B ronchofiberoscopy for examination of the tracheobronchial tree has considerable advantages over conventional rigid bronchoscopy, not the least of which is ease of insertion into a lightly sedated patient. Introduction of the bronchofiber-scope via a sterile nasopharyngeal airway facilitates its passage, prevents its contamination by nasal secretions and protects the nasal mucosa from trauma (...

One of the cornerstones of critical care medicine is support of the failing respiratory system. The 2 major components of managing respiratory failure are the acute intervention and the weaning process. Many of the studies to determine the optimal methods of ventilation and weaning have focused on non-invasive positive-pressure ventilation as an alternative to invasive ventilation, with various...

OBJECTIVE Carbon monoxide (CO) poisoning is common in the United States, accounting for approximately 2,700 deaths annually. Few publications have described the mortality rate of CO-poisoned patients who survive to reach a hospital and die despite maximal medical care. Further, while risk factors for cognitive sequelae in survivors of CO poisoning have become clearer recently, factors associate...

Introduction: Endotracheal intubation may create a period of hemodynamic instability in normotensive patients but more so in hypertensive patients. Endotracheal intubation produces stimulation of laryngeal and tracheal sensory receptors, resulting in a marked increase in the elaboration of sympathetic amines leading to hypertensive crisis. Objectives: The objective of study is to evaluate and c...

BACKGROUND In regards to peri-anesthetic morbidity considerations, morbidly obese patients often have full stomach for extended periods secondary to delayed gastric emptying. Additionally, they may have difficulty lying supine because of multiple reasons. STUDY OBJECTIVES The purpose of the study was to compare endotracheal intubation of morbidly obese patients placed in semi-erect position w...

Endotracheal intubation in the ICU is a high-risk procedure, resulting in significant morbidity and mortality. Up to 40% of cases are associated with marked hypoxemia or hypotension. The ICU patient is physiologically very different from the usual patient who undergoes intubation in the operating room, and different intubation techniques should be considered. The common operating room practice ...

Background: Endotracheal intubation (EI) is a critical life-saving procedure commonly performed on emergency department (ED) patients who present with altered mental status (AMS). Aims: We aimed to investigate the safety of observing, without EI, ED decreased levels consciousness (LOC). Methods: reviewed data all adult Glasgow Coma Scale (GCS) score ≤ 8, during period between 2012 and 2018, in ...

OBJECTIVES Postintubation hemodynamic instability (PIHI) is a potentially life-threatening adverse event of emergent endotracheal intubation. The objectives of this study were to determine the incidence, risk factors, and impact on patient outcomes associated with PIHI in intubations performed in emergency medicine. METHODS A structured chart audit was performed of all consecutive adult patie...

Aims. The aim of the study was to compare endotracheal intubation with i-gel and LMA (laryngeal mask airway) supreme supraglottic airway devices in orbital osteosynthesis surgery. Methods. 134 patients undergoing orbital plasty after fracture were enrolled in our study and were randomized into three groups: 43 in the endotracheal intubation group, 42 in the LMA-Supreme group, and 49 patients w...

Background: Noninvasive positive-pressure ventilation (NPPV) appears to be of benefit in the treatment of patients with acute cardiogenic pulmonary edema and may reduce mortality. Aim of the Work: To determine whether NPPV of immediate benefit, in adults with acute cardiogenic pulmonary edema and whether there are important differences in outcome associated with this method of treatment regardi...