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This superbly illustrated atlas provides step-by-step descriptions of surgical procedures to the airways based on use of the sheep as an animal model, which has been demonstrated scientifically to be comparable to the human. The procedures covered – tracheotomy, laryngotracheoplasty, slide tracheoplasty, tracheal reconstruction, partial cricotracheal reconstruction, and main endoscopic techniques – are relevant to a range of frequent surgical indications, such as stenosis, laryngotracheomalacia, and tracheal tumor. The book is the first to describe such surgery on the basis of this animal model and includes a full description of preparation of the model. The practical guidance provided will equip surgical trainees with the knowledge required before embarking on these procedures in humans, but will also be highly relevant to more experienced surgeons wishing to upgrade their skills. The book is the outcome of a successful collaboration between the Head and Neck Surgery Departments of the University Hospital of Modena and the Bambino Gesù Hospital in Rome.

Disorders of the Neonatal Airway serves as a comprehensive, multidisciplinary resource for all practitioners who care for neonates with airway disorders. With the evolution of advances in neonatology and neonatal airway care over the past three decades, the survival rate and life expectancy of premature newborns have dramatically increased to well over 50% in 24-25 week gestation infants. Unfortunately, survival with long-term intubation has brought a corresponding increase in acquired airway disorders needing collaborative high level neonatal and otolaryngological care. Additionally, with the advent of fetal therapy, congenital airway disorders now make up a substantial number of neonates with complex airway disorders. Because of this fact, there has been increased focus on the multidisciplinary evaluation and management of neonatal airway disorders. The book is organized into three sections: the first focuses on Malformations and Deformations, the second focuses on Assessment, Evaluation, and Treatment, and the third discusses Education, Simulation, and Quality. As one of the only comprehensive resources on the topic, Disorders of the Neonatal Airway focuses on a multidisciplinary approach to the neonatal airway. This unique approach makes this reference a must read for practitioners from many disciplines.The book is organized into three sections: the first focuses on Malformations and Deformations, the second focuses on Assessment, Evaluation, and Treatment, and the third discusses Education, Simulation, and Quality. As one of the only comprehensive resources on the topic, Disorders of the Neonatal Airway focuses on a multidisciplinary approach to the neonatal airway. This unique approach makes this reference a must read for practitioners from many disciplines.The book is organized into three sections: the first focuses on Malformations and Deformations, the second focuses on Assessment, Evaluation, and Treatment, and the third discusses Education, Simulation, and Quality. As one of the only comprehensive resources on the topic, Disorders of the Neonatal Airway focuses on a multidisciplinary approach to the neonatal airway. This unique approach makes this reference a must read for practitioners from many disciplines.

Airway management is the medical process of ensuring there is an open pathway between a patient's lungs and the outside world, as well as reducing the risk of aspiration. Airway management is a primary consideration in cardiopulmonary resuscitation, anesthesia, emergency medicine, intensive care medicine and first aid. Difficult airway (defined as more than three attempts, or taking longer than 10 minutes) is the major factor in anesthesia morbidity.

Airway management is one of primary responsibilities of anesthesiologists and nurse anesthetists in the OR. The care of patients with airway disease is an especially significant challenge. These patients often represent the highest risk population in anesthetic practice because of the potential for catastrophic and possibly fatal airway loss. This book will provide a video-illustrated, practical guide to the management of routine and complex patients and procedures. Each case will begin with a general discussion of the important topics encountered in the case. Then the case will be presented along with a series of questions. Images and video will present the patient's anatomy as well as use of intubation and other management equipment. Video and images will present relevant portions of the operative procedure. Each question will then be fully answered.

This multidisciplinary book describes 42 different pathological sounds, occurring in different combinations, in 54 different pathological conditions. Uniquely, while recognizing the indispensability of conventional investigation methods - endoscopy, radiology, MRI - the editors demonstrate the value of perceptive-auditive evaluation and objective acoustic analysis as a complimentary diagnostic tool. A major feature of the book is that the diagnostic evaluations are based on exactly determined parameters in terms of acoustics.

Respiration is one of the most basic motor activities crucial for survival of the individual. It is under total control of the central nervous system, which adjusts respiratory depth and frequency depending on the circumstances the individual finds itself. For this reason this volume not only reviews the basic control systems of respiration, located in the caudal brainstem, but also the higher brain regions, that change depth and frequency of respiration. Scientific knowledge of these systems is crucial for understanding the problems in the many patients suffering from respiratory failure. - This well-established international series examines major areas of basic and clinical research within neuroscience, as well as emerging subfields.

