OBJECTIVES/HYPOTHESIS Improve the care of acute external laryngeal trauma by reviewing controversies and the evolution of treatment. DATA SOURCE Internet-based search engines, civilian and military databases, and manual search of references from these sources over the past 90 years. REVIEW METHODS Utilizing the above-mentioned sources, electronic and manual searches of primary topics such a...

OBJECTIVE To compare the effectiveness of nasal continuous positive airway pressure delivered by Nasal mask vs Nasal prongs with respect to continuous positive airway pressure failure. STUDY DESIGN Randomized, controlled, open label, trial. SETTING Tertiary care level III neonatal unit. PARTICIPANTS 118 preterm infants-gestational age (27-34 weeks) requiring nasal continuous positive airw...

Facial injuries due to bear mauling or run-over accidents cause severe disfigurement of face requiring extensive reconstruction. While managing these injuries, close association with the airway and shared airway with the surgeon are important concerns for the anaesthesiologists. And airway management in such patients becomes a challenge for them because bony injuries and soft tissue deformities...

Introduction: Injuries to facial bones, orbits, and adjacent soft tissue structures are common. They usually caused by motor vehicle accidents. Scientific evidence has shown that maxillofacial trauma is related severe injuries, so a meticulous evaluation of the injuries should be performed because they can have devastating sequelae. The treatment these situations complex challenging, since in a...

Background: The unplanned departure of endotracheal tube is one of the main complications for endotracheal intubation. In addition to endotracheal extubation, its movement can also lead to damage to the oral cavity. Stabilizing endotracheal tube is the most important factor that can prevent unplanned departure of endotracheal tube as well as its movement. The current study was done with the aim...

Certified Registered Nurses Anesthetists (CRNAs) are airway experts who can stabilize the condition of trauma patients with skills acquired from practice as an anesthetist. CRNAs practice in a variety of settings; one of the most challenging is the rural hospital. Anesthetists have a wide range of skills. However, the setting in which CRNAs practice may influence the skills needed. This study w...

Many of injured children will require surgical treatment with involvement of the anesthesiologist. The anesthesia providers may have to take care of pediatric patients on following occasions: 1- Initial stabilization in the emergency department 2- Providing sedation and monitoring for imaging 3- Preoperative management of emergent surgical procedures such as laparotomy or craniotomy 4- Manageme...

trauma is the most common cause of mortality and morbidity in pediatric population. caring for the injured child requires special knowledge, precise management, and scrupulous attention to details. all clinicians who are responsible for the care of a pediatric trauma patient, including pediatricians, pediatric emergency room clinicians, and trauma surgeons, must be familiar with every tenet of ...

The Combitube (Tyco-Kendall, Mansfield, MA) is a supraglottic airway device that has been used as an adjunct in the management of a difficult airway after failed attempts at endotracheal intubation both during cardiopulmonary arrest and in the setting of acute trauma (Fig 1). This device has replaced the previous esophageal obturator airway due to several reports of esophageal rupture. It has b...