Three patients in whom difficult tracheal intubation was expected but awake fibreoptic intubation was not feasible presented for head and neck surgery. Anaesthesia was induced rapidly and smoothly by inhalation of sevoflurane followed by fibreoptic or conventional tracheal intubation.

We have examined the effect of preoperative administration of nebulized lignocaine or saline on the intraocular pressure (IOP) response to tracheal intubation in 20 adults. In the saline group, tracheal intubation was associated with a significant increase in IOP above control and preintubation values (P less than 0.01); in the lignocaine group there was no change in IOP following intubation. A...

Medicine is a fast developing science and progress has helped improve patient comfort and safety. Surgeries involving the maxillofacial region are traditionally done using nasal or oral endotracheal intubation. Surgical repair of the maxillofacial region requires modification of the standard anesthetic technique, as these procedures present a unique set of problems both for the anesthetist and ...

We have studied the haemodynamic changes in response to tracheal intubation in 60 ASA I women undergoing elective gynaecological surgery; 30 women smoked more than 10 cigarettes a day, while the other 30 were non-smokers. Immediately after intubation, heart rate of smokers (mean 102.0 (SD 17) beat min-1) was significantly greater (P < 0.01) than that of non-smokers (mean 91.0 (12.3) beat min-1)...

BACKGROUND We aimed to investigate the effects of metoclopramide and ondansetrone on mivacurium neuromuscular blockade. METHODS Seventy five, ASA I-II patients, aged 18-65 and scheduled for elective surgery requiring tracheal intubation were included in the study. The patients received metoclopramide 10 mg, ondansetrone 4 mg or normal saline 5 mL; group M, group O, group NS (n=25), respective...

Tracheostomy is one of the oldest established procedures in surgical practice, but the indications for its use have undergone considerable changes, particularly in the last 25 years (Borman and Davidson, 1963). Its use is again under review (Lancet, 1967) and, as a result of the associated complications, many centres are using alternative methods, such as oro-tracheal and naso-tracheal intubati...

A series of sixty-one cases of prolonged pernasal intubation in children for conditions which would otherwise need tracheostomy is presented. One serious complication, namely subglottic cicatricial stenosis of the trachea, has occurred and is discussed. There is a definite place for prolonged pernasal intubation in children under 5 years of age as an alternative to tracheostomy. The most import...

This prospective study was designed to compare the effectiveness of esmolol (either 100 mg or 200 mg) with a placebo in blunting the haemodynamic response to laryngoscopy and intubation. Seventy-five patients of ASA I or II scheduled for routine-surgery were selected and entered into a placebo-controlled study. Patients were randomly allocated to receive placebo, 100 mg or 200 mg of esmolol IV ...

OBJECTIVE To demonstrate an alternative method for intubating patients with fractures of maxilla and nose, prior to surgery. DESIGN Cases Report. PARTICIPANTS We studied 10 patients with facial fractures that affected maxilla and nose. INTERVENTION The patients were submitted to surgery under general anesthesia and submental oro-tracheal intubation. RESULTS This type of intubation allow...

Hernandez first described the submental route for endotracheal intubation in 1986 as an alternative airway maneuver for maxillofacial procedures. Since that time, several case studies have been performed demonstrating the efficacy of the submental approach. This method was recently implemented in the case of a patient with altered nasal anatomy who sustained a mandibular fracture necessitating ...