The subject of this case report is a 2-year-old girl who was admitted to the operating room for treatment of recurrent parapneumonic empyema of the right lung. Because antibiotics and traditional therapies were not effective, surgical management was required. A single-lumen endotracheal tube was the chosen method for intubation. Once tube placement was confirmed and the patient's vital signs we...

Alveolar macrophages were obtained from human volunteers, smokers and nonsmokers, by bronchial lavage through a fiberoptic bronchoscope. Cells were incubated in a chemically defined medium containing [(14)C]sucrose (0.36 mM) and varying concentrations of rabbit serum. Pinocytosis was assessed by the cellular uptake of isotope over 30, 75, and 120-min periods. Pinocytic activity of smokers' cell...

Photoradiation therapy is a new technique being investigated for the treatment of solid malignant tumors. In this study, 17 patients with advanced, recurrent, biopsy-proven malignant lesions of the trachea or main-stem bronchus were treated by photoradiation therapy. Patients received hematoporphyrin derivative intravenously three days prior to light therapy. The light was delivered from a fibe...

BACKGROUND External maxillary distractions present additional anesthetic concerns to the existing complexity of the patient with craniofacial disorder. The distraction hardware is rigidly fixed to the cranium and projects in the frontofacial midline, thus limiting oronasal airway access. METHODS A review of 16 patients (10 male, 6 female) having external maxillary distraction was done. Patien...

To the Editor: In a randomized clinical trial, Rosenstock et al.1 showed no significant difference in time to awake intubation by experienced investigators using the McGrath video laryngoscope (MVL) compared with the fiberoptic bronchoscope (FOB) in difficult airway patients. Accordingly, the authors conclude that awake MVL intubation seems to be a potential alternative to awake fiberoptic intu...

An approach to the airway is addressed in Table 1. A summary of induction/NMB agents and doses is given on Table 2; indications for the different agents are noted on Table 3. The central pharmacological issue is not that any one drug is universally preferred over another. Rather, it is key that one develop a thoughtful rationale for the drugs used, and a plan to get out of trouble if one is sud...

A 47-year-old woman was referred for surgical treatment of osteomyelitis of the mandible. She had already undergone three previous surgeries. Pre-anesthetic airway evaluation predicted a difficult airway, due to the thin, retro-positioned mandible, tongue, and atrophic changes in the lips and soft tissue. We inserted packing gauzes in the buccal mucosa for easier mask fitting and ventilation. D...

To the Editor:—In the face of difficult intubation, it is sometimes useful to insert a small-diameter introducer through the laryngeal aperture in the trachea and then pass the endotracheal tube over it. We report a modification of this technique using the Univent bronchial-blocker tube (Fuji System, Tokyo, Japan) in a patient with unanticipated difficult intubation. A 60-yr-old, 67-kg man with...

OBJECTIVE To compare hemodynamic stress response (HDSR) to ET intubation using Glidescope (GLS) and Flexible fiberoptic laryngoscope (FFB). METHODS This prospective randomized comparative study was conducted at King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia from June 2011 - November 2013. Eighty ASA 1 & 2 patients with normal airway undergoing elective surgical pr...

broncho)sco)pic evahlatio)ii. Fiberoptic l)roncho)sco)py is now a simple, routine procedure co)IiiIlioniy performed in the o)ntpatient setting using local anesthesia by physicians without a surgical background.tm) The current spectrum ofdiagnostic, therapeutic , and palliative capabilities of the FFB is vast and ranges from niere airway examiiiation to palliative laser 5’ Design niodificatioms ...