The most dreaded complication of tube feedings is tracheobronchial aspiration of gastric contents. Strong evidence indicates that most critically ill tube-fed patients receiving mechanical ventilation aspirate gastric contents at least once during their early days of tube feeding. Those who aspirate frequently are about 4 times more likely to have pneumonia develop than are those who aspirate i...

191 Surgical cricothyroidotomy is considered a critical skill in emergency airway management, though it is rarely used and fraught with complications. A variety of approaches are taught, including both the standard and rapid four-step techniques. We report a case in which an air medical crew used a gum-elastic bougie (endotracheal tube introducer), a common device in many airway kits, to facili...

Conventional intubation for pulmonary management in children with a difficult airway may be very challenging even in skilled hands. Rapid advancements in respiratory care have reduced the incidence of difficult tracheal intubation and the incidence of complications have decreased accordingly. However, serious unexpected complications still occur in some patients today. Herein, we describe a syn...

1. Holmes JH IV, Brundage SI, Yuen P, Hall RA, Maier RV, Jurkovich GJ. Complications of surgical feeding jejunostomy in trauma patients. J Trauma 1999;47(6):1009-12. 2. Brotman S, Marshall WJ. Complications from needle catheter jejunostomy in posttraumatic surgery. Contemp Surg 1985;27: 52-6. 3. Rai J, Flint LM, Ferrara JJ. Small bowel necrosis in association with jejunostomy tube feedings. Am ...

The impact that a new specialist tracheostomy service, designed specifically for the care of patients with tracheostomies, was assessed in terms of type of tracheostomy tube used, time to first tube change, time to decannulation, and incidence of tracheostomy related complications in a teaching hospital with no on-site ear, nose, and throat facility. A total of 170 patients were studied. After ...

is, to the best of our knowledge, not known. If increased hydrostatic pressure is important, then the use of furosemide can be justified. Therapy directly aimed at neutralizing PGE2 is currently experimental. 5 Although estimation of blood loss during major bleeding may be difficult, we do not think that our patient developed pulmonary oedema due to overtransfusion as we are confident that we d...

Several types of breathing circuits are available in anaesthesia practice.[1] Complications have been reported with almost all the breathing circuits.[2,3] Pre-use check of anaesthesia machine and circuits is recommended to avoid these complications.[4] Latest addition to the armamentarium of breathing circuit is Limb-O circuit [Figure 1]. This circuit is a ‘“double lumen’” single-tube breathin...

OBJECTIVES Little is known about long-term outcomes of patients undergoing percutaneous endoscopic gastrostomy (PEG) placement. The purpose of this study was to examine tube-related major complications in pediatric patients undergoing PEG placement during a 10-year follow-up period. METHODS A retrospective chart review of patients undergoing PEG placement from April 1999 through December 2000...

tube is a rare complication. A 38-year-old man presented with jaundice and abdominal pain. He had undergone open cholecystectomy and common bile duct (CBD) exploration 1 month previously for cholelithiasis and choledocholithiasis, with a Ttube placed in the CBD during surgery for subsequent biliary decompression. On examination, he was markedly icteric and had right upper quadrant tenderness. I...

INTRODUCTION To study the long-term complications of tympanostomy tube insertion in young children 10 years after surgery. MATERIALS AND METHODS In September 2011, the medical records of all patients who had undergone myringotomy with tympanostomy tube insertion between February 2000 and March 2001 at the two general hospitals of Isfahan University of Medical Sciences were studied. Of the 98 ...