Laryngoscopy
Intubation, Intratracheal
Larynx
Airway Management
Vocal Cord Paralysis
Fiber Optic Technology
Laryngeal Diseases
Glottis
Vocal Cords
Anesthesia, General
Video Recording
Laryngitis
Epiglottis
Laryngeal Masks
Retrognathia
Lingual Nerve Injuries
Tooth Injuries
Laryngeal Edema
Manikins
Laryngostenosis
Arytenoid Cartilage
Laryngomalacia
Video-Assisted Surgery
Thyroid Cartilage
Tongue Diseases
Voice Quality
Speech-Language Pathology
Head
Laryngeal Neoplasms
Preanesthetic Medication
Anesthesia, Inhalation
Propofol
Androstanols
Anesthetics, Intravenous
Dysgeusia
Thiopental
Cervical Vertebrae
Neuromuscular Nondepolarizing Agents
Immobilization
Alfentanil
Succinylcholine
Chin
Management of laryngeal foreign bodies in children. (1/460)
Foreign body aspiration is one of the leading causes of accidental death in children. Food items are the most common items aspirated in infants and toddlers, whereas older children are more likely to aspirate non-food items. Laryngeal impaction of a foreign body is very rare as most aspirated foreign bodies pass through the laryngeal inlet and get lodged lower down in the airway. Two rare cases of foreign body aspiration with subglottic impaction in very young children (under 2 years of age) are described. In both the cases subglottic impaction occurred consequent to attempted removal of foreign body by blind finger sweeping. The clinical presentation, investigations, and management of these rare cases are discussed. (+info)Correlating fibreoptic nasotracheal endoscopy performance and psychomotor aptitude. (2/460)
We have investigated the correlation between the scores attained on computerized psychometric tests, measuring psychomotor and information processing aptitudes, and learning fibreoptic endoscopy with the videoendoscope. Sixteen anaesthetic trainees performed two adaptive tracking tasks (ADTRACK 2 and ADTRACK 3) and one information management task (MAZE) from the MICROPAT testing system. They then embarked on a standardized fibreoptic training programme during which they performed 15 supervised fibreoptic nasotracheal intubations on anaesthetized oral surgery patients. There was a significant correlation between the means of the 15 endoscopy times and both ADTRACK 2 (r = -0.599, P = 0.014) and ADTRACK 3 (r = -0.589, P = 0.016) scores. The correlation between the means of the 15 endoscopy times and MAZE scores was not significant. The ratios of the mean endoscopy time for the last seven endoscopies to the mean endoscopy time for the first seven endoscopies were not significantly correlated with ADTRACK 2, ADTRACK 3 or MAZE scores. Psychomotor abilities appeared to be determinants of trainees' initial proficiency in endoscopy, but did not appear to be determinants of trainees' rates of progress during early fibreoptic training. (+info)Perianesthetic dental injuries: frequency, outcomes, and risk factors. (3/460)
BACKGROUND: Dental injury is well-recognized as a potential complication of laryngoscopy and tracheal intubation. However, the frequency, outcomes, and risk factors for this problem have not been documented in a well-defined patient population. METHODS: The authors analyzed the dental injuries of 598,904 consecutive cases performed on patients who required anesthetic services from 1987 through 1997. Dental injuries were defined as perianesthetic events (those occurring within 7 days) that required dental interventions to repair, stabilize, or extract involved dentition or support structures. A 1:3 case-control study of 16 patient and procedural characteristics was performed for cases that occurred during the first 5 yr of the study. Conditional logistic regression was used for data analysis. RESULTS: There were 132 cases (1:4,537 patients) of dental injury. One half of these injuries occurred during laryngoscopy and tracheal intubation. The upper incisors were the most commonly involved teeth, and most injuries were crown fractures and partial dislocations and dislodgements. Multivariate risk factors for dental injury in the case control study included general anesthesia with tracheal intubation (odds ratio [OR] = 89), preexisting poor dentition (OR = 50), and increased difficulty of laryngoscopy and intubation (OR = 11). CONCLUSIONS: Based on these data from a large surgical population at a single training institution, approximately 1:4,500 patients who receive anesthesia services sustain a dental injury that requires repair or extraction. Patients most at risk for perianesthetic dental injury include those with preexisting poor dentition who have one or more risk factors for difficult laryngoscopy and tracheal intubation. (+info)Bolus dose remifentanil for control of haemodynamic response to tracheal intubation during rapid sequence induction of anaesthesia. (4/460)
The effect of three bolus doses of remifentanil on the pressor response to laryngoscopy and tracheal intubation during rapid sequence induction of anaesthesia was assessed in a randomized, double-blind, placebo-controlled study in four groups of 20 patients each. After preoxygenation, anaesthesia was induced with thiopental 5-7 mg kg-1 followed immediately by saline (placebo) or remifentanil 0.5, 1.0 or 1.25 micrograms kg-1 given as a bolus over 30 s. Cricoid pressure was applied just after loss of consciousness. Succinylcholine 1 mg kg-1 was given for neuromuscular block. Laryngoscopy and tracheal intubation were performed 1 min later. Arterial pressure and heart rate were recorded at intervals until 5 min after intubation. Remifentanil 0.5 microgram kg-1 was ineffective in controlling the increase in heart rate and arterial pressure after intubation but the 1.0 and 1.25 micrograms kg-1 doses were effective in controlling the response. The use of the 1.25 micrograms kg-1 dose was however, associated with a decrease in systolic arterial pressure to less than 90 mm Hg in seven of 20 patients. (+info)Laryngeal movements during the respiratory cycle measured with an endoscopic imaging technique in the conscious horse at rest. (5/460)
A video-laryngoscopic method, implemented with an algorithm for the correction of the deformation inherent in the endoscope optical system, has been used to measure the dorsoventral diameter (Drg) and the cross-sectional area (CSArg) of the rima glottidis in five healthy workhorses during conscious breathing at rest. Simultaneous recording of the respiratory airflow was also obtained in two horses. Drg measured 82.7 +/- 4.5 mm (mean +/- S.D.) independently of the respiratory phase, and did not differ from the measurement in post-mortem anatomical specimens of the same horses. CSArg ranged from 1130 +/- 117 mm2 (mean +/- S.D.) during the inspiratory phase to 640 +/- 242 mm2 during the expiratory phase; being always narrower than tracheal cross-sectional area, which was 1616 +/- 224 mm2, as determined from anatomical specimens. Both inspiratory and expiratory airflow waves displayed a biphasic pattern. Maximal laryngeal opening occurred in phase with the second inspiratory peak, while during expiration CSArg attained a minimum value during the first expiratory peak which was significantly smaller (P < 0.01) than the area subsequently maintained during the rest of the expiratiory phase. These quantitative measurements of equine laryngeal movements substantiate the important role played by the larynx in regulating upper airway respiratory resistance and the expiratory airflow pattern at rest. (+info)Intramuscular rocuronium in infants and children: a multicenter study to evaluate tracheal intubating conditions, onset, and duration of action. (6/460)
BACKGROUND: This multicenter, assessor-blinded, randomized study was done to confirm and extend a pilot study showing that intramuscular rocuronium can provide adequate tracheal intubating conditions in infants (2.5 min) and children (3 min) during halothane anesthesia. METHODS: Thirty-eight infants (age range, 3-12 months) and 38 children (age range, 1 to 5 yr) classified as American Society of Anesthesiologists physical status 1 and 2 were evaluated at four investigational sites. Anesthesia was maintained with halothane and oxygen (1% end-tidal concentration if <2.5 yr; 0.80% end-tidal concentration if >2.5 yr) for 5 min. One half of the patients received 0.45 mg/kg intravenous rocuronium. The others received 1 mg/kg (infants) or 1.8 mg/kg (children) of intramuscular rocuronium into the deltoid muscle. Intubating conditions and mechanomyographic responses to ulnar nerve stimulation were assessed. RESULTS: The conditions for tracheal intubation at 2.5 and 3 min in infants and children, respectively, were inadequate in a high percentage of patients in the intramuscular group. Nine of 16 infants and 10 of 17 children had adequate or better intubating conditions at 3.5 and 4 min, respectively, after intramuscular rocuronium. Better-than-adequate intubating conditions were achieved in 14 of 15 infants and 16 of 17 children given intravenous rocuronium. Intramuscular rocuronium provided > or =98% blockade in 7.4+/-3.4 min (in infants) and 8+/-6.3 min (in children). Twenty-five percent recovery occurred in 79+/-26 min (in infants) and in 86+/-22 min (in children). CONCLUSIONS: Intramuscular rocuronium, in the doses and conditions tested, does not consistently provide satisfactory tracheal intubating conditions in infants and children and is not an adequate alternative to intramuscular succinylcholine when rapid intubation is necessary. (+info)Clinical assessment of a plastic optical fiber stylet for human tracheal intubation. (7/460)
