Difficult airway management after carotid endarterectomy: utility and limitations of the Laryngeal Mask Airway

Acute Airway Obstruction in a Uremic Patient After Undergoing Unsuccessful Bilateral Attempt of Permcath Catheterization

“…Failure to intubate where ventilation is not possible will result in the situation of "cannot ventilate, cannot intubate". In this critical situation, institution of a surgical airway by needle or surgical cricothyroidotomy, or by emergency tracheostomy, is indicated to prevent death [7,17,18]. However, in the presence of neck hematoma, it is important to be familiar with the procedures of cricothyroidotomy/emergency tracheostomy and to be aware that anatomical landmarks may be diffi cult to palpate.…”

Airway Management in Patients Who Develop Neck Hematomas After Carotid Endarterectomy

“…Thus, although the laryngeal mask airway offers theoretic promise and has been reported in the setting of post-CEA respiratory compromise, none of the cases among our 44 patients were managed with this technique, and its success in comparison with DL or fiberoptic techniques cannot be evaluated. 8 Even among the techniques used, each airway management scenario offered unique clinical and anatomic challenges, making standardization difficult. In only 15 of 20 patients (75%), awake fiberoptic techniques resulted in successful tracheal intubation, whereas in 17 of 17 patients (100%), anesthetized DL techniques were successful.…”

When Is Hypertension a True Crisis and How Should It Be Managed in the Intensive Care Unit?

“…Bleeding after carotid endarterectomy or neck surgery may result in airway obstruction. 38 As discussed earlier, hypertension after craniotomy may lead to serious intracranial hemorrhage and adverse outcomes. 19 Conversely, impaired blood flow to key organs has been implicated in the pathogenesis of the postoperative organ dysfunction syndrome.…”