A retrospective audit was performed of all obstetric general anaesthetics in our hospital over an 8 year period to determine the incidence of difficult and failed intubation. Data was collected from a number of sources to ensure accuracy. A total of 3430 rapid sequence anaesthetics were given. None of the patients had a failed or oesophageal intubation (95% CI, 0-1:1143). There were 23 difficul...

conclusions our study revealed weak correlation between pe/e-vc and cormack-lehane grade, with 87% sensitivity and 30% specificity. therefore, we concluded that sonographic measurement criteria are not accurate in airway evaluations before anesthesia. results it was observed that correlations between the pre-epiglottic space (pe) and cormack-lehane grades i, ii, and iii were weak. correlations ...

The C-MAC videolaryngoscope was evaluated for intubation in patients with predicted extremely difficult airway. The presented cases are patients with neoplasm tumors in larynx. In all cases, awake intubation using C-MAC videolaryngoscope was performed in patients breathing spontaneously, under local anaesthesia, with oxygen administered via nasal catheter. All intubations were successful and un...

Ankylosing spondylitis is a chronic inflammatory disease, characterized by fibrous or bony ankylosis and deformity of spine. We report the perioperative course of a patient with long standing ankylosing spondylitis with fixed flexion deformity of the cervical spine and restricted mouth opening. She was scheduled for a laparoscopic cholecystectomy surgery and we performed an awake fiber optic na...

There are circumstances when induction of general anesthesia followed by direct laryngoscopy and intubation is contraindicated. This case report describes and presents a protocol for a method of endotracheal intubation that combines the benefits of light wand and fiberoptic techniques. The patient was a 73-year-old male with a history of two cervical fusions. He was reported to be "unintubatabl...

There is limited evidence on the efficacy of awake prone positioning (PP) in non-ventilated patients with COVID-19 who have hypoxemia. We, therefore, aim to describe our experience use early proning awake, non-intubated confirmed COVID-19. In retrospective observational study, 23 positive PCR test results for Severe Acute respiratory Syndrome Coronavirus-2 (SARS-CoV-2) and hypoxemia that requir...

This study was designed to determine if induction of anaesthesia with etomidate titrated to an early EEG burst suppression pattern would produce minimal changes in cerebral perfusion pressure, and prevent increases in intracranial pressure (ICP) associated with tracheal intubation. Eight patients, 18-71 yr, with intracranial space-occupying lesions, were studied. In each patient ICP was monitor...

BACKGROUND Development of a perioperative plan for management of patients with airway pathology is a challenge for the anesthesiologist. Lack of comprehensive information regarding the architecture of airway lesions often leads the clinician to consider techniques of awake intubation (AI) to avoid catastrophic outcomes in this population. In one uncontrolled trial, endoscopic visualization of t...