A puzzling airway problem

BMJ ◽  
2015 ◽  
Vol 350 (may18 1) ◽  
pp. h2250-h2250
Author(s):  
R. C. Costello ◽  
C. R. Whittet ◽  
S. T. Browning
Keyword(s):  
1989 ◽  
Vol 9 (2) ◽  
pp. 75 ◽  
Author(s):  
H-K. King ◽  
F-M. Chen ◽  
A. K. Khan ◽  
D. J. Wooten
Keyword(s):  

ORL ◽  
2020 ◽  
Vol 82 (6) ◽  
pp. 304-309
Author(s):  
Dong-Hyun Lee ◽  
Subin Kim ◽  
Ji-Sun Kim ◽  
Byung Guk Kim ◽  
Ki-Hong Chang ◽  
...  

<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.


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

2012 ◽  
Vol 59 (2) ◽  
pp. 87-89 ◽  
Author(s):  
Ikumi Yamamoto ◽  
Satoki Inoue ◽  
Masahiko Kawaguchi ◽  
Tetsuji Kawakami ◽  
Tadaaki Kirita ◽  
...  

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.


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

Author(s):  
G. R. Butlin ◽  
G. R. Sellery ◽  
W. E. Spoerel
Keyword(s):  

1985 ◽  
Vol 94 (5) ◽  
pp. 509-515 ◽  
Author(s):  
Seth M. Pransky ◽  
Kenneth M. Grundfast

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.


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

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