Translaryngeal Guided Intubation Solved a Critical Airway Problem

1989 ◽  
Vol 9 (2) ◽  
pp. 75 ◽  
Author(s):  
H-K. King ◽  
F-M. Chen ◽  
A. K. Khan ◽  
D. J. Wooten
Keyword(s):  
Airway Problem

scholarly journals Protection of Medical Staff during Tracheotomy: Lessons Learned from the COVID-19 Pandemic

ORL ◽  
2020 ◽  
Vol 82 (6) ◽  
pp. 304-309
Author(s):  
Dong-Hyun Lee ◽  
Subin Kim ◽  
Ji-Sun Kim ◽  
Byung Guk Kim ◽  
Ki-Hong Chang ◽  
...  
Keyword(s):  
Medical Staff ◽  
Emergency Situation ◽  
Lessons Learned ◽  
Protective Equipment ◽  
Staff Members ◽  
Equipment Availability ◽  
Airway Problem ◽  
Efficient Protection ◽  
Detailed Protocol ◽  
Isolation Facility

<b><i>Background:</i></b> During the ongoing pandemic of COVID-19, tracheotomy under emergency situation is considered a high-risk procedure that causes probable expose to aerosolized secretion. <b><i>Summary:</i></b> We reviewed our case and previous reports, and summarized a detailed protocol that is needed to protect medical staffs who perform tracheotomy under the COVID-19 pandemic, considering the patient’s condition, experience of medical staff members, and available facilities and equipment. <b><i>Key Messages:</i></b> For efficient protection of medical staff who perform tracheotomy under the COVID-19 pandemic period, we suggest that the following needs to be considered: assessment of patient’s condition (COVID-19 infection and the airway problem), route (safest route to the operating room), experienced surgical team, negative-pressure isolation facility and appliance (personal protective equipment) availability, and safe and appropriate post-tracheotomy care.

Hemifacial microsomia: An anesthetic airway problem

1980 ◽  
Vol 49 (1) ◽  
pp. 2-4 ◽  
Author(s):  
Dale M. Gallagher ◽  
Rex L. Hyler ◽  
Bruce N. Epker
Keyword(s):  
Hemifacial Microsomia ◽  
Airway Problem

scholarly journals Anesthetic Considerations for Masticatory Muscle Tendon-Aponeurosis Hyperplasia: A Report of 24 Cases

2012 ◽  
Vol 59 (2) ◽  
pp. 87-89 ◽  
Author(s):  
Ikumi Yamamoto ◽  
Satoki Inoue ◽  
Masahiko Kawaguchi ◽  
Tetsuji Kawakami ◽  
Tadaaki Kirita ◽  
...  
Keyword(s):  
Fiber Optic ◽  
Mouth Opening ◽  
Case Series ◽  
Masticatory Muscles ◽  
Masticatory Muscle ◽  
Limited Mouth Opening ◽  
Rapid Induction ◽  
Airway Problem ◽  
Anesthetic Considerations ◽  
Macintosh Laryngoscopy

Masticatory muscle tendon-aponeurosis hyperplasia (MMTAH) is a new disease entity characterized by limited mouth opening due to contracture of the masticatory muscles, resulting from hyperplasia of tendons and aponeuroses. In this case series, we report what methods of airway establishment were conclusively chosen after rapid induction of anesthesia. We had 24 consecutive patients with MMTAH who underwent surgical release of its contracture under general anesthesia. Rapid induction of anesthesia with propofol and rocuronium was chosen for all the cases. In 7 cases, intubation using the Macintosh laryngoscopy was attempted; however, 2 of those cases failed to be intubated on the first attempt. Finally, intubation using the McCoy laryngoscopy or fiber-optic intubation was alternatively used in these 2 cases. In 7 cases, the Trachlight was used. In the remaining 10 cases, fiber-optic intubation was used. Limited mouth opening in patients with MMTAH did not improve with muscular relaxation. “Square mandible” has been reported to be one of the clinical features in this disease; however, half of these 24 patients lacked this characteristic, which might affect a definitive diagnosis of this disease for anesthesiologists. An airway problem in patients with MMTAH should not be underestimated, which means that other intubation methods rather than direct laryngoscopy had better be considered.

