Search Results

incidence of asthma is higher in urban areas, in children of low socioeconomic status, and in those with a history of atopy. 3 , 4 The area in which our institution is located (Bronx, New York) has the highest incidence of asthma in New York State. 3 , 4 The current report presents a case of bronchospasm in a 3-year-old child that was refractory to all usual treatments. A therapy not previously reported as being used in the operating room, a vibrating-mesh membrane nebulizer (Aeroneb Professional Nebulizer [APN] System, AG-AP6000-US, Aerogen Ltd, Ireland), was used to

around the glottis. Nevertheless, we suspected mucosal edema around the tracheal stenosis area was likely causing the patient's symptoms. Using an ultrasound nebulizer (Aeroneb, Covidien), we immediately administered L-epinephrine 0.2 mg in 5 mL of normal saline. The stridor resolved 7 minutes after initiating the nebulized epinephrine, and her respiratory sounds normalized 5 minutes later with complete cessation of symptoms. After confirming no additional complications and stable vital signs, she was transferred to the high acuity care unit. Subsequently, no further

Inhalation anesthesia, 69 Intubation, 82 Ketamine, 107 Laryngospasm, 82 Lidocaine with epinephrine, 18 Lidocaine, 57, 75 Lingual tonsil hypertrophy, 82 Local anesthetics, 90, 127 Local pharmacokinetics, 75 Masticatory muscle tendon-aponeurosis hyperplasia, 87 Midazolam, 62 Muscle relaxant effects, 18 Nasal intubation, 123 Nasotracheal intubation, 85 Nebulizer, 123 Needle gauge, 127 Novel devices, 127 Office-based anesthesia, 147

(therefore soft) and lubricated ETT was inserted under topical anesthesia before the beginning of induction. Although the ETT remained above the larynx, it bypassed the tumor-related anatomical site of airway obstruction (the oropharynx). The ideal method for airway topicalization in young uncooperative pediatric patients also faces practical challenges. Nebulization using 4% lidocaine can be tried, but success is likely to be limited. Most awake children would not allow a face mask to be held for nebulization, causing failure of the technique. Additionally, as in

Tzermpos FH, 22 Crawford B, see Thikkurissy S, 143 Davidian E, see Patel AB, 82 DeSimone HA, see Golden LR, 123 Dhariwal DK, see Chegini S, 69 Epstein R, see Rashewsky S, 147 Farago PV, see Pochapski MT, 57 Ferguson F, see Rashewsky S, 147 Fonner AM, see Reed KL, 127 Fukayama H, see Wakita R, 62 Furuya H, see Yamamoto I, 87 Ganzberg S, see Kramer KJ, 107 Golden LR, Severe Intraoperative Bronchospasm Treated with a Vibrating-Mesh Nebulizer (case report

. Reducing coughing during intubation could contribute to a reduction in viral transmission and exposure among health care workers. Coughing can be reduced by several techniques such as the administration of nebulized lidocaine to anesthetize the airway or intravenous boluses of opioid agonists for cough suppression, among others. In our hospital, we use moderate sedation with midazolam and fentanyl for patients with suspected difficult intubation or airway management. Once the patient is adequately sedated, a bilateral superior laryngeal nerve (SLN) block (SLNB) can be

patient returned to the operating room for incision and drainage of a left peritonsillar abscess. Hemoglobin. Hemoglobin. On arrival to the operating room, a continuous intravenous infusion was established and all monitors were placed. The patient was prepared for fiberoptic nasal intubation with lidocaine nebulizer and 2 sprays of 20% benzocaine to both nares while awake. While the patient was awake, fiberoptic nasal intubation was accomplished without difficulty through the right naris with

to the neck. Topical airway anesthesia may be preferred. However, benzocaine-containing preparations (e.g., Cetacaine) may easily lead to overdose or methemoglobinemia because of the larger doses needed for adequate anesthesia of the large area of soft tissue that is required. Topical lidocaine airway spray or preferably face mask nebulized lidocaine or oral nebulized lidocaine (similar to a “breathing treatment”) may be the best options. An otolaryngologist or other surgeon with significant tracheostomy experience should be readily available in the event

first postoperative day. He reported that the pharyngeal swelling was present before the Vicodin. The patient's uvular edema and erythema on postoperative day 2. Note that the uvula has been retracted anteriorly and inverted superiorly for photographic purposes. The patient's uvular edema and erythema on postoperative day 2. Note that the uvula has been retracted anteriorly and inverted superiorly for photographic purposes. The patient was treated with nebulized aerosol of albuterol and