Originally from Thunder Bay, Ontario, Canada, Dr. Camiré completed his BSc in Nursing at Lakehead University. Dr. Camiré gained valuable experience working as a Registered Nurse on a Mobile Suboxone Treatment Team. In this capacity, he collaborated with rural and remote First Nations communities in Northern Ontario to treat opiate addiction states using a holistic approach. He obtained his Medical Degree from the Northern Ontario School of Medicine in Canada. He completed his Anesthesiology Residency training and a MSc in Healthcare Quality at Queen's University in Kingston, Ontario. Throughout his Nursing and Medical career, Dr. Camiré served as a Reservist in the Canadian Armed Forces as a Medical Assistant. He pursued his passion in caring for critically-ill patients as a Critical Care Clinical Associate for Lakeridge Health Hospital in Oshawa, Ontario.
Dr. Camiré's professional interests include Head and Neck Anesthesia/Advanced Airway Management, Perioperative Medicine, Critical Care, Transport Medicine, Perioperative Pain Management, Medical Education, the Use of Technology/AI in Healthcare and Quality Improvement.
During his free time, Dr. Camiré enjoys hiking, camping, fishing, travelling and spending time with his wife and family.
- Head and Neck Anesthesia/Advanced Airway Management
- Critical Care Medicine
- Quality Improvement and Patient Safety
Clinical Instructor, Anesthesiology, Perioperative and Pain Medicine
Board Certification: Royal College of Physicians and Surgeons of Canada, Anesthesia (2022)
Residency: Queens University (2022) ON Canada
Medical Education: Northern Ontario School of Medicine (2017) Canada
Difficult Tracheal Intubation and Airway Outcomes after Radiation for Nasopharyngeal Carcinoma.
OBJECTIVE: The aim of the study was to characterize the incidence and management of difficult tracheal intubations (DTIs) in nasopharyngeal carcinoma (NPC) after primary radiation therapy (RT).METHODS: The study was a retrospective review of airway assessment and outcomes in post-RT NPC patients. Primary analysis was performed on patients who underwent post-RT procedures, who were split into non-DTI and DTI groups. Patients were classified as DTI if they (i) required >1 attempt to intubate, (ii) failed to be intubated, or (iii) experienced complications attributed to airway management. Secondary analysis was performed between patients who underwent post-RT procedures (procedure group) and those who did not (control group).RESULTS: One-hundred and fifty patients were included, and 71.3% underwent post-RT procedures, with no differences in characteristics between the procedure and control groups. One-hundred and fifty procedures were identified, and 28.0% were categorized as DTI. There was no difference in patient characteristics or airway assessment measures between DTI and non-DTI groups. Regression analysis revealed concurrent cervical mobility restriction, and trismus increased DTI incidence by 7.1-fold (p=0.011). Being non-White was an independent predictor of DTI. The incidence of high-grade intraoperative laryngoscopic view was lower in the non-DTI compared to the DTI group (20.4% vs. 64.3%, p<0.0001). Failure to intubate occurred in 2.0% of cases, and 6.0% cases had perioperative complications. Based on preoperative assessment, sensitivity of predicting DTI was 54.8% and specificity was 63.9%.CONCLUSION: NPC patients frequently undergo post-RT procedures requiring complex airway management. Rates of DTI and failed intubation are significantly higher than those in the general surgical population, and the ability to predict DTI with standard preoperative airway measures is poor.LEVEL OF EVIDENCE: Level 4 Laryngoscope, 2023.
View details for DOI 10.1002/lary.30767
View details for PubMedID 37249176