BACKGROUND: The authors compared the performance of a prototype intubation aid that incorporated plastic illumination and image guides into a stylet with fiberoptic bronchoscopy and direct laryngoscopy for tracheal intubation by novice users. METHODS: In a randomized, nonblinded design, patients were assigned to direct laryngoscopy, fiberoptic bronchoscopy, or imaging stylet intubation groups. The quality of laryngeal view and ease with which it was attained for each intubation was graded by the laryngoscopist. Time to intubation was measured in 1-min increments. A sore-throat severity grade was obtained after operation. RESULTS: There were no differences in demographic, physical examination, or surgical course characteristics among the groups. The laryngoscope produced an adequate laryngeal view more easily than did the imaging stylet or bronchoscope (P = 0.001) but caused the highest incidence of postoperative sore throat (P<0.05). Although the time to intubation for direct laryngoscopy was shorter than for imaging stylet, which was shorter than fiberoptic bronchoscopy (P<0.05), the quality of laryngeal view with the imaging stylet was inferior to both direct laryngoscopy and fiberoptic bronchoscopy techniques (P<0.05). CONCLUSIONS: Novices using the imaging stylet produce fewer cases of sore throat (compared with direct laryngoscopy) and can intubate faster than when using a bronchoscope in anesthetized adult patients. The imaging stylet may be a useful aid for tracheal intubation, especially for those unable to maintain skills with a bronchoscope. (+info)Laryngeal mask airway size selection in males and females: ease of insertion, oropharyngeal leak pressure, pharyngeal mucosal pressures and anatomical position. (8/460)
We have compared ease of insertion, oropharyngeal leak pressure, directly measured pharyngeal mucosal pressure and anatomical position (assessed fibreoptically) for the size 4 and size 5 laryngeal mask airway (LMA) in 20 male and 20 female patients. Microchip pressure sensors were attached to the LMA at locations corresponding to the piriform fossa, hypopharynx, base of the tongue, lateral and posterior pharynx, and the oropharynx. Oropharyngeal leak pressure, mucosal pressure and fibreoptic position were recorded during inflation of the cuff from 0 to 30 ml in 10-ml increments. In males, oropharyngeal leak pressure over the inflation range was higher for size 5 (21 vs 17 cm H2O; P = 0.01); mucosal pressure over the inflation range was higher in the posterior pharynx for size 4 (7 vs 2 cm H2O; P = 0.007), and higher in the piriform fossa (8 vs 5 cm H2O; P = 0.003) and hypopharynx (9 vs 5 cm H2O; P = 0.003) for size 5. In females, oropharyngeal leak pressure over the inflation range was the same (21 vs 21 cm H2O), but mucosal pressure over the inflation range was higher in the piriform fossa (21 vs 8 cm H2O; P = 0.003) and posterior pharynx (4 vs 2 cm H2O; P = 0.004) for size 4, and higher in the lateral pharynx (5 vs 1 cm H2O; P = 0.01) and oropharynx (11 vs 5 cm H2O; P = 0.009) for size 5. The distribution of mucosal pressure was different for size 4 between males and females, but not for size 5. For both males and females, fibreoptic position was similar. We conclude that the size 5 LMA is optimal in males, but either size is suitable for females. The shape of the pharynx may be different between males and females. (+info)Laryngoscopy is a medical procedure that involves the examination of the larynx, which is the upper part of the windpipe (trachea), and the vocal cords using a specialized instrument called a laryngoscope. The laryngoscope is inserted through the mouth or nose to provide a clear view of the larynx and surrounding structures. This procedure can be performed for diagnostic purposes, such as identifying abnormalities like growths, inflammation, or injuries, or for therapeutic reasons, such as removing foreign objects or taking tissue samples for biopsy. There are different types of laryngoscopes and techniques used depending on the reason for the examination and the patient's specific needs.
A laryngoscope is a medical device used for direct visualization of the larynx and surrounding structures, such as the vocal cords. It consists of a handle attached to a blade that can be inserted into the mouth and throat to retract the tongue and epiglottis, providing a clear view of the laryngeal inlet. Laryngoscopes come in different sizes and shapes, and they are used during various medical procedures such as tracheal intubation, bronchoscopy, and examination of the upper aerodigestive tract. There are two main types of laryngoscopes: direct laryngoscopes and video laryngoscopes. Direct laryngoscopes provide a direct line of sight to the larynx, while video laryngoscopes use a camera at the end of the blade to transmit images to a screen, allowing for better visualization and easier intubation.
Intubation, intratracheal is a medical procedure in which a flexible plastic or rubber tube called an endotracheal tube (ETT) is inserted through the mouth or nose, passing through the vocal cords and into the trachea (windpipe). This procedure is performed to establish and maintain a patent airway, allowing for the delivery of oxygen and the removal of carbon dioxide during mechanical ventilation in various clinical scenarios, such as:
1. Respiratory failure or arrest
2. Procedural sedation
3. Surgery under general anesthesia
4. Neuromuscular disorders
5. Ingestion of toxic substances
6. Head and neck trauma
7. Critical illness or injury affecting the airway
The process of intubation is typically performed by trained medical professionals, such as anesthesiologists, emergency medicine physicians, or critical care specialists, using direct laryngoscopy or video laryngoscopy to visualize the vocal cords and guide the ETT into the correct position. Once placed, the ETT is secured to prevent dislodgement, and the patient's respiratory status is continuously monitored to ensure proper ventilation and oxygenation.
The larynx, also known as the voice box, is a complex structure in the neck that plays a crucial role in protection of the lower respiratory tract and in phonation. It is composed of cartilaginous, muscular, and soft tissue structures. The primary functions of the larynx include:
1. Airway protection: During swallowing, the larynx moves upward and forward to close the opening of the trachea (the glottis) and prevent food or liquids from entering the lungs. This action is known as the swallowing reflex.
2. Phonation: The vocal cords within the larynx vibrate when air passes through them, producing sound that forms the basis of human speech and voice production.
3. Respiration: The larynx serves as a conduit for airflow between the upper and lower respiratory tracts during breathing.
The larynx is located at the level of the C3-C6 vertebrae in the neck, just above the trachea. It consists of several important structures:
1. Cartilages: The laryngeal cartilages include the thyroid, cricoid, and arytenoid cartilages, as well as the corniculate and cuneiform cartilages. These form a framework for the larynx and provide attachment points for various muscles.
2. Vocal cords: The vocal cords are thin bands of mucous membrane that stretch across the glottis (the opening between the arytenoid cartilages). They vibrate when air passes through them, producing sound.
3. Muscles: There are several intrinsic and extrinsic muscles associated with the larynx. The intrinsic muscles control the tension and position of the vocal cords, while the extrinsic muscles adjust the position and movement of the larynx within the neck.
4. Nerves: The larynx is innervated by both sensory and motor nerves. The recurrent laryngeal nerve provides motor innervation to all intrinsic laryngeal muscles, except for one muscle called the cricothyroid, which is innervated by the external branch of the superior laryngeal nerve. Sensory innervation is provided by the internal branch of the superior laryngeal nerve and the recurrent laryngeal nerve.
The larynx plays a crucial role in several essential functions, including breathing, speaking, and protecting the airway during swallowing. Dysfunction or damage to the larynx can result in various symptoms, such as hoarseness, difficulty swallowing, shortness of breath, or stridor (a high-pitched sound heard during inspiration).
Airway management is a set of procedures and techniques used to maintain or restore the flow of air into and out of the lungs, ensuring adequate ventilation and oxygenation of the body. This is critical in medical emergencies such as respiratory arrest, cardiac arrest, trauma, and other situations where a patient may have difficulty breathing on their own.
Airway management includes various interventions, such as:
1. Basic airway maneuvers: These include chin lift, jaw thrust, and suctioning to clear the airway of obstructions.
2. Use of adjuncts: Devices like oropharyngeal (OPA) and nasopharyngeal airways (NPA) can be used to maintain an open airway.
3. Bag-valve-mask (BVM) ventilation: This is a technique where a mask is placed over the patient's face, and positive pressure is applied to the bag to help move air in and out of the lungs.
4. Endotracheal intubation: A flexible plastic tube is inserted through the mouth or nose and advanced into the trachea (windpipe) to secure the airway and allow for mechanical ventilation.
5. Supraglottic airway devices (SADs): These are alternatives to endotracheal intubation, such as laryngeal mask airways (LMAs), that provide a temporary seal over the upper airway to facilitate ventilation.
6. Surgical airway: In rare cases, when other methods fail or are not possible, a surgical airway may be established by creating an opening through the neck (cricothyrotomy or tracheostomy) to access the trachea directly.
Proper airway management requires knowledge of anatomy, understanding of various techniques and devices, and the ability to quickly assess and respond to changing clinical situations. Healthcare professionals, such as physicians, nurses, respiratory therapists, and paramedics, receive extensive training in airway management to ensure competency in managing this critical aspect of patient care.
Vocal cord paralysis is a medical condition characterized by the inability of one or both vocal cords to move or function properly due to nerve damage or disruption. The vocal cords are two bands of muscle located in the larynx (voice box) that vibrate to produce sound during speech, singing, and breathing. When the nerves that control the vocal cord movements are damaged or not functioning correctly, the vocal cords may become paralyzed or weakened, leading to voice changes, breathing difficulties, and other symptoms.
