Pause Ventilation Tracheostomy

Tracheostomy tube enabling speech during mechanical ventilation.

BACKGROUND A voice tracheostomy tube (VTT) was developed to enable patients to speak during mechanical ventilation. METHODS The VTT has slits cut in it and is covered on part of its side with an elastic cuff, enabling the cuff to expand with positive pressure from the ventilator on inspiration and to deflate on expiration. By this mechanism, inspired air from the ventilator goes to the lung w...

Mechanical ventilation and tracheostomy in multiple sclerosis.

Decisions on ventilatory support (VS) in multiple sclerosis (MS) are complex. All patients with MS requiring mechanical ventilation or tracheostomy since 1969 (22) at Mayo Clinic were reviewed. Seventeen had progressive (PMS; 11 secondary and six primary progressive) and one had relapsing remitting MS (RRMS). Four had neuromyelitis optica (NMO). Of those with PMS, all but two required a wheelch...

Translaryngeal open ventilation for percutaneous endoscopic tracheostomy.

Ultrasound-guided lumbar plexus block through the acoustic window of the lumbar ultrasound trident. Br J Anaesth 2008; 100: 533–7 3 Aksu C, Gurcan Y. Shamrock method may prevent kidney injury. Br J Anaesth 2013 e-letter (http://bja.oxfordjournals.org/forum/topic/ brjana_el%3B9814) 4 Karmakar MK, Li JW, Kwok WH, Soh E, Hadzic A. Sonoanatomy relevant for lumbar plexus block in volunteers correlat...

One-lung ventilation via tracheostomy and left endobronchial microlaryngeal tube.

Sending children home on tracheostomy dependent ventilation: pitfalls and outcomes.

In spite of the consistency of the primary discharge coordinator in our practice and attempts to streamline the process, the obstacles to discharge highlighted five years ago remain frustratingly similar. The children in this survey spent an average of 9.6 months extra time in hospital awaiting discharge at considerable cost to the local commissioning teams, quite apart from the emotional cost ...