BACKGROUND Endotracheal re-intubation following coronary artery bypass grafting (CABG) is often associated with significant morbidity and mortality. However, few reports have focused on the independent risk factors for re-intubation following CABG. This study aimed to evaluate the independent risk factors for re-intubation following CABG. METHODS The pre-, intra-, and post-operative materials...

device in the supine position, in both elective and emergency situations, for both ventilation and intubation. Intubation in lateral position might be necessary in some congenital syndromes, morbid obesity, or after accidental extubation in laterally positioned patients. This study was undertaken to evaluate the ILMA for intubation of patients in the lateral position and compare it with intubat...

OBJECTIVE To identify the associations between the duration of endotracheal intubation and developing post-extubational supraglottic and infraglottic aspiration (PEA) and subsequent aspiration pneumonia. METHODS This was a retrospective observational study from January 2009 to November 2014 of all adult patients who had non-neurologic critical illness, required endotracheal intubation and wer...

BACKGROUND The Airtraq laryngoscope and the GlideScope are commonly used in many airway scenarios. However, their features have not been fully described for double-lumen tube intubation. A prospective randomized study was designed to compare their intubation performances in thoracic surgery patients. METHODS Seventy ASA physical status I and II patients with predicted normal airway were sched...

A 57 year old patient presented with progressive tracheal stenosis two months after intubation. An intraluminal polypoid lesion was found at the site of the cuff of the endotracheal tube. It disappeared within five days of treatment with inhaled beclomethasone. Further improvement of forced expiratory and inspiratory flow occurred after systemic corticosteroid treatment, with resolution of peri...

Tracheoesophageal fistula (TEF) after prolonged intubation could present as chronic aspiration and could be mistaken as unilateral or bilateral vocal fold palsy, especially when there was combined posterior glottic synechia. We present a case of post-intubation TEF which was successfully treated with tracheal resection and anastomosis with primary esophageal closure. The accompanying posterior ...

A 68-day-old former 30-week infant presented with listlessness, apnea and bradycardia. The patient was intubated for airway protection. After intubation, breath sounds were auscultated bilaterally and a Pedi-Cap carbon dioxide detector had color change from purple to yellow. A nasogastric tube (NGT) was placed and a post-procedural chest radiograph was obtained (Figure). There are several featu...

Objective: The aim of the study was to determine role nebulized dexmedetomidine in attenuating stress response laryngoscopy and intubation observe any adverse effects drug such as cough, bradycardia, hypotension, dose-sparing result propofol. Methods: A prospective observational conducted a tertiary care teaching hospital for 12 months. total 62 patients (ASA 1 2) age group 18–65 years schedule...

INTRODUCTION Tracheostomy is frequently performed in critically ill patients for prolonged intubation. However, the optimal timing of tracheostomy, and its impact on weaning from mechanical ventilation and outcomes in critically ill patients who require mechanical ventilation remain controversial. METHODS The medical records of patients who underwent tracheostomy in the medical intensive care...

Background: Hemodynamic stress response to laryngoscopy and intubation produces a significant hemodynamic alteration that may adversely affect patients with cardiac and neurological diseases. Fentanyl before induction attenuates hemodynamic stress response. We compared three different doses of fentanyl so as to find the most appropriate dose which prevents the response without adverse consequen...