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or avulsed. These complications include massive epistaxis, cerebrospinal fluid rhinorrhea, or olfactory nerve damage. 2 It has been reviewed that partial or complete obstruction of the ETT can occur due to an inadvertent turbinectomy during intubation. In some instances, the diagnosis was only made following extubation. This case report will discuss complications, signs, and methods of prevention in accidental turbinectomy during nasal intubation only diagnosed following extubation. CASE REPORT An 18-year-old male with no significant

The sedationist-operator model is popular in minor oral surgery and is commonly used in North America and parts of Europe. This report describes a case of respiratory obstruction in a patient during sedation in an outpatient setting. In this setting, minimal to moderate sedation is the target level on the sedation continuum, based on patient response. Single-drug intravenous conscious (moderate) sedation was achieved by titrating midazolam to an end point with signs including slurring and lowering of speech, a relaxed demeanor, a delayed

-thyroid membrane, particularly in a child, could position the needle above a cricoid obstruction and bring little relief. Figure 3. ASA difficult airway algorithm. Figure 3. ASA difficult airway algorithm. The present-day gold standard for retrieval of foreign objects from within the airway and below the level of the vocal cords remains either fiber-optic or rigid bronchoscopy, with transtracheal jet ventilation being arguably the most universal method of rescue oxygenation in extreme

Oral tumors limiting access to the airway have always been a challenge to the anesthesiologist. Exacerbation of obstruction and the loss of airway on anesthesia induction is the most feared complication. Understanding the mechanism of breathing in a patient with an obstructed airway and changes that anesthesia induction can bring about are critical in the management of these patients. Characteristics of the lesion (relative size to oral cavity, friability, ability to bleed) and the patient's age and clinical condition determine the

After 2-jaw surgery, difficulty in breathing through the mouth and the nose is frequently observed due to nasal airway obstruction, edema of lips, cheeks, and tongue, intraoral bleeding, and sometimes maxillo-mandibular fixation. The nasopharyngeal airway (NPA) is usually inserted to facilitate breathing, tamponade nasal bleeding if present, and provide supplemental oxygen after extubation. The NPA is preferable in patients with limited mouth opening or those lightly anesthetized. 1 It is known to be useful for oxygen administration after

Congenital bronchial atresia (CBA) is a relatively rare disorder that accompanies obstruction of the bronchus. The lung lobe distal from the obstructed bronchus is prone to overinflation. Positive pressure ventilation during general anesthesia is risky for such patients because pneumothorax may develop. Herewith, we report a case in which spontaneous respiration was maintained to avoid hyperinflation during general anesthesia in this patient. An 8-year-old female was scheduled for the surgical removal of supernumerary tooth and a

associated with other congenital anomalies or genetic disorders, but our patient had no other anomalies. Most patients with tracheal bronchi are asymptomatic, but some patients may experience recurrent pneumonia and/or chronic bronchitis. 1 , 3 Most commonly, the anesthesiologist will be unaware of the presence of tracheal bronchus, which might be important in the differential diagnosis of unexplained intraoperative hypoxemia and pulmonary atelectasis. Tracheal intubation in patients with a tracheal bronchus might cause obstruction of the tracheal bronchus, although in