We here describe a videolaryngoscope assisted fibreoptic tracheal intubation in a 17-year-old patient with Hunter Syndrome (Mucopolysaccharidosis Type II) and known difficult intubation who required posterior cervical fusion surgery for cervical canal stenosis. The patient had a history of failed nasal and oral fibreoptic intubation. The use of a videolaryngoscope enabled continuous visualizati...

CPAP is the most studied form of noninvasive ventilation in neonates, and early investigations focused on the use of CPAP following surfactant administration, to minimize the need for invasive mechanical ventilation.1 Verder and colleagues demonstrated that a strategy of CPAP following brief intubation and surfactant administration (the INSURE technique: INtubation, SURfactant, Extubation) impr...

Various complications have been reported with nasal endotracheal intubation including bleeding, epistaxis, bacteremia, damage to intranasal structures, and even intracranial penetration. We present two cases that required general anesthesia for dental surgery. Submucosal dissection of the retropharyngeal tissues occurred during attempted nasal endotracheal intubation. Previous reports of this c...

Topical anesthesia of the airway is a necessary for awake intubation and is usually achieved using lidocaine delivered by various means. Although some experts favor the use of airway blocks, a more common approach is to use pure topical methods in combination with "spray as you go" techniques. Once the topicalization is complete, the patient should be able to easily tolerate the use of an oral ...

UNLABELLED Acoustic reflectometry, a noninvasive test that produces a length versus cross-sectional area map of the airway, has been used to identify difficult-to-tracheally intubate patients in a small retrospective case-control study. A critical airway volume of 40.2 mL separated those patients whose tracheas were impossible to intubate from those who were easily intubated. To determine if th...

Ensuring control and protection of the airway for surgical procedures requiring general anesthesia is the cornerstone of clinical anesthesia practice. Successful tracheal intubation is absolutely needed for head and neck cancer surgery because access to the airway is shared by surgeons and anesthesiologists. The approach, oral or nasal, depends on surgical requirements and the patient’s ability...

in 1986 altemir, for the first time, described submental intubation for maxillofacial cases. a problem with the technique is that the edges of the tube may damage the anatomic tissues of the mouth floor. to avoid such damages, a modification of this technique using nasal speculum is presented here. moreover, with this technique blood and detached tissues cannot enter into the endotracheal tube ...

Objective: The objective of this study was to evaluate the effectiveness of firbreoptic intubation in patients with anticipated difficult airway. Methods: Forty patients of both sexes were included in the study. The patients were informed about the procedure in the preoperative visit. After one mg of midazolam and 0.2 mg of glycopyrrolate, local anesthesia of the upper airway, nasal cavity and ...

To date, preterm infants with respiratory distress syndrome (RDS) after birth have been managed with a combination of endotracheal intubation, surfactant instillation, and mechanical ventilation. It is now recognized that noninvasive ventilation (NIV) such as nasal continuous positive airway pressure (CPAP) in preterm infants is a reasonable alternative to elective intubation after birth. Recen...