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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...

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Endotracheal Intubation II: Nursing Management

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...

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Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model

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Submental intubation in orthognathic surgery: initial experience.

Arun Chandu¹, Helen Witherow, Andrew Stewart

¹Regional Maxillofacial Surgery Unit, St George's Hospital, Blackshaw Rd, Tooting, London, SW17 0QT, UK. maxillofacial01@yahoo.com.au

The British Journal of Oral & Maxillofacial Surgery

|July 1, 2008

Summary

Submental intubation offers precise assessment of facial changes during orthognathic surgery. This technique aids in evaluating nasolabial complex, midlines, and incisal display in 44 patients.

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Area of Science:

Oral and Maxillofacial Surgery
Anesthesiology

Background:

Maxillary orthognathic surgery requires precise evaluation of facial aesthetics.
Traditional airway management can obscure critical aesthetic landmarks.

Purpose of the Study:

To evaluate submental intubation as an adjunct for assessing facial changes in orthognathic surgery.
To determine the utility of submental intubation in managing patients undergoing orthognathic procedures.

Main Methods:

Retrospective analysis of 44 patients undergoing maxillary orthognathic surgery.
Submental intubation utilized as an adjunct airway management technique.

Main Results:

Submental intubation facilitated clear visualization of the nasolabial complex, midlines, and incisal display.
The technique proved effective in assessing surgical outcomes related to facial aesthetics.

Conclusions:

Submental intubation is a valuable adjunct in orthognathic surgery for precise aesthetic assessment.
This airway technique enhances the evaluation of surgical results in maxillofacial procedures.