There is controversy regarding the optimal mode of elective tracheal intubation in the patient with an unstable cervical spine following trauma. A ten-year review of 150 patients with traumatic cervical spine injuries with well-preserved neurological function, presenting for operative stabilization, was conducted to compare neurological outcome with the mode of tracheal intubation. Preoperative...

A patient diagnosed with advanced lung cancer developed severe dyspnea after chemotherapy. Metastatic tumor completely obstructing the lower trachea was revealed by bronchoscopy. Emergent surgery required but it difficult to perform open tracheal and maintain sufficient ventilation intubation because of location size tumor. After consultation an esthesiologist, respiratory physician cardiothora...

BACKGROUND Economics has caused the trend of early tracheal extubation after cardiac surgery, yet no prospective randomized study has directly validated that early tracheal extubation anesthetic management decreases costs when compared with late extubation after cardiac surgery. METHODS This prospective, randomized, controlled clinical trial was designed to evaluate the cost savings of early ...

PURPOSE A tracheal bronchus is a congenital abnormality of the tracheobronchial tree, in which a displaced or accessory bronchus arises from the trachea superior to its bifurcation. We report a patient with a tracheal bronchus that was found incidentally during surgery in the prone position, and the potential airway management problems which may have ensued. CLINICAL FEATURES A 70-yr-old fema...

INTRODUCTION Extracorporeal membrane oxygenation (ECMO) is used extensively in cardiothoracic surgery both for hemodynamic and respiratory support. It has proven to be a valuable tool to maintain adequate oxygenation during tracheal surgery. Airway lesion may be an indication for veno-venous ECMO both in case of conservative management and in case of surgical repair. Here we report the case of ...

The thyroid gland is an uncommon site for distant metastases from extra-cervical tumors. Malignant melanoma and kidney, lung, breast, and gastrointestinal carcinomas are the most common origins of these rare metastases. We report the case of a patient with rapidly progressive thyroid metastasis from a lobular breast carcinoma operated on three years previously. An 83-year-old female patient und...

INTRODUCTION Cardiac surgery is associated with post-operative reductions of functional residual capacity (FRC). Manual hyperinflation (MH) aims to prevent airway plugging, and as such could prevent the reduction of FRC after surgery. The main purpose of this study was to determine the effect of MH on post-operative FRC of cardiac surgical patients. METHODS This was a randomized controlled tr...

Objective: Most published series on tracheal cancer re ̄ect single institution experiences. We used the nationwide Danish Cancer Registry to report on characteristics and treatment of tracheal cancers in Denmark. Methods: One hundred and nine cases of primary tracheal cancers were extracted from the registry in the period 1978±1995. The clinical data, histological distribution and treatment moda...