laryngismus/obesity

BACKGROUND Childhood high body mass index (BMI) and sleep disordered breathing (SDB) are increasingly prevalent and both are associated with perioperative respiratory complications. Laryngospasm is one of the more serious respiratory complications with potentially devastating consequences. It is

OBJECTIVE To compare the incidence of laryngospasm by using halothane-fentanyl anaesthesia and midazolam-remifentanil anaesthesia in paediatric patients undergoing eye surgery. METHODS We enrolled 120 ASA physical status I children aged 7-12 years scheduled for eye surgery from March 2004 to

Laryngospasm is a potential complication after general anesthesia that is universally dreaded because the failure to act swiftly and effectively could be fatal for the patient. This case report involves a morbidly obese male patient who received his first general anesthetic and experienced 4

Pulmonary edema that follows upper airway obstruction may occur in a variety of clinical situations. The predominant mechanism is forced inspiration against a closed or occluded glottis, inducing large intrapleural and transpulmonary pressure gradients favoring the transudation of fluid from the

BACKGROUND Overweight and obesity are increasing problems in pediatric anesthesia. This observational study was designed to examine how airway-related complications occur in overweight children and adolescents during general anesthesia and if this is a relevant problem in Germany. METHODS From

The use of laryngeal mask airways with morbidly obesepatients remains controversial. A recent legal caseinvolving the use of a laryngeal mask airway with amorbidly obese patient who aspirated during the anestheticfound the anesthesia providers negligent. Wesought evidence examining the use of

OBJECTIVE To analyze the clinical characteristics of paroxysmal laryngospasm in adult. METHODS A retrospective analysis was performed on 149 patients with paroxysmal laryngospasm in adult. All patients underwent the strobolaryngoscopy, completed the reflux symptom index (RSI) or the reflux finding

BACKGROUND Obesity in children is becoming from year to year enormous medical and socio-epidemilogical problem according to increasing number of overweight and obese children. Overweight and obesity in children mostly affects on cardiovascular, respiratory and endocrine system disturbances.

OBJECTIVE To evaluate the impact of obesity on adverse events and required interventions during pediatric procedural sedation. METHODS The Pediatric Sedation Research Consortium database of prospectively collected procedural sedation encounters was queried to identify patients for whom body mass

BACKGROUND The number of obese patients requiring general anaesthesia is likely to increase in coming years, and obese patients pose considerable challenges to the anaesthetic team. Tracheal intubation may be more difficult and risk of aspiration of gastric contents into the lungs is increased in

OBJECTIVE To assess the feasibility of jet ventilation in obese patients and to compare complications of jet ventilation in obese and nonobese patients. METHODS Retrospective review of medical records. METHODS We reviewed 46 patient charts (70 procedures) with the diagnosis of tracheal or subglottic

Postoperative negative pressure pulmonary edema (NPPE) is a rare, but well-known life-threatening complication of acute upper airway obstruction (UAO) which develops after general anesthesia. The pronounced inspiratory efforts following UAO lead to excessive negative inspiratory pressure, which may

BACKGROUND Mask ventilation could improve after administration of muscle relaxants if there is a functional obstruction of the airway, such as laryngospasm, vocal cord closure or opioid-induced muscle rigidity. On the other hand, muscle relaxants could worsen mask ventilation because they induce

The laryngeal mask, a relatively new airway adjunct, consists of a large tube with an inflatable shallow mask at its distal end which forms a seal around the glottic opening. We describe a case of a difficult intubation in the emergency department of an obese patient with microagnathia, a short bull