Written by an international group of airway surgeons, this is an essential guide for residents and fellows in the fields of otolaryngology-–head and neck surgery, general surgery, and thoracic surgery, as well as consultant surgeons in these specialties who are responsible for managing airway conditions, but infrequently perform open airway surgeries. It covers everything the trainee requires for mastering open airway surgical procedures on a live animal and extrapolating these techniques to human patients.

Because of his international prominence, Professor Khan has been able to gather an enviable list of experts in the field to contribute their experience with airway management in a multitude of clinical settings. The critical appraisal of the airway authored by the editor, Professor Khan, sets the stage for the important preoperative tests that may alert the clinician of the potential for a difficult airway so that appropriate plans can be made. The formidable “guest list” of authors spans the world and encompasses clinicians from Malaysia, the United States, Pakistan, India, Denmark, Singapore, Germany, Canada and Iran. What is equally remarkable is the list of topics discussed in the textbook and the varied clinical settings in which airway management is likely to pose particular and unique challenges: pediatrics; patients with cervical spine injury and those with traumatic brain injury; ambulatory surgery; patients with obstructive sleep apnea and obstetric patients. The book also addresses the latest in technological advances that can aid the clinician in diagnosing and managing the difficult airway, such as ultrasonography and also describes surgical approaches to managing the difficult airway, such as cricothyrotomy. Finally, underscoring the truly international appeal of the textbook and acknowledging the potential technological limitations of the developing world, a chapter is dedicated to the use of indigenous devices in managing the difficult airway.

Although a cornerstone of the practice of Anesthesiology, airway management is also frequently performed by emergency physicians, intensivists, and other clinicians. Because airway devices and techniques are constantly changing, trainees in these professions must achieve proficiency with a variety of instruments and methods, and even experienced practitioners should continually update their airway skills. The Difficult Airway: A Practical Guide provides practical guidance on improving the success rates of airway managers of all specialties who use modern airway devices and techniques. The book addresses various clinical scenarios in a user-friendly format that mimics the approach clinicians encounter at educational workshops. Sections address airway devices and techniques, awake intubation, algorithms of difficult airway management, pharmacologic adjuncts useful in airway management, equipment, preoxygenation, and patient positioning strategies to ensure effective airway management. The clinically applicable information in The Difficult Airway: A Practical Guide is augmented by a DVD containing video demonstrations of airway management techniques.

Enhance your airway management skills and overcome clinical challenges with Benumof and Hagberg's Airway Management, 3rd Edition. Trusted by anesthesiologists, residents, and nurse anesthetists, this one-of-a-kind anesthesiology reference offers expert, full-color guidance on pre- and post-intubation techniques and protocols, from equipment selection through management of complications.Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located.Practice with confidence by consulting the only reference exclusively dedicated to airway management, and trusted by anesthesiologists, residents, and nurse anesthetists for up-to-date information on every aspect of the field.Focus on the most essential and practical information with a concise, how-to approach, carefully chosen illustrations, and case examples and analysis throughout. Apply the latest know-how with new chapters on video laryngoscopes and airway management during CPR, plus comprehensive updates throughout from Dr. Carin Hagberg and many new contributing experts on airway management.Select the most appropriate techniques for difficult cases using the latest ASA guidelines.Gain a rich visual perspective on complex procedures and monitoring techniques with hundreds of new full-color illustrations throughout.View videos of intubation and airway management procedures online at www.expertconsult.com, plus access the entire, searchable contents of the book.

The airways are lined with a film of fluid 10 μm deep that acts as the first line of defense against inhaled pathogens, dirt, and noxious vapors. Transepithelial fluid movements driven by active transepithelial ion transport serve to regulate the depth of this “airway surface liquid”. In the larger airways, a mucus gel derived from both glands and surface epithelium entraps inhaled particles, which are then removed by the coordinated beating of cilia. Both glands and epithelium secrete a wide variety of antimicrobial and other protective substances in addition to mucins. Substances released across the basolateral surface of the epithelium attract leukocytes and influence neighboring tissues. Here, after reviewing the basic structure of mammalian airway epithelium, I discuss its various defensive functions and how they are altered in airway disease.

The I-Gel supraglottic airway is a diposable, latex-free device for airway management during anesthesia. The design of this device is significantly different from the previously used devices, notably laryngeal mask airways. Its bowl is made of a soft, noninflatable thermoplastic elastomer, anatomically preformed to mirror the perilaryngeal structure. The I-Gel contains an additional epiglottis rest, which helps to prevent the epiglottis from down-folding or obstructing the laryngeal inlet. The device also includes a gastric channel, allowing drainage of air and gastric contents or passage of a gastric tube. This book provides a brief history of airway management and the classification of supraglottic airway devices; the mechanisms and forces contributing to their seal, and highlights the main differences between the devices. Also discussed is the process of I-Gel development including an initial mannequin and cadaver studies, with a description of the I-Gel's use in clinical practice, indications and description of its use in the operating room, and use of the I-Gel in different surgical subspecialities including laparoscopic procedures.

