Intubation Essays

endotracheal intubation. The computer model was derived from the analysis of the facial features of three photographs and validating it against other patients with known airway anatomies. Patients recruited for the experiments were defined as either easy or difficult to intubate. Patients were defined as easy to intubate if their "anesthetic record described a single attempt with a Macintosh 3 blade resulting in a grade I laryngoscopic view (full exposure of the vocal cords)." Difficult intubation was defined

difficult intubation is defined as a trained Anesthetist using direct laryngoscopy take’s more than 3 attempts or more than 10 minutes to complete tracheal intubation (1, 2, 6).Difficult or failed endotracheal intubation is one of the leading causes of anesthesia-related morbidity and mortality (1, 2, 4, 6). The unanticipated difficult airway occurs with a low but consistent incidence in anesthesia practice. Literature review from 1990 to 1996 reported as difficult direct laryngoscopy occurs in

INTRODUCTION Orotracheal intubation is the commonest method to secure the airway during general anaesthesia. Direct laryngoscopy is used to facilitate orotracheal intubation and requires alignment of the oral, pharyngeal and laryngeal axes to achieve a straight line of sight for visualization of larynx.1 Video laryngoscopes have been introduced into clinical practice over last decade with the purpose of improving laryngeal visualization to facilitate intubation. Video laryngoscopes have a video

Bailey RSI Medication and intent Summary Rapid sequence intubation (RSI) is a standardized protocol that uses medications to facilitate endotracheal intubation of patients in emergency settings (Mason, Weant & Baker, 2013). Some indications for use of RSI include respiratory distress, trauma, or decreased airway patency (Mason et al., 2013). RSI medications include pretreatment medications such as fentanyl or lidocaine; acute paralytic agents and sedatives; and long term pain management, sedative

ATTENUATION OF HEMODYNAMIC RESPONSE TO LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION Abstract: Background: Esmolol has an established role in attenuation of hemodynamic response to laryngoscopy and endotracheal intubation. We studied the effect of Dexmedetomidine compared to that of esmolol in this study. Aim: To study the role of dexmedetomine in attenuation of hemodynamic response to laryngoscopy and oral endotracheal intubation compared to that of esmolol hydrochoride in patients posted for

stimulation with resultant increase in IOP, with associated raise in MAP & HR. There are few studies conducted in children to compare the effect of insertion of LMA with endotra-cheal intubation on IOP. But there are a number of studies done on adults, to confirm that LMA serves as an effective alternative to endotracheal intubation.

ability to intubate, is a basic skill required in the repertoire of an anaesthesiologist. Inability to maintain a patent airway results in inadequate ventilation and oxygenation leading to hypoxic brain damage and death. The incidence of difficult intubation in surgical patients undergoing general anaesthesia is estimated to be approximately 1-18% whereas that of failure to intubate is 0.05 -0.35%.(1,2,3) Various methods have been used for prediction of difficult laryngoscopy comparing either individual

Three patients had postextubation stridor. Their leaks were 433, 312, and 350 mL. So he concluded that The cuff-leak test is inaccurate and cannot be recommended for routine use in this population. However, in the Engoren study, the length of intubation was less than 24 h (median 12 h), which limits comparison of the results of this study with those previously

Nasal intubation is a commonly practiced airway management technique in oral and maxillofacial surgeries. Complications can occur at different levels during intubation through the nasal passage such as haemorrhage, turbinectomy and many cases reported even during extubation. This article describes a case of difficult extubation of naso-tracheal tube caused by the cuff inflation channel (pilot tube) encircling the inferior turbinate and logding between the turbinates. To our literary knowledge; no

further possible consequences of pharyngeal mucosal trauma is transient bacteremia, but, in contrast to endotracheal intubation ,this does not appear to occur during laryngeal mask airway

My mode is Duo Positive Airway Pressure on the Hamilton G5. It is pressure control, a set inspiratory pressure is set to be proportional to patient inspiratory pressure. The breath sequence is intermittent mandatory ventilation (IMV). Ventilatory support is between mandatory and spontaneous breaths. The rate setting directly affects the number of mandatory breaths and the level of ventilatory support. Spontaneous breaths are allowed between mandatory breaths. DuoPAP has two set points; the therapist’s

Management and outcome The surgery was successful. The anaesthetist told me he will be like to do awake extubation because patient was grade 2 view on intubation. This method is used to perform an extubation once the patient is fully awake and able to maintain his own airway (e SAFE, 2017) I prepared for awake extubation, all the airway equipment for the intubation were kept for anaesthetic emergence, guedel, laryngoscope, bougie, 20ml syringe. (REF must not be thrown away) .I place an Inco - pad on the chest

and effective airway management is the foundation of quality anaesthetic practice. Securing and maintaining the airway is top priority of every anesthesiologist. Endotracheal intubation remains gold standard for this purpose, which requires special training and skills like mask holding, oxygenation, laryngoscopy etc. Intubation process is not without airway complication.1, 2 Misplaced tracheal tubes in difficult circumstances outside operating room may cause brain damage or death of patient. Katz

nose and mouth if there is redness or burns because of a lot of carbonaceous material, are there any change in the patient’s voice inflection that they have stridor already. These are all the clues that make our case to immediately rapid sequence intubation to the patient to secure an airway to prevent the patient from inhalation injury. But if you decide to wait on the airway you are risking it for the patient’s life. For pediatrics, it’s more difficult than an

investigations were negative for pheochromocytoma. Airway assessment revealed adequate mouth opening, modified Mallampati score of 2 and restricted neck extension. In operating room, under standard monitoring, patient was induced with Propofol and Fentanyl. Intubation was attempted after

transtracheal, and by means of a rigid bronchoscope. Laryngeal surgeries are common procedures where these alternative methods of high-frequency jet ventilation must be utilized. Typically with laryngeal procedures, an endotracheal tube cannot be used for intubation in order for surgical access to be obtained. Rather, a metal, small bore needle is passed within a laryngoscope and inserted through the vocal cords and is either controlled manually or by use of a mechanical devices to control rate and volume delivered

mask on. Mr. Martin was asking me constantly to take the mask off and I had to explain to him that it was in his best interest to keep this on because of his worsening acidosis and low oxygen levels in his blood. Gelling (1999) says beneficence is the requirement to benefit the patient and is the underlying principles in medicine, healthcare and research, and non-malefiences assumes that no harm should come to the patient. This is a difficult situation as the principles of beneficence and non-malefience

standards of care. The initial ruling was in favor of the plantiff, Mr. Alfred, however the Florida State Supreme Court later overturned that ruling, finding insufficient evidence to support the claim that the absence of valium as well as an immediate intubation would have changed the outcome. The specifics of the case can be reviewed at the following website:

laparoscopic sleeve gastrectomy. Methods: Obese patients with scheduled for laparoscopic sleeve gastrectomy were randomized to receive inspiratory to expiratory ratio of 1:1 [Group VC-ERV (n: 56)] or 1:2 [Group VC-CRV (n: 55)] following tracheal intubation.

his wife, then they would continue the request. Although Halacha will probably favor treatment if there were a chance of survival, the patient/surrogate may refuse such an approach if the prognosis of the treatment is unfavorable. In case three, intubation would be reasonable, but after the kids told the doctor their father’s wishes they have to respect that. This is only okay because the father had a terminal