INTRODUCTION Closed suctioning is commonly used in the context of high-setting mechanical ventilation (MV), given its ability to prevent lung volume loss that otherwise accompanies open suctioning. However, closed suctioning systems (CSS) are not equivalent regarding components and capabilities, and thus this technique may be differentially effective to adequately clear patient secretions from ...

The forced deflation (FD) technique is the recommended gold standard to generate forced expiratory vital capacity (FVC) curves and to measure maximum expiratory flow-volume (MEFV) relationships in intubated infants and children. However, the influence of the endotracheal tube (ETT) on the site of flow limitation, the shape and the analysis of the resultant MEFV curves have not been defined. Nin...

Tonsillectomy is one of the most commonly performed surgical procedures in children. In the management of the pediatric airway for general anesthesia different adjuncts can be used such as endotracheal tube (ETT) and laryngeal mask airway (LMA). There are no agreed national guidelines or consensus in the United Kingdom (UK) for the selection of airway adjuncts in pediatric tonsillectomy, theref...

Ischemic tracheal complications due to the ETT cuff occur in approximately 10 percent of mechanically ventilated critically ill patients despite the use of high-volume, low-pressure ETT cuffs. Using a laboratory model, we studied the effects of airway pressure on three different ETT cuff designs, including two "low pressure" designs. Positive airway pressure acted on the "low pressure" cuffs to...

Compared the additive benefits of laxative, behavior, and biofeedback treatments for encopresis, while attempting to identify treatment mechanisms and predictors of treatment outcome. 44 encopretic children, ages 6-15 years, were randomly assigned to either laxative therapy (LAX), LAX plus enhanced toilet training (ETT), or LAX + ETT + anal sphincter biofeedback (BF). Daily symptom diaries were...

We discuss a case of intratracheal ectopic thyroid tissue (ETT) that was retrieved from the files of the Otorhinolaryngic--Head and Neck Pathology Registry at the Armed Forces Institute of Pathology. The patient was a 54-year-old man who had a history of papillary thyroid carcinoma, which had been treated with a subtotal thyroidectomy. During routine follow-up 4 years later, the patient's prima...

CAN J ANESTH 54: 5 www.cja-jca.org May, 2007 tubes.3 The added dead space or airway resistance is negligible. Although longer tubes are more likely to be inserted deeply or bend, these problems are easily rectified. Creation of a longer ETT was achieved through the connection of two tubes by a cut ETT connector.4,5 These cases used the combined tubes for a short period of time. It is questionab...

Percutaneous dilatational tracheostomy (PDT) is a widely used and accepted method for long-term ventilation of critically ill patients in many intensive care units (ICUs). However, serious complications related to PDT have been reported, including several cases of intraoperative loss of airway with fatal consequences. (1) Generally, this is the result of the required delicate position of the en...

STUDY DESIGN Randomized, controlled, crossover trial. OBJECTIVES To examine the effects of elastic therapeutic taping (ETT) applied to the lumbar paraspinal region on back muscle endurance (BME) compared to no tape or a rigid therapeutic taping (RTT) procedure in individuals with nonspecific low back pain. BACKGROUND Elastic therapeutic taping is an increasingly popular intervention for cli...

STUDY OBJECTIVE To evaluate a new method of endotracheal tube (ETT) positioning relative to carina, based on external topographic landmarks. DESIGN Prospective, randomized, crossover study. SETTING Operating room, university hospital. PATIENTS 200 American Society of Anesthesiologists (ASA) physical status I-II patients (100 women and 100 men) scheduled for elective surgery with general a...