The causes of vocal cord paralysis can vary, including neurological disorders, trauma, tumors, surgery, or infections. The diagnosis typically involves a physical examination, including a laryngoscopy, to assess the movement and function of the vocal cords. Treatment options may include voice therapy, surgical procedures, or other interventions to improve voice quality and breathing functions.
Fiber optic technology in the medical context refers to the use of thin, flexible strands of glass or plastic fibers that are designed to transmit light and images along their length. These fibers are used to create bundles, known as fiber optic cables, which can be used for various medical applications such as:
1. Illumination: Fiber optics can be used to deliver light to hard-to-reach areas during surgical procedures or diagnostic examinations.
2. Imaging: Fiber optics can transmit images from inside the body, enabling doctors to visualize internal structures and tissues. This is commonly used in medical imaging techniques such as endoscopy, colonoscopy, and laparoscopy.
3. Sensing: Fiber optic sensors can be used to measure various physiological parameters such as temperature, pressure, and strain within the body. These sensors can provide real-time data during surgical procedures or for monitoring patients' health status.
Fiber optic technology offers several advantages over traditional medical imaging techniques, including high resolution, flexibility, small diameter, and the ability to bend around corners without significant loss of image quality. Additionally, fiber optics are non-magnetic and can be used in MRI environments without causing interference.
Laryngeal diseases refer to conditions that affect the structure and function of the larynx, also known as the voice box. The larynx is a complex structure composed of cartilages, muscles, membranes, and mucous glands that play essential roles in breathing, swallowing, and vocalization.
Laryngeal diseases can be categorized into several types based on their causes and manifestations. Some common laryngeal diseases include:
1. Laryngitis: Inflammation of the larynx that can cause hoarseness, throat pain, coughing, and difficulty swallowing. Acute laryngitis is often caused by viral infections or irritants, while chronic laryngitis may result from prolonged exposure to smoke, chemicals, or acid reflux.
2. Vocal cord lesions: Abnormal growths on the vocal cords, such as polyps, nodules, or cysts, that can affect voice quality and cause hoarseness, breathiness, or pain. These lesions are often caused by overuse, misuse, or trauma to the vocal cords.
3. Laryngeal cancer: Malignant tumors that develop in the larynx and can invade surrounding structures, such as the throat, neck, and chest. Laryngeal cancer is often associated with smoking, alcohol consumption, and human papillomavirus (HPV) infection.
4. Laryngeal stenosis: Narrowing of the airway due to scarring or thickening of the tissues in the larynx. This condition can cause difficulty breathing, wheezing, and coughing, especially during physical activity or sleep.
5. Reinke's edema: Swelling of the vocal cords caused by fluid accumulation in the mucous membrane that covers them. Reinke's edema is often associated with smoking and can cause hoarseness, low voice, and difficulty projecting the voice.
6. Laryngeal papillomatosis: A rare condition characterized by the growth of benign tumors (papillomas) in the larynx, usually caused by HPV infection. These tumors can recur and may require repeated surgeries to remove them.
7. Vocal cord paralysis: Inability of one or both vocal cords to move due to nerve damage or other medical conditions. This condition can cause hoarseness, breathiness, and difficulty speaking or swallowing.
These are some of the common laryngeal disorders that can affect a person's voice, breathing, and swallowing functions. Proper diagnosis and treatment by an otolaryngologist (ear, nose, and throat specialist) are essential to manage these conditions effectively and prevent complications.
The glottis is a medical term that refers to the opening between the vocal cords (the ligaments in the larynx that produce sound when air passes through them during speech) in the human throat or larynx. It is an important structure for breathing, swallowing, and producing sounds or speech. The glottis opens during inhalation to allow air into the lungs and closes during swallowing to prevent food or liquids from entering the trachea (windpipe) and lungs.
Vocal cords, also known as vocal folds, are specialized bands of muscle, membrane, and connective tissue located within the larynx (voice box). They are essential for speech, singing, and other sounds produced by the human voice. The vocal cords vibrate when air from the lungs is passed through them, creating sound waves that vary in pitch and volume based on the tension, length, and mass of the vocal cords. These sound waves are then further modified by the resonance chambers of the throat, nose, and mouth to produce speech and other vocalizations.
General anesthesia is a state of controlled unconsciousness, induced by administering various medications, that eliminates awareness, movement, and pain sensation during medical procedures. It involves the use of a combination of intravenous and inhaled drugs to produce a reversible loss of consciousness, allowing patients to undergo surgical or diagnostic interventions safely and comfortably. The depth and duration of anesthesia are carefully monitored and adjusted throughout the procedure by an anesthesiologist or certified registered nurse anesthetist (CRNA) to ensure patient safety and optimize recovery. General anesthesia is typically used for more extensive surgical procedures, such as open-heart surgery, major orthopedic surgeries, and neurosurgery.
I apologize, but "video recording" is not a term that has a specific medical definition. It generally refers to the process of capturing and storing moving visual images on electronic media, which is used in various medical fields for different purposes such as surgical training, telemedicine consultations, or monitoring patient conditions. However, there is no unique medical meaning associated with this term.
Laryngitis is a medical condition characterized by inflammation of the larynx, or voice box. This inflammation can lead to hoarseness, throat pain, and difficulty speaking or swallowing. Laryngitis can be caused by viral infections, bacterial infections, vocal strain, or other factors such as exposure to irritants like smoke or chemicals. In some cases, laryngitis may be a symptom of a more serious underlying condition, so it is important to seek medical attention if symptoms persist for more than a few days or are accompanied by other concerning symptoms.
Hoarseness is a condition characterized by an abnormal change in the quality of voice, making it sound rough, breathy, strained, or weak. Medically, it's described as a disorder of phonation, which is the process of producing sound by vibrating the vocal cords in the larynx (voice box). Hoarseness can be caused by various factors, such as inflammation, irritation, or injury to the vocal cords, and may result in symptoms like altered voice pitch, volume, and clarity. It's essential to consult a healthcare professional if hoarseness persists for more than two weeks, especially if it's accompanied by other concerning symptoms like difficulty swallowing or breathing.
The epiglottis is a flap-like structure located at the base of the tongue, near the back of the throat (pharynx). It is made of elastic cartilage and covered with mucous membrane. The primary function of the epiglottis is to protect the trachea (windpipe) from food or liquids entering it during swallowing.
During normal swallowing, the epiglottis closes over the opening of the larynx (voice box), redirecting the food or liquid bolus into the esophagus. In this way, the epiglottis prevents aspiration, which is the entry of foreign materials into the trachea and lungs.
Inflammation or infection of the epiglottis can lead to a serious medical condition called epiglottitis, characterized by swelling, redness, and pain in the epiglottis and surrounding tissues. Epiglottitis can cause difficulty breathing, speaking, and swallowing, and requires immediate medical attention.
A laryngeal mask is a type of supraglottic airway device that is used in anesthesia and critical care to secure the airway during procedures or respiratory support. It consists of an inflatable cuff that is inserted into the hypopharynx, behind the tongue, and above the laryngeal opening. The cuff forms a low-pressure seal around the laryngeal inlet, allowing for the delivery of ventilated gases to the lungs while minimizing the risk of aspiration.
Laryngeal masks are often used as an alternative to endotracheal intubation, especially in cases where intubation is difficult or contraindicated. They are also used in emergency situations for airway management and during resuscitation efforts. Laryngeal masks come in various sizes and designs, with some models allowing for the placement of a gastric tube to decompress the stomach and reduce the risk of regurgitation and aspiration.
Overall, laryngeal masks provide a safe and effective means of securing the airway while minimizing trauma and discomfort to the patient.
Retrognathia is a dental and maxillofacial term that refers to a condition where the mandible (lower jaw) is positioned further back than normal, relative to the maxilla (upper jaw). This results in the chin appearing recessed or set back, and can lead to various functional and aesthetic problems. In severe cases, retrognathia can interfere with speaking, chewing, and breathing, and may require orthodontic or surgical intervention for correction.
Anesthesiology is a medical specialty concerned with providing anesthesia, which is the loss of sensation or awareness, to patients undergoing surgical, diagnostic, or therapeutic procedures. Anesthesiologists are responsible for administering various types of anesthetics, monitoring the patient's vital signs during the procedure, and managing any complications that may arise. They also play a critical role in pain management before, during, and after surgery, as well as in the treatment of chronic pain conditions.
Anesthesiologists work closely with other medical professionals, including surgeons, anesthetists, nurses, and respiratory therapists, to ensure that patients receive the best possible care. They must have a thorough understanding of human physiology, pharmacology, and anatomy, as well as excellent communication skills and the ability to make quick decisions under high pressure.
The primary goal of anesthesiology is to provide safe and effective anesthesia that minimizes pain and discomfort while maximizing patient safety and comfort. This requires a deep understanding of the risks and benefits associated with different types of anesthetics, as well as the ability to tailor the anesthetic plan to each individual patient's needs and medical history.
In summary, anesthesiology is a critical medical specialty focused on providing safe and effective anesthesia and pain management for patients undergoing surgical or other medical procedures.
