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1.  Airway management in trauma 
Indian Journal of Anaesthesia  2011;55(5):463-469.
Trauma has assumed epidemic proportion. 10% of global road accident deaths occur in India. Hypoxia and airway mismanagement are known to contribute up to 34% of pre-hospital deaths in these patients. A high degree of suspicion for actual or impending airway obstruction should be assumed in all trauma patients. Objective signs of airway compromise include agitation, obtundation, cyanosis, abnormal breath sound and deviated trachea. If time permits, one should carry out a brief airway assessment prior to undertaking definitive airway management in these patients. Simple techniques for establishing and maintaining airway patency include jaw thrust maneuver and/or use of oro- and nas-opharyngeal airways. All attempts must be made to perform definitive airway management whenever airway is compromised that is not amenable to simple strategies. The selection of airway device and route- oral or -nasal, for tracheal intubation should be based on nature of patient injury, experience and skill level.
doi:10.4103/0019-5049.89870
PMCID: PMC3237145  PMID: 22174462
Airway algorithms; airway management; airway trauma
2.  An Unnoticed Broken Sheathed Metallic Stylet in an Endotracheal Tube 
We report a 58-years old patient, who underwent surgery for a fracture to the neck of the femur. Tracheal intubation was performed with the aid of a stylet; however, 15 minutes later, it was brought to the notice of the attending anesthesiologist that a broken piece of stylet had been left inside the lumen of the endotracheal tube. Prior to this, there was no evidence of a foreign body in the endotracheal tube or tracheobronchial tree. The broken piece of stylet was successfully retrieved with the help of a Kocher’s forceps.
PMCID: PMC3074643  PMID: 21509094
Broken stylet; Endotracheal tube obstruction; Foreign body; Case report; Oman

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