Patient self-inflicted lung injury and ultraprotective mechanical ventilation: a narrative review

Introduction Nowadays, it is recognized that patients receiving mechanical ventilation (MV) may actively contribute to the progression of lung injury through their own respiratory effort. This phenomenon, termed patient self-inflicted lung injury P-SILI, proposes that strong inspiratory efforts, patient-ventilator asynchronies, and markedly negative intrathoracic pressures can intensify injury in an already vulnerable lung parenchyma1. Several […]

Tetralogy of Fallot in a 73-year-old woman

Introduction Tetralogy of Fallot (TF) is the most common cyanotic congenital cardiopathy, representing around 5% of all heart diseases of congenital origin. It was first described in 1671 by Dan Stentson, but until 1888, Doctor Etienne-Louis Fallot detailed the four main cardiac defects derived from malformation of the aorticopulmonary septum1. Pathophysiologically, these defects cause the […]

Awake fiberoptic intubation in a patient with tongue base cancer and limited mouth opening

Introduction Awake fiberoptic intubation (AFOI) is the technique of choice for managing anticipated difficult airways, as it allows tracheal intubation in an awake, spontaneously breathing patient before induction of general anesthesia, thereby minimizing the risk of a “cannot intubate, cannot oxygenate” scenario1. Successful awake intubation depends on proper patient selection, meticulous preparation, and a team […]