Disposable equipment in a medical context refers to items that are designed to be used once and then discarded. These items are often patient-care products that come into contact with patients or bodily fluids, and are meant to help reduce the risk of infection transmission. Examples of disposable medical equipment include gloves, gowns, face masks, syringes, and bandages.
Disposable equipment is intended for single use only and should not be reused or cleaned for reuse. This helps ensure that the equipment remains sterile and free from potential contaminants that could cause harm to patients or healthcare workers. Proper disposal of these items is also important to prevent the spread of infection and maintain a safe and clean environment.
A lingual nerve injury refers to damage or trauma to the lingual nerve, which is a branch of the mandibular nerve (itself a branch of the trigeminal nerve). The lingual nerve provides sensation to the anterior two-thirds of the tongue and the floor of the mouth. It also contributes to taste perception on the front two-thirds of the tongue through its connection with the chorda tympani nerve.
Lingual nerve injuries can result from various causes, such as surgical procedures (e.g., dental extractions, implant placements, or third molar surgeries), pressure from tumors or cysts, or direct trauma to the mouth and tongue area. The injury may lead to symptoms like numbness, altered taste sensation, pain, or difficulty speaking and swallowing. Treatment for lingual nerve injuries typically involves a combination of symptom management and possible surgical intervention, depending on the severity and cause of the injury.
Tooth injuries are damages or traumas that affect the teeth's structure and integrity. These injuries can occur due to various reasons, such as accidents, sports-related impacts, falls, fights, or biting on hard objects. The severity of tooth injuries may range from minor chips and cracks to more severe fractures, luxations (displacement), or avulsions (complete tooth loss).
Tooth injuries are typically classified into two main categories:
1. Crown injuries: These involve damages to the visible part of the tooth, including chipping, cracking, or fracturing. Crown injuries may be further categorized as:
* Uncomplicated crown fracture: When only the enamel and dentin are affected without pulp exposure.
* Complicated crown fracture: When the enamel, dentin, and pulp are all exposed.
2. Root injuries: These involve damages to the tooth root or the supporting structures, such as the periodontal ligament and alveolar bone. Root injuries may include luxations (displacements), intrusions (teeth pushed into the socket), extrusions (teeth partially out of the socket), or avulsions (complete tooth loss).
Immediate medical attention is necessary for severe tooth injuries, as they can lead to complications like infection, tooth decay, or even tooth loss if not treated promptly and appropriately. Treatment options may include dental fillings, crowns, root canal therapy, splinting, or reimplantation in the case of avulsions. Preventive measures, such as wearing mouthguards during sports activities, can help reduce the risk of tooth injuries.
Equipment design, in the medical context, refers to the process of creating and developing medical equipment and devices, such as surgical instruments, diagnostic machines, or assistive technologies. This process involves several stages, including:
1. Identifying user needs and requirements
2. Concept development and brainstorming
3. Prototyping and testing
4. Design for manufacturing and assembly
5. Safety and regulatory compliance
6. Verification and validation
7. Training and support
The goal of equipment design is to create safe, effective, and efficient medical devices that meet the needs of healthcare providers and patients while complying with relevant regulations and standards. The design process typically involves a multidisciplinary team of engineers, clinicians, designers, and researchers who work together to develop innovative solutions that improve patient care and outcomes.
Laryngeal edema is a medical condition characterized by the swelling of the tissues in the larynx or voice box. The larynx, which contains the vocal cords, plays a crucial role in protecting the airways, regulating ventilation, and enabling speech and swallowing. Laryngeal edema can result from various causes, such as allergic reactions, infections, irritants, trauma, or underlying medical conditions like angioedema or autoimmune disorders.
The swelling of the laryngeal tissues can lead to narrowing of the airways, causing symptoms like difficulty breathing, noisy breathing (stridor), coughing, and hoarseness. In severe cases, laryngeal edema may obstruct the airway, leading to respiratory distress or even suffocation. Immediate medical attention is necessary for individuals experiencing these symptoms to ensure proper diagnosis and timely intervention. Treatment options typically include medications like corticosteroids, antihistamines, or epinephrine to reduce swelling and alleviate airway obstruction.
A manikin is commonly referred to as a full-size model of the human body used for training in various medical and healthcare fields. Medical manikins are often made from materials that simulate human skin and tissues, allowing for realistic practice in procedures such as physical examinations, resuscitation, and surgical techniques.
These manikins can be highly advanced, with built-in mechanisms to simulate physiological responses, such as breathing, heartbeats, and pupil dilation. They may also have interchangeable parts, allowing for the simulation of various medical conditions and scenarios. Medical manikins are essential tools in healthcare education, enabling learners to develop their skills and confidence in a controlled, safe environment before working with real patients.
Epiglottitis is a medical condition characterized by inflammation and swelling of the epiglottis, which is a flap of tissue that sits at the base of the tongue and covers the windpipe (trachea) during swallowing to prevent food and liquids from entering the airway. When the epiglottis becomes inflamed and swollen, it can obstruct the flow of air into the lungs, leading to difficulty breathing and other symptoms such as fever, sore throat, and drooling. Epiglottitis is a medical emergency that requires immediate treatment, often with antibiotics and airway management measures such as intubation or tracheostomy.
Laryngostenosis is a medical term that refers to a condition where the larynx (or voice box) becomes narrowed. This can occur due to various reasons such as scarring, swelling, or growths in the laryngeal area. The narrowing can cause difficulty with breathing, swallowing, and speaking. In severe cases, it may require medical intervention, such as surgery, to correct the problem.
The arytenoid cartilages are paired, irregularly shaped pieces of elastic cartilage located in the larynx (voice box) of mammals. They play a crucial role in the process of vocalization and breathing.
Each arytenoid cartilage has a body and two projections: the vocal process, which provides attachment for the vocal cord, and the muscular process, which serves as an attachment site for various intrinsic laryngeal muscles. The arytenoid cartilages are connected to the cricoid cartilage below by the synovial cricoarytenoid joints, allowing for their movement during respiration and phonation.
These cartilages help in adjusting the tension of the vocal cords and controlling the opening and closing of the rima glottidis (the space between the vocal cords), which is essential for breathing, swallowing, and producing sounds. Any abnormalities or injuries to the arytenoid cartilages may result in voice disturbances or respiratory difficulties.
Laryngomalacia is a common condition in infants characterized by soft, floppy tissues (folds) in the upper part of the windpipe (larynx) just above the vocal cords. These tissues are known as the aryepiglottic folds and the epiglottis. In laryngomalacia, these tissues are unusually soft and may prolapse or fall into the airway when an infant inhales, causing stridor (noisy breathing) or other symptoms. It's usually not a serious condition and often resolves on its own as the child grows and the tissues become stiffer. However, in some cases, it can lead to feeding difficulties, poor weight gain, or breathing problems that may require medical intervention.
Video-assisted surgery, also known as video-assisted thoracic surgery (VATS), is a type of minimally invasive surgical procedure that uses a video camera and specialized instruments to perform the operation. A small incision is made in the body, and the surgeon inserts a thin tube with a camera on the end, known as a thoracoscope, into the chest cavity. The camera transmits images of the internal organs onto a video monitor, allowing the surgeon to visualize and perform the surgery. This type of surgery often results in smaller incisions, less pain, and faster recovery times compared to traditional open surgery. It is commonly used for procedures such as lung biopsies, lobectomies, and esophageal surgeries.
Thyroid cartilage is the largest and most superior of the laryngeal cartilages, forming the front and greater part of the larynx, also known as the "Adam's apple" in humans. It serves to protect the vocal cords and provides attachment for various muscles involved in voice production. The thyroid cartilage consists of two laminae that join in front at an angle, creating a noticeable prominence in the anterior neck. This structure is crucial in speech formation and swallowing functions.
In medical terms, the "neck" is defined as the portion of the body that extends from the skull/head to the thorax or chest region. It contains 7 cervical vertebrae, muscles, nerves, blood vessels, lymphatic vessels, and glands (such as the thyroid gland). The neck is responsible for supporting the head, allowing its movement in various directions, and housing vital structures that enable functions like respiration and circulation.
Tongue diseases refer to various medical conditions that affect the structure, function, or appearance of the tongue. These conditions can be categorized into several types, including:
1. Infections: Bacterial, viral, or fungal infections can cause tongue inflammation (glossitis), pain, and ulcers. Common causes include streptococcus, herpes simplex, and candida albicans.
2. Traumatic injuries: These can result from accidental bites, burns, or irritation caused by sharp teeth, dental appliances, or habitual habits like tongue thrusting or chewing.
3. Neoplasms: Both benign and malignant growths can occur on the tongue, such as papillomas, fibromas, and squamous cell carcinoma.
4. Congenital disorders: Some individuals may be born with abnormalities of the tongue, like ankyloglossia (tongue-tie) or macroglossia (enlarged tongue).
5. Neurological conditions: Certain neurological disorders can affect tongue movement and sensation, such as Bell's palsy, stroke, or multiple sclerosis.
6. Systemic diseases: Various systemic conditions can have symptoms that manifest on the tongue, like diabetes mellitus (which can cause dryness and furring), iron deficiency anemia (which may lead to atrophic glossitis), or Sjögren's syndrome (which can result in xerostomia).
