BACKGROUND The critically ill or injured patient undergoing military medical evacuation may require emergent intubation. Intubation may be life-saving, but it carries risks. The novice or infrequent laryngoscopist has a distinct disadvantage because experience is critical for the rapid and safe establishment of a secured airway. This challenge is compounded by the austere environment of the bac...

Background Manual in line axial stabilization (MIAS) technique is recommended for stabilizing the cervical spine suspected injuries, but creates special challenges airway management. The present study compares two different video laryngoscope (VL) namely CMAC D blade (CMAC) and glidescope 4 (GL) intubation patients with a simulated difficult by applying MIAS. Methodology This was hospital based...

Purpose: To present a case where the Aintree intubation catheter was used in conjunction with the Laryngeal Mask Airway (LMA) and a fiberoptic bronchoscope (FOB) in a patient with an unexpected difficult airway. Clinical Features: A 38 year old 90 kg man scheduled for nasal endoscopy with ethmoidectomy under general anesthesia was found to be unexpectedly difficult to intubate using a both a MA...

The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. To overcome the obstacles...

1. Brower RG, Lanken PN, MacIntyre N, Matthay MA, Morris A, Ancukiewicz M, Schoenfeld D, Thompson BT: Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004; 351:327–36 2. Meade MO, Cook DJ, Guyatt GH, Slutsky AS, Arabi YM, Cooper DJ, Davies AR, Hand LE, Zhou Q, Thabane L, Austin P, Lapinsky S, Baxter A, Russell J, Skrob...