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Surgical Airway Management
Surgical airway management (bronchotomy) is the medical procedure ensuring an open Respiratory tract, airway between a patient’s lungs and the outside world. Surgical methods for airway management rely on making a surgical incision below the glottis in order to achieve direct access to the lower respiratory tract, bypassing the upper respiratory tract. Surgical airway management is often performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Surgical airway management is also used when a person will need a mechanical ventilator for a longer period. The surgical creation of a permanent opening in the larynx is referred to as laryngostomy. Surgical airway management is a primary consideration in anaesthesia, emergency medicine and intensive care medicine. Surgical methods for airway management include cricothyrotomy and tracheostomy History Asclepiades of Bithynia is credited with being the first person who proposed bro ...
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Cricothyrotomy
A cricothyrotomy (also called cricothyroidotomy or laryngotomy) is a medical procedure where an opening is created through the cricothyroid membrane to establish a patent airway during emergency airway management. Cricothyrotomy is primarily performed as the last step in airway management algorithms in cases where an airway cannot be established by other means of nasal or oral tracheal intubation. These situations, often referred to as "cannot intubate, cannot ventilate" (CICV) or "cannot intubate, cannot oxygenate" (CICO), are commonly seen as a result of airway obstruction, angioedema, trauma, burns, or abnormal anatomy. Multiple types of cricothyrotomy may be considered for emergency surgical airway management, including surgical cricothyrotomy and needle cricothyrotomy. Surgical cricothyrotomy is performed by inserting a large-bore tube through an opening in the cricothyroid membrane created via incision or using the Seldinger technique. Needle cricothyrotomy is performed by ...
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Intensive Care Medicine
Intensive care medicine, usually called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes providing life support, invasive Monitoring (medicine), monitoring techniques, resuscitation, and end-of-life care. Doctors in this specialty are often called intensive care physicians, critical care physicians, or intensivists. Intensive care relies on multidisciplinary teams composed of many different health professionals. Such teams often include doctors, nurses, Physical therapy, physical therapists, respiratory therapists, and pharmacists, among others. They usually work together in intensive care units (ICUs) within a hospital. Scope Patients are admitted to the intensive care unit if their medical needs are greater than what the general hospital ward can provide. Indications for the ICU include blood pressure support for cardiova ...
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Thyrotomy
:''Thyrotomy may also refer to the cutting or biopsy the thyroid gland.'' Thyrotomy (also called thyroidotomy, median laryngotomy, laryngofissure or thyrofissure) is an incision of the larynx through the thyroid cartilage. See also * Laryngotomy *Cricothyrotomy *Tracheotomy * List of surgeries by type References * ''Dorland's Illustrated Medical Dictionary ''Dorland's'' is the brand name of a family of medical reference works (including dictionaries, spellers and word books, and spell-check software) in various media spanning printed books, CD-ROMs, and online content. The flagship products are ''Do ...'' Larynx surgery Otorhinolaryngology {{Surgery-stub ...
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Invasive Airway Management
Advanced airway management is the subset of airway management that involves advanced training, skill, and invasiveness. It encompasses various techniques performed to create an open or patent airway – a clear path between a patient's lungs and the outside world. This is accomplished by clearing or preventing obstructions of airways. There are multiple causes of potential airway obstructions, including the patient's own tongue or other anatomical components of the airway, foreign bodies, excessive amounts of blood and body fluids, or aspiration of food particles. Unlike basic airway management, such as the head tilt/chin lift or jaw-thrust maneuver, advanced airway management relies on the use of medical equipment and advanced training in anesthesiology, emergency medicine, or critical care medicine. Certain invasive airway management techniques can be performed with visualization of the glottis or "blind" – without direct visualization of the glottis. Visualization of th ...
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Airway Management
Airway management includes a set of maneuvers and medical procedures performed to prevent and relieve an airway obstruction. This ensures an open pathway for gas exchange between a patient's lungs and the atmosphere. This is accomplished by either clearing a previously obstructed airway; or by preventing airway obstruction in cases such as anaphylaxis, the Obtundation, obtunded patient, or medical sedation. Airway obstruction can be caused by the tongue, foreign objects, the tissues of the airway itself, and bodily fluids such as blood and gastric contents (Pulmonary aspiration, aspiration). Airway management is commonly divided into two categories: Basic airway management, basic and Advanced airway management, advanced. Basic techniques are generally non-invasive and do not require specialized medical equipment or advanced training. Techniques might include head and neck maneuvers to optimize ventilation, abdominal thrusts, and back blows. Advanced techniques require specialized ...
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Percutaneous Transtracheal Ventilation
Percutaneous transtracheal ventilation is a form of conventional ventilation{{cite journal, vauthors=Mace SE, Khan N , title=Needle cricothyrotomy. , journal=Emerg Med Clin North Am , year= 2008 , volume= 26 , issue= 4 , pages= 1085–101, xi , pmid=19059102 , doi=10.1016/j.emc.2008.09.004 by which oxygen is delivered to the lungs using a high pressure gas source through an over-the-needle catheter inserted through the skin into the trachea. Percutaneous transtracheal ventilation may be mistaken for transtracheal jet ventilation, which is not considered conventional ventilation and refers to high-frequency ventilation; a low tidal volume Tidal is the adjectival form of tide. Tidal may also refer to: * ''Tidal'' (album), a 1996 album by Fiona Apple * Tidal (king), a king involved in the Battle of the Vale of Siddim * TidalCycles TidalCycles (also known as Tidal) is a live coding ... ventilation and needs specialized ventilators only available in critical care units. ...
