Esaac- الجمعية المصرية للتخدير وطب الحالات الحرجه

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Esaac- الجمعية المصرية للتخدير وطب الحالات الحرجه The Egyptian Society of Anesthesiology and Acute Care medicine (ESAAC)

✨ For the very first time in Egypt…We are the pioneers in launching a Newsletter fully dedicated to Anesthesia & Critica...
04/09/2025

✨ For the very first time in Egypt…
We are the pioneers in launching a Newsletter fully dedicated to Anesthesia & Critical Care 🚑💉
🌍 From East to West, North to South…
Wisdom of world-renowned experts meets the energy of young physicians — all in one place!
✅ Stay updated with the latest breakthroughs
✅ Learn from global leaders & mentors
✅ Enjoy every issue free & online
👉 Follow us and never miss an update!...Massive thanks for all our Great Authors and Editorial Board

28/08/2025

Preoperative prediction of Tracheomalecia in Thyroid surgery:
Risk factors:
1-large Goiter especially with retrosternal extension
2-long standing compression increases the incidence
3-Tracheal narrowing in image if less than 5 mm
4-Deviation or Tracheal distortion
5-Symptoms of airway compromise especially in supine positions:
*Stridor
*orthopaedic
*recurrent cough or wheezes not related to Asthma
* weak Voice.
Preoperative investigation and Images:
CT Neck and chest to evaluate the degree of Tracheal narrowing, Deviation and length of compression

Dynamic CT or MRI with inspiratory and expiratory views can show airway collapse

Pulmonary Function tests :
Flow-Volume loops show fixed upper airway obstruction or Dynamic collapse

Flexible Fiberoptic Bronchoscopy :
Gold standard for diagnosis performed preoperatively in high risk cases to visualise Tracheal lumen and collapsibility

Ultrasound:
Can assess Tracheal compression.
Clinical Red Flages :
1-sever narrowing lumen less than 50 %
2-symptoms not proportion to the clinical narrowing
3-Tecurent respiratory infection due to lack of clearance .
Preoperative planning:
Suspect difficult intubation and extubation
Prepare for postoperative airway collapse:
Elective postoperative ventilation.
Delayed extubation.
Tracheostomy available in sever cases .

Work on yourself until One day you’ll find yourself invited to a groundbreaking international conference,That is EuroAbu...
19/08/2025

Work on yourself until
One day you’ll find yourself invited to a groundbreaking international conference,That is EuroAbuDhabi 13 -14 September...the very first of its kind in the region. You give a lecture… then they ask you to be a Chairperson… then they trust you to judge abstracts and support young doctors.

That’s the power of true friends — they know you’re as strong as a mountain and can handle it all 💪❤️....and they are leading the way of success in all aspects of our lives....Truly I don't find words that appreciate my feelings now

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