OBJECTIVES We compared hemodynamic responses and upper airway morbidity following tracheal intubation via conventional laryngoscopy or intubating laryngeal mask airway in hypertensive patients. METHODS Forty-two hypertensive patients received a conventional laryngoscopy or were intubated with a intubating laryngeal mask airway. Anesthesia was induced with propofol, fentanyl, and cis-atracuriu...

Intubating conditions were studied in two groups of patients who received either fazadinium 1 mg/kg or pancuronium 0.1 mg/kg (group 1), or either fazadinium 0.5 mg/kg or pancuronium 0.08 mg/kg (group 2). In group 1 intubating conditions were studied at 30, 45, 60 and 75 s after injection of the relaxant drug, and in group 2 at 60 s after injection. Fazadinium provided better intubating conditio...

In anesthesia practice, stylet is used as an aid in difficult tracheal (ET) intubation. Disposable plastic covered or plastic bougies are recommended but in developing countries, the metal stylets are still in use. Shearing of part of stylet has been reported in past but all incidents were detected immediately. We report a case of tracheal tube blockade due to a broken stylet tip which initiall...

Background: Insertion of a nasogastric tube in an anesthetized intubated patient may be difficult. A is prone to coil and kink during insertion. The authors hypothesized that gastric biopsy forceps could used as flexible stylet-assisted It can improve the first-attempt success rate over conventional blind technique insertion patient. Materials Methods: Eighty adult patients who required intraop...

OBJECTIVES/HYPOTHESIS Vocal fold injury is a well-know complication of intubation, with rates reported as high as 69%. Laryngology textbooks recommend the use of a small endotracheal tube (ETT) to help avoid these complications and optimize visualization. Case reports have suggested that the rigid stylet can lead to laryngeal injury. Given the additional risks, intubation without the stylet is ...

BACKGROUND The aim of this study was to compare intubating conditions and adverse events after sevoflurane induction in infants, with or without the use of rocuronium or alfentanil. METHODS Seventy-five infants, aged 1-24 months, undergoing elective surgery under general anaesthesia were randomly assigned to receive 8% sevoflurane with either placebo (i.v. saline 0.5 ml kg⁻¹), rocuronium (0.3...

OBJECTIVE Endotracheal intubation of newborn infants is a common and potentially lifesaving procedure but a skill that trainees find difficult. Despite widespread use, no data are available on whether the use of a stylet (introducer) improves success rates. We aimed to determine whether pediatric trainees were more successful at neonatal orotracheal intubation when a stylet was used. METHODS ...