Use of a nerve stimulator to assist cricothyroid membrane puncture during difficult airway topicalization

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Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report

BACKGROUND Surgical cricothyroidotomy is considered to be the last resort for management of the difficult airway. A major point for a successful surgical cricothyroidotomy is to identify the location of the cricothyroid membrane. CASE PRESENTATION We encountered a patient with progressive respiratory distress who was anticipated to have a difficult airway due to a large neck abscess. We prepa...

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Management of the difficult Airway

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Use of the peripheral nerve stimulator.

The author discusses various procedures for assessing the patient's degree of muscle relaxation utilizing a peripheral nerve stimulator. Based on clinical observation, a preferred method is offered. To obtain the relaxation necessary for certain surgical procedures, the usual technique is to administer a pre-calculated dose of non-depolarizing muscle relaxant. The most common method to calculat...

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Equipment to manage a difficult airway during anaesthesia.

Airway complications are a leading cause of morbidity and mortality in anaesthesia. Effective management of a difficult airway requires the timely availability of suitable airway equipment. The Australian and New Zealand College of Anaesthetists has recently developed guidelines for the minimum set of equipment needed for the effective management of an unexpected difficult airway (TG4 [2010] ww...

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Airway injury during emergency transcutaneous airway access: a comparison at cricothyroid and tracheal sites.

BACKGROUND Oxygenation via the cricothyroid membrane (CTM) may be required in emergencies, but inadvertent tracheal cannulation may occur. In this study, we compared airway injury between the tracheal and CTM sites using different techniques for airway access. METHODS Anesthesiologists performed 4 airway access techniques on excised porcine tracheas. The techniques were 1) wire-guided (WGT), ...

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ژورنال

عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie

سال: 2015

ISSN: 0832-610X,1496-8975

DOI: 10.1007/s12630-015-0411-2