Tracheal intubation in critically ill patients is a high-risk procedure. The risk of complications increases with repeated or prolonged attempts, making expedient first attempt success the goal for airway management in these patients. Patient-related factors often make visualization of the airway and placement of the tracheal tube difficult. Physiologic derangements reduce the patient's toleran...

STUDY OBJECTIVE To describe our systematic approach to securing the airway in patients with laryngeal tumors, developed over a 10-year period. DESIGN Retrospective analysis. SETTING University-affiliated veterans administration medical center. PATIENTS Eight hundred one patients presenting for laryngeal tumor surgery in a 10-year period, 285 of whom underwent tracheostomy (25 with local a...

BACKGROUND During short surgical procedures and when there is a need to avoid the use of anticholinesterase at the end of surgery, the use of a smaller intubation dose of neuromuscular blocking drug is preferred. The aim of this study was to evaluate tracheal intubation conditions using smaller doses of rocuronium for children under sevoflurane induction. METHODS Eighty American Society of An...

patients and methods in a double-blind clinical trial, 103 patients (american society of anesthesiologists class i, ii) aged 18 - 45 years old, who were septorhinoplasty candidates, were randomly assigned into two groups, a 900 mg gabapentin group and placebo, in amir-al-momenin academic hospital. the drug was prescribed to the patients orally, 2 hours before the operation. anesthetic technique...

BACKGROUND There is significant controversy regarding the influence of video laryngoscopy on the intubation outcomes in emergency and critical patients. This systematic review and meta-analysis was designed to determine whether video laryngoscopy could improve the intubation outcomes in emergency and critical patients. METHODS We searched the Cochrane Central Register of Controlled Trials, Pu...

BACKGROUND Direct laryngoscopy is difficult when the cervical spine is immobilized. The Airway Scope and StyletScope are new laryngoscopes designed to facilitate intubation under these circumstances. Thus, in patients wearing a rigid cervical collar to simulate a difficult airway, we tested the hypothesis that the intubation success rates of the Airway Scope and StyletScope are similar, but tha...

Airway Assessment is essential in pre anesthetic assessment. Anticipating and preparing for difficulty airway management crucial to avoid catastrophes. Routine operative examination usually includes mouth opening dentition, Mallampati classification, thyromental distance neck movements. Neck circumference a quick bedside test determine difficult laryngoscopy. Increased tongue thickness skin epi...