the-rigid-tube-as-an-alternative-in-controlling-the-problematic-airway

The Rigid Tube as an Alternative in Controlling the Problematic Airway

The unexpected problematic airway represents a large proportion of anesthesia-related morbidity and mortality. The retromolar or paraglossal approach is ...

the-flexible-rhino-laryngoscope-for-awake-nasotracheal-intubation

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

Difficulties or failures in securing the airway still occur and can lead to permanent disabilities and mortality. Patients with head and neck pathologies ...

Iuliu Hatieganu University of Medicine and Pharmacy

Research Association in Anesthesia and Intensive Care (ACATI)

Cluj County Emgency Clinical Hospital

“Iuliu Haţieganu” University of Medicine and Pharmacy

The rigid tube for laryngoscopy is an instrument used in ENT, for inspecting the larynx and its vicinity. We used it to facilitate intubation, in ENT patients.

Tracheal intubation with the rigid tube for laryngoscopy - a new method.

Awake fiberoptic tracheal intubation is an established method of securing difficult airways, but there are some reservations about its use because many practitioners find it technically complicated, time-consuming, and unpleasant for patients. Our main goal was to test the safety and efficacy of a 300-mm working length fiberscope (video rhino-laryngoscope) when used for awake nasotracheal intubation in difficult airway cases.

Awake nasotracheal intubation with a 300-mm working length fiberscope: a prospective observational feasibility trial.

Airway management is a vital part of anesthesia practices, intensive care units, and emergency departments, and a proper pre-operative assessment can guide clinicians' plans for securing an airway. Complex airway assessment has recently been at the forefront of anesthesia research, with a substantial increase in annual publications during the last 20 years. In this paper, we provide an extensive overview of the literature connected with pre-operative airway evaluation procedures, ranging from essential bedside physical examinations to advanced imaging techniques such as ultrasound (US), radiography, computed tomography (CT), and magnetic resonance imaging (MRI). We discuss transnasal endoscopy, virtual endoscopy, 3D reconstruction-based technologies, and artificial intelligence (AI) as emerging airway evaluation techniques. The management of distorted upper airways associated with head and neck pathology can be challenging due to the intricate anatomy. We present and discuss the role of recent technological advancements in recognizing difficult airways and assisting clinical decision making while highlighting current limitations and pinpointing future research directions.

Ioan Florin Marchis

Department of Anesthesiology

Iuliu Hatieganu University of Medicine and Pharmacy

The Rigid Tube as an Alternative in Controlling the Problematic Airway

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation