Ameloblastomas are rare tumors that arises from the odontogenic epithelium. Although benign and slow growing, an extensive lesion may cause airway obstruction, making bag-mask ventilation intubation a significant challenge. Here, we present 54-year-old male in respiratory distress with 18x15x13 cm submandibular mass causing compromise. The tumor was extensive, occupying most of oral cavity. Una...

Background: HFNC is a respiratory mask that covers the nose like an oxygen mask, with addition of nasal prongs to deliver extra oxygen. At 12 hours, ROX score above or equal 4.88 predicts decreased probability progressing mechanical ventilation. Objective: The aim this study was evaluate using high-flow cannula as potential predictor delaying intubation. In doing this, also sought verify whethe...

BACKGROUND Noninvasive ventilation (NIV) in preterm infants is currently applied using intermittent positive pressure (2 positive-pressure levels) or in a conventional manner (one pressure level). However, there are no studies in the literature comparing the chances of failure of these NIV methods. The aim of this study was to evaluate the occurrence of failure of 2 noninvasive ventilatory supp...

The insertion of a transesophageal echocardiography (TEE) probe during general anesthesia is usually performed in a blind manner. However, blind manipulation occasionally encounters difficulties in directing the probe tip into the esophageal orifice. This could potentially cause injuries to the oral and pharyngeal mucosa.1-3 Here, we introduce a method in which the Airtraq laryngoscope (Prodol,...

BACKGROUND Clinical effects and outcomes of a single dose etomidate prior to intubation in the intensive care setting is controversial. The aim of this study is to evaluate the association of a single dose effect of etomidate prior to intubation on the mortality of septic cirrhotic patients and the impact of the subsequent use of low dose hydrocortisone. METHODS This is a nested-cohort study ...

BACKGROUND Controversy exists about the impact of prophylactic antibiotics on bacteremia after invasive dental procedures. The purpose of this double-blind, randomized, placebo-controlled study was to determine the impact of amoxicillin prophylaxis on the incidence, nature, and duration of bacteremia from nasotracheal intubation and dental procedures in children. METHODS AND RESULTS Children ...

BACKGROUND The efficacy of delivery of mechanical ventilation through different airway devices during fibreoptic intubation is not known. METHODS We compared the laryngeal mask airway (LMA), intubating laryngeal mask (ILM) and endoscopy mask for positive pressure ventilation (PPV) during fibreoptic intubation. In 80 adult paralysed patients, fibreoptic intubation was performed during PPV usin...

Method 4022 patients (>=12 years old) were randomized into 4, 14-day double-blind, placebo-controlled SAR trials to receive MP29-02*, AZE, FP or placebo nasal sprays (all given as 1 spray/nostril bid). 612 patients (>=12 years old) were randomized into a 1-year, open-label, active-controlled, parallel-group chronic rhinitis trial to receive MP29-02* (1 spray/nostril bid) or FP nasal spray (2 sp...