IMMEDIATE POST-NATAL AIRWAY MANAGEMENT WHERE THERE ARE ANTENATAL CONCERNS

2014 ◽  
Vol 25 (3-4) ◽  
pp. 263-280
Author(s):  
NEIL TAN ◽  
NICO JONAS
Keyword(s):  
Airway Management ◽  
16Th Century ◽  
Airway Compromise ◽  
Miguel De Cervantes

Management of the antenatal compromised airway is a situation that can at best be controlled and managed in a way that is safe for both mother and baby. As the 16th century author, Miguel de Cervantes wrote“Forewarned, forearmed; to be prepared is half the victory”, in a similar fashion we, as clinicians involved in the management of neonatal airways must recognise and prepare for all eventualities in order to produce the best outcomes for our patients. In this review, we discuss strategies in managing the compromised neonatal airway along with specific pathologies that may cause post-natal airway compromise. With each sub-group of pathologies, we suggest potential strategies that can be considered in their management.

scholarly journals Unanticipated Difficulty in an Anticipated Difficult Airway in the Neurointervention Suite: A Case Report

2018 ◽  
Vol 05 (03) ◽  
pp. 190-192
Author(s):  
Rajashree Uday Gandhe ◽  
Chinmaya Pradeep Bhave ◽  
Avinash Sahebarav Kakde ◽  
Kalyani Anand Sathe
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Difficult Airway ◽  
Vascular Malformation ◽  
Vascular Malformations ◽  
Anesthetic Management ◽  
Endovascular Embolization ◽  
Airway Compromise

AbstractAirway management of patients with craniofacial vascular malformations poses many challenges. Establishment of a secure airway is a prerequisite for safe anesthetic management of these patients. We report a case of a 45-year-old man presenting with a facial vascular malformation involving the tongue, parapharynx, and extending into the neck, resulting in airway compromise scheduled for endovascular embolization.

scholarly journals Intubation Types among Paramedic and Anesthesia Students

2019 ◽  
pp. 1-5
Author(s):  
Shammah A A ◽  
Abdullah M Bani Yousef ◽  
Ahmed Ali Khalid ◽  
Nasser B H ◽  
Hisham Karar
Keyword(s):  
Medical Students ◽  
Airway Management ◽  
Emergency Medical Service ◽  
Learning Outcomes ◽  
Medical Service ◽  
Psychomotor Skills ◽  
Airway Compromise ◽  
Medical Sciences ◽  
Before And After

Background: The role of intubation is practiced in most respectful universities for many medical students, especially the paramedic and anesthesia students through controlled anesthesia simulation labs. Aim: The study aims to evaluate the learning outcomes of various types of intubation for paramedic and anesthesia students before and after studying two courses of airway management in the department of clinical technology. Methods: A model for measuring, comparing, and analyzing the fields of knowledge about skills and experiences obtained by the students is prepared. Students are enrolled from the emergency medical service and the anesthesia department of clinical sciences at the Faculty of Applied Medical Sciences at Umm Al-Qura University in Makkah Al-Mukarramah. Results: Psychomotor skills were the most important domain among students in EMS department, followed by airway compromise knowledge, intention or attitude, and effective communication.

Ludovico Ariosto

2011 ◽  
Author(s):  
Dennis Looney
Keyword(s):  
16Th Century ◽  
Italian Renaissance ◽  
Latin Literature ◽  
The Novel ◽  
Michelangelo Buonarroti ◽  
Miguel De Cervantes ◽  
Ludovico Ariosto ◽  
15Th Century ◽  
Literary Revival ◽  
Modern Fiction

Ludovico Ariosto (b. 1474–d. 1533), whose work links 15th-century humanism with the vernacular classicism that burgeoned later in the 16th century, is a crucial figure in the development of Italian Renaissance literary culture. An accomplished Neo-Latin poet whose earliest letter is a request for books on Platonism from the Venetian publisher Aldus Manutius (1498), Ariosto used his considerable knowledge of classical Latin literature to forge a literary corpus that blends ancient literary models with medieval ones to create an impressive example of vernacular classicism. No less than his contemporary Michelangelo Buonarroti did for art, Ariosto took the literary revival of Antiquity to new heights. Accordingly, Ariosto can be seen as a forerunner of Miguel de Cervantes and other vernacular prose artists whose critical recapitulations of medieval chivalric fiction under the influence of classical works and classicizing authors like Ariosto eventually led to the birth of the novel. For modern readers who are accustomed to the conventions of modern fiction, at times Ariosto sounds strangely familiar, even postmodern.

