MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'airway'. Sat, 03 Sep 2011 02:09:58 +0100 http://www.medworm.com/index.php?rid=4960069&cid=t_115143_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fvariations-in-retrieving-a-foreign-body-from-the-stomach%2F2011.06.22 I have observed extreme variation in how my colleagues manage GI foreign-body retrieval from the stomach. Some always use general anesthesia and endotracheal intubation; others (myself included) use conscious sedation. Some use an overtube to withdraw the object into if possible; others simply pull it up to the endoscope and use the endoscope to guide it through the esophagogastric junction and upper esophageal sphincter. The reasons for this variation are clearly related to the perceived risk of airway compromise or gastrointestinal wall injury during withdrawal of the object from the stomach. So my questions to you are: 1)      When do you ask for endotracheal intubation during foreign-body retrieval? 2)      Do you use an overtube when removing foreign bodies from the stomach... Better Health blogs http://www.medworm.com/rss/comments.php?id=4960069 Wed, 22 Jun 2011 14:00:52 +0100 4960069 http://www.medworm.com/index.php?rid=4828891&cid=t_115143_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FtCB0TGVPk04%2F The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4828891 Mon, 16 May 2011 04:30:32 +0100 4828891 http://www.medworm.com/index.php?rid=4653345&cid=t_115143_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FYyCwSBM_XLk%2F Get ready for an insanely edutaining roller-coaster ride through the perils of ruling the resus... Oh, and try to stay out of the courtroom if you can. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4653345 Mon, 28 Mar 2011 23:00:16 +0100 4653345 http://www.medworm.com/index.php?rid=4592406&cid=t_115143_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FImHIW63mnrc%2F Does your mind go blank at a code? If you remember the six true emergencies you'll do fine... (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4592406 Tue, 15 Mar 2011 00:00:26 +0100 4592406 http://www.medworm.com/index.php?rid=4455269&cid=t_115143_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2F_jdJbQrOuhA%2F The LITFL team have scoured the web to find the best collection of online instructional videos known to man or woman to help you 'own the airway'! (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4455269 Wed, 09 Feb 2011 06:17:46 +0100 4455269 http://www.medworm.com/index.php?rid=4053288&cid=t_115143_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fsnorin-in-the-usa%2F2010.10.10 Guest post by Dr. John Henning Schumann I’m not a drum banger for the latest “epidemics” to come to media attention, whether it’s H1N1, Vitamin D, or getting your kids CAT-scanned routinely. But there comes a time in every blogger’s life when he must comment on something that does bubble up into consciousness a tad, shall we say, often. I’m talking here about an epidemic that we are learning more about each passing day. Something that you or someone you know or sleep with may be diagnosed with, and ultimately treated for (an interesting national problem in its own right): Obstructive sleep apnea (OSA). What is it, you ask? A new national scourge? Stop the presses! Can I catch it? (more…) *This blog post was originally published at ACP Hospi... Better Health blogs http://www.medworm.com/rss/comments.php?id=4053288 Sun, 10 Oct 2010 17:00:00 +0100 4053288 http://www.medworm.com/index.php?rid=3522694&cid=t_115143_111_f&fid=39123&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fnursingcomments%2Ftdtc%2F%7E3%2Fa9Ooujq93yw%2F           The Greek word “apnea” literally means “without breath.”  There are three types of apnea: obstructive, central, and mixed; of the three, obstructive is the most common.  Despite the difference in the root cause of each type, in all three, people with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times during the night and often for a minute or longer.  You should know that the condition is very common.  In fact, it is as common as adult diabetes and affects more than twelve million Americans, according to the National Institutes of Health.  