These two cases illustrate eight instances of aspiration of fine bore enteral feed. On three occasions the tube remained correctly placed and on five occasions the tube was noted to be in the oropharynx. Fine bore enteral feeding is popular in intensive care units because ofthe high patient acceptability and ease ofmanagement in conjunction with continuous feeding pumps. Severely ill patients, ...

conclusions this report presents a new method for lung isolation in specific cases and in the absence of certain equipment. case presentation a 41-year-old woman with a history of pharyngo-laryngo-oesophagectomy (plo) and tracheostomy was a candidate for thoracic duct ligation because of chylothorax. since the patient had tracheostmy stomal stenosis, two cuffed tracheal tubes (internal diameter...

OBJECTIVE To investigate effects of tracheostomy tube on the movement of the hyoid bone and larynx during swallowing by quantitative analysis of videofluoroscopic swallowing study. METHOD 19 adult stroke patients with tracheostomies, who met the criteria of decannulation participated. Serial videofluroscopic swallowing studies were done over 14 days before decannulation, within 24 hours befor...

Background The use of cuffed endotracheal tubes in paediatric patients is still a controversial topic. This paper aims to investigate whether cuffed or uncuffed tubes should be used in children under the age of 8 based on the literature that is currently available on this topic. Currently there are no guidelines on this topic. Methods The literature review has been taken in consideration Result...

Homocysteine affects the migration and differentiation of neural crest cells in vitro and can result in neural tube defects in vivo. Furthermore, homocysteine has been described as an important determinant in vascular disease in human adults. However, little is known about the effects of homocysteine on the development of embryonic vessels. In this study, we injected homocysteine (30 micromol/L...

One-lung anesthesia was performed first by Gale and Waters in 1932.' They devised a curved, singlelumen cuffed tube which could be passed blindly into either mainstem bronchus.2 This accomplishment spurred the evolution of a variety of endobronchial tubes for one-lung anesthesia over the following years. One-lung anesthesia has been utilized for thoracic surgery for several decades. The lateral...

OBJECTIVES/HYPOTHESIS To assess the risk of aspiration using a novel valve circuit that dynamically modulates endotracheal tube cuff pressure during the ventilatory cycle using bench and live animal models. STUDY DESIGN Animal model. METHODS The bench model consisted of a cuffed endotracheal tube inserted into an artificial trachea. Leakage of liquid around the cuff was measured after 4 hou...