Laryngectomy patients usually have poor pulmonary functions due to long-term smoking. Their lungs can easily be decompensated. Hence, meticulous evaluation and timely management of severe respiratory distress in laryngectomy patients can be life savers. Here we present an interesting case of a laryngectomy patient with two different clinical presentations of life-threatening respiratory distres...

OBJECTIVES Respiratory infection is a major cause of death in the elderly. We have evaluated the role of professional oral health care (POHC) by dental hygienists in reducing respiratory infections in elderly persons requiring nursing care. METHODS Two populations of elderly persons, one receiving POHC and one not, were examined to determine numbers of microorganisms, potent pathogens of resp...

abstract  background: uncuffed endotracheal tube(ett) were considered for children less than 8 years. meanwhile, aspiration around ett in patients undergoing adenotonsillectomy is concerned.we compared cuffed versus uncuffed ett regarding respiratory complications following adenotonsillectomy.  methods: 128 children aged 2-8 yr were divided to two groups of 64 each. uncuffed and cuffed tubes we...

conclusions in summary, there is a lack of consensus about the use of neuromuscular blockers in patients with ibm. the authors avoided these drugs and were able to easily secure the patient’s airway and maintain adequate muscle relaxation using a balanced sevoflurane-remifentanil anesthetic. clinical trials are necessary to define the pharmacology of neuromuscular blockers in patients with ibm ...

KEY POINTS Children with neurocognitive impairment often present with chronic or recurrent respiratory problems.The respiratory problems have an important impact on quality of life and life expectancy.The underlying causes are multiple: risk of aspiration, insufficient cough, upper airway obstruction and progressive kyphoscoliosis.There is often a complex interplay between these known risk fact...

Respiratory failure secondary to surfactant deficiency is a major cause of morbidity and mortality in preterm infants. Surfactant therapy substantially reduces mortality and respiratory morbidity for this population. Secondary surfactant deficiency also contributes to acute respiratory morbidity in late-preterm and term neonates with meconium aspiration syndrome, pneumonia/sepsis, and perhaps p...

Epidemiologically, the use of a ventilator and the virulence of causative