7. Idiopathic: In some cases, the cause of tongue symptoms remains unknown, leading to a diagnosis of idiopathic glossitis or burning mouth syndrome.
Proper diagnosis and treatment of tongue diseases require a thorough examination by a healthcare professional, often involving a dental or medical specialist such as an oral pathologist, otolaryngologist, or dermatologist.
Voice quality, in the context of medicine and particularly in otolaryngology (ear, nose, and throat medicine), refers to the characteristic sound of an individual's voice that can be influenced by various factors. These factors include the vocal fold vibration, respiratory support, articulation, and any underlying medical conditions.
A change in voice quality might indicate a problem with the vocal folds or surrounding structures, neurological issues affecting the nerves that control vocal fold movement, or other medical conditions. Examples of terms used to describe voice quality include breathy, hoarse, rough, strained, or tense. A detailed analysis of voice quality is often part of a speech-language pathologist's assessment and can help in diagnosing and managing various voice disorders.
Speech-Language Pathology is a branch of healthcare that deals with the evaluation, diagnosis, treatment, and prevention of communication disorders, speech difficulties, and swallowing problems. Speech-language pathologists (SLPs), also known as speech therapists, are professionals trained to assess and help manage these issues. They work with individuals of all ages, from young children who may be delayed in their speech and language development, to adults who have communication or swallowing difficulties due to stroke, brain injury, neurological disorders, or other conditions. Treatment may involve various techniques and technologies to improve communication and swallowing abilities, and may also include counseling and education for patients and their families.
Airway obstruction is a medical condition that occurs when the normal flow of air into and out of the lungs is partially or completely blocked. This blockage can be caused by a variety of factors, including swelling of the tissues in the airway, the presence of foreign objects or substances, or abnormal growths such as tumors.
When the airway becomes obstructed, it can make it difficult for a person to breathe normally. They may experience symptoms such as shortness of breath, wheezing, coughing, and chest tightness. In severe cases, airway obstruction can lead to respiratory failure and other life-threatening complications.
There are several types of airway obstruction, including:
1. Upper airway obstruction: This occurs when the blockage is located in the upper part of the airway, such as the nose, throat, or voice box.
2. Lower airway obstruction: This occurs when the blockage is located in the lower part of the airway, such as the trachea or bronchi.
3. Partial airway obstruction: This occurs when the airway is partially blocked, allowing some air to flow in and out of the lungs.
4. Complete airway obstruction: This occurs when the airway is completely blocked, preventing any air from flowing into or out of the lungs.
Treatment for airway obstruction depends on the underlying cause of the condition. In some cases, removing the obstruction may be as simple as clearing the airway of foreign objects or mucus. In other cases, more invasive treatments such as surgery may be necessary.
In medical terms, the "head" is the uppermost part of the human body that contains the brain, skull, face, eyes, nose, mouth, and ears. It is connected to the rest of the body by the neck and is responsible for many vital functions such as sight, hearing, smell, taste, touch, and thought processing. The head also plays a crucial role in maintaining balance, speech, and eating.
Laryngeal neoplasms refer to abnormal growths or tumors in the larynx, also known as the voice box. These growths can be benign (non-cancerous) or malignant (cancerous). Laryngeal neoplasms can affect any part of the larynx, including the vocal cords, epiglottis, and the area around the vocal cords called the ventricle.
Benign laryngeal neoplasms may include papillomas, hemangiomas, or polyps. Malignant laryngeal neoplasms are typically squamous cell carcinomas, which account for more than 95% of all malignant laryngeal tumors. Other types of malignant laryngeal neoplasms include adenocarcinoma, sarcoma, and lymphoma.
Risk factors for developing laryngeal neoplasms include smoking, alcohol consumption, exposure to industrial chemicals, and a history of acid reflux. Symptoms may include hoarseness, difficulty swallowing, sore throat, ear pain, or a lump in the neck. Treatment options depend on the type, size, location, and stage of the neoplasm but may include surgery, radiation therapy, chemotherapy, or a combination of these treatments.
Preanesthetic medication, also known as premedication, refers to the administration of medications before anesthesia to help prepare the patient for the upcoming procedure. These medications can serve various purposes, such as:
1. Anxiolysis: Reducing anxiety and promoting relaxation in patients before surgery.
2. Amnesia: Causing temporary memory loss to help patients forget the events leading up to the surgery.
3. Analgesia: Providing pain relief to minimize discomfort during and after the procedure.
4. Antisialagogue: Decreasing saliva production to reduce the risk of aspiration during intubation.
5. Bronchodilation: Relaxing bronchial smooth muscles, which can help improve respiratory function in patients with obstructive lung diseases.
6. Antiemetic: Preventing or reducing the likelihood of postoperative nausea and vomiting.
7. Sedation: Inducing a state of calmness and drowsiness to facilitate a smooth induction of anesthesia.
Common preanesthetic medications include benzodiazepines (e.g., midazolam), opioids (e.g., fentanyl), anticholinergics (e.g., glycopyrrolate), and H1-antihistamines (e.g., diphenhydramine). The choice of preanesthetic medication depends on the patient's medical history, comorbidities, and the type of anesthesia to be administered.
Inhalational anesthesia is a type of general anesthesia that is induced by the inhalation of gases or vapors. It is administered through a breathing system, which delivers the anesthetic agents to the patient via a face mask, laryngeal mask airway, or endotracheal tube.
The most commonly used inhalational anesthetics include nitrous oxide, sevoflurane, isoflurane, and desflurane. These agents work by depressing the central nervous system, causing a reversible loss of consciousness, amnesia, analgesia, and muscle relaxation.
The depth of anesthesia can be easily adjusted during the procedure by changing the concentration of the anesthetic agent. Once the procedure is complete, the anesthetic agents are eliminated from the body through exhalation, allowing for a rapid recovery.
Inhalational anesthesia is commonly used in a wide range of surgical procedures due to its ease of administration, quick onset and offset of action, and ability to rapidly adjust the depth of anesthesia. However, it requires careful monitoring and management by trained anesthesia providers to ensure patient safety and optimize outcomes.
Propofol is a short-acting medication that is primarily used for the induction and maintenance of general anesthesia during procedures such as surgery. It belongs to a class of drugs called hypnotics or sedatives, which work by depressing the central nervous system to produce a calming effect. Propofol can also be used for sedation in mechanically ventilated patients in intensive care units and for procedural sedation in various diagnostic and therapeutic procedures outside the operating room.
The medical definition of Propofol is:
A rapid-onset, short-duration intravenous anesthetic agent that produces a hypnotic effect and is used for induction and maintenance of general anesthesia, sedation in mechanically ventilated patients, and procedural sedation. It acts by enhancing the inhibitory effects of gamma-aminobutyric acid (GABA) in the brain, leading to a decrease in neuronal activity and a reduction in consciousness. Propofol has a rapid clearance and distribution, allowing for quick recovery after discontinuation of its administration.
Androstanols are a class of steroid compounds that contain a skeleton of 17 carbon atoms arranged in a particular structure. They are derived from androstane, which is a reduced form of testosterone, a male sex hormone. Androstanols have a variety of biological activities and can be found in various tissues and bodily fluids, including sweat, urine, and blood.
In the context of medical research and diagnostics, androstanols are sometimes used as biomarkers to study various physiological processes and diseases. For example, some studies have investigated the use of androstanol metabolites in urine as markers for prostate cancer. However, more research is needed to establish their clinical utility.
It's worth noting that while androstanols are related to steroid hormones, they do not have the same hormonal activity as testosterone or other sex hormones. Instead, they may play a role in cell signaling and other regulatory functions within the body.
Spinal injuries refer to damages or traumas that occur to the vertebral column, which houses and protects the spinal cord. These injuries can be caused by various factors such as trauma from accidents (motor vehicle, sports-related, falls, etc.), violence, or degenerative conditions like arthritis, disc herniation, or spinal stenosis.
Spinal injuries can result in bruising, fractures, dislocations, or compression of the vertebrae, which may then cause damage to the spinal cord and its surrounding tissues, nerves, and blood vessels. The severity of a spinal injury can range from mild, with temporary symptoms, to severe, resulting in permanent impairment or paralysis below the level of injury.
Symptoms of spinal injuries may include:
- Pain or stiffness in the neck or back
- Numbness, tingling, or weakness in the limbs
- Loss of bladder or bowel control
- Difficulty walking or maintaining balance
- Paralysis or loss of sensation below the level of injury
- In severe cases, respiratory problems and difficulty in breathing
Immediate medical attention is crucial for spinal injuries to prevent further damage and ensure proper treatment. Treatment options may include immobilization, surgery, medication, rehabilitation, and physical therapy.
Intravenous anesthetics are a type of medication that is administered directly into a vein to cause a loss of consciousness and provide analgesia (pain relief) during medical procedures. They work by depressing the central nervous system, inhibiting nerve impulse transmission and ultimately preventing the patient from feeling pain or discomfort during surgery or other invasive procedures.
