A 60-year-old woman presented to the emergency department (ED) of a suburban hospital with complaints of cough, fever, and dyspnea. She had a history of chronic obstructive pulmonary disease (COPD) and chronic steroid therapy. At presentation, she was in severe respiratory distress. Orotracheal intubation was decided due to persistence of severe hypoxia and hypercapnia with deterioration of con...

A 72 year old male was scheduled for radiofrequency ablation of persistent atrial fibrillation under general anesthesia. After induction, and before orotracheal intubation, he developed severe bradycardia with a 4.3 second asystole and hypotension requiring atropin and external chest compressions (Panel A). Fluoroscopy revealed massive air entrapment inside the gastric cavity probably owing to ...

Aims & Objective: Assessment of submental intubation as an intubation option for the facial trauma cases Material &Methods: 15 patients were intubated with submental approach in our institution during a one year time period from August 2009 to July 2010. Result: In our patients, submental intubation gave a better airway intubation for the reduction and fixation of all the facial fracture and in...

PURPOSE To test the efficacy of the LMA in patients with previous oral or cervical radiotherapy, without upper airway obstruction. METHODS In nine patients after oral or cervical radiotherapy, efficiency of ventilation was assessed after induction of general anaesthesia and LMA insertion. Fibreoptic examination through the tube was performed to check the position of LMA. RESULTS In patients...

The causes of upper respiratory obstruction are reviewed. The symptoms and signs are graded according to severity. It is stressed that cyanosis indicates very severe obstruction, and that stridor at rest is a very informative local sign of severe obstruction. In severe obstruction respiratory depressant drugs and atropine are contraindicated while helium may be helpful. When general anaesthesia...

Objective The purpose of this study was to assess the frequency of complications of endotracheal intubation (ETI) in neonates. Methods The newborns that were admitted and needed urgent or semi-urgent intubation were enrolled in this study over a 1 year period. Route for intubation in all cases were orotracheal. Cases were not routinely sedated or paralyzed. The patients were clinically and radi...

INTRODUCTION Critically ill patients with acute respiratory, neurological or cardiovascular failure requiring invasive mechanical ventilation are at high risk of difficult intubation and have organ dysfunctions associated with complications of intubation and anaesthesia such as hypotension and hypoxaemia. The complication rate increases with the number of intubation attempts. Videolaryngoscopy ...