Nasopharyngeal Carcinoma (NPC) is a highly happening disease. Eustachain tube atrisia after radiotherapy is easy to occur in NPC patients. This study presented 2 cases of re-opening of Eustschian tube atresia after radiotherapy for NPC patients. Two female cases (62 and 64 y old; receiving postradiothapy 6 and 20 y ago, respectively) were diagnosed with Eustachian tube pharyngeal orifice atrisi...

Methods. Patients aged from birth to 5 yr requiring general anaesthesia with TT intubation were included in 24 European paediatric anaesthesia centres. Patients were prospectively randomized into a cuffed TT group (Microcuff PET) and an uncuffed TT group (Mallinckrodt, Portex, Rüsch, Sheridan). Endpoints were incidence of post-extubation stridor and the number of TT exchanges to find an appropr...

OBJECTIVE To describe the current practice of pediatric airway management at referring hospitals and the associated adverse events compared to a receiving tertiary pediatric ICU. METHOD Retrospective chart and transport record review of all emergency critical care transports to our Pediatric ICU over 3 years. Data regarding tracheal intubation procedure, pre-defined adverse Tracheal Intubatio...

Introduction Airway management is a priority in the care of any critically ill or injured patient. The insertion of a cuffed tracheal tube is essential to obtain an early and effective control of the airway. However, the attempted insertion of a tracheal tube under direct laryngoscopy is associated to a number of practical problems in pre-hospital trauma care. An extraglottic airway may be the ...

A 14 year-old adolescent with achondroplasia and Jeune's syndrome (asphyxiating thoracic dystrophy) presented for cervical spine surgery in the prone position. Due to the need for home mechanical ventilation at night, the patient had a tracheostomy in place. With the first surgical procedure, the cuffed tracheostomy tube was left in place during prone positioning. Difficulties encountered with ...

Mounier Kuhn syndrome, or congenital tracheobronchomegaly, is an under diagnosed clinical entity with peculiar anatomical and physiological features making anesthetic care challenging. A 58-year-old chronic smoker with history of recurrent pneumonia and bronchiectasis presented for septoplasty. Thoracic imaging revealed a dilated trachea and main bronchi, tracheal and bronchial diverticuli, and...

BACKGROUND The extent to which insufflation of oxygen into the posterior pharynx during laryngoscopy prolongs adequate saturation in infants and small children remains unknown. Therefore, we compared oxygen saturation over time in preoxygenated small children with and without posterior pharynx oxygen insufflation. METHODS After induction of anesthesia with sevoflurane and propofol, infants an...

500 March 2013 I this issue of Anesthesiology, sathyamoorthy et al.1 describe three cases of postextubation airway swelling in young infants. The cases are noteworthy because the endotracheal tube used in all three infants was a recently developed cuffed endotracheal tube called the Microcuff® (Kimberly-Clark, Roswell, gA), which has been specifically designed for use in pediatric anesthesia. i...