There are several different types of intravenous anesthetics, each with its own specific properties and uses. Some common examples include propofol, etomidate, ketamine, and barbiturates. These drugs may be used alone or in combination with other medications to provide a safe and effective level of anesthesia for the patient.
The choice of intravenous anesthetic depends on several factors, including the patient's medical history, the type and duration of the procedure, and the desired depth and duration of anesthesia. Anesthesiologists must carefully consider these factors when selecting an appropriate medication regimen for each individual patient.
While intravenous anesthetics are generally safe and effective, they can have side effects and risks, such as respiratory depression, hypotension, and allergic reactions. Anesthesia providers must closely monitor patients during and after the administration of these medications to ensure their safety and well-being.
Maxillary fractures, also known as Le Fort fractures, are complex fractures that involve the upper jaw or maxilla. Named after the French surgeon René Le Fort who first described them in 1901, these fractures are categorized into three types (Le Fort I, II, III) based on the pattern and level of bone involvement.
1. Le Fort I fracture: This type of maxillary fracture involves a horizontal separation through the lower part of the maxilla, just above the teeth's roots. It often results from direct blows to the lower face or chin.
2. Le Fort II fracture: A Le Fort II fracture is characterized by a pyramidal-shaped fracture pattern that extends from the nasal bridge through the inferior orbital rim and maxilla, ending at the pterygoid plates. This type of fracture usually results from forceful impacts to the midface or nose.
3. Le Fort III fracture: A Le Fort III fracture is a severe craniofacial injury that involves both the upper and lower parts of the face. It is also known as a "craniofacial dysjunction" because it separates the facial bones from the skull base. The fracture line extends through the nasal bridge, orbital rims, zygomatic arches, and maxilla, ending at the pterygoid plates. Le Fort III fractures typically result from high-impact trauma to the face, such as car accidents or assaults.
These fractures often require surgical intervention for proper alignment and stabilization of the facial bones.
Dysgeusia is a medical term that refers to a distortion in the ability to taste. It can cause food and drinks to have a metallic, rancid, or bitter taste. Dysgeusia is different from ageusia, which is the complete loss of taste, and hypogeusia, which is a reduced ability to taste.
Dysgeusia can be caused by various factors, including damage to the nerves responsible for taste, exposure to certain chemicals or medications, and medical conditions such as diabetes, kidney disease, and gastroesophageal reflux disease (GERD). Treatment for dysgeusia depends on the underlying cause. If a medication is causing the symptom, changing the medication or adjusting the dosage may help. In other cases, addressing the underlying medical condition may improve taste perception.
Thiopental, also known as Thiopentone, is a rapid-onset, ultrashort-acting barbiturate derivative. It is primarily used for the induction of anesthesia due to its ability to cause unconsciousness quickly and its short duration of action. Thiopental can also be used for sedation in critically ill patients, though this use has become less common due to the development of safer alternatives.
The drug works by enhancing the inhibitory effects of gamma-aminobutyric acid (GABA), a neurotransmitter in the brain that produces a calming effect. This results in the depression of the central nervous system, leading to sedation, hypnosis, and ultimately, anesthesia.
It is worth noting that Thiopental has been largely replaced by newer drugs in many clinical settings due to its potential for serious adverse effects, such as cardiovascular and respiratory depression, as well as the risk of anaphylaxis. Additionally, it has been used in controversial procedures like capital punishment in some jurisdictions.
The cervical vertebrae are the seven vertebrae that make up the upper part of the spine, also known as the neck region. They are labeled C1 to C7, with C1 being closest to the skull and C7 connecting to the thoracic vertebrae in the chest region. The cervical vertebrae have unique structures to allow for a wide range of motion in the neck while also protecting the spinal cord and providing attachment points for muscles and ligaments.
Neuromuscular non-depolarizing agents are a type of muscle relaxant medication used in anesthesia and critical care settings to facilitate endotracheal intubation, mechanical ventilation, and to prevent muscle contractions during surgery. These agents work by competitively binding to the acetylcholine receptors at the neuromuscular junction, without activating them, thereby preventing the initiation of muscle contraction.
Examples of non-depolarizing neuromuscular blocking agents include:
* Vecuronium
* Rocuronium
* Pancuronium
* Atracurium
* Cisatracurium
* Mivacurium
These medications have a reversible effect and their duration of action can be prolonged in patients with impaired renal or hepatic function, acid-base imbalances, electrolyte abnormalities, or in those who are taking other medications that interact with these agents. Therefore, it is important to monitor the patient's neuromuscular function during and after the administration of non-depolarizing neuromuscular blocking agents.
Laryngeal nerve injuries refer to damages or injuries to the recurrent laryngeal nerve (RLN) and/or the superior laryngeal nerve (SLN), which are the primary nerves that supply the larynx, or voice box. These nerves play crucial roles in controlling the vocal cord movements and protecting the airway during swallowing.
The recurrent laryngeal nerve provides motor function to all intrinsic muscles of the larynx, except for the cricothyroid muscle, which is innervated by the superior laryngeal nerve. The RLN also carries sensory fibers from a small area of the mucous membrane below the vocal folds.
Injuries to these nerves can result in voice changes, breathing difficulties, and swallowing problems. Depending on the severity and location of the injury, patients may experience hoarseness, weak voice, breathy voice, coughing while swallowing, or even complete airway obstruction in severe cases. Laryngeal nerve injuries can occur due to various reasons, such as surgical complications (e.g., thyroid, esophageal, and cardiovascular surgeries), neck trauma, tumors, infections, or iatrogenic causes.
Immobilization is a medical term that refers to the restriction of normal mobility or motion of a body part, usually to promote healing and prevent further injury. This is often achieved through the use of devices such as casts, splints, braces, slings, or traction. The goal of immobilization is to keep the injured area in a fixed position so that it can heal properly without additional damage. It may be used for various medical conditions, including fractures, dislocations, sprains, strains, and soft tissue injuries. Immobilization helps reduce pain, minimize swelling, and protect the injured site from movement that could worsen the injury or impair healing.
Alfentanil is a synthetic opioid analgesic drug that is chemically related to fentanyl. It is used for the provision of sedation and pain relief, particularly in critical care settings and during surgical procedures.
The medical definition of Alfentanil is as follows:
Alfentanil is a potent, short-acting opioid analgesic with a rapid onset of action. It is approximately 10 times more potent than morphine and has a rapid clearance rate due to its short elimination half-life of 1-2 hours. Alfentanil is used for the induction and maintenance of anesthesia, as well as for sedation and pain relief in critically ill patients. It works by binding to opioid receptors in the brain and spinal cord, which inhibits the transmission of pain signals and produces analgesia, sedation, and respiratory depression.
Like all opioids, Alfentanil carries a risk of dependence, tolerance, and respiratory depression, and should be used with caution in patients with respiratory or cardiovascular disease. It is typically administered by healthcare professionals in a controlled setting due to its potency and potential for adverse effects.
Succinylcholine is a neuromuscular blocking agent, a type of muscle relaxant used in anesthesia during surgical procedures. It works by inhibiting the transmission of nerve impulses at the neuromuscular junction, leading to temporary paralysis of skeletal muscles. This facilitates endotracheal intubation and mechanical ventilation during surgery. Succinylcholine has a rapid onset of action and is metabolized quickly, making it useful for short surgical procedures. However, its use may be associated with certain adverse effects, such as increased heart rate, muscle fasciculations, and potentially life-threatening hyperkalemia in susceptible individuals.
The "chin" is the lower, prominent part of the front portion of the jaw in humans and other animals. In medical terms, it is often referred to as the mentum or the symphysis of the mandible. The chin helps in protecting the soft tissues of the mouth and throat during activities such as eating, speaking, and swallowing. It also plays a role in shaping the overall appearance of the face. Anatomically, the chin is formed by the fusion of the two halves of the mandible (lower jawbone) at the symphysis menti.
Laryngopharyngeal reflux (LPR) is a condition in which the stomach contents, particularly acid, flow backward from the stomach into the larynx (voice box) and pharynx (throat). This is also known as extraesophageal reflux disease (EERD) or supraesophageal reflux disease (SERD). Unlike gastroesophageal reflux disease (GERD), where acid reflux causes symptoms such as heartburn and regurgitation, LPR may not cause classic reflux symptoms, but rather symptoms related to the upper aerodigestive tract. These can include hoarseness, throat clearing, cough, difficulty swallowing, and a sensation of a lump in the throat.
