Tracheomalacia is a malformation of the tracheal membranosa. It is maintained during spontaneous breathing but can be altered by bronchoscopy or positive airway pressure. Tracheomalacia is associated with a high mortality and may cause prolonged intubation and ventilation. Here, the case of a 13-day-old infant with jejunoileal stenosis that had surgery is reported. During induction of general a...

While remaining prominent in paramedic care and beneficial to some patients, out-of-hospital endotracheal intubation has not clearly improved survival or reduced morbidity from critical illness or injury when studied more broadly. Recent studies identify equivocal or unfavorable clinical effects, adverse events and errors, interaction with other important resuscitation interventions, and challe...

BACKGROUND Adhesive tape is commonly used to secure the endotracheal tube (ETT) in anesthesia and intensive-care settings. OBJECTIVE To determine the force required to extubate when the ETT is secured with adhesive tape or commercially available ETT holders. METHODS We orally intubated a simulation manikin with a standard 8.0-mm inner-diameter ETT, inflated the cuff to 20 cm H(2)O, and mea...

results sore throat was recorded in 32.9% of patients with lma and 44.2% of intubated patients, but it was not statistically significant (fisher’s exact test = 0.158). hoarseness was recorded in 3.5% of patients with lma and 24.4% of intubated patients (fisher’s exact test = 0.000). in 1.2% of patients with lma cough was recorded; it was also seen in 7% of the intubated patients (fisher’s exact...

introduction:ventilator- associated pneumonia(vap),as defined by the centers for disease control and prevention (cdc),is a pneumonia that occurs in a patient receiving mechanical ventilation that develops 48 hours or more after initiation of ventilation.re-intubation which occur within 72 hours of planned extubation may effect vap incidence.the aim of this study was to determine vap incidence i...

We present the case of a 59-year-old female patient with severe Coronavirus Acute Respiratory Distress Syndrome (CARDS) admitted to Intensive Care Unit (ICU). Prior SARS-CoV-2 infection she had no other medical problems besides chronic arterial hypertension. Endotracheal intubation became necessary. Between five episodes therapeutic prone positioning during mechanical ventilation, swelling lowe...

Methods This study was conducted on 100 patients who were admitted to Critical Care Medicine Department in Alexandria Main University Hospital with an indication of endotracheal tube placement. All patients were examined by ultrasonography “linear probe” after endotracheal tube insertion. Results were compared with capnometric readings (end tidal CO2). After confirmation of endotracheal tube po...

INTRODUCTION Confirmation of proper endotracheal tube placement is one of the most important and lifesaving issues of tracheal intubation. The present study was aimed to evaluate the accuracy of tracheal ultrasonography by emergency residents in this regard. METHOD This was a prospective, cross sectional study for evaluating the diagnostic accuracy of ultrasonography in endotracheal tube plac...

OBJECTIVE To assess whether endotracheal suctioning of nonvigorous infants born through meconium stained amniotic fluid (MSAF) reduces the risk and complications of meconium aspiration syndrome (MAS). STUDY DESIGN Term, nonvigorous babies born through MSAF were randomized to endotracheal suction and no-suction groups (n=61 in each). Risk of MAS, complications of MAS and endotracheal suction, ...

STUDY OBJECTIVE To investigate safety issues associated with the reuse of sterilized endotracheal tubes (ETTs). DESIGN Prospective, randomized study. SETTING Laboratory in vivo testing. INTERVENTION Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa were inoculated onto ETT cuffs. Following inoculation, ETTs were sterilized with either ethylene oxide or glutaraldehyde. Cu...