Difficult and failed intubations account for the major causes of morbidity and mortality in current anesthetic practice. Several devices including McGrath Series 3 videolaryngoscope are available which may facilitate tracheal intubation by improving view of the larynx compared with Macintosh blade laryngoscopy. But no studies demonstrate whether McGrath Series 3 performs better than Macintosh l...

BACKGROUND This case report describes the use of the air-Q intubating laryngeal airway (air-Q ILA; Cookgas LLC, St. Louis, MO) for airway rescue and a conduit for blind tracheal intubation in two pediatric patients with failed rapid sequence intubation and difficult airways secondary to airway bleeding in the emergency department (ED). OBJECTIVES To describe the use of a new supraglottic resc...

OBJECTIVE Laryngoscopy and tracheal intubation may cause significant cerebral and systemic hemodynamic responses. Many drugs have been shown to be effective in modifying these hemodynamic responses, including fentanyl, sufentanil, alfentanil and remifentanil. The purpose of the current study was to compare the efficacy of fentanyl, sufentanil, alfentanil and remifentanil on blunting cardiovascu...

To the Editor: In a prospective, randomized, clinical study including a broad range of patients with predictors of difficult intubation, Aziz et al. demonstrated that compared with the direct laryngoscope, the C-MAC video laryngoscope (Karl Storz, Tuttlingen, Germany) achieved a higher intubation success rate on first attempt, but required a longer intubation time. Other than the limitations de...

OBJECTIVE To study the effects of sufentanil and fentanyl on intraocular pressure after easy and difficult intubations. METHODS From January 2006 to January 2008 there were included 120 patients undergoing general anesthesia at University Hospital Center (Mother Theresa) Service of Anesthesia and Intensive Care, Tirana, Albania. The patients were divided into 2 groups, 60 patients each receiv...

BACKGROUND Previous studies indicate that avoiding neuromuscular blocking agents (NMBAs) may be a risk factor for difficult tracheal intubation (DTI). We investigated whether avoiding NMBA was associated with DTI. METHODS A cohort of 103,812 consecutive patients planned for tracheal intubation by direct laryngoscopy was retrieved from the Danish Anaesthesia Database. We used an intubation sco...

Introduction Laryngoscopy and tracheal intubation are known to increase sympathetic activity that may be detrimental to patients with preexisting ischaemic or hypertensive heart disease. Aim The aim of this study was to compare of intravenous and oropharyngeal spray of lidocaine and high dose of fentanyl on systolic and diastolic blood pressures and heart rate of patients over 65 years during...

conclusions the tmd, with a cut-off point of 65 mm, had superior diagnostic value compared with the hmdr and mallampati score. therefore, the tmd could be used in malay patients to predict the difficulty of larynx visualization during laryngoscopy. results difficulty in visualizing the larynx was found in 28 (10.1%) patients. the auc, sensitivity, and specificity for the three airway predictors...

The effect of three bolus doses of remifentanil on the pressor response to laryngoscopy and tracheal intubation during rapid sequence induction of anaesthesia was assessed in a randomized, double-blind, placebo-controlled study in four groups of 20 patients each. After preoxygenation, anaesthesia was induced with thiopental 5-7 mg kg-1 followed immediately by saline (placebo) or remifentanil 0....

BACKGROUND The purpose of this study was to evaluate the effectiveness of the Pentax AWS, and the LMA CTrach, in comparison with the Macintosh laryngoscope, when performing tracheal intubation in patients with neck immobilization using manual in-line axial cervical spine stabilization. METHODS Ninety patients undergoing anaesthesia who required tracheal intubation were randomly assigned to un...