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inflammation, trauma, tumor, and immunologic and metabolic diseases, are considered
responsible for the difficult intubation of a critically ill patient. In this case report we present
the case of a 46-year-old male with postintubation tracheal stenosis. We will focus on the
method of intubation used, since the patient had a "difficult airway" and had to be intubated
immediately because he was in a life-threatening situation. Although technology is of utter
importance, clinical examination and history-taking remain invaluable for the appropriate
evaluation of the critically ill patient in everyday medical life. Every physician who will be
required to perform intubation has to be familiar with the evaluation of the difficult airway and,
in the event of the unanticipated difficult airway, to be able to use a wide variety of tools and
techniques to avoid complications and fatality.
20. Konstantinos Porpodis, Michael Karanikas, Paul Zarogoulidis, Maria Konoglou, Kalliopi Domvri,
Alexandros Mitrakas, Panagiotis Boglou, Stamatia Bakali, Alkis Iordanidis, Vasilis Zervas,
Nikolaos Courcoutsakis, Nikolaos Katsikogiannis, and Konstantinos Zarogoulidis. Fat
embolism due to bilateral femoral fracture: a case report. Int J Gen Med. 2012; 5: 59–63. doi:
10.2147/IJGM.S28455. Epub 2012 Jan 16. PMID: 22287848 [PubMed] [Scopus]
Abstract: Fat embolism syndrome is usually associated with surgery for large bone fractures.
Symptoms usually occur within 36 hours of hospitalization after traumatic injury. We present a
case with fat embolism syndrome due to femur fracture. Prompt supportive treatment of the
patient's respiratory system and additional pharmaceutical treatment provided the positive
clinical outcome. There is no specific therapy for fat embolism syndrome; prevention, early
diagnosis, and adequate symptomatic treatment are very important. Most of the studies in the
last 20 years have shown that the incidence of fat embolism syndrome is reduced by early
stabilization of the fractures and the risk is even further decreased with surgical correction
rather than conservative management.
21. Georgios K. Matis, Danilo O. de A. Silva, Olga I. Chrysou, Michail A. Karanikas, Theodossios A.
Birbilis, Antonio Bernardo, Philip E. Stieg. Giuseppe Gradenigo: Much more than a syndrome!
Historical Vignette. Surg Neurol Int 2012, Vol 3/ Is 1:122. DOI: 10.4103/2152-7806.102343
PMID: 23055950 [PubMed]
Abstract.: Background: Giuseppe Gradenigo (1859-1926), a legendary figure of Otology, was
born in Venice, Italy. He soon became a pupil to Adam Politzer and Samuel Leopold Schenk in
Vienna, demonstrating genuine interest in the embryology, morphology, physiopathology, as
well as the clinical manifestations of ear diseases. In this paper, the authors attempt to
highlight the major landmarks during Gradenigo's career and outline his contributions to
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