scholarly journals A tricky tracheotomy: airway management dilemma following unusual stab injury to the mouth

2012 ◽  
Vol 94 (1) ◽  
pp. e28-e29 ◽  
Author(s):  
VN Mepani ◽  
J Antscherl
Keyword(s):  
Decision Making ◽  
Case Report ◽  
Airway Management ◽  
Aerodigestive Tract ◽  
Difficult Case ◽  
Airway Compromise ◽  
Upper Aerodigestive Tract ◽  
Stab Injury

Traumatic wounding to the upper aerodigestive tract can cause acute airway compromise. In these circumstances establishment of a safe airway is vital. We present a case report illustrating the decision making pathway in such a difficult case.

Extracorporeal oxygenation support for curative surgery in a patient with papillary thyroid carcinoma invading the trachea

2008 ◽  
Vol 123 (7) ◽  
pp. 807-810 ◽  
Author(s):  
H-K Jeon ◽  
Y K So ◽  
J-H Yang ◽  
H-S Jeong
Keyword(s):  
Cardiopulmonary Bypass ◽  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Airway Management ◽  
Tracheal Resection ◽  
Airway Compromise ◽  
Papillary Thyroid ◽  
Management Option ◽  
Curative Surgery ◽  
Extracorporeal Oxygenation

AbstractObjective:Local extension of thyroid carcinoma can result in massive invasion of the trachea, causing severe airway compromise. The pre- and peri-operative management of such airway compromise is difficult but critical. We report the use of extracorporeal oxygenation support as an alternative peri-operative airway management option in such a situation. This approach facilitated curative surgery in a patient with papillary thyroid carcinoma invading the trachea.Method:We present a case report regarding extracorporeal oxygenation support in a patient with locally advanced thyroid carcinoma.Results:The patient was a 68-year-old woman with aggressive thyroid papillary carcinoma invading the trachea. The airway was almost totally obstructed, and tracheal resection and end-to-end anastomosis was planned. A venovenous bypass catheter was placed for cardiopulmonary bypass, using the bilateral femoral veins. Curative surgery and reconstruction were then performed successfully, under general anaesthesia assisted by cardiopulmonary bypass oxygenation.Conclusion:Cardiopulmonary bypass oxygenation is a safe and effective alternative airway management option in patients with locally aggressive thyroid cancer.

External Laryngocele: An Unusual Cause of Respiratory Distress in a Newborn

1994 ◽  
Vol 73 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Warren H. Zelman ◽  
Luke I. Burke
Keyword(s):  
Airway Management ◽  
Respiratory Distress ◽  
Ct Scanning ◽  
Surgical Excision ◽  
Respiratory Arrest ◽  
Neck Mass ◽  
Airway Compromise ◽  
Laryngeal Pathology ◽  
Internal Component

Congenital larygoceles are rare causes of respiratory distress in the newborn. We report a case of airway compromise in a two day old newborn boy secondary to a solitary giant external laryngocele. No internal component or other laryngeal pathology was found. The patient had a progressively enlarging neck mass and increasing stridor culminating in respiratory arrest. Tracheotomy was avoided and the lesion was excised in its entirety. Airway management, the role of CT scanning, and surgical excision of laryngoceles are discussed.

scholarly journals Comprehensive Airway Management of Patients with Maxillofacial Trauma

2008 ◽  
Vol 1 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Robert M. Kellman ◽  
William D. Losquadro
Keyword(s):  
At Risk ◽  
Airway Management ◽  
Airway Obstruction ◽  
Maxillofacial Trauma ◽  
Airway Compromise ◽  
Maxillomandibular Fixation ◽  
Surgical Access ◽  
Maxillofacial Fractures ◽  
Patient At Risk

Airway management in patients with maxillofacial trauma is complicated by injuries to routes of intubation, and the surgeon is frequently asked to secure the airway. Airway obstruction from hemorrhage, tissue prolapse, or edema may require emergent intervention for which multiple intubation techniques exist. Competing needs for both airway and surgical access create intraoperative conflicts during repair of maxillofacial fractures. Postoperatively, edema and maxillomandibular fixation place the patient at risk for further airway compromise.

