OBJECTIVE Although many methods for pain assessment in newborns are available, none of them are widely accepted. Our aim was to answer the question: do newborns respond similarly to different painful procedures? METHODS Sixty term newborns were involved in non-randomized prospective study. They were classified into 2 groups: Group A (n=30) who needed intubation and Group B (n=30) who necessit...

Cricothyroid membrane injections and the application of a coarse fiberoptic bronchoscope (FOB) below the vocal cords for topical anesthesia have a number of limitations for certain patients. Thus, the aim of the present observational study was to assess the effect of a novel modified topical anesthesia method using the effective sedation drugs, remifentanil (Rem) or dexmedetomidine (Dex), durin...

INTRODUCTION Difficult tracheal intubation is a common source of mortality and morbidity in surgical and critical care settings. The incidence reported of difficult tracheal intubation is 0.1%-13% and reaches 14% in the obese population. The objective of our retrospective study was to investigate and compare the utility of body mass index (BMI) as indicator of difficult tracheal intubation in m...

INTRODUCTION Limited evidence suggests that serum alkaline phosphatase activity may decrease after cardiac surgery in adults and children. The importance of this finding is not known. Recent studies, however, have identified a potential role for alkaline phosphatase as modulator of inflammation in multiple settings, including during adult cardiopulmonary bypass. We sought to describe the change...

Objective To prospectively assess the association between impoverished sensorimotor integration of the tongue and lips and post-extubation dysphagia (PED). Methods This cross-sectional study included non-neurologic critically ill adult patients who required endotracheal intubation and underwent videofluoroscopic swallowing study (VFSS) between October and December 2016. Participants underwent...

BACKGROUND At many academic institutions, anesthesiology residents are responsible for managing emergent intubations outside of the operating room (OOOR), with complications estimated to be as high as 39%. In order to create an OOOR training curriculum, we evaluated residents' familiarity with the content and correct adherence to the American Society of Anesthesiologists' Difficult Airway Algor...

Abstract Background The larynx in children is unique compared to adults. This makes the more prone trauma during intubation. Under sedation and frequent repositioning of tube are recorded as risk factors for laryngeal injury. We examined 40 critically ill first 24 h after extubation estimate frequency analyze using classification system acute injury (CALI). Results post-extubation stridor patie...

Background and Aims: Complications arising from difficult or failed tracheal intubation still remains a leading cause of anaesthetic morbidity mortality.This has lead to development multiple novel laryngoscopes. This study was designed compare performance Airtraq optical laryngoscope with Huge Med Video for laryngeal visualisation endotracheal intubation. Material Methods: In this prospective r...

Background & Aims: Endotracheal intubation is commonly performed in the intensive care unit. Many international guidelines for difficult intubation management are available and the intensivists think that any endotracheal intubation in ICU is potentially difficult with several complications. Materials & Methods: After obtaining ethical approval, this descriptive and analytical study was cond...

Structured abstract Background: The efficacy of corticosteroids for reducing the incidence of post-extubation laryngeal edema remains controversial. Objective: To evaluate whether methylprednisolone (MP) started 12 hr prior to planned tracheal extubation, can prevent post-extubation laryngeal edema. Design: Prospective, randomized, blinded, placebocontrolled trial performed in 15 intensive care...