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Penetrating neck injuries are potentially life-threatening emergencies that can pose significant airway difficulties. There is a lack of evidence regarding the best practice for airway management in these patients. We aimed to describe a multistep approach to airway management in a 36-year-old patient with a 3 cm deep penetrating neck stab wound. A combined technique of videolaryngoscope and fiberoptic scope was utilized to secure the airway, considering the patient's stability and cooperation. In conclusion, D blade-assisted tracheal intubation following rapid sequence induction can be considered as a safe alternative to awake intubation with a high success rate in selected patients with penetrating neck injuries.

Despite the advancements in extracorporeal membrane oxygenation (ECMO) technology, balancing the prevention of thrombosis and the risk of bleeding in patients on ECMO is still a significant challenge for physicians. This systematic review and meta-analysis aimed to assess the efficacy and safety of viscoelastic point-of-care (POC)-guided coagulation management in adult patients on ECMO.

Myotonic dystrophy type-1 (Steinert disease) is an autosomal dominant, progressive multisystem disease in which myotonic crisis can be triggered by several factors including pain, emotional stress, hypothermia, shivering, and mechanical or electrical stimulation. In this report, dexmedetomidine-based general anesthesia, in combination with a thoracic epidural for laparoscopic cholecystectomy in a patient with Steinert disease, is presented. An Aintree intubation catheter with the guidance of a fiberoptic bronchoscope was used for intubation to avoid laryngoscopy. Prolonged anesthetic effects of propofol were reversed, and recovery from anesthesia was accelerated using an intravenous infusion of theophylline.

A Distrofia Miotônica (DM) tipo‐1 (Doença de Steinert) é uma doença multissistêmica progressiva autossômica dominante em que a crise miotônica pode ser desencadeada por vários fatores, incluindo dor, estresse emocional, hipotermia, tremores e estímulo mecânico ou elétrico. O presente relato descreve anestesia geral realizada com dexmedetomidina em combinação com peridural torácica para colecistectomia laparoscópica em paciente com Doença de Steinert. Para evitar laringoscopia, a intubação traqueal foi realizada utilizando cateter de intubação Aintree guiado por broncofibroscopia óptica. Os efeitos anestésicos prolongados do propofol foram revertidos e a recuperação anestésica foi acelerada pelo uso de infusão intravenosa de teofilina.

Airway management is one of the cornerstones of multidisciplinary treatment for patients with maxillofacial trauma. Nasal intubation is a technique used in maxillofacial procedures to provide space for surgery in the oral cavity. However, in some patients, it cannot be applied due to midface trauma, and in anatomical variations of the nasal septum it may even be impossible. In this case report, we aimed to present the airway management of a patient with type VI septum deviation according to Mladina classification, focusing on our step-by-step assessment in line with anticipated difficult airway guidelines with emphasis on non-technical skills.

A high flow oxygen delivery system has not yet been reported for intraoperative apneic oxygenation during robotic ureteroscopies. In this case report our primary aim was to present the potential advantages of high flow oxygen to optimize oxygenation and prevent desaturation intraoperatively. A 42 year old, male, smoker patient was admitted for treatment of renal stones. During robotic interventions, 10 minute periods of apneic oxygenation were performed and repeated 6 times. At the end of 1 hour apneic period the vital parameters were all stable. No complication was recorded. Endourological working conditions were improved as the kidneys remained immobile. We demonstrated that intraoperative high flow oxygenation systems applied through the tracheal tube can be used safely in robotic urological interventions.

In both in-hospital and out-of-hospital settings, pediatric cardiac arrest cases are common. Performing rescue breathing within a shorter time and achieving safe airway as early as possible during resuscitation is important for reducing interruptions. After a thorough review of the literature we concluded that the number of available randomized clinical studies is not enough to prove the superiority of different airway equipments in pediatric cardiac arrests. It is clear that the steps to be taken in this field will help determine the superior methods and create a tremendous impression. There is no data supporting the routine use of any of these airway equipments. The most appropriate technique depends on the conditions of cardiac arrest and experience of the practitioner. Supraglottic airway equipments, which have been developed for pediatric airway management, seems to be convenient in airway management. However pediatric tracheal intubation requires training and experience, thus presents a high incidence of complications.

Certain life-threatening congenital malformations have the opportunity to be treated with minimally invasive fetal surgery. In recent years fetoscopic surgery had a triggered interest. During the fetoscopic surgery all interventions effecting uteroplasental blood flow and eventually fetal oxygenation, may occur as complications like cardiac depression, maternal hypotension or pulmonary edema. Liaise with the increase in cardiac output and heart rate, the pregnant patient may display increased sensitivity to muscle relaxants and inhalational anesthetics. Due to incomplete myelination and synaptic activation, the fetus becomes more sensitive to volatile agents and analgesics.

European Airway Management Society (EAMS) was created as a multi-disciplinary society to provide a forum for health professionals interested in airway management. The foundation meeting was held during the European Society of Anesthesiology (ESA) Congress in June 2003. Since 2009, the EAMS Hands-on Airway Workshop has been organized during the annual congresses of the European Society of Anaesthesiologists (Euroanaesthesia congress) as a one-day precongress course. EAMS is eager to create a learning environment with small groups custom-made training in advanced airway management using simulated airway scenarios. By this way participants gain practice skills and strategies for the management of airway emergencies. EAMS created 6 committees: Committee on EAMS Development and Communication, Annual Meeting & Sponsoring Committee, Education & Trainee Committee, Advisory Committee, Science Committee and Airway Management in Special Circumstances Committee, and in all committees are Board of Directors (BOD) members represented. In conclusion EAMS is a growing non-profit society aiming to disseminate and promote the exchange of information in regard to airway management. EAMS is open for new members, new ideas and concepts, new scientific approaches to airway management and educational strategies to teach and learn airway management.

Fetal surgery is performed in several different fetal diagnosis centers with increasing frequency. Continuous tocolytic medication and effects of inhaled anesthetics on parasympathetic reflex vasodilation constitute a challenge for uteroplacental blood perfusion. The stability of pulmonary gas exchange and maternal hemodynamics is important. Otherwise maternal pulmonary oedema may easily occur according to an increase in pulmonary vascular permeability and extravascular lung water. Fluid management is required to ensure the continuity of the uteroplacental circulation and has to be performed very carefully. Hemodynamic monitoring parameters show us the principles of fluid management and allow us to draw a road map. In this review we aimed to present a summary concerning advanced hemodynamic monitoring during fetal surgery.