A trial of the Nellcor Stat Cap, which detects exhaled carbon dioxide, as an aid to determining whether endotracheal tubes are placed in the oesophagus or the trachea, was carried out in the neonatal unit of this hospital. Twenty five neonates, with a mean (range) gestational age of 33 (24-42) weeks and a mean (range) birthweight of 2.17 (0.54-4.1) kg were studied over two months. These babies ...

6 In the previous issue of Annals, a single‐center unblinded study assessing the outcomes of noninvasive bilevel positive airway pressure ventilation versus typical positive pressure ventilation through an endotracheal tube for patients with respiratory failure following initial extubation after open heart surgery provides an important reminder that traditional care requires continuous question...

INTRODUCTION Post-Operative Sore Throat (POST) is an undesirable side effect ofendotracheal intubation. Pharmacological and non-pharmacological measures have been utilized for minimizing the morbidity caused by POST. We have tested whether medicated lozenges of Licorice provides efficacy in decreasing POST in smokers presenting for surgery under general anesthesia with endotracheal intubation. ...

Non-invasive ventilation has been used increasingly in recent years to reduce the duration of endotracheal ventilation and its complications, especially bronchopulmonary dysplasia. Nasal continuous positive airway pressure and nasal intermittent positive pressure ventilation are the most common non-invasive modalities, and nasal high-frequency oscillatory ventilation (n-HFOV) is relatively new ...

BACKGROUND AND OBJECTIVES Unplanned extubation can be a significant event that places the patient at risk for adverse events. Our goal was to reduce unplanned extubations to <1 unplanned extubation per 100 patient-intubated days. METHODS All unplanned extubations in the NICU beginning in October 2009 were audited. Data collected included time of day, patient weight, and patient care activity ...

The timing of extubation is crucial during critical illness, since either delayed or premature discontinuation from mechanical ventilation is associated with an increased risk of morbidity and mortality,1 and the literature suggests that an early identification of patients who are able to breathe spontaneously reduces the duration of mechanical ventilation and complication rate.1 However, even ...

BACKGROUND We evaluated the effect of two drugs with anti-inflammatory action, dexamethasone and ketorolac, on reduction of postoperative sore throat (POST) after general anesthesia with endotracheal intubation in patients undergoing thyroidectomy. METHODS One hundred and ninety-two female patients scheduled to undergo general anesthesia with endotracheal intubation for thyroidectomy were enr...

Purpose: To compare respiratory and clinical outcomes between the currently used strategy of Intubation, Surfactant, Extubation (InSurE) and nasal continuous positive airway pressure (NCPAP) and the alternative strategy of InSurE and nasal intermittent positive pressure ventilation (NIPPV) for the initial treatment of respiratory distress syndrome (RDS) in preterm newborns ≤32 weeks. Methods: T...

We report an unusual cause of difficult tracheal extubation due to occlusion of the endotracheal tube (ETT) pilot balloon tubing by a bite block. A 73-year-old man recently underwent coronary artery bypass graft and mitral valve repair at our institution. Fourteen days after discharge, he presented to his local emergency room with epigastric pain, and a Stanford type A aortic dissection extendi...

supply to cranial nerves X and XII, and thus carotid dissection after minor trauma may lead to sudden cranial nerve X and XII palsies. For this reason, in the present case, MR angiography and carotid triplex scan took place but did not reveal any abnormality. Additionally, Tapia’s syndrome can be considered as a localized lesion at the crossing of the recurrent laryngeal and hypoglossal nerves....