Sir,—The paper by Dunnett (1977) and the subsequent letter from Cormack (1977) deal with the problem of avoiding awareness during endotracheal intubation. May I draw attention to a special situation in which the likelihood of such awareness appears to be increased. This happens when the intranasal cavity is prepared for surgery with cocaine solution or cocaine paste immediately before induction...

Endotracheal intubation is an intervention frequently performed in the hospital setting order to protect central airway and provide mechanical support for ventilation. The complications of endotracheal tube include tracheitis, tracheal stenosis, tracheomalacia, granuloma formation. Tracheal crusting following tracheitis a very rare but fatal complication especially children. should be kept mind...

Background Although videolaryngoscopes improve glottic visualization, their actual usefulness in intubation is not yet established. Aims The primary objective was to compare the ease of oral intubation with the use of 60° angled styletted endotracheal tube versus that performed over bougie inserted under videolaryngoscopic guidance. The secondary objectives were assessment of incidence of air...

INTRODUCTION Patients with severe pulmonary hemorrhage due to unilateral trauma or a bleeding cancer often present to the emergency department in acute respiratory distress. Although it is generally recommended to perform single lung intubation, most emergency department providers do not have access to or are not familiar with double-lumen endotracheal tubes, and blind insertion of an endotrach...

the incidence of failed intubation is higher in obstetric than other surgical patients. failed intubation was the 2nd commonest cause of mortality during anesthesia. bearing in mind that failre to intubate may be unavoidable in certain circumstances, it is worth reviewing. the factors, which may contribute to a disastrous out come. priorities of subsequent management must include maintaining ox...

INTRODUCTION The ever-present risk of mass casualties and disaster situations may result in airway management situations that overwhelm local emergency medical services (EMS) resources. Endotracheal intubation requires significant user education/training and carries the risk of malposition. Furthermore, personal protective equipment (PPE) required in hazardous environments may decrease dexterit...

background: many types of single-use blades are manufactured with different designs and materials. there have been several reports of difficulties in obtaining a view of the glottis with single-use laryngoscopes. the purpose of this prospective study was to compare the quickness and the success rate of endotracheal intubations with two different laryngoscope blades: disposable laryngoscope blad...