BACKGROUND This section is under preparation and will be included in the next issue. OBJECTIVES The purpose of the review was to compare the complications associated with intubation by the nasal route with those associated with intubation by the oral route for mechanical ventilation in newborn infants. SEARCH STRATEGY The standard search strategy of the Neonatal Review Group as outlined in ...

BACKGROUND Awake fiberoptic bronchoscopic tracheal intubation is usually regarded as an effective method in the management of predicted difficult airway. Hypoxia during awake nasal fiberoptic bronchoscopic intubation leads to discontinuation of the procedure, prolonged manipulation time and increased risk of severe complications. The main aim of the study was to test whether the novel endoscopi...

Tracheal intubation is older than the recognized history of general anesthesia itself. In the late 18th century, The Royal Humane Society of London used tracheal intubation for resuscitating the near-drowned. Approximately 100 years later, MacEwan (1) performed a digital tracheal intubation in an awake patient before a chloroform and air general endotracheal anesthetic for the resection of a to...

EDITOR: We read with interest the letter by Slater and Bhatia [1] and would like to congratulate them on their successful management. We agree that the safest approach for their patient would have been an awake fibreoptic intubation. However, we would like to make a few comments. From the history and picture, it is not clear whether the patient had a prosthesis fitted into the left orbital cavi...

OBJECTIVES Tracheal intubation of ICU patients is frequently associated with severe hypoxemia. Although noninvasive ventilation reduces desaturation during intubation of severely hypoxemic patients, it does not allow for per-procedure oxygenation and has not been evaluated in mild-to-moderate hypoxemic patients for whom high-flow nasal cannula oxygen may be an alternative. We sought to compare ...

Patients requiring emergency airway management may be at greater risk of acute hypoxemic events because of underlying lung pathology, high metabolic demands, insufficient respiratory drive, obesity, or the inability to protect their airway against aspiration. Emergency tracheal intubation is often required before complete information needed to assess the risk of procedural hypoxia is acquired (...

Management of Airway in patients with complex maxillofacial trauma is challenging due to disruption of components of upper airway. Submental intubation is a simple, quick and effective alternative to oral and nasal intubation or tracheostomy.This provides a secure airway and allows unimpeded surgical access to the oral cavity and midface, whilst avoiding the potential complications associated w...