Objectives: to know the effectiveness of alternative measures Conventional Oxygen Therapy (COT) that have been proposed for prevention post-extubation complications in adult patients admitted Intensive Care Unit (ICU) and connected Invasive Mechanical Ventilation (IMV) first 72 hours. Methods: Bibliographic searches were carried out different search engines, highlighting PubMed Cochrane. These ...

The management of a neonate with a known difficult airway is a challenge to any clinician. We report a four-day-old neonate with a known difficult airway, who presented to us for rigid bronchoscopy. We used an innovative, economical and easily available adult central venous line guidewire to secure the airway and reintubate the child.

Methods In this retrospective case note study we looked at the outcome of each extubation between 1st October 2013 and 30th September 2014. We included all patients >18 years of age invasively ventilated for >48 hours. We excluded patients proceeding directly to tracheostomy or extubated for withdrawal of care. Failed extubation was defined as the need for reintubation within 5 days of planned ...

Failed extubation (FE), defined as reintubation 48 or 72 hours after planned extubation, occurs in a significant percentage of patients and is associated with a substantial burden of morbidity and mortality. This commentary reviews the literature describing FE rates and the clinical consequences of FE and proposes an 'optimal' rate of FE as well as avenues for future research.

BACKGROUND Continuous positive airway pressure is a noninvasive respiratory support technique that may prevent pulmonary complications following cardiac surgery. This study was conducted to determine the efficacy of prophylactic nasal continuous positive airway pressure (nCPAP) compared with standard treatment. The primary end points were pulmonary adverse effects defined as hypoxemia (Pao(2)/f...

BACKGROUND Acute hypoxemic respiratory failure (AHRF) is one of the most serious complications after cardiovascular surgery. It remains unclear whether noninvasive ventilation (NIV) has potential as an effective therapy for AHRF after cardiovascular surgery, although many reports have described the use of NIV for AHRF after extubation. The aim of this study was to investigate the effectiveness ...

OBJECTIVE To verify the effectiveness of noninvasive ventilation compared to conventional physiotherapy or oxygen therapy in the mortality rate and prevention of pulmonary complications in patients during the immediate postoperative period of cardiac surgery. METHODS Systematic review and meta-analysis recorded in the International Prospective Register of Ongoing Systematic Reviews (number CR...

Introduction Coarctation of the aorta is a common congenital abnormality that requires surgical repair in most instances with a challenging anesthetic management. Fast tracking has been introduced to cardiac anesthesia in order to limit post operative ventilator complications, to conserve expensive resources and to allow a shorter hospital course. Immediate extubation is an integral part of fas...

INTRODUCTION Weaning protocols that include noninvasive ventilation (NIV) decrease re-intubation rates and ICU length of stay. However, impaired airway clearance is associated with NIV failure. Mechanical insufflation-exsufflation (MI-E) has been proven to be very effective in patients receiving NIV. We aimed to assess the efficacy of MI-E as part of an extubation protocol. METHOD Patients wi...