OBJECTIVE To describe a novel technique for percutaneous tracheotomy (PT) that could be an alternative to current dilational techniques. DESIGN An observational animal study of PT was performed using the Seldinger guide wire technique with a tracheostomy tube preloaded onto a dilational balloon catheter. A small skin incision was done with an 11-blade scalpel, but no blunt subcutaneous tissue...

In the UK, Stanley Rowbotham pioneered anaesthesia for thyroid surgery in the 1940s. He combined local anaesthesia with light general anaesthesia, and even attempted to make the patient strain to test haemostatic sutures using one breath of ether. Anaesthesia for thyroid surgery requires an anaesthetist who is experienced in the recognition, assessment, and management of a potentially difficult...

INTRODUCTION Substernal goiter may rarely cause superior vena cava syndrome (SVCS) owing to venous compression, and cause acute respiratory failure due to tracheal compression. Obstructive sleep apnea syndrome (OSAS) may rarely occur when there is a narrowing of upper airway by edema and vascular congestion resulting from SVCS. CASE PRESENTATION We presented the clinical course and treatment ...

Post-tracheostomy lesions are becoming more commonplace and surgical techniques for definitive repair of these abnormalities are being developed. These lesions, in general, occur at two sites. the proximal lesions at the tracheostomy incision and the distal lesions 15 to 2-5 cm inferior in the area of the tracheostomy balloon cuff. Granuloma formation, stenosis, tracheomalacia, and perforation ...

We studied 60 patients during stable isoflurane anaesthesia (0.4 MAC) after premedication with temazepam. Patients were allocated randomly to one of three dose regimens of remifentanil: 1 microgram kg-1 i.v. over 1 min and an infusion of 0.2 microgram kg-1 min-1 (low dose); 2.5 micrograms kg-1 and 0.5 microgram kg-1 min-1 (medium dose); and 5 micrograms kg-1 and 1 microgram kg-1 min-1 (high dos...

During a tracheotomy, the surgeon makes an incision through the front of the patient’s neck (the incision is known as a tracheostomy) to access the trachea and inserts a tracheostomy tube (see Fig. 1), which serves as an alternative airway to the mouth or nose. After insertion, a balloon is inflated to the diameter of the trachea, which fixes the tracheotomy tube in place, allows for positive p...

this work is a report 0/9 cases ofarcuate incision for correction 0/astigmatism, after penetrating keratoplasty. plannings were based ojj corneal topography, and the first operation was always arcuate incision alone. 11,e secondary plans were based on refractive errors. the mean of preoperative astigmatism was 6d with the range of5 to 9/). after arcuate incision a/the graft-host interface in th...

background: hemodynamic instability is common during tracheal intubation. the primary purpose of the present study is to evaluate the effect of different doses of remifentanil added to propofol on the hemodynamic profiles during tracheal intubation. methods: ninety patients, 40 to 70 years old, undergoing coronary artery bypass graft surgery under general anesthesia were randomly allocated into...