Acute respiratory failure secondary to a cervical goitre in a pregnant woman: a case report.

Background: Pregnancy constitutes a significant factor in thyroid hypertrophy and can rarely progress to respiratory distress. We describe case of pregnant woman with acute respiratory distress following a tracheal compression due to goiter, quickly resulting in respiratory arrest, requiring emergency orotracheal intubation and thyroidectomy.

Case Presentation: A pregnant woman with a growing goiter was referred to the hospital with a respiratory difficulty.

Fatal intoxication caused by the application of the multiple transdermals patchs of fentanyl.

Fentanyl (N-phenyl-N-(1-2-phenylethyl-4-piperidyl)propanamide) is a potent synthetic narcotic analgesic. He has an analgesic effect 100 times greater than that of morphine. The use of transdermal fentanyl delivrery systems has increased over recent years especially in patients with chronic pain who are already treated with high doses of morphine or it is derivate.

[Faster double-lumen tube intubation with the videolaryngoscope than with a standard laryngoscope].

Purpose: This study was designed to compare videolaryngoscopy with direct laryngoscopy with respect to ease of intubation when inserting a double lumen tube (DLT).

Methods: In this prospective randomized study 68 patients American Society of Anesthesiologists (ASA) physical status I and II were included. Patients with criteria indicating possible difficult intubation were excluded.