We report a case of prehospital "cannot intubate" and "cannot ventilate" scenarios successfully managed by strictly following a difficult airway management algorithm. Five airway devices were used: the Macintosh laryngoscope, the gum elastic Eschmann bougie, the LMA Fastrach, the Melker cricothyrotomy cannula, and the flexible fiberscope. Although several airway devices were used, overall airwa...

Aim: Evaluate the impact of difficult airway traning on Korean paramedic students' performance during manikin-based airway management simulations. Methods: 40 Korean paramedic students with previous training in airway management and endotracheal intubation were randomly assigned to an intervention or control group. Students in the intervention group completed 16 additional hours of training usi...

The ProSealTM laryngeal mask airway (PLMA) insertion using a gum-elastic bougie placed in the oesophagus as a guide has a high first-attempt success rate ( 99%) and a potential role in difficult airway management [1]. On those occasions when it fails, the aetiology is usually laryngospasm, severe epiglottic downfolding, glottic/supraglottic compression or cuff infolding [2]. Most of these probl...

1. The small flexible suction catheter they inserted through the endotracheal tube stopped at 19 cm, the point at which the pilot balloon line inserts, i.e., where the cuff is starting to inflate. Did the authors attempt to let the cuff down? This should be considered as the first option for a possible treatment of an airway obstruction. The cuff could have herniated into the lumen of the endot...

OBJECTIVES We aimed to compare the procedural success and intervention durations regarding various airway access skills in moving and stationary ambulance simulations. MATERIAL AND METHODS An ambulance simulator was used to simulate the moving ambulance environment, and a standard manikin was used for airway simulation. The study included 38 paramedics and paramedic students. In stationary an...

Rheological properties of waxy barley flour (WBF) dispersions mixed with various gums (carboxyl methyl celluleose, guar gum, gum arabic, konjac gum, locust bean gum, tara gum, and xanthan gum) at different gum concentrations were examined in steady and dynamic shear. WBF-gum mixture samples showed a clear trend of shear-thinning behavior and had a non-Newtonian nature with yield stress. Rheolog...