We read with interest the recent Critical Care review of post-extubation laryngeal edema and stridor resulting in respiratory failure [1]. We mostly agree with the authors’ opinion in that article except that the cuff leak test (CLT) was proposed as a standard extubation algorithm. We have two reasons to disagree. First, although the CLT has been widely used for the prediction of post-extubatio...

Suction has usually been regarded as the primary functional mean for attachment in sea star and sea urchin tube feet and this hypothesis has become widespread in the public knowledge. Yet, a few studies have suggested that adhesive secretions may also play a prominent role in tube foot attachment. Here we use a morphological and biomechanical approach to investigate the role of suction in aster...

Bronchoscopic laser therapy is now an established method of relieving neoplastic tracheobronchial obstructions. Much of the previous work, however, has been done with the flexible fibreoptic bronchoscope in conscious patients, under sedation and local anaesthesia. Besides the obvious discomfort to the patient the use of the flexible fibreoptic bronchoscope for laser therapy under local anaesthe...

The aim of the present study was to explore the infection route of ventilator-associated pneumonia (VAP) and assess the effectiveness of a combined nursing strategy to prevent VAP in intensive care units. Bacteria from the gastric juice and drainage from the hypolarynx and lower respiratory tracts of patients with VAP were analyzed using genome macrorestriction-pulsed-field gel electrophoresis ...

Background: Subglottic stenosis is among the most common airway problems in children, i.e., acquired or congenital. More than 90% of cases are secondary to endotracheal intubation and occur iatrogenically. an unexpected problem that requires timely diagnosis intervention. Most subglottic children mild moderate. Case Presentation: The presented patient was a 10-year-old child who, after long due...

Pancreatic pseudocysts (PPs) are collections of pancreatic secretions that lined by fibrous tissues and may contain necrotic debris or blood. The interventions including percutaneous, endoscopic surgical approaches based on the size, location, symptoms complications a pseudocyst. With availability advanced imaging systems cameras, better hemostatic equipment’s excellent laparoscopic techniques,...

AIM OF THE STUDY To define the therapeutic program for the treatment of perforative complication of the duodenum in course of endoscopic retrograde cholangio-pancreatography (ERCP) with endoscopic sphincterotomy (ES). MATERIAL OF THE STUDY: In the period from 1997 to 2003, 5 duodenal perforations occurred during 101 ERCP/ES (4.95%), executed in two digestive endoscopic centres. Three patients w...