scholarly journals Rare treatment option for a common pediatric airway problem

2015 ◽  
Vol 19 (11) ◽  
pp. 681-683 ◽  
Author(s):  
Sunil Karande ◽  
Chhaya Divecha ◽  
Raylene Dias ◽  
Chandrahas T. Deshmukh
Keyword(s):  
Treatment Option ◽  
Pediatric Airway ◽  
Airway Problem

scholarly journals An unusual airway problem

1970 ◽  
Vol 17 (1) ◽  
pp. 78-82 ◽  
Author(s):  
G. R. Butlin ◽  
G. R. Sellery ◽  
W. E. Spoerel
Keyword(s):  
Airway Problem

Differentiating Upper from Lower Airway Compromise in Neonates

1985 ◽  
Vol 94 (5) ◽  
pp. 509-515 ◽  
Author(s):  
Seth M. Pransky ◽  
Kenneth M. Grundfast
Keyword(s):  
Decision Making ◽  
Very Low Birth Weight ◽  
Upper Airway ◽  
Respiratory Physiology ◽  
Lower Airway ◽  
Respiratory Care ◽  
Multiple Factors ◽  
Airway Problem ◽  
Therapeutic Decision Making ◽  
Therapeutic Alternatives

Technologic advancements and improvements in supportive care have resulted in increased survival of very low birth weight and premature infants. With salvage of these high risk newborns, many difficult management problems arise. Respiratory distress of the newborn is the most common airway problem that affects these patients and subglottic edema or stenosis may frequently complicate management of the airway. Decision-making in airway maintenance and respiratory care can be problematic due to multiple factors that must be considered. The otolaryngologist is often consulted when upper airway obstruction is suspected. Relevant respiratory physiology is reviewed in order to help direct therapeutic decision-making. Parameters of assessment are enumerated and methods for choosing among therapeutic alternatives are presented. A paradigm to aid in differential diagnosis is described.

scholarly journals O-085MULTIDISCIPLINARY APPROACH TO AN UNUSUAL AIRWAY PROBLEM

2013 ◽  
Vol 17 (suppl_1) ◽  
pp. S23-S23
Author(s):  
Hans Van Veer ◽  
P. Nafteux ◽  
W. Coosemans ◽  
V. Vander Poorten ◽  
J. Vranckx ◽  
...  
Keyword(s):  
Airway Problem

Epiglottitis

1978 ◽  
Vol 87 (4) ◽  
pp. 461-467 ◽  
Author(s):  
Seymour R. Cohen ◽  
John Chai
Keyword(s):  
Los Angeles ◽  
Endotracheal Intubation ◽  
Acute Epiglottitis ◽  
Safe Method ◽  
Artificial Airway ◽  
Childrens Hospital ◽  
Prolonged Hospitalization ◽  
Airway Problem

One hundred and seventy patients with acute epiglottitis were admitted to the Childrens Hospital of Los Angeles between the years 1957 to 1977. No deaths occurred in any of these patients, all of whom were treated with tracheotomy to support and ensure the airway. The records of 147 of these patients were available for review. No serious complications occurred from tracheotomy in any of the patients in this study. Tracheotomy is a safe method for caring for the airway problem in epiglottitis in a setting such as is available at the Childrens Hospital of Los Angeles. The median range of total days with tracheotomy was five to six days, and the median range for total days of hospitalization was six to seven days. Complications were never severe and in the extreme, merely prolonged hospitalization by a few days. This highly lethal disease is curable with antibiotics and an artificial airway, and it is questionable whether conservative medical measures with observation should be acceptable. The establishment of an airway, whether by tracheotomy or endotracheal intubation, is mandatory in the treatment of this disease.

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