ryngeal morbidity, such as hoarseness, submucosal hemorrhage, subglottic edema, laryngitis, and arytenoid cartilage dislocation [1,2]. Among others, hoarseness is reported as the most common laryngeal morbidity after general anesthesia, with widely varying incidence from 16% to 55% [3]. However, it is generally resolved within a few days, unless accompanied by serious complications, such as ary...

Endotracheal intubation can lead to iatrogenic trauma to the upper airways. Superficial mucosal tears in the mouth, pharynx, or larynx are common and can cause secondary infection and acute respiratory distress due to massive air leak. We report a patient who sustained a severe 5-cm tracheal laceration and subcutaneous emphysema after intubation. She was successfully weaned from the ventilator ...

Results The mean intubation time using IGI was shorter (p < 0.017) than that of IBRI and MCL in both endotracheal tubes (17.6 vs. 29.3 vs. 20.2 in conventional PVC tube; 14.6 vs. 27.4 vs. 19.9 in wire-reinforced silicone tube; sec). There were no significant (p > 0.05) differences between conventional PVC and wire-reinforced silicone tube for each intubation technique. The cumulative success ra...

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...

BACKGROUND Endotracheal re-intubation following coronary artery bypass grafting (CABG) is often associated with significant morbidity and mortality. However, few reports have focused on the independent risk factors for re-intubation following CABG. This study aimed to evaluate the independent risk factors for re-intubation following CABG. METHODS The pre-, intra-, and post-operative materials...

Background: Confirmation of correct placement of the endotracheal tube is vitally important when performing endotracheal intubation. Most of the tests used to confirm the correct location of the tracheal tube have their own inherent drawbacks. Herewith, we introduce a new method which we hypothesize possesses high reliability when securing the airway. Methods: One hundred and seventy eight pati...

Management of difficult tracheal intubation has been facilitated by different techniques which include the use of stylets, introducers, intubating laryngeal mask airway, as well as by the development of special laryngoscope blades and fiberoptic laryngoscopes. The most recent advances for facilitation of difficult tracheal intubation is the introduction of the video-assisted laryngoscopes. The ...

BACKGROUND Use of analgesics, especially opioids, before delivery during cesarean section for preventing hemodynamic changes after endotracheal intubation and postoperative analgesia is limited due to their adverse effects on the neonate. OBJECTIVES The aim of this study was to investigate the effect of intravenous acetaminophen (paracetamol) in blunting hemodynamic responses to endotracheal ...

BACKGROUND This study evaluated the feasibility of performing thoracoscopy without lung isolation employing single lumen endotracheal tube (SLET) intubation and carbon dioxide insufflation. METHODS Eighty-two patients underwent a variety of thoracoscopic procedures without lung isolation using SLET intubation and carbon dioxide (CO2) insufflation between January and December 2012. Sixty-five ...

a varieties of medications have been suggested to prevent hemodynamic instabilities following laryngoscopy and endotracheal intubation. this study was conducted to determine the beneficial effects of gabapentin on preventing hemodynamic instabilities associated with intubation in patients who were a candidate for coronary artery bypass surgery (cabg). this double blinded randomized, parallel gr...