Laryngoscopy
Suction Assisted Laryngoscopy Airway Decontamination
Contact granuloma
History of general anesthesia
Tracheal intubation
History of tracheal intubation
Laryngeal saccules
Cricoid pressure
Ludwig Türck
Cyril Arthur Bennett Horsford
Exercise-induced laryngeal obstruction
Flexible Endoscopic Evaluation of Swallowing with Sensory Testing
Laryngeal papillomatosis
Epiglottis
Laryngomalacia
Dysphagia
Dysgeusia
Rapid sequence induction
Benjamin Guy Babington
Airtraq
Respiratory arrest
Victor von Bruns
Morell Mackenzie
János Bókai
Cormack-Lehane classification system
Esmolol
Laryngitis
Robert Macintosh
Larynx
Gustav Brühl (author)
Direct laryngoscopy20
- In 1913, Chevalier Jackson was the first to report a high rate of success for the use of direct laryngoscopy as a means to intubate the trachea. (wikipedia.org)
- Janeway was thus instrumental in popularizing the widespread use of direct laryngoscopy and tracheal intubation in the practice of anesthesiology. (wikipedia.org)
- Although research has shown that video laryngoscopy improves glottic visualization during elective surgery in the operating room, direct laryngoscopy is routinely used to perform uncomplicated endotracheal intubation outside the operating room. (medscape.com)
- The researchers compared video with direct laryngoscopy in a prospective randomized controlled trial conducted at an 856-bed medical center with a closed 16-bed medical intensive care unit. (medscape.com)
- In a direct laryngoscopy , the doctor can use different types of laryngoscopes, which are long, thin instruments with a light and a lens or small video camera on the end. (cancer.org)
- Previous studies suggest improved intubation success using video laryngoscopy (VL) vs direct laryngoscopy (DL), yet recent randomized trials have not shown clear benefit of one method over the other. (medscape.com)
- By incorporating a Macintosh blade, i-viewâ„¢ can also be used for direct laryngoscopy and the technique for insertion is more familiar and instinctive than for devices with a hyper-angulated blade. (intersurgical.com)
- Direct laryngoscopy allows visualization of the larynx by the use of a fiberoptic endoscope or laryngoscope passed through the mouth or nose and pharynx and larynx. (nursingpath.in)
- Direct laryngoscopy was done as a diagnostic approach in 75 % of patients and in 25 % it was performed as a therapeutic procedure. (medcraveebooks.com)
- the diagnostic accuracy was 87% by comparing direct laryngoscopy findings and histological diagnosis. (medcraveebooks.com)
- Direct laryngoscopy was difficult in three patients. (medcraveebooks.com)
- Moreover, laryngospasm was significantly higher among patients underwent direct laryngoscopy with other procedures "than those underwent direct laryngoscopy alone. (medcraveebooks.com)
- Comparison of GlideScope Video Laryngoscopy and Direct Laryngoscopy for Tracheal Intubation in Neonates. (qxmd.com)
- Tracheal intubation (direct laryngoscopy). (medscape.com)
- A study by Blair et al determined that video laryngoscopy significantly improved glottic exposure compared with direct laryngoscopy (97% Cormack-Lehane grade I or II vs 51%) in simulated difficult airway scenarios (ie, cervical spine immobilization and trismus) using medium-fidelity human simulators. (medscape.com)
- In this day and age with video laryngoscopy (VL) rapidly becoming more freely available for orotracheal intubation (OTI) one might ask if there is still a need for a chapter on direct laryngoscopy (DL). (mhmedical.com)
- What Is the History and Evolution of Direct Laryngoscopy? (mhmedical.com)
- Introduction: Our objective is to evaluate the resident learning curves for direct laryngoscopy (DL) and GlideScope® video laryngoscopy (GVL) over the course of an emergency medicine (EM) residency training program. (arizona.edu)
- What are the differences in technique between video and direct laryngoscopy? (emdocs.net)
- 6. [Direct laryngoscopy and microlaryngoscopy under anesthesia]. (nih.gov)
Tracheal intubation6
- Laryngoscopy may be performed to facilitate tracheal intubation during general anaesthesia or cardiopulmonary resuscitation or for surgical procedures on the larynx or other parts of the upper tracheobronchial tree. (wikipedia.org)
- Predicting difficult laryngoscopy for tracheal intubation: an approach to airway assessment. (nih.gov)
- Laryngoscopy and tracheal Intubation are invariably associated with certain stress responses due to the sympatho-adrenal stimulation. (ijclinicaltrials.com)
- We therefore, planned this comparative study to evaluate and compare the efficacy of intravenous magnesium sulphate (30 mg/kg) versus sublingual nitroglycerine spray (0.4 mg/spray) in attenuating the presser response to Laryngoscopy and Tracheal Intubation. (ijclinicaltrials.com)
- VandenBerg AA, Halliday EM, Soomro NA, Rasheed A, Baloch M. Reducing cardiovascular responses to laryngoscopy and tracheal intubation: A comparison of equipotent doses of tramadol, nalbuphine and pethidine, with placebo. (ijclinicaltrials.com)
- Background: Blood pressure and heart rate elevation during laryngoscopy and tracheal intubation may cause serious medical problems ex. (medicopublication.com)
Intubation15
- This procedure is most often employed by anaesthetists for endotracheal intubation under general anaesthesia, but also in direct diagnostic laryngoscopy with biopsy. (wikipedia.org)
- [ 13-17 ] Video laryngoscopy has become increasingly used in ED intubations, and variations in VL design (hyperangulated vs standard geometry blade shape) can affect the mechanics of intubation and may improve first-pass success (FPS). (medscape.com)
- There is an excellent repository of laryngoscopy and intubation material prepared for #SMACCdub on TheSharpEnd. (openairway.org)
- Video laryngoscopy is the premise of fiberoptic intubation. (medscape.com)
- Both nitroglycerine spray and lignocaine spray attenuate the hemodynamic changes during laryngoscopy and intubation. (anesthesiologypaper.com)
- Intravenous magnesium or sublingual nitroglycerine pre-treatment is found to be effective in attenuating the presser response to laryngoscopy and intubation. (ijclinicaltrials.com)
- However, both the drugs can significantly control the hypertensive response after laryngoscopy and intubation. (ijclinicaltrials.com)
- Bruder N, Ortega D Granthil C. Consequences and prevention methods of hemodynamic changes during laryngoscopy and intubation. (ijclinicaltrials.com)
- Mitra S. Blunting of haemodynamic responses to laryngoscopy and intubation- A review of methods. (ijclinicaltrials.com)
- Controlling the hemodynamic response to Laryngoscopy and Endotracheal Intubation. (ijclinicaltrials.com)
- The aim of our study among 189 patients enrolled is to correlate alveolar gap and maximum cleft width measurements as predictors of difficult laryngoscopy and intubation in infants with unilateral complete cleft lip/palate aging from 1 to 6 months. (springeropen.com)
- Alveolar cleft and maximum cleft width can be used as predictors for anticipation of difficult laryngoscopy and intubation infant patients with unilateral complete cleft lip and palate, while body weight ≤ 5.75 kg increases the risk more than twice. (springeropen.com)
- Difficult intubation is the main concern in anesthesia practice, especially that early surgical repair starts after 1 month of age, and the pediatric airway combined with cleft lip and palate anomaly themselves may further increase difficulty in laryngoscopy and intubation (Liau et al. (springeropen.com)
- Also various accessories such as bougie, prism, angle adaptor and mirrors as well as various methods of laryngoscopy such as modified straight blade laryngoscopes were tried to overcome the problem of difficult intubation. (ispub.com)
- Our study is aimed at finding out some alternative and effective methods of laryngoscopy for glottic visualization and intubation .Our study compared the Cormack Lehane grade, head extension angle, laryngoscope blade levering motion angle [ LBLM ] and pressor response with Macintosh, McCoy and Balloon Laryngoscopy in Neutral and Head Extension position. (ispub.com)
Larynx15
- Laryngoscopy (/ˌlærɪŋˈɡɒskəpi/) is endoscopy of the larynx, a part of the throat. (wikipedia.org)
- Laryngoscopy [lair-in-GAHS-kuh-pee]: procedure used to see, directly or indirectly, the vocal folds (formerly known as vocal cords) and neighboring tissue in the larynx (voice box) or other parts of the throat. (nih.gov)
- Laryngoscopy is a procedure a doctor uses to look at the larynx (voice box), including the vocal cords, as well as nearby structures like the back of the throat. (cancer.org)
- Bullard laryngoscopy allows visualization of the larynx without requiring alignment of the pharyngeal, laryngeal, and oral axes. (medscape.com)
- Laryngoscopy is a procedure whereby the airway and the passage into the airway (the glottis) is visualized or exposed to provide a route for the administration of anesthetic gases, introduce an endotracheal tube for securing the airway, allow a detailed examination of the larynx and its structures, or perform minor endolaryngeal procedures (eg, obtaining tissue specimens for biopsy). (medscape.com)
- Mirror (indirect) laryngoscopy is viewing of the pharynx and larynx using a small, curved mirror. (msdmanuals.com)
- Mirror laryngoscopy is typically done to evaluate symptoms in the pharynx and larynx. (msdmanuals.com)
- How To Do Flexible Laryngoscopy Flexible laryngoscopy is viewing of the pharynx and larynx using a flexible laryngoscope (also called a nasopharyngolaryngoscope). (msdmanuals.com)
- Mirror laryngoscopy provides only a limited view of the subglottic larynx and proximal trachea. (msdmanuals.com)
