treacher collin’s syndrome (tcs) is a rare inherited condition characterized by bilateral and symmetric abnormalities of structures within the first and second bronchial arches. patients with tcs present a serious problem to anesthetists maintaining their airway as upper airway obstruction and difficult tracheal intubation due to severe facial deformity. because of retrognathia, airway manageme...

Goiter or thyromegaly is one of the most common causes of mid tracheal obstruction (external compression or stenosis), which may be associated with difficult larynx visualization and/or difficult airway management, depending on the goiter size, type and ingrowth into the surrounding tissue. Iodine deficiency disorders are still one of the most common causes of goiter in the population of the Af...

Background and Objective. The Airtraq laryngoscope (Prodol Meditec, Vizcaya, Spain) is a novel tracheal intubation device. Studies, performed until now, have compared the Airtraq with the Macintosh laryngoscope, concluding that it reduces the intubation times and increase the success rate at first intubation attempt, decreasing the Cormack-Lehane score. The aim of the study was to evaluate if, ...

laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic reviewandmeta-analysis. Can J Anesth 2011; 59: 41–52 25. Zaouter C, Calderon J, Hemmerling TM. Videolaryngoscopy as a new standard of care. Br J Anaesth 2015; 114: 181–3 26. Yeatts DJ, Dutton RP, Hu PF, et al. Effect of video laryngoscopy on trauma patient survival: a randomized controlled trial. J Trauma Acute Ca...

BACKGROUND Laryngoscopy and tracheal intubation provoke a marked sympathetic response, potentially harmful in patients with cerebral or cardiovascular pathology or haemorrhage. Standard pre-hospital rapid sequence induction of anaesthesia (RSI) does not incorporate agents that attenuate this response. It is not known if a clinically significant response occurs following pre-hospital RSI or what...

The efficacy of sublingual nifedipine in attenuating the pressor responses to laryngoscopy and intubation was studied in 40 patients undergoing elective surgery. Anaesthesia was induced with thiopentone 5.5 mg kg-1 i.v. and tracheal intubation was facilitated with suxamethonium 1.5 mg kg-1 i.v. Patients were allocated randomly to receive sublingual nifedipine 10 mg or placebo capsules 10 min be...

To the Editor: We read with great interest the article of Lee JJ et al. that describes two complications of tracheal intubation in a neonate. We believe, however, that these two complications could have been avoided if the following precautions and techniques were used. (1) Tracheal intubation was achieved after three esophageal intubations. It was not mentioned if the esophageal intubation was...