patients and methods this blinded clinical trial was performed on 60 patients admitted to icu following cabg. patients intubated and those under mechanical ventilation were unable to report their pain. the study population was randomly divided into two groups of control and music intervention groups (preferred music listening). in the intervention group, preferred music (including classical, in...

BACKGROUND Neck flexion by head elevation using an 8 to 10 cm thick pillow and head extension has been suggested to align the laryngeal, pharyngeal and oral axis and facilitate tracheal intubation. Presently, the laryngeal view and discomfort for tracheal intubation were evaluated according to two different degrees of head elevation in adult patients. METHODS This prospective randomized, cont...

BACKGROUND The study was performed in order to determine the risk factors for difficult tracheal intubation in obstructive sleep apnea patients. METHODS For 115 male patients with obstructive sleep apnea syndrome and who were undergoing palatal muscle resection (PMR), we investigated the correlation between their age, height, weight, body mass index (BMI), their Epworth Sleepiness Scale (ESS)...

Extracranial involvement of the recurrent laryngeal nerve and the hypoglossal nerve is known as Tapia's syndrome. Ipsilateral paralysis of the vocal cord and tongue is present. Lesion of these nerves may be a rare complication of airway management. Herein, a case of Tapia's Syndrome complicating transoral intubation during general anaesthesia in a rhinoplasty operation, together with a review o...

BACKGROUND Transillumination using a light wand is an alternative type of laryngoscope used for tracheal intubation. There is little information available on the effect-site concentration of remifentanil required to control hemodynamic changes induced by tracheal intubation using the transillumination method during total IV anesthesia. We therefore conducted this study to determine the effect-s...

BACKGROUND Postoperative throat complications, such as sore throat and hoarseness, are frequent complications of tracheal intubation. To assess whether severity of throat complications is related to the experience of physicians performing tracheal intubation, we compared the incidence and duration of postoperative sore throat and hoarseness and patient satisfaction between tracheal intubation p...

We have determined if tracheal intubation causes an increase in neuropeptide Y (NPY), a marker of major adrenergic activation, and investigated if rectal premedication with clonidine 2.5 micrograms kg-1 might be capable of attenuating the stress response to tracheal intubation compared with midazolam 300 micrograms kg-1, in 20 paediatric patients (1-9 yr). Prospective randomization was performe...

medical practice. Ultrasonography can confirm endotracheal intubation, assess vocal cord function, detect endobronchial intubation and diagnose pneumothorax. We present a novel use of real time ultrasound to guide tracheal intubation in a series of 25 children. This new technique is called Ultrasound Guided Tracheal Intubation (UGTI). It is kinesthetically similar to the lighted stylet techniqu...

A 30-yr-old woman developed a placental abruption at 33 weeks gestation which was complicated by disseminated intravascular coagulation associated with low plasma fibrino-gen (0.76 g. L-1 ; normal 1.5±4.0 g. L-1) and a prolonged prothrombin time (18.5 s; normal 11.5±15 s). She was resuscitated with 1 L of colloid gelatin, 6 units each of red cell concentrate and fresh frozen plasma, 10 units of...