Management of airway infections caused by Pseudomonas aeruginosa is a serious clinical challenge, but little is known about the microbial ecology of airway infections in intubated patients. We analyzed bacterial diversity in endotracheal aspirates obtained from intubated patients colonized by P. aeruginosa by using 16S rRNA clone libraries and microarrays (PhyloChip) to determine changes in bac...

Title: Hypoxia and hypotension in patients intubated by physician staffed helicopter emergency medical services a prospective observational multi-centre study Authors: Geir Arne Sunde ([email protected]) Mårten Sandberg ([email protected]) Richard Lyon ([email protected]) Knut Fredriksen ([email protected]) Brian Burns ([email protected]) Karl ...

cause it was not our purpose to rectify terminology problems in the field of mechanical ventilation, we intentionally used conventional terms. Mr. Chatburn writes passionately and convincingly concerning others' errors in linguistic accuracy, but in doing so he himself falls victim to errors of other types as well as linguistic errors. For instance, flow and volume are not inverse functions: vo...

OBJECTIVES/HYPOTHESIS Prolonged intubation has been recognized as a risk factor for dysphagia following cardiac surgery. We conducted a study to determine whether those patients intubated longer than 12 hours following cardiac surgery exhibit low handgrip strength and if dysphagia is prevalent in those with low handgrip strength. STUDY DESIGN Feasibility study. METHODS Patients intubated mo...

BACKGROUND The consequences of emergency intubation in Guillain-Barré syndrome are not known. OBJECTIVE To review data from patients admitted to the intensive care unit with recent diagnosis of Guillain-Barré syndrome and intubation for respiratory failure. DESIGN, SETTING, AND PATIENTS The database of patients with Guillain-Barré syndrome admitted to the intensive care units during the pas...

CONTEXT Ventilator-associated pneumonia (VAP) causes substantial morbidity. A silver-coated endotracheal tube has been designed to reduce VAP incidence by preventing bacterial colonization and biofilm formation. OBJECTIVE To determine whether a silver-coated endotracheal tube would reduce the incidence of microbiologically confirmed VAP. DESIGN, SETTING, AND PARTICIPANTS Prospective, random...

BACKGROUND Detecting pain is crucial in sedated and mechanically ventilated patients, as they are unable to communicate verbally. OBJECTIVES This study aimed to compare Bispectral index (BIS) monitoring with the Critical-care pain observation tool (CPOT) and vital signs for pain assessment during painful procedures in intubated adult patients after cardiac surgery. MATERIALS AND METHODS Sev...

OBJECTIVE American Society of Anesthesiology guidelines recommend preoperative fasts of 6 hours after light snacks and 8 hours after large meals. These guidelines were designed for healthy patients undergoing elective procedures but are often applied to intubated intensive care unit (ICU) patients. ICU patients undergoing routine procedures may be subjected to unnecessary prolonged fasts. This ...

Introduction / objectives Tracheobronchial tree colonization is considered an important risk factor for the development of ventilatorassociated pneumonia (VAP). The aim of the present study was to examine microbiologically the respiratory tract flora of mechanically ventilated patients hospitalized in the Coronary Care Unit (CCU) of our institution for the detection of colonization with importa...