BACKGROUND Establishing a definitive airway, defined as a tube placed in the trachea with cuff inflated below the vocal cords, is standard of care in pre-hospital airway management of the trauma patient. However, in this setting, and using manual in-line stabilisation of the neck, success rate of intubation by inexperience providers is suboptimal. The use of supraglottic airway devices that all...

BACKGROUND AND OBJECTIVES Hemodynamic response to airway stimuli is a common phenomenon and its management is important to reduce the systemic repercussions. The objective of this study is to compare the efficacy of intravenous magnesium sulfate versus lidocaine on this reflex hemodynamics after laryngoscopy and tracheal intubation. METHODS This single-center, prospective, double-blind, rando...

BACKGROUND Cricoid pressure (CP) is applied during induction of anesthesia to prevent regurgitation of gastric content and pulmonary aspiration. However, it has been suggested that CP makes tracheal intubation more difficult. This double-blind randomized study evaluated the effect of CP on orotracheal intubation by direct laryngoscopy in adults. METHODS Seven hundred adult patients undergoing...

BACKGROUND Decrease of the nociceptive stimulation induced by laryngoscopy could be an advantage for patients without risk of difficult intubation. The present study aimed to compare the difference in nociceptive stimulation between the use of a conventional laryngoscope or of a videolaryngoscope. Amount of nociception was assessed indirectly using the peak remifentanil concentration determined...

conclusions the incidence and severity of sore throat and hoarseness after tracheal intubation by glide scope were lower than in the macintosh laryngoscope. the incidence and severity of sore throat were increased by intubation and longer operation times. patients and methods three hundred patients were randomly allocated into two groups of 150: macintosh blade laryngoscope or glide scope video...

Advanced airway practitioners in anesthesiology, emergency medicine, and prehospital care can suddenly and unexpectedly face difficult airway situations that can surface without warning during mask ventilation or tracheal intubation. Although tracheal intubation remains the "gold standard" in airway management, it is not always achievable, and, when it proves impossible, appropriate alternative...

Objective:, To evaluate tracheal intubation condition in adults after anesthetic coinduction with lidocaine and propofol and various doses of remifentanil. Materials and Methods:. In three groups, induction was compared with lidocaine (1.5 mg/kg), propofol (2 mg/kg), and three varing doses of remifentanil (0.5-1-2 μg/kg). Tracheal intubation was graded according to the ease of laryngoscopy, the...

Blind nasal intubation has been one of the favoured methods of intubating the trachea in patients with restricted mouth opening and thus a difficult laryngoscopy and oro-tracheal intubation. Here, we describe airway management of patient who presented with traumatic ankylosis of the right temporomandibular joint and reduced mouth opening that was planned for elective release of the ankylosis an...