- To examine the larynx when indirect laryngoscopy is inadequate. (nursingpath.in)
- Video laryngoscopy is a form of indirect laryngoscopy in which the clinician does not directly view the larynx. (medscape.com)
- A rigid laryngoscope accompanied by video laryngoscopy, such as the GlideScope, has been shown to improve the view of the larynx as compared to conventional laryngoscopy. (medscape.com)
- Laryngoscopy is a crucial procedure used by doctors and medical professionals to examine the larynx or voice box. (connonc.com)
- Video laryngoscopy images of patient larynx and pharynx in study of pharyngeal co-infections with monkeypox virus and group A Streptococcus , United States, 2022. (cdc.gov)
- Adjustments of non-invasive ventilation and mechanically assisted cough by combining ultrasound imaging of the larynx with transnasal fibre-optic laryngoscopy: A protocol for an experimental study. (uib.no)
Laryngoscope8
- Bullard laryngoscopy uses a rigid fiberoptic laryngoscope that was designed for use with patients who are difficult to intubate. (medscape.com)
- The Bullard laryngoscope refined manipulation and visualization in the field of laryngoscopy. (medscape.com)
- This retraction of the epiglottis is facilitated by laryngoscopy with the help of the blade of the laryngoscope. (medscape.com)
- A laryngoscopy investigation is an examination of your throat using a thin tube called a laryngoscope, which has a tiny light and lens on the tip. (spirehealthcare.com)
- i-viewâ„¢ is a single use, fully disposable video laryngoscope providing the option of video laryngoscopy wherever you might need to intubate. (intersurgical.com)
- Laryngoscopy was carried out using a Macintosh no.3 (15 patients) or 4 (15 patients) or McCoy's no. 3 (15 patients) or No. 4 (15 patients) or Balloon laryngoscope (R1L2) no. 3 (15 patients) or 4 (15 patients) or Balloon laryngoscope (L1R2) no. 3 (15 patients) or 4 (15 patients). (ispub.com)
- McCoy's blade was superior for glottic visualization followed by balloon laryngoscope blade pressure response was significant in all approaches of laryngoscopy. (ispub.com)
- Various methods such as use of angulated laryngoscope with prism, left molar technique of laryngoscopy using infant size blade, paraglossal straight blade laryngoscopy 1 were tried in the past. (ispub.com)
Mirror Laryngoscopy1
- Following the development of mirror laryngoscopy in the 1800s by Garcia, Tuerck, and Czermak, 2 Kirstein reported the first use of DL in 1895. (mhmedical.com)
Visualization3
- According to the American Academy of Otolaryngology Head and Neck Surgery, a child should be referred for a laryngoscopy (visualization of the vocal folds) if hoarseness lasts 4 weeks. (healthychildren.org)
- The McCoy's blade gives better glottic visualization on laryngoscopy than other laryngoscopes. (ispub.com)
- In balloon laryngoscopy, L1R2 group performed slightly better than R1L2 in glottic visualization. (ispub.com)
Procedure2
- A laryngoscopy is a transnasal (through the nose) procedure. (healthychildren.org)
- Transnasal flexible laryngoscopy is considered an aerosol generating procedure. (cdc.gov)
Anesthesia2
- Propofol and remifentanil intravenous combination is one popular form of total intravenous anesthesia (TIVA) in mainstream clinical practice, but it has rarely been applied to a rat model for laryngoscopy and laryngeal electromyography (LEMG). (biomedcentral.com)
- Sprague Dawley rats were subjected to either inhalational anesthesia (IA) (isoflurane) or TIVA (propofol and remifentanil) and underwent laryngoscopy and LEMG. (biomedcentral.com)
Indirect2
- citation needed] Indirect laryngoscopy is performed whenever the provider visualizes the patient's vocal cords by a means other than obtaining a direct line of sight (e.g. a mirror). (wikipedia.org)
- For an indirect laryngoscopy , the doctor aims a light at the back of the throat, usually by wearing headgear that has a bright light attached, and uses a small, tilted mirror held at the back of the throat to see the vocal cords. (cancer.org)
Continuous laryngoscopy3
- EILO was investigated using continuous laryngoscopy during exercise. (bmj.com)
- Reliability of maximum oxygen uptake in cardiopulmonary exercise testing with continuous laryngoscopy. (uib.no)
- Changes in pulmonary function and feasibility of portable continuous laryngoscopy during maximal uphill running. (uib.no)
Conventional laryngoscopy1
- Bullard laryngoscopy causes less cervical spine movement than conventional laryngoscopy. (medscape.com)
Laryngoscopes1
- The first generation of laryngoscopes have a straight (Miller) or a curved (Mackintosh) blade, which is adequate for performing routine laryngoscopy in a patient. (medscape.com)
Underwent1
- These include large- and small-diameter tubes localized in the supraglottic, subglottic, or transtracheal region.Material/Methods:We report our clinical experience with the use of the Benjet tube on 25 patients (23-64 years of age), American Society of Anesthesiologists physical status I and II, who underwent operative laryngoscopy. (medscimonit.com)
Laryngeal Diseases1
- 1. [Examination and treatment of laryngeal diseases by direct microscopic laryngoscopy]. (nih.gov)
Endoscopy1
- His Chest X-ray, UGI Endoscopy and Laryngoscopy were fine. (cancer.org)
Biopsy1
- Laryngoscopy can be used to take biopsy samples of the vocal cords or nearby parts of the throat (to find out if an abnormal area is cancer, for example). (cancer.org)
Rigid2
- Video laryngoscopy is also used with rigid transoral laryngoscopy. (medscape.com)
- The primary outcome was a complete minimally interrupted rigid laryngoscopy and obtaining reproducible motor unit potentials from the posterior cricoarytenoid muscles. (biomedcentral.com)
Minimally1
- Our hypothesis is that TIVA allows a minimally morbid, and feasible laryngoscopy and LEMG. (biomedcentral.com)
Upper airway1
- Laryngoscopy can be performed to evaluate for foreign body or other obstruction in the upper airway. (medscape.com)
Flexible2
- Flexible laryngoscopy is generally done to evaluate symptoms. (msdmanuals.com)
- Flexible laryngoscopy showed ulcerative, vesicular lesions on the epiglottis. (cdc.gov)
Airway management1
- If laryngoscopy is essential, it should be done in the controlled setting of an operating room with a person skilled at difficult airway management (including surgical techniques) present. (msdmanuals.com)
Patients3
- Bullard laryngoscopy has distinct advantages in patients who are difficult to intubate, have limited or undesirable head and neck movements, have limited mouth openings, have facial fractures, or are morbidly obese. (medscape.com)
- Berger-Meditec's technology streamlines the laryngoscopy process, saving valuable time for both medical professionals and patients. (connonc.com)
- Because repeated laryngoscopies could increase intracranial and arterial blood pressure through sympathetic stimulation, we excluded patients with poor physical condition, hypertension, Ischemic heart disease, raised intracranial tension and respiratory distress. (ispub.com)
Pharynx1
- Video laryngoscopy showed edema and erythema of the pharynx, uvula, and epiglottis and multiple ulcers within the pharynx ( Figure 2 ). (cdc.gov)
Throat2
- Laryngoscopy can be used to treat some problems in the vocal cords or throat. (cancer.org)
- One form of laryngoscopy allows your surgeon to examine your throat, take a tissue sample or give treatment at the same time. (spirehealthcare.com)
19921
- Butler, P.J. and Dhara, S.S. (1992) Prediction of Difficult Laryngoscopy An Assessment of the Thyromental Distance and Mallampati Predictive Tests. (scirp.org)
Examination1
- The breakthrough advancements made by Berger-Meditec in laryngoscopy technology have ensured that doctors have access to state-of-the-art equipment that delivers unparalleled precision and clarity during the examination process. (connonc.com)
Blade1
- The best glottic view was recorded for each approach with and without OELM in case of Macintosh or with and without lever activation in case of the McCoy's blade or with and without inflation of balloon in Balloon laryngoscopy. (ispub.com)
Evaluate1
- Postexercise laryngoscopy can be used to evaluate for vocal cord dysfunction, a condition often mistaken for EIA. (medscape.com)
Typically1
- This is what typically happens before, during, and after a laryngoscopy. (cancer.org)
Facilitate1
- 1 Allowing other members of the team to view laryngoscopy may also facilitate better team dynamics and permit improved head or cricoid manipulation by assistants if necessary. (emdocs.net)
Healthcare2
- Welcome to an in-depth exploration of the significance of laryngoscopy in modern healthcare, and how Berger-Meditec, a well-established company in the domains of Doctors, Health & Medical, and Medical Centers, is playing a pivotal role in revolutionizing medical care through its cutting-edge laryngoscopy technology. (connonc.com)
- In a rapidly evolving healthcare landscape, it is critical for doctors and medical centers to invest in state-of-the-art technologies such as Berger-Meditec's laryngoscopy equipment. (connonc.com)
Surgery1
- 15. Microscopic laryngoscopy and laryngeal surgery. (nih.gov)
Patient3
- However, Dr. Ortiz wondered whether video laryngoscopy and other technology-based training procedures are the most beneficial to the patient. (medscape.com)
- However, certain characteristics of a patient or a clinical situation may render laryngoscopy cumbersome or even hazardous. (medscape.com)
- A negative pressure face shield (NPFS) was developed to control aerosol from the patient during laryngoscopy. (cdc.gov)