A 21-year-old male (body mass index: 28.3) with a history of asthma and reactive airway disease since childhood underwent left shoulder arthroscopy and labral repair surgery under monitored anesthesia care. Because the procedure was performed in the beach chair position, access to the patient's airway was limited throughout. To avoid general anesthesia and to limit potential complications assoc...

Apneusis, or apneustic respirations, is characterized by an abnormal breathing pattern involving gasping and the inability to fully expire. A loss of gag reflex and other cranial nerve deficits are also often accompanied with these respiratory changes. In neurological intensive care units (NICUs), these respiratory and airway changes are not uncommon and have been well documented (Lee et al. 19...

BACKGROUND Head and neck region have many vital structures, and facial firearm injuries (FFIs) more likely lead to life-threatening situations than other body injuies. These injuries have high potential of airway compromise associated with significant morbidity and mortality. METHODS We describe an 11-year-old boy who had received tracheostomy after a FFI complicated with pneumothorax and sub...

Symptomatic airway stenosis requires repeated interventions, such as, dilatation, laser resection, stent implantation, or surgery, and the anesthetic management of upper airway stenosis is complicated due to the risk of respiratory problems while facilitating optimal surgical conditions. The authors described a case of successful monitored anesthetic care with target-controlled propofol and rem...

BACKGROUND The Fourth National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society (NAP4) was designed to identify and study serious airway complications occurring during anaesthesia, in intensive care unit (ICU) and the emergency department (ED). METHODS Reports of major complications of airway management (death, brain damage, emergency surgical airway, unanticip...

Patients receiving nebulized respiratory treatments and airway clearance therapies often combine the treatments to decrease treatment time, despite a lack of data supporting this practice. Moreover, manufacturers advertise simultaneous use in their marketing. The airway clearance devices that allow concomitant administration of aerosol can be classified as those that alter the pathway of the ae...

Executive Summary Introduction Methods CommitteeComposition,Meetings, andDocument Preparation Document Structure Quality of Evidence and Strength of Recommendations Why Should a FENO Test be Obtained? Can FENO Be Used to Diagnose Asthma? FENO Is Associated with Eosinophilic Airway Inflammation FENO Predicts Likelihood of Corticosteroid Responsiveness FENO Can Support a Diagnosis of Asthma FENO ...

BACKGROUND Airway problems continue to occur in intensive care setting. Management strategies, staffing, and availability of equipment can all have an influence. METHODS We undertook a standardized telephone survey of airway management strategies, staffing, and airway equipment availability in general intensive care units (ICUs) in the UK, before the reporting of the Fourth National Audit Pro...

Background The Fourth National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society (NAP4) was designed to identify and study serious airway complications occurring during anaesthesia, in intensive care unit (ICU) and the emergency department (ED). Methods Reports of major complications of airway management (death, brain damage, emergency surgical airway, unanticipat...