OBJECTIVES/HYPOTHESIS To develop and validate a clinical algorithm for management of patients with angiotensin-converting enzyme inhibitor-induced angioedema (AIIA). STUDY DESIGN Prospective cohort observational study. METHODS Over 1 year, 40 patients with AIIA were evaluated by otolaryngology, underwent laryngoscopy, and were followed until disease resolution. The need for airway intervent...

Difficult airway is a common problem encountered in oro-maxillo-facial surgeries. We describe case where displaced mandibular reconstruction plate obstructing the access to oral cavity. The was further compromised by previous tracheostomy, and limited neck extension owing surgeries radiotherapy. inability of patient swallow increased risk pulmonary aspiration. first line management such should ...

This review discusses the history, developments, benefits, and complications of supraglottic devices in prehospital care for adults and pediatrics. Evidence supporting their use as well as current controversies and developments in out-of-hospital cardiac arrest and rapid sequence airway management is discussed. Devices reviewed include the Laryngeal Mask Airway, Esophageal Tracheal Combitube, L...

Background: Supraglottic airway devices offer several advantages over endotracheal tube with regards to ease of insertion, hemodynamic stability, decreased morbidity, reduced requirement drugs and smoother emergence from anesthesia. Objective was compare two supraglottic devices, Igel proseal LMA, respect number insertion attempts, time taken for placement device changes.Methods: This prospecti...

Over the past two decades, a plethora of new airway devices has become available to the pediatric anesthetist. While all have the laudable intention of improving patient care and some have proven clinical benefits, these devices are often costly and at times claims of an advantage over current equipment and techniques are marginal. Supraglottic airway devices are used in the majority of pediatr...

During the COVID-19 pandemic, continuous positive airway pressure (CPAP) was used as a bridge to invasive mechanical ventilation (IMV) or ceiling of care treat pneumonia and could be provided outside critical setting. From 07 March 2020 03 May 2020, 140 patients received

Awake flexible fiberoptic bronchoscope aided intubation (AFOBI) has revolutionized the ability of the anesthesia provider to safely care for difficult airway management and help prevent associated adverse side effects while dealing with a difficult airway like arterial hypoxemia, hypoventilation, aspiration. The flexible fiberoptic bronchoscope (FOB) is presently a critical tool available in sc...

BACKGROUND Measurement of fractional nitric oxide (NO) concentration in exhaled breath (Fe(NO)) is a quantitative, noninvasive, simple, and safe method of measuring airway inflammation that provides a complementary tool to other ways of assessing airways disease, including asthma. While Fe(NO) measurement has been standardized, there is currently no reference guideline for practicing health car...

OBJECTIVE To describe the current practice of pediatric airway management at referring hospitals and the associated adverse events compared to a receiving tertiary pediatric ICU. METHOD Retrospective chart and transport record review of all emergency critical care transports to our Pediatric ICU over 3 years. Data regarding tracheal intubation procedure, pre-defined adverse Tracheal Intubatio...

The rationale for airway clearance therapy and basic principles of its application are identical for children and adults, but there are important differences in physiology (regarding airway mucus characteristics and airway mechanics) and pathological processes in children, as well as other considerations unique to the pediatric population. The major obstacle in reviewing the evidence for effica...