The aim of this randomized observational study was to evaluate the effect of measuring the incisor-carina distance by fiberoptic bronchoscopy in guiding the placement of a left-sided double-lumen endobronchial tube. Fifty patients (American Society of Anesthesiologists class I-II) undergoing elective thoracic procedures requiring single-lung ventilation using a left-sided double-lumen endobronc...

After a difficult nasal intubation a premature infant leaked cerebrospinal fluid (CSF) from one nostril. After developing bacterial meningitis, the baby was referred for neurosurgical management of the CSF fistula. Transaxial computed tomograms demonstrated a nasal encephalocele, but coronal scans were needed to show the defect in the cribriform plate.

Chest 1976; 69:722-28 3 Smith BA, Kirby RR, Cooding JM, Civetta JM. Continuous positive airway pressure (CPAP) by face mask. Crit Care Med 1980; 8:483-85 4 Braun NMT. Nocturnal ventilation-a new method. Am Rev Respir Dis 1987; 135:523-24 5 Kerby GR, Mayer LS, Pingelton SK. Nocturnal positive pressure ventilation via nasal mask. Am Rev Respir Dis 1987; 135:738-40 6 Ellis ER, Bye PTP, Bruderer JW...

Nasal foreign bodies are frequently encountered among children and mentally challenged patients. They are often asymptomatic and may remain undetected for years. We are presenting a case of an incidental finding of foreign bodies during nasal intubation in a mentally challenged patient.

Severe respiratory failure in a patient with obstructive sleep apnoea was treated successfully with nasal intermittent positive pressure ventilation. Nasal intermittent positive pressure ventilation is a non-invasive method of respiratory support originally developed for the treatment of chest wall and neuromuscular disorders.'2 Recent studies suggest that this technique may be applicable to a ...

OBJECTIVE To evaluate the efficacy of using a nicotine patch for 5 months with a nicotine nasal spray for 1 year. DESIGN Placebo controlled, double blind trial. SETTING Reykjavik health centre. SUBJECTS 237 smokers aged 22-66 years living in or around Reykjavik. INTERVENTIONS Nicotine patch for 5 months with nicotine nasal spray for 1 year (n=118) or nicotine patch with placebo spray (n...

PURPOSE Prediction of difficult tracheal intubation is not always reliable and management with fibreoptic intubation is not always successful. We describe two cases in which blind intubation through the intubating laryngeal mask airway (ILMA FasTrach) succeeded after fibreoptic intubation failed. CLINICAL FEATURES The first patient, a 50 yr old man, was scheduled for elective craniotomy for i...

background: various strategies have been suggested for the treatment of respiratory distress syndrome (rds). objectives: the aim of this study was to compare the efficacies of two common methods of rds management among neonates with low birth weight. patients and methods: a cohort study was conducted on 98 neonates with definite diagnosis of rds during 2008-2009. the neonates were divided into ...

We have assessed the efficacy of tracheal tube cuff inflation in the oropharynx as an aid to blind nasotracheal intubation in 20 ASA I and II patients undergoing elective oral surgery. The trachea was intubated once using the technique of tracheal tube cuff inflation in the oropharynx and once keeping the tracheal tube cuff deflated throughout the manoeuvre. With the cuff deflated, intubation w...