a-novel-rescue-technique-for-difficult-intubation-difficult

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

We describe a novel non surgical technique to maintain oxygenation and ventilation in a case of difficult intubation and difficult ventilation, which ...

In a prospective, randomized study, we investigated the incidence of successful insertion of laryngeal mask airway (LMA) at the first attempt and the incidence of side effects after LMA insertion using the combination of sevoflurane and propofol as compared with either sevoflurane or propofol alone for induction of anesthesia. Eighty-three unpremedicated ASA physical status I-II patients were anesthetized with a single vital capacity breath (VCB) of sevoflurane 8% supplemented with IV propofol 1.5 mg/kg, a single VCB of sevoflurane 8%, or IV propofol 3 mg/kg. The coinduction technique was associated with the most frequent incidence of successful LMA insertion at the first attempt (93.5%) than either sevoflurane alone (46%) or propofol alone (61.5%) (P < 0.001). Propofol-induced induction of anesthesia allowed the fastest insertion of LMA and was associated with the least frequent incidence of postoperative nausea and vomiting. However, this advantage of propofol was offset by a frequent incidence of pain on injection (69%) and the occurrence of movements during insertion of the LMA (50% in the propofol group versus 19% and 26% in the sevoflurane and sevoflurane-propofol groups, respectively; P < 0.05), as well as a more frequent incidence of apnea (84% in the propofol group versus 7% and 16% in the sevoflurane and sevoflurane-propofol groups, respectively; P < 0.001). The report shows that induction of anesthesia with sevoflurane-propofol combined provides a frequent incidence of successful LMA insertion at the first attempt that is associated with an infrequent incidence of apnea.

A comparison of sevoflurane-propofol versus sevoflurane or propofol for laryngeal mask airway insertion in adults.

Ein Vergleich der Sevofluran-Propofol gegen&#xFC;ber Sevofluran oder Propofol f&#xFC;r Larynxmaske Einf&#xFC;gung in die Erwachsenenbildung.

To determine whether two vs 10 mL of saline injected into the epidural space affects the subsequent spread and quality of epidural analgesia in parturients.

The effect of injection of two vs 10 mL saline on the subsequent spread and quality of epidural analgesia in parturients.

Um festzustellen, ob die PDA zwei vs. 10 mL Kochsalzl&ouml;sung injiziert wirkt sich Raum, die anschlie&szlig;ende Verbreitung und Qualit&auml;t der epidurale Analgesie in Parturients.

Die Wirkung der Injektion von zwei vs. 10 mL Kochsalzl&ouml;sung auf die nachfolgende Ausbreitung und die Qualit&auml;t der epidurale Analgesie in Parturients.

Catastrophic cardiac hypokinesis and multiple-organ failure after surgery in a patient with an undiagnosed pheochromocytoma: emergency excision of the tumor.

Katastrophale kardiale Hypokinesis und multiplen Organversagen nach der Operation bei einem Patienten mit einer nicht diagnostizierten Ph&auml;ochromozytom: Notfall Exzision des Tumors.

Retrograde intubation is part of the difficult airway algorithm in the American Society of Anesthesiologists, but its usage is rare in small pediatric patients with the advent of new intubation techniques. We present our experience of retrograde intubation for a 4-month-old patient who presented for laryngeal cleft repair on cardiopulmonary bypass. This case highlights the unique place for retrograde intubation in small patients in the current era.

Retrograde intubation during laryngeal cleft repair on cardiopulmonary bypass.

Retrograde Intubation ist Teil des difficult Airway Algorithmus in die amerikanische Gesellschaft der An&auml;sthesiologen, aber ihre Verwendung ist selten in kleinen p&auml;diatrischen Patienten mit dem Aufkommen neuer Techniken der Intubation. Wir pr&auml;sentieren unsere Erfahrung der retrograden Intubation f&uuml;r ein 4-Monate-alten-Patient, der Kehlkopf Lippen Reparatur auf Herz-Lungen-Maschine dargestellt. Dieses Beispiel unterstreicht den einzigartigen Ort f&uuml;r retrograde Intubation bei kleinen Patienten im aktuellen Zeitraum.

Article	Year
A comparison of sevoflurane-propofol versus sevoflurane or propofol for laryngeal mask airway insertion in adults. Anesthesia and analgesia\| PubMed ID: 15781547	2005
The effect of injection of two vs 10 mL saline on the subsequent spread and quality of epidural analgesia in parturients. Journal of clinical anesthesia\| PubMed ID: 17175425	2006
Catastrophic cardiac hypokinesis and multiple-organ failure after surgery in a patient with an undiagnosed pheochromocytoma: emergency excision of the tumor. Journal of cardiothoracic and vascular anesthesia\| PubMed ID: 18068068	2007
Retrograde intubation during laryngeal cleft repair on cardiopulmonary bypass. Journal of anesthesia\| PubMed ID: 22302106	2012

Dima Daaboul

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