This book presents topical research in the study of the preparation, procedures and complications of intubation. Topics discussed in this compilation include the role of supraglottic airway devices in difficult intubation scenarios; perioperative pulmonary aspiration; acute tracheobronchial laceration and chronic complications of neonatal intubation and utiliztation of beta blockers during electroconvulsive therapy and tracheal intubation.

Inadequate humidification of inspired gases can cause a variety of serious problems, and humidification has accordingly become an important aspect of modern intensive care medicine. This book is designed to serve as a practical guide for clinicians, providing information on the theoretical background of humidification, the equipment, and its optimal use. The book starts by examining the physiological basis of humidification. Current devices are then discussed, with careful attention to factors influencing their performance and methods to evaluate their effectiveness. The two scenarios of mechanical and non-mechanical ventilation are considered, and the issue of ventilator-associated pneumonia is addressed in detail. Further chapters focus on such topics as humidification following tracheostomy, humidification of the artificial airway during secretion management, measurement of inspired gas temperature in the ventilated neonate, and humidification in the home care setting.

With the advances of immunohistochemistry in combination with confocal microscopy, airway sensory receptor end-organs can now be examined and evaluated objectively. Based on their ‘neurochemical coding', morphology, location and origin, three sensory receptor end organs are currently morphologically well-characterised: smooth muscle-associated airway receptors (SMARs), neuroepithelial bodies (NEBs) and visceral pleura receptors (VPRs). The present information on the functional morphological and neurochemical characteristics of these sensory receptors, leads to important conclusions about their (possible) function.

Principles and Practice of Percutaneous Tracheostomy provides a comprehensive overview of this important topic. This volume introduces us to the most recent developments in tracheostomy practice with a fascinating history of the origins of the tracheostomy. A detailed description of the various techniques is included, as is a catalogue of complications, contraindications and comparisons with surgical tracheostomy. The reader is taken through the practical procedures for different percutaneous tracheostomy techniques step by step with generous clear illustrations to guide him or her through the operation and avoiding potential difficulties and hazards. Many practical tips are included reflecting a wealth of underlying experience. Every aspect of this core topic in critical care medicine is covered. In this textbook provide thorough knowledge of this important procedure to our trainees and colleagues who have been working in the field of anesthesia, intensive care unit, high dependency unit and pulmonary medicine. In this book include all important and different PDT techniques available at present. In this book various chapters contributed to the development and refinement of this novel technique. This comprehensive text on percutaneous tracheostomy alongwith relevant illustrations and pictures will be useful to the consultant anesthesiologist, intensivist, internist, chest physician, ENT surgeons and trainee residents. This outstanding textbook on the principles of percutaneous tracheostomy, which will prove to be an invaluable resource for all those involved in critical care.

Every anaesthetist reaches the end of their career with a collection of difficult airway experiences. Managing airway challenges relies on a combination of good clinical practice, knowledge of relevant basic sciences and critical evaluation of every aspect of airway care. This new edition of Core Topics in Airway Management provides any trainee or consultant involved in airway techniques with practical, clinically relevant coverage of the core skills and knowledge required to manage airways in a wide variety of patients and clinical settings. All new procedures and equipment are reviewed, and detailed chapters advise on airway issues in a range of surgical procedures. This edition also contains a series of practical questions and answers, enabling the reader to evaluate their knowledge. Written by leading airway experts with decades of experience managing difficult airways, Core Topics in Airway Management, 2nd edition is an invaluable tool for anaesthetists, intensivists, and emergency physicians.

In each chapter, this high-yield coverage is supported by evidence-based algorithms, synoptic tips, and real-world case studies that show you how to resolve any difficult airway scenario you would likely encounter in clinical practice.

Principles of Airway Management, 4th Edition, reviews the essential aspects of airway management: anatomy, equipment, intubation, fiberoptic endoscopy, surgical approaches, intubating LMA (lightwand), pediatric airway, CPR, and mechanical ventilation. The book features well-balanced discussions of the complexities and difficult issues associated with airway management; excellent organization that ensures the material can be learned and applied to various situations; the latest equipment and techniques; summary boxes which highlight the most important points of each chapter; and more than 400 illustrations (many in color, for the first time), tables, and boxes.