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D R Ball

Publications and source records attributed to D R Ball.

At least 19 recordsLinked to original sources
PubMed2001

Why KY?

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Airway Obstruction↗
PubMed2000

Awake tracheal intubation with the intubating laryngeal mask in a patient with diffuse idiopathic skeletal hyperostosis.

Diffuse idiopathic skeletal hyperostosis, otherwise known as Forestier's disease or ankylosing hyperostosis, is a relatively common condition that is distinguished from ankylosing spondylitis by the relative preservation of spinal function and the characteristic 'candle flame' lipping of the vertebrae. We report a patient with this condition and a well-recorded history of impossible intubation who presented for emergency laparotomy. The patient was intubated awake using the intubating laryngeal mask and sedation and anaesthesia were provided by a target-controlled infusion of propofol.

Anesthesia, Intravenous↗
PubMed2000

The effect of cricoid pressure on the cricoid cartilage and vocal cords: an endoscopic study in anaesthetised patients.

Cricoid pressure is used to protect the lungs from contamination with gastric contents during tracheal intubation. We studied the effect of cricoid pressure applied with a yoke on 30 anaesthetised patients examined fibreoptically through a laryngeal mask airway. We assessed the effect of 20, 30 and 44 N on the internal appearance of the cricoid and vocal cords. Difficulty in ventilation was also recorded. At 44 N, cricoid deformation occurred in 27/30 patients (90%) and 15/30 (50%) had cricoid occlusion [13/30 (43%) had cricoid occlusion at 30 N and 7/30 (23%) at 20 N]. Associated difficulty in ventilation was present in 15 patients (50%) and 18/30 (60%) had vocal cord closure with associated difficult ventilation, at forces up to 44 N. Cricoid occlusion was unrelated to age and body mass index but females were at greater risk. Orthodox values of cricoid pressure, applied with a yoke, may produce obstruction at the level of the cricoid cartilage or vocal cords, with implications for tracheal intubation and ventilation by mask.

Adult↗
PubMed2000

A call for unity.

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Equipment Safety↗