More than half of the people who have the disorder are overweight.  Sleep apnea is more common in men.  One out of 25 middle-aged men and 1 out of 50 middle-aged women has sle... Nursing Comments blogs http://www.medworm.com/rss/comments.php?id=3522694 Sat, 01 May 2010 14:40:45 +0100 3522694 http://www.medworm.com/index.php?rid=3311701&cid=t_115143_101_f&fid=38969&url=http%3A%2F%2Ftheemtspot.com%2F2010%2F02%2F25%2Fresponding-to-hypothermia%2F Part 2 of a 2 part series. (Part one is here.) In our last post we looked at some of the causes of hypothermia, both typical and atypical. Then we talked a bit about the recognition of the hypothermia progression and what patients might look, feel and act like as they progress through their hypothermic condition. Now let’s look at some of the guidelines for treating our hypothermia victims. On the surface, treating hypothermia might seem deceptively simple. The treatment of mild hypothermia often is simple. Bring them in, stop the cooling and rewarm them. But as we progress into moderate and severe hypothermia, things get more complicated. Here are 12 guidelines to consider when the patient is more than just a little chilled. Stay warm. As much as it pains me to make a statement t... The EMT Spot blogs http://www.medworm.com/rss/comments.php?id=3311701 Thu, 25 Feb 2010 19:53:46 +0100 3311701 http://www.medworm.com/index.php?rid=3126697&cid=t_115143_115_f&fid=34670&url=http%3A%2F%2Fsumerdoc.blogspot.com%2F2009%2F12%2Fsmall-airway-disease-on-dynamic-hrct.html Small airway disease is manifested by mosaic appearance on inspiratory film with areas of low attenuation and patchy ground glass haze. These low attenuation areas become more prominent on expiration indicating air trapping because of underlying small airway disease. This is a 40 year old female with tuberculosis.From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at teleradproviders@gmail.com (Source: Sumer's Radiology Site) Sumer's Radiology Site blogs http://www.medworm.com/rss/comments.php?id=3126697 Tue, 29 Dec 2009 08:58:00 +0100 3126697 http://www.medworm.com/index.php?rid=3071183&cid=t_115143_101_f&fid=38969&url=http%3A%2F%2Ftheemtspot.com%2F2009%2F12%2F08%2Fthe-art-of-the-nasopharyngeal-airway%2F I would surely rank the nasopharyngeal airway (NPA) as one of the most under-rated / under-utilized pieces of equipment in the EMT bag of tricks. They’re useful, simple and versatile. As a group, we tend to do a pretty good job oxygenating our patients, but I think we drop the ball on BLS airway adjuncts. Most of our unresponsive or semi-responsive patients should be arriving at the ER with an NPA in place. If you’re bagging a patient they should have one … maybe two NPAs in place. They’re fast, they’re friendly, they work much better on the semi-conscious and they don’t stimulate the gag reflex quite like their cousin the oropharyngeal airway. They also stay in place better, leaving the mouth open for examination and advanced airway techniques. I... The EMT Spot blogs http://www.medworm.com/rss/comments.php?id=3071183 Tue, 08 Dec 2009 16:44:57 +0100 3071183 http://www.medworm.com/index.php?rid=2842548&cid=t_115143_101_f&fid=38969&url=http%3A%2F%2Ftheemtspot.com%2F2009%2F09%2F29%2Ftulsa-ems-in-the-classrooms%2F Most of us have been there before. A puking, nearly unconscious teenager on our pram. All the predictable problems; airway issues, responsiveness issues, behavioral issues. When kids learn the hard lessons about alcohol and drugs we’re often the ones who get called in to clean up the mess. And, as tiring as the routine gets, we do what we can. We protect the airway, administer our oxygen, start the IV, monitor the capnography, pay attention to the heart rhythms, the whole kit-n-kaboodle. (You may use another term … that’s just me.) The subtleties of treatment change with level of certification and protocols, but the call runs remarkably the same. Some medics is Tulsa, OK decided that we run this call far to often and they got the bright idea to see if they could chang... The EMT Spot blogs http://www.medworm.com/rss/comments.php?id=2842548 Tue, 29 Sep 2009 12:00:33 +0100 2842548 http://www.medworm.com/index.php?rid=2807614&cid=t_115143_101_f&fid=38969&url=http%3A%2F%2Ftheemtspot.com%2F2009%2F09%2F17%2Fwhat-is-muscular-dystrophy-anyway%2F