Introduction:- Ventilator Associated Pneumonia (VAP) refers to a type of pneumonia that occurs more than 48–72 hours after endotracheal intubation. Risk factors include prolonged mechanical ventilation, reintubation extubation. Our aim this study find the incidence VAP, total days ICU and hospital stay at tertiary care hospital.Methodology:- This was conducted in Department Medicine ,Government...

BACKGROUND We conducted a randomized trial to evaluate the efficacy and safety of dexmedetomidine for prophylactic analgesia and sedation in patients with delayed extubation after craniotomy. METHODS From June 2012 to July 2014, 150 patients with delayed extubation after craniotomy were randomized 1:1 and were assigned to the dexmedetomidine group that received a continuous infusion of 0.6 μg...

Aims and Objectives: The aim of the study was to evaluate compare hemodynamic responses after endotracheal tube (ET) extubation laryngeal mask airway (LMA) removal in American Society Anaesthesiologists (ASA) I ASA II patients undergoing short surgical procedures. Methods: This a randomized, comparative, observational, clinical conducted tertiary care medical college. duration 1 year. Hundred G...

BACKGROUND Unplanned extubation (UE) is an unprecedented happening in pediatric intensive care unit (PICU); which may lead to severe complications in patients. The risk factors of UE have been discussed but much details are still required in this regard. This study aimed to evaluate predisposing and risk factors of unplanned extubation in PICU. MATERIALS AND METHODS Patients intubated in PICU...

Endotracheal intubation and extubation in intensive care unit (ICU) patients are difficult. Extubation will be more worrisome if patient has difficult intubation, sleep apnea, surgical procedure involving airway or surrounding structures. In such extubation airway exchange catheters (AEC) are used, as they are simple to use and able to provide oxygen to the patient. Rarely AEC use can cause pot...

INTRODUCTION Acute laryngeal lesions after intubation appear to be precursors of chronic lesions. OBJECTIVE To describe the incidence and type of acute laryngeal lesions after extubation in a pediatric intensive care unit (PICU). METHODS A cohort study involving children from birth to <5 years, submitted to intubation for more than 24h in the PICU of an university hospital. In the first eig...

Background: Endotracheal intubation stimulates sympathetic system causing transient increase in heart rate and blood pressure which may be detrimental patients with cardiovascular cerebrovascular comorbidities. Intravenous dexmedetomidine given preoperatively prevents these unfavorable changes caused by endotracheal intubation. Aims Objectives: The aims of this study were to compare effectivene...

Objective: To compare the efficacy of “Just seal” method endotracheal tube cuff inflation versus “stethoscope guided”method for reduction frequency post operative sore throat.&#x0D; Study Design: Prospective observation study.&#x0D; Place and Duration study: This study was conducted in Main operation theatre, CMH Kohat from 1st September 2018 to 30th November 2018.&#x0D; Patients methods: 44 pa...

To the Editor: We read with great interest the article by Tripathi et al1 recently published in RESPIRATORY CARE assessing the impact of a quality-improvement project on the incidence of unplanned extubations. By carrying out this quality-improvement project, they were able to decrease the rate of unplanned extubations from 3.55 to 2.59 per 100 intubation days. The study opens debate regarding ...

Background: Post-extubation respiratory failure is a common event after discontinuation of mechanical ventilation. The incidence of reintubation is relatively high, being about 623% among patients undergoing, mechanical ventilation for more than 48 hours within 48-72 hours of endotracheal removal, so it is important to identify those patients at risk of post extubation respiratory failure. Aim ...