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Review Article  |   Volume 4, Issue 1

Extubating Techniques for the Difficult Airway

Jens Tan, Javier Lasala, Jose Soliz, Jonathan Wilks, January Tsai, Teresa Moon Calderon, Shital Vachhani, Jagtar Singh Heir and Gabriel Eduardo Mena
Abstract

PACU or ICU patients generally require reintubation for two main reasons-inadequate airway patency (extubation failure) and residual need for mechanical support (weaning failure). Such events are relatively common and can be associated with significant morbidity, mortality and costs.

  PDF   |    Full Text | DOI: 10.23937/2377-4630/1410058

Case Report  |   Volume 4, Issue 1

Trachway Intubating Stylet Facilitates the Double-Lumen Endobronchial Tube Placement in Patients with Limited Mouth Opening

Wen-Ming Chuang, Hung-Te Hsu, Shah-Hwa Chou, Chia-Chen Wu, Kuang-Yi Tseng, Kuang-I Cheng and Miao-Pei Su
Abstract

Intubation for one lung ventilation in patients with difficult airways can be a challenge. Severely limited mouth opening restricts the use of direct laryngoscopy or video-assisted laryngoscopy. We present two patients with limited mouth opening undergoing video-assisted thoracoscopic decortication, who were successfully intubated with left-sided double-lumen endobronchial tube (DLT) using the Trachway® intubating stylet. This technique provides a safe and reliable method for DLT intubation in patients with limited mouth opening.

  PDF   |    Full Text | DOI: 10.23937/2377-4630/1410057

Case Report  |   Volume 4, Issue 1

Treatment-Resistant Severe Hypothermia in an Infant Caused by the AirSeal® Insufflator

Kiyotaka Nakagawa, Kazuo Arakawa, Tomohide Kamiya, Koichi Kataoka and Katsuhiro Sakai
Abstract

The valveless trocar system is a novel insufflator that circulates carbon dioxide in the abdominal cavity. Herein, we report an infant with severe hypothermia due to use of this insufflator. An 83-day-old infant (body weight 3862 g) with gastroesophageal reflux underwent laparoscopic Nissen fundoplication. After insufflation was initiated, his body temperature acutely dropped to 34.4 °C. Standard treatments had no effect on the patient's hypothermia.

  PDF   |    Full Text | DOI: 10.23937/2377-4630/1410056

Case Report  |   Volume 4, Issue 1

A Case Report: Adaptive Servo Ventilation for a Patient with Acute Heart Failure and Central Sleep Apnea

Chol Kim, Yoshihiko Seino and Atsuhiro Sakamoto
Abstract

A 50-year-old male presented to the emergency room at night with complaints of paroxysmal nocturnal dyspnea and worsening shortness of breath on exertion. He was an active tireless estate agent till three months before, when he noticed shortness of breath on climbing the stairs at the station.

  PDF   |    Full Text | DOI: 10.23937/2377-4630/1410055