STUDY OBJECTIVES To examine the validity of our methods of anesthesia, i.e., awake intubation and assisted manual ventilation, in coping with the anesthetic problems particular to oral and maxillofacial surgery (OMF surgery). DESIGN Prospective study. SETTING Operating room and ward of a dental teaching hospital. PATIENTS 14,195 patients undergoing OMF surgery during the period from Janua...

The laryngeal mask airway (LMA) Classic™ and Air-Q® are supralaryngeal devices used for airway management in routine and difficult pediatric airways. We describe a novel two-stage technique of insertion of the LMA Classic™ awake prior to induction of anesthesia, to assure oxygenation and ventilation, and after induction removal and placement of the Air-Q® for intubation using the flexible fiber...

Awake Fiberoptic Intubation (AFI) is a standard method of airway management in the case of anticipated difficult intubation. It is usually performed with the use of flexible fiberscopes. In this report we have described two methods in which alternative devices to the fiberscope were utilized for awake intubation in patients with severely restricted mouth opening scheduled for craniomaxillofacia...

Awake fibreoptic intubation is accepted as the gold standard for intubation of patients with an anticipated difficult airway. Radiation fibrosis may cause difficulties during the intubation procedure. We present an unusual severe case of radiation induced changes to the larynx, with limited clinical symptoms, that caused failure of the fibreoptic intubation technique. A review of the known lite...

a a e o d d s p v h p c s c t r c r p n s t h c t t n l ( oi:10.1016/j.joms.2010.10.004 during awake fiberoptic orotracheal intubation. Anesthesiology 102:910, 2005 . Williams W, Jiang Y: Management of difficult airway with direct ventilation through nasal airway without facemask. J Oral Maxillofac Surg 67:2541, 2009 . Kambic V, Radsel Z: Intubation lesions of the larynx. Br J Anaesth 50:587, 1...

PURPOSE This case report describes the use of a Laryngeal Mask Airway in a morbidly obese parturient with the H.E.L.L.P. syndrome. An urgent Caesarean section was required because of vaginal bleeding and fetal distress. CLINICAL FEATURES The patient was a 32 year old G3, T1, P1, L1 who presented with epigastric pain, headache, vomiting, and diarrhoea. She was hypertensive (180/110 mmHg) and t...

BACKGROUND AND AIMS Ultrasonography has emerged as a novel, portable, non-invasive tool encouraging airway assessment and procedural interventions. This study assesses the feasibility of ultrasound for block of internal branch of superior laryngeal nerve (ibSLN) block during upper airway anaesthesia to aid awake fibre-optic intubation. METHODS Forty American Society of Anesthesiologists' phys...

We read with interest the article by Tong [1] and agree that the Airtraq optical laryngoscope is easy to use and can provide a full indirect view of the glottis when traditional direct laryngoscopy has failed. We would like to report the successful use of the Airtraq as a rescue device following failed awake fibreoptic intubation in a patient with ankylosing spondylitis (AS). A 48-yr-old male w...