstructive sleep apnea undergoing laproscop...

BACKGROUND Pre-hospital advanced airway management has been named one of the top-five research priorities in physician-provided pre-hospital critical care. Few studies have been made on paediatric pre-hospital advanced airway management. The aim of this study was to investigate pre-hospital endotracheal intubation success rate in children, first-pass success rates and complications related to p...

Introduction: Acute epiglottitis or supraglottitis is a rapidly progressing upper respiratory tract infection that can often threaten the airway patency. Epiglottic abscess that expands to the paraglottic (PGS) or preepiglottic (PES) space and acute airway obstruction constitute rare complications, exclusively presented in adults.   Case Report: We report two cases. In t...

The Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society (NAP4) has published an extensive report examining both current practices in the United Kingdom regarding airway management during anaesthesia and the complications of airway management during anaesthesia and in intensive care units and emergency departments. The report makes more than 160 r...

OUT-OF-HOSPITAL CARDIAC arrest (OHCA) is a major public health problem, occurring in 375 000 to 390 000 individuals in the United States each year. The rate of survival after OHCA has increased with advances in care via initiatives such as the American Heart Association’s 5-step Chain of Survival. However, the rate is still low, with recent estimates reporting 8% to 10%. Better survival has bee...

Humidification of inhaled gases has been standard of care in mechanical ventilation for a long period of time. More than a century ago, a variety of reports described important airway damage by applying dry gases during artificial ventilation. Consequently, respiratory care providers have been utilizing external humidifiers to compensate for the lack of natural humidification mechanisms when th...

Many of injured children will require surgical treatment with involvement of the anesthesiologist. The anesthesia providers may have to take care of pediatric patients on following occasions: 1- Initial stabilization in the emergency department 2- Providing sedation and monitoring for imaging 3- Preoperative management of emergent surgical procedures such as laparotomy or craniotomy 4- Manageme...

background: establishment of a patent airway and preserving spontaneous ventilation is a necessity in predicted difficult airway. airway regional blocks are commonly used in predicted difficult airway but the known limitations of these techniques propose the need to suggest alternative methods. this study compares subcutaneous dissociative conscious sedation (sdcs); a recently reported method o...

Pathophysiological stress from acute illness causes metabolic disturbance, including altered hepatic glucose metabolism, increased peripheral insulin resistance and hyperglycaemia. Acute hyperglycaemia is associated with increased morbidity and mortality in patients in intensive care units and patients with acute respiratory disease. The present review will consider mechanisms underlying this a...

IMPORTANCE National attention has focused on the importance of handoffs in medicine. Our practice during airway patient handoffs is to communicate a patient-specific emergency plan for airway reestablishment; patients who are not intubatable by standard means are at higher risk for failure. There is currently no standard classification system describing airway risk in tracheotomized patients. ...