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Kit De Cricothyroïdotomie
Kit may refer to: People and fictional characters * Kit (given name), a list of people and fictional characters with the given name or nickname * Kit (surname), a list of people Places * Kit, Iran, a village in Mazandaran Province * Kit Hill, Cornwall, England Animals * Young animals: ** A short form of kitten, a young cat ** A beaver ** A ferret ** A fox ** A mink ** A rabbit ** A raccoon ** A skunk ** A squirrel ** A wolverine * Old collective noun for a group of pigeons flying together Sporting attire and equipment * Kit (association football) * Kit (cycling) * Kit (rugby football) Other uses * List of storms named Kit, various cyclones * Kit (of components) * Kit lens, a low-end SLR camera lens * Kit Mountain, a mountain in Texas * Kit violin or kit, a small stringed musical instrument * ''Whale'' (film) (), a 1970 Bulgarian comedy film * Russian submarine ''Kit'', an Imperial Russian Navy submarine launched in 1915 See also * * * KIT (other) * Kits (disam ...
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Angioedema
Angioedema is an area of swelling (edema) of the lower layer of skin and tissue just under the skin or mucous membranes. The swelling may occur in the face, tongue, larynx, abdomen, or arms and legs. Often it is associated with hives, which are swelling within the upper skin. Onset is typically over minutes to hours. The underlying mechanism typically involves histamine or bradykinin. The version related to histamine is due to an allergic reaction to agents such as insect bites, foods, or medications. The version related to bradykinin may occur due to an inherited problem known as C1 esterase inhibitor deficiency, medications known as angiotensin-converting enzyme inhibitors, or a lymphoproliferative disorder. Treatment to protect the airway may include intubation or cricothyroidotomy. Histamine-related angioedema can be treated with antihistamines, corticosteroids, and epinephrine. In those with bradykinin-related disease a C1 esterase inhibitor, ecallantide, or icati ...
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Caelius Aurelianus
Caelius Aurelianus of Sicca in Numidia was a Greco-Roman physician and writer on medical topics. He is best known for his translation from Greek to Latin of a work by Soranus of Ephesus, ''On Acute and Chronic Diseases''. He probably flourished in the 5th century, although some place him two or even three centuries earlier. In favour of the later date is the nature of his Latin, which shows a strong tendency to the Romance, and the similarity of his language to that of Cassius Felix, also an African medical writer, who about 450 wrote a short treatise, chiefly based on Galen. We possess a translation by Aurelianus of two works of Soranus of Ephesus (2nd century), the chief representative of the methodic school of medicine, on chronic and acute maladies—''Tardae'' or ''Chronicae Passiones'', in five, and ''Celeres'' or ''Acutae Passiones'' in three books. The translation, which is especially valuable since the original has been lost, shows that Soranus possessed considerable p ...
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Cartilaginous
Cartilage is a resilient and smooth type of connective tissue. Semi-transparent and non-porous, it is usually covered by a tough and fibrous membrane called perichondrium. In tetrapods, it covers and protects the ends of long bones at the joints as articular cartilage, and is a structural component of many body parts including the rib cage, the neck and the bronchial tubes, and the intervertebral discs. In other taxa, such as chondrichthyans and cyclostomes, it constitutes a much greater proportion of the skeleton. It is not as hard and rigid as bone, but it is much stiffer and much less flexible than muscle. The matrix of cartilage is made up of glycosaminoglycans, proteoglycans, collagen fibers and, sometimes, elastin. It usually grows quicker than bone. Because of its rigidity, cartilage often serves the purpose of holding tubes open in the body. Examples include the rings of the trachea, such as the cricoid cartilage and carina. Cartilage is composed of specialized cell ...
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Choking
Choking, also known as foreign body airway obstruction (FBAO), is a phenomenon that occurs when breathing is impeded by a blockage inside of the respiratory tract. An obstruction that prevents oxygen from entering the lungs results in oxygen deprivation. Although oxygen stored in the blood and lungs can keep a person alive for several minutes after breathing stops, choking often leads to death. Around 4,500 to 5,000 choking-related deaths occur in the United States every year. Deaths from choking most often occur in the very young (children under three years old) and in the elderly (adults over 75 years). Foods that can adapt their shape to that of the pharynx (such as bananas, marshmallows, or gelatinous candies) are more dangerous. Various forms of #General strategy: "five and five", specific first aid are used to address and resolve choking. Choking is the fourth leading cause of unintentional injury death in the United States. Many episodes go unreported because they are br ...
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Aretaeus Of Cappadocia
Aretaeus () is one of the most celebrated of the ancient Greek physicians. Little is known of his life. He was ethnically Greek, born in the Roman province of Cappadocia, Asia Minor (modern day Turkey), and most likely lived in the second half of the second century AD. He is generally styled "the Cappadocian" (). Diagnostic method Aretaeus wrote in Ionic Greek. His eight treatises on diseases, which are still extant, are considered to be among the most important Greco-Roman medical works ever written. His valuable work displays great accuracy in the detail of symptoms, and in seizing the diagnostic character of diseases. In his practice he followed for the most part the method of Hippocrates, but he paid less attention to what have been styled "the natural actions" of the system; and, contrary to the practice of the ''Father of Medicine'', he did not hesitate to attempt to counteract them, when they appeared to him to be injurious. Aretaeus offered clinical descriptions of a nu ...
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