BACKGROUND Intubation of the trachea in the pre-hospital setting may be lifesaving in severely ill and injured patients. However, tracheal intubation is frequently difficult to perform in this challenging environment, is associated with a lower success rate, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Glidescope and the A...

Background: The LMA CTrachTM system is a new device for airway management and endotracheal intubation under direct vision in both anticipated and unexpected difficult intubation situations. This randomized controlled study was undertaken to compare the hemodynamic effects, ease of intubation, time taken for intubation, upper airway morbidity following tracheal intubation through LMA CTrachTM wi...

BACKGROUND Problems with tracheal intubation are a major cause of anaesthesia-related morbidity and mortality. Difficulty with tracheal intubation is primarily a consequence of failure to see the vocal cords with conventional direct laryngoscopy. We report our experience with use of the SensaScope for tracheal intubation in routine clinical practice. METHODS The SensaScope is a hybrid steerab...

conclusions there were no statistical differences between oral clonidine and intravenous lidocaine regarding attenuation of hemodynamic responses after tracheal intubation in controlled hypertensive patients, although the rate of complications including mouth dryness, bradycardia, and orthostatic hypotension was significantly higher in the clonidine group before induction of anesthesia. results...

I read with keen interest the article by Imani et al. (1) in which the authors compare tracheal intubating conditions following intravenous (IV) administration of remifentanil 5 μg/kg or alfentanil 50 μg/kg followed by induction of anesthesia with propofol 2 mg/kg in 100 adult patients premedicated with IV midazolam 1 mg. Intubating conditions were assessed (scoring 1 to 4) by ease of laryngosc...

Tracheal intubation remains a life-saving procedure that is typically not difficult for experienced providers in routine conditions. Unfortunately, difficult intubation remains challenging to predict and intubation conditions may make the event life threatening. Recent technological advances aim to further improve the ease, speed, safety, and success of intubation but have not been fully invest...

Radiation to the head and neck is commonly used in the treatment of cancers. A side effect in some patients is the development of pharyngeal and or esophageal strictures. Hypopharyngeal strictures can resemble edematous larynges. If mistakenly so identified, tracheal tubes placed through these structures are unlikely to result in tracheal intubation and more likely to cause obstruction, esophag...

subcutaneous emphysema is a rare complication of postoperative nausea and vomiting and can lead to airway compromise. we describe a case of delayed, severe subcutaneous emphysema after postoperative vomiting which fortunately did not lead to airway compromise and eliminated with conservative management. rough and difficult laryngoscopy and intubation, presence of clots and bloody discharge afte...

BACKGROUND To determine if the GlideScope® videolaryngoscope (GVL) could attenuate the hemodynamic responses to orotracheal intubation compared with conventional Macintosh laryngoscope. OBJECTIVES The aim of this relatively large randomized trial was to compare the hemodynamic stress responses during laryngoscopy and tracheal intubation using GVL versus MCL amongst healthy adult individuals r...

results participants in all groups were similar in terms of gender, age, weight, height, and mallampati class. the mean ± sd of sbps (105.62 ± 12.12, 112.90 ± 12.2, and 112.48 ± 15.14 mm hg, respectively for ett, lma-c, and lma-s) and dbps (64.64 ± 10.23, 73.78 ± 9.70, and 71.20 ± 12.27 mm hg, respectively for ett, lma-c, and lma-s) were significantly lower in the ett group compared to lma grou...