To cite: Kniese CM, Jan MY, Diab K. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015211238 DESCRIPTION A 20-year-old woman with a history of morbid obesity secondary to Prader-Willi syndrome and recent acute-on-chronic respiratory failure requiring tracheostomy placement presented to the emergency department of a regional hospital with respiratory distress and...

Sir,—Your issue for November 1971 has just come to hand. The report by D. G. Moyes and M. A. Rogers (Brit. J. Anaesth., 43, 1099) emphasizes a real hazard in areas where ascaris is endemic, and is a salutary reminder that intubation of the trachea does not necessarily guarantee a clear airway. Obstruction from this cause has in fact been reported previously (Boulton and Cole, 1967). We recently...

During the passage of a tube from nostril to trachea certain difficulties may be encountered. The anterior nasal opening may be unusually narrow, there may be a septal deflection or spur, or an inferior turbinate;; may be tiresomely over-sized. On such occasions, of course, the effect of rotation of the tube is tested, the other nostril is tried, or a narrower^ tube used. However, a little beyo...

Intubation of the trachea with a cuffed tube can be performed by the translaryngeal route (endotracheal tube) or through a tracheal stoma (tracheostomy tube). Tracheal intubation by one of these routes is the only way to simultaneously provide a secure airway, ventilatory support, and convenient access to the trachea. Unfortunately, the presence of an artificial airway bypasses many of the pati...

Introduction: This randomized comparative study was planned to compare intracuff alkalinized lignocaine versus dexamethasone in preventing postoperative laryngotracheal morbidity. During general anesthesia patients were intubated with cuffed endotracheal tubes provide effective positive pressure ventilation as well prevent risk of aspiration. The cuffs inflated air. air these can cause signific...