conclusions we concluded that propofol can reduce sbp, dbp, map, hr & cough production at the time of injection but there were no significant changes in these parameters after extubation. results heart rate and blood pressure in patients receiving propofol were less than the control group (p < 0.05) at the time of injection of propofol, but there were no differences between the two groups at th...

EDITOR: We read with interest Drs Martin-Castro and Montero’s report on the use of the flexible laryngeal mask (FLMA) as an alternative to reinforced tracheal tube for upper chest, head and neck oncoplastic surgery [1]. We seek some clarifications from them with regard to the operations concerned. How many of the patients whose airways were managed with the FLMA had oro-pharyngeal malignancies?...

IMAGES However, 48 hours after the operation, she had dyspnea along with subcutaneous emphysema on her shoulder (Fig. 1). Diagnostic bronchoscopy revealed an approximately 1.5-cm-sized vertical tracheal laceration above the carina with split thickness (Fig. 2). She was started on antibiotics, O2 inhalation, expectorants and non-per oral. The emphysema spontaneously resolved. The patient was dis...

Several clinical multifactorial indexes have been described for predicting difficult laryngoscopy or intubation, or both, mostly in general surgery, and less frequently in ENT surgery. The objective of this study was to develop and validate a single clinical index for prediction of difficulty in tracheal intubation in both ENT and general surgery. We studied a population of 1200 consecutive ENT...

BACKGROUND Transillumination using a light wand is an alternative type of laryngoscope used for tracheal intubation. There is little information available on the effect-site concentration of remifentanil required to control hemodynamic changes induced by tracheal intubation using the transillumination method during total IV anesthesia. We therefore conducted this study to determine the effect-s...

INTRODUCTION Modern low-pressure, high-volume cuffed tracheotomy tubes have been shown to decrease tracheal injury. However, injury still occurs in patients requiring prolonged mechanical ventilation and prevents weaning, delays decannulation, prolongs hospitalization, and may totally obstruct the airway. We describe 37 patients, including the first reported case of failure to wean due to trach...

Introduction: Response to tracheal tube during emergence of general anesthesia is a main concern. We aimed to compare the effect of Remifentanil and Lidocaine on response to tracheal tube during emergence of general anesthesia. Materials and Methods: In this randomized clinical trial, we enrolled 80 consecutive patients with American Society of Anesthesiology (ASA) physical status I–II, who und...