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
Article Type: Review Article | First Published: March 13, 2017
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....
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
Article Type: Case Report | First Published: March 13, 2017
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 ...
Treatment-Resistant Severe Hypothermia in an Infant Caused by the AirSeal® Insufflator
Kiyotaka Nakagawa, Kazuo Arakawa, Tomohide Kamiya, Koichi Kataoka and Katsuhiro Sakai
Article Type: Case Report | First Published: March 02, 2017
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....