Since we’ve been talking about the fill the boot campaign the annual MDA telethon, why not use our “what is” series to take a closer look at the group of diseases we commonly refer to as muscular dystrophy. While most EMS caregivers have a general idea of what to expect in a muscular dystrophy presentation, few of us are as knowledgeable as we should be about what muscular dystrophy is and what it does to the body. Let’s take a closer look. While we tead to refer to muscular dystrophy as a single defined disease process, it is actually a group of disease that share some common characteristics. Add to that the fact that all of these diseases are degenerative in nature and you can imagine how remarkably different these patients can be. The nine primary diseases in... The EMT Spot blogs http://www.medworm.com/rss/comments.php?id=2807614 Fri, 18 Sep 2009 01:17:02 +0100 2807614 http://www.medworm.com/index.php?rid=2591271&cid=t_115143_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2009%2F07%2Fregis-philbins-sleep-study-results-its.html Who wants to feel like a millionaire? Talk show and game show host Regis Philbin says that he does.The Emmy Award-winning TV personality can’t get a good night’s sleep. Regis said that he wakes up multiple times during the night.And after waking up it can be a struggle to get back to sleep. As a result he rarely feels his best during the day.For years he’s been complaining about his sleep problems on “Live with Regis and Kelly.” And his wife Joy has her own sleep problem: His snoring keeps her awake at night.But now Regis knows what’s causing his disturbed sleep. He spent the night at a sleep disorders center in New York. His experience was documented on Thursday’s show.Results of his overnight sleep study show that he has obstructive sleep apnea. This common sleep disorder o... Sleep Education blogs http://www.medworm.com/rss/comments.php?id=2591271 Fri, 10 Jul 2009 13:53:00 +0100 2591271 http://www.medworm.com/index.php?rid=2507267&cid=t_115143_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2009%2F06%2Fsurprised-by-sleep-apnea-women-weight.html Earlier this week Washington Post staff writer Valerie Strauss shared how she discovered that she has obstructive sleep apnea.The sleep disorder was undetected by some doctors she had seen. And the discovery was a surprise to her. She didn’t fit the description of the typical sleep apnea patient.Often it is overweight men who have sleep apnea. But as the AASM has reported, women can have sleep apnea too.And sleep apnea may occur in people who maintain a healthy weight. A study presented last week at SLEEP 2009 found a high rate of sleep apnea in non-obese adults.What were the warning signs that Strauss had noticed? She often felt tired after waking up. She also was having memory problems. And her husband complained about her loud snoring.These are common symptoms of sleep apnea. Another ... Sleep Education blogs http://www.medworm.com/rss/comments.php?id=2507267 Thu, 18 Jun 2009 17:11:00 +0100 2507267 http://www.medworm.com/index.php?rid=2427575&cid=t_115143_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2009%2F05%2Flosing-weight-with-cpap-for-sleep-apnea.html Excess body weight is a major risk factor for obstructive sleep apnea. Treating sleep apnea with CPAP helps some people bring their weight under control.In some cases the change is dramatic. NorthWest Cable News in Seattle reports that CPAP helped one woman lose more than 100 pounds in a little more than a year. She used to weigh more than 300 pounds.Then she was diagnosed with sleep apnea and started using CPAP. She began to notice that she had more energy. So she started working out regularly and eating better.CPAP also played a role behind the scenes of the TV show “The Biggest Loser: Couples.” Each contestant was evaluated during an overnight sleep study.Sixteen of the 22 contestants were diagnosed with sleep apnea. Sponsor Philips Respironics provided treatment for each of them.Bu... Sleep Education blogs http://www.medworm.com/rss/comments.php?id=2427575 Thu, 21 May 2009 16:30:00 +0100 2427575 http://www.medworm.com/index.php?rid=2299073&cid=t_115143_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2009%2F03%2Fevidence-that-obstructive-sleep-apnea.html