Persistent air leak is not a common problem in patients who are under mechanical ventilation support; however, it can be encountered in intensive care unit (ICU). It is often due to nonuniform contact between the cuff and the tracheal wall caused by insufficient cuff pressure or malposition of the tube. Tracheostomy is commonly applied and is a relatively safe invasive procedure in ICU. We repo...

Prolonged air leak following bullectomy is a common problem and increases the morbidity of the procedure and hence the hospital stay for patients. Different surgical methods have been used to decrease the duration of the air leak. One of the common methods is the use of sealant material, synthetic or biological, over which either a stapler or suture closure is made. We report the use of the wal...

Secondary capillary leak syndrome is characterized by loss of fluid and proteins to the interstitial space due to different causes, which are related to endothelial damage. Rotavirus is the most common pathogen of diarrhea in childhood, especially during the first years of life. This virus is generally responsible for severe diarrhea and electrolyte imbalance in children. Some complications can...

Brucellosis may involve multiple organs and progresses with complications. Brucella endocarditis, disseminated intravascular coagulopathy (DIC) and chronic renal insufficiency are rare complications of brucellosis. Capillary leak syndrome due to brucellosis is seen even more rarely and up to this date, only one case has been reported. Our case will probably be the second. In this article, a cas...

Despite the absence of clinical safety data, heated, humidified high-flow nasal cannula (HHFNC) therapy is increasingly being used as an alternative to positive-pressure ventilation in pediatrics. This use of HHFNC is “off label” because the US Food and Drug Administration’s approval for these devices was only for air humidification and not as a modality to provide positive distending pressure....

background: in recent years, various noninvasive respiratory support (nrs) of ventilation has been provided more in neonates. the aim of this study was to compare the effect of hfnc with ncpap in post-extubation of preterm infants with rds after insure method (intubation, surfactant, extubation). methods: a total of 54 preterm infants with rds (respiratory distress syndrome) were enrolled in th...

We thank Dr Goldsmith for the stimulating comments [1] concerning our recent study. As a conclusion of this randomised study, we have stated that the Coseal sealant proves to be effective in reducing intra-operative and postoperative air leaks. This is clearly shown by the evidence that the number of patients presenting air-leak cessation in the Coseal group was more than the control group eith...

Despite the absence of clinical safety data, heated, humidified high-flow nasal cannula (HHFNC) therapy is increasingly being used as an alternative to positive-pressure ventilation in pediatrics. This use of HHFNC is “off label” because the US Food and Drug Administration’s approval for these devices was only for air humidification and not as a modality to provide positive distending pressure....