scholarly journals A Standard Reversed Y-piece Technique for Fixation of the Laryngeal Mask Airway

2019 ◽  
Author(s):  
Mohammad Dehghan-Tezerjani ◽  
Milad Minagar ◽  
Zahid Hussain Khan
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Subglottic Stenosis ◽  
Laryngeal Mask ◽  
Airway Compromise ◽  
Access Management ◽  
Life Threatening ◽  
Available Resources

Airway management becomes a challenging task in subglottic stenosis due to noncompliant stricture. Location and extent of stricture also pose difficulty in securing front of neck access.  management with use of available resources provides immediate lifesaving solution for anticipated or unanticipated life threatening conditions especially causing airway compromise.

scholarly journals Misterio bibliográfico cervantino: El Romancero universal de Miguel de Cervantes de 1614

2019 ◽  
Vol 22 ◽  
Author(s):  
José Manuel Lucía Megías
Keyword(s):  
16Th Century ◽  
Miguel De Cervantes ◽  
Historical Archive

The Council of Castile kept a record of the procedures approved in each session since the 16th century. All of them are preserved in the National Historical Archive. One of these procedures was the granting of licenses and privileges for the printing of books. In the case of Cervantes works, the title indicated in this register corresponds to the title that should appear in your "petition memorials. All but one: when reviewing the granting of the licence for the Viaje del Parnaso (1614), the licence is granted to the Romancero universal. A new Cervantes bibliographical mystery, which is related to a Romancero universal by Alonso Jerónimo Salas Barbadillo, which was granted a printing licence in 1613, but which was never printed.

scholarly journals A Retrospective Cohort Study of Acute Epiglottitis in Adults

2021 ◽  
Vol 22 (6) ◽  
pp. 1326-1334
Author(s):  
Patrick Felton ◽  
Lucienne Lutfy-Clayton ◽  
Liza Gonen Smith ◽  
Paul Visintainer ◽  
Niels Rathlev
Keyword(s):  
Brain Injury ◽  
Airway Management ◽  
Clinical Course ◽  
Case Series ◽  
Disease Process ◽  
Secondary Outcome ◽  
Airway Compromise ◽  
Acute Epiglottitis ◽  
Airway Intervention ◽  
Anoxic Brain Injury

Introduction: Adult epiglottitis is a disease process distinct from pediatric epiglottitis in microbiology, presentation, and clinical course. While traditionally considered more indolent and benign than in children, adult epiglottitis remains a cause of acute airway compromise with a mortality rate from 1-20%. Our objective was to characterize the disease course and evaluate the rate and type of airway management in this population at a tertiary, academic referral center. Methods: We conducted a retrospective chart review of all adult patients (age ≥ 18) who were definitively diagnosed with infectious “epiglottitis,” “supraglottitis,” or “epiglottic abscess” by direct or indirect laryngoscopy during a nine-year period. Double data abstraction and a standardized data collection form were used to assess patient demographic characteristics, presenting features, and clinical course. The primary outcome was airway intervention by intubation, cricothyroidotomy, or tracheostomy, and the secondary outcome was mortality related to the disease. Results: Seventy patients met inclusion criteria. The mean age was 50.2 years (standard deviation ± 16.7), 60% of the patients were male, and 14.3% were diabetic. Fifty percent had symptoms that were present for ≥ 48 hours; 38.6% had voice changes, 13.1% had stridor, 12.9% had fever, 45.7% had odynophagia, and 47.1% had dysphagia noted in the ED. Twelve patients (17.1%) received an acute airway intervention including three who underwent emergent cricothyroidotomy, and one who had a tracheostomy. Two patients died and one suffered anoxic brain injury related to complications following difficult airway management. Conclusion: In this case series the majority of patients (82.9%) did not require airway intervention, but a third of those requiring intervention (5.7% of total) had a surgical airway performed with two deaths and one anoxic brain injury. Clinicians must remain vigilant to identify signs of impending airway compromise in acute adult epiglottitis and be familiar with difficult and failed airway algorithms to prevent morbidity and mortality in these patients.

Sign in / Sign up

Export Citation Format

Share Document