Dilatational Tracheotomy Using the Rigid Endoscope Dilatational Tracheotomy Using the Rigid Endoscope

Is the use of a rigid tracheotomy endoscope a feasible alternative to fiberoptic tracheo-bronchoscopy for dilational tracheotomy?BMC Anesthesiology
Source: Medscape Critical Care Headlines - Category: Intensive Care Tags: Anesthesiology Journal Article Source Type: news

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We present a case of tracheal cartilaginous sleeve diagnosed by ultrasound (US) in a patient with Pfeiffer syndrome. The patient developed respiratory failure and was suspected at bronchoscopy to have tracheal cartilaginous sleeve. US performed before tracheostomy placement demonstrated continuous hypoechoic cartilage along the anterior surface of the trachea, confirming the diagnosis. Our report shows that US can make a definitive diagnosis of tracheal cartilaginous sleeve and raises the possibility of using US to screen for the condition in patients with syndromic craniosynostosis without the need for anesthesia or ionizing radiation.
Source: Pediatric Radiology - Category: Radiology Source Type: research
CONCLUSION: These preliminary results are encouraging. Transcordal prostheses in benign laryngotracheal stenosis have a complementary or alternative role compared to surgery with a palliative or even curative objective. PMID: 30337136 [PubMed - as supplied by publisher]
Source: Revue des Maladies Respiratoires - Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research
We present a 2-day-old neonate with aphonia and stridor who underwent microdirect laryngoscopy. Intraoperatively, a Cohen type 4 laryngeal web was diagnosed not immediately amenable to resection. Therefore, the decision was made for endotracheal intubation and subsequent tracheostomy. After endotracheal intubation, there was acute respiratory compromise and oxygen desaturation that improved moderately after urgent tracheostomy. A chest radiograph revealed a large pneumothorax. Our experience suggests that in the presence of high-grade laryngeal webs, the possibility of intraoperative development of pneumothorax should be c...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
Conclusions: LUS, as compared to auscultation, is a superior method in assessment of lung isolation for determining position of DLT. PMID: 30205667 [PubMed - as supplied by publisher]
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
This study is the first to document the availability of paediatric ENT and paediatric surgery services in Africa.ObjectiveTo determine the availability of paediatric ENT services in Africa, as well as that of paediatric surgery that would complement paediatric ENT.MethodA descriptive observational study in the form of an online questionnaire was distributed by email to known ENT and paediatric surgeons based in Africa.ResultsSurgeons from twelve of 23 African countries responded to the survey. Seven countries had both ENT and paediatric surgery responses. In 8 of the 11 countries, the number of ENT surgeons per country was 
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - Category: ENT & OMF Source Type: research
Publication date: Available online 23 June 2018Source: Anaesthesia &Intensive Care MedicineAuthor(s): Andrew Laurie, Jamie MacdonaldAbstractAirway management provides gas exchange, protects the lungs from injury and permits treatment. This requires safe, effective and reliable use of equipment, often in combination. A management plan with backups is essential, but a sequence of logical plans forming an airway management strategy is better. Correct equipment use needs correct knowledge, skill and attitudes. There are five approaches to airway management in which equipment is used: facemask ventilation with adjuncts, use...
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
We describe a modified technique for percutaneous dilatational tracheostomy using a 15F tube exchanger or Eschmann catheter. A retrospective review of 1180 procedures using this modified technique demonstrated it to be effective with a failure rate of only 0.25% (3 patients). Moreover, it provides an additional safeguard with the ability to rapidly reintroduce the endotracheal tube into the trachea guided by the exchange catheter in the event of accidental extubation during the procedure. This technique needs no additional special devices or equipment (eg, a bronchoscope). However, a prospective study is needed to better d...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
Tracheomalacia, a rare complication after thyroidectomy, presents with post-operative stridor immediately after extubation of trachea. Tracheomalacia is defined as dynamic airway collapse in excess of 50% of diameter due to inability of cartilaginous framework to maintain airway patency [1,2]. Tracheostomy is the most common and definitive modality of treatment [3]. Diagnosis of tracheomalacia and decision to go for tracheostomy is a difficult task as spontaneous improvement occurs with time. Cuff leak tests during positive pressure ventilation and spontaneous respiration are described and done routinely to predict or rule...
Source: Journal of Clinical Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research
Suruchi Ambasta, Suman Lata Gupta, G Rajiv, Srinivasan SwaminathanSaudi Journal of Anaesthesia 2018 12(1):142-143
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Authors: Rashid AO, Islam S Abstract Tracheostomy is a common procedure. It can be done surgically or percutaneously by dilating the stoma using Seldinger technique. Percutaneous tracheostomy (PT) is now routinely performed by surgeons and non-surgeons such as intensivists and anesthesiologists in the intensive care units (ICU) all over the world. Although obesity, emergent tracheostomy, coagulopathy, inability to extend the neck and high ventilator demand (HVD) were initially thought to be a relative contraindication, recent data suggest safety of PT in these patient population. Ultrasound can be helpful in limite...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
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