CONTEXT There is ongoing debate regarding the optimal timing for tracheal extubation in children at increased risk of perioperative respiratory adverse events, particularly following adenotonsillectomy. OBJECTIVE To assess the occurrence of perioperative respiratory adverse events in children undergoing elective adenotonsillectomy extubated under deep anaesthesia or when fully awake. DESIGN...

This study was designed to determine if induction of anaesthesia with etomidate titrated to an early EEG burst suppression pattern would produce minimal changes in cerebral perfusion pressure, and prevent increases in intracranial pressure (ICP) associated with tracheal intubation. Eight patients, 18-71 yr, with intracranial space-occupying lesions, were studied. In each patient ICP was monitor...

BACKGROUND The purpose of this study was to compare the efficacy and safety of dexmedetomidine versus remifentanil for sedation during awake intubation using a Shikani optical stylet (SOS). METHODS Sixty-eight patients with cervical trauma or severe cervical spondylosis undergoing cervical spinal surgery were enrolled in this prospective study. They were randomly assigned to receive dexmedeto...

BACKGROUND To describe a case with dislodgement of dental bridge with clasps covering the vocal cords, in a patient who was successfully intubated using tube exchanger under video-assisted laryngoscopy. STUDY DESIGN, METHODS Clinical case record with a video clip. SETTING University hospital. CASE PRESENTATION A 83-year-old woman presented with dislodgement of her dental bridge whilst eat...

BACKGROUND Midlatency auditory evoked potentials (MLAEP) are a promising tool for monitoring suppression of sensory processing during anaesthesia and might help to avoid awareness. MLAEP in children are different to those in adults and the exact changes during general anaesthesia are unknown. METHODS In 49 children of age between 2 and 12 yr, MLAEP were recorded before anaesthesia, during tra...

The technique of Awake coronary artery bypass (ACAB ) is about seven years old, it was first reported by Karagoz and coworkers. They performed few successful cardiac surgeries using thoracic epidural anestehsia in an awake patients without endotracheal general anesthesia.. After the initial reports, several authors reported series of cases, totaling to about one thousand cases so far. Ever sinc...

abstract   background: iatrogenic airway injury after endotracheal intubation and tracheotomy remains a serious clinical problem. in this study we reviewed post-intubation and traumatic tracheal stenosis in 47 patients with a special attention to the cause, hense surgical treatment of the stenosis was performed and the results compared with the literatures.   methods: since february 1995 throug...