A new article on SleepEducation.com reports on the link between obstructive sleep apnea (OSA) and brain damage.A recent brain imaging study from France found a loss of “gray matter” in people with sleep apnea. A UCLA team reported similar results in a June 2008 study.They found that people with sleep apnea have tissue loss in the mammillary bodies. These are brain regions that help store memory.The same team published another brain imaging study in the journal Sleep in July 2008. It shows that people with sleep apnea have extensive alterations in “white matter.” The damage can affect mood, memory and blood pressure control.The studies highlight the importance of treating sleep apnea. The most common treatment for sleep apnea is CPAP.Learn more about the benefits of CPAP therapy. (S... Sleep Education blogs http://www.medworm.com/rss/comments.php?id=2299073 Thu, 26 Mar 2009 16:17:00 +0100 2299073 http://www.medworm.com/index.php?rid=2212793&cid=t_115143_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2009%2F02%2Flosing-weight-bariatric-surgery-sleep.html Is bariatric surgery a good treatment option for an obese person who has obstructive sleep apnea?A recent study in the Journal of Clinical Sleep Medicine provides caution. The study involved 24 men and women with sleep apnea.Before surgery they had an average body mass index (BMI) of 51. A BMI of 30 or higher is considered “obese.”Their sleep apnea also was severe. They had an average apnea-hypopnea index (AHI) of 47.9. This means that they stopped breathing about 48 times per hour of sleep. In general an AHI of more than 30 is considered “severe.”Bariatric surgery did provide some benefits. But it wasn’t a cure.One year after surgery the participants were still obese; but they had a much lower average BMI of 32.Their average AHI also dropped to 24.5. But only one person no longe... Sleep Education blogs http://www.medworm.com/rss/comments.php?id=2212793 Tue, 24 Feb 2009 23:05:00 +0100 2212793 http://www.medworm.com/index.php?rid=2207950&cid=t_115143_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2009%2F02%2Fmorning-headaches-sleep-apnea.html A new study takes a look at the link between morning headaches and obstructive sleep apnea.The study involved 462 people with sleep apnea. A control group included 101 people without sleep apnea.Results show that about 34 percent of the sleep apnea group reported having morning headaches. People with moderate to severe sleep apnea were more likely to wake with a headache.Morning headaches also were more common in women than in men. Only nine percent of the control group reported morning headaches.People who reported morning headaches had much lower oxygen saturation levels during sleep. But the study was unable to determine a specific cause of the morning headaches.The good news? Treating sleep apnea with CPAP eliminated morning headaches in 90 percent of participants.Other studies of slee... Sleep Education blogs http://www.medworm.com/rss/comments.php?id=2207950 Wed, 18 Feb 2009 15:53:00 +0100 2207950 http://www.medworm.com/index.php?rid=2207964&cid=t_115143_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2009%2F02%2Fbed-partners-sleep-apnea-cpap-marriage.html When obstructive sleep apnea invades the bedroom, no one sleeps well. A person who has severe sleep apnea may briefly wake up more than 30 times an hour. The loud snoring and gasping sounds also disturb the bed partner’s sleep.The sleep problems can be a source of conflict in a marriage. Often the bed partner chooses to sleep in a separate roomThe best treatment for sleep apnea is CPAP therapy. A new study shows that CPAP also may be good for a marriage. Results show that marital conflict decreases after three months of CPAP use.An earlier study found that CPAP also improves the bed partner’s quality of life. Daytime sleepiness decreases. There are fewer role limitations due to physical problems. Social functioning and mental health improves.A small study in the Journal of Clinical Sle... Sleep Education blogs http://www.medworm.com/rss/comments.php?id=2207964 Wed, 04 Feb 2009 19:41:00 +0100 2207964 http://www.medworm.com/index.php?rid=2615510&cid=t_115143_82_f&fid=38206&url=http%3A%2F%2Falowe.medbrains.net%2F2008%2F10%2F16%2Fdifficult-airway-morbidely-obese-with-huge-goiter%2F Following on from some cases presented by other doctors 1, 2, 3. Here’s one of my own. A 51-year-old female patient presented to our hospital with shortness of breath due to huge goiter compromising the airway. Her body weight 100 Kg with body mass index (BMI) of 50 Kg/m2. She is known diabetic on treatment and also she has hypertensive disease on treatment. The biochemical analysis data including thyroid function tests were within normal ranges. Chest x-ray showed widening of the mediastinum and narrow tracheal aerograph due to tracheal compression by the goiter (Figure 1). Fig 1. ECG was normal. Pulmonary function tests showed picture of restrictive pattern with FEV1 71% of the predicted, FVC 63% of the predicted and FEV1/FVC ratio of 112. CT scan showed severe narrowing of the up... Anthony Lowe : Anesthesiologist blogs http://www.medworm.com/rss/comments.php?id=2615510 Thu, 16 Oct 2008 20:39:22 +0100 2615510 http://www.medworm.com/index.php?rid=2019583&cid=t_115143_82_f&fid=38206&url=http%3A%2F%2Falowe.medbrains.net%2F2008%2F10%2F16%2Fdifficult-airway-morbidely-obese-with-huge-goiter%2F Following on from some cases presented by other doctors 1, 2, 3. Here’s one of my own. A 51-year-old female patient presented to our hospital with shortness of breath due to huge goiter compromising the airway. Her body weight 100 Kg with body mass index (BMI) of 50 Kg/m2. She is known diabetic on treatment and also she has hypertensive disease on treatment. The biochemical analysis data including thyroid function tests were within normal ranges. Chest x-ray showed widening of the mediastinum and narrow tracheal aerograph due to tracheal compression by the goiter (Figure 1). Fig 1. ECG was normal. Pulmonary function tests showed picture of restrictive pattern with FEV1 71% of the predicted, FVC 63% of the predicted and FEV1/FVC ratio of 112. CT scan showed severe narrowing of the up... Anthony Lowe : Anesthesiologist blogs http://www.medworm.com/rss/comments.php?id=2019583 Thu, 16 Oct 2008 20:39:22 +0100 2019583 http://www.medworm.com/index.php?rid=947297&cid=t_115143_82_f&fid=34667&url=http%3A%2F%2Flaryngoscope.blogspot.com%2F2007%2F10%2Fneck-mobility.html I was in preop anesthesia clinic yesterday. I saw a patient that had been in a car accident and had his neck fused c2-c5 (I believe) and he had very little neck movement at all.In anesthesia there are markers to predict or at least suggest it may be difficult to place a breathing tube in someone. These include mouth opening, dentition, mallampatti score, which assesses the favorablity of the anatomy of the oral cavity (i.e. mouth), hyoid to mentum distance (essentially chin size), neck thickness/anatomy, neck extension and flexion. No one predictor predicts a difficult intubation, but together they form a picture of how easy or difficult you think it might be.Someone with very limited neck movement would be very difficult to visualize the vocal cords generally, so I was worried a bit in th... i'm so sleepy blogs http://www.medworm.com/rss/comments.php?id=947297 Fri, 12 Oct 2007 13:50:00 +0100 947297 http://www.medworm.com/index.php?rid=569554&cid=t_115143_87_f&fid=34865&url=http%3A%2F%2Fwww.thecancerblog.com%2F2007%2F04%2F25%2Froger-ebert-back-to-work-after-cancer-surgery%2F Filed under: Celebrity cancer diagnosis, Daily news, Celebrity news, MoviesMovie critic Roger Ebert expects to be back to work at his annual festival for overlooked movies this week. It will be his first public appearance since having cancer surgery last summer -- and while some say his appearance may attract the gossip papers, Ebert says, "So what?"Ebert, 64, will be seen at the ninth annual Overlooked Film Festival, beginning today at the University of Urbana-Champaign, wearing a gauze bandage around his neck. And his mouth will be seen to droop, he says.This is all because of Ebert's tracheostomy -- it opens an airway through an incision in his windpipe, rendering him speechless -- that resulted from his June 16 surgery to remove a cancerous growth on his salivary gland and a subsequent... The Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=569554 Wed, 25 Apr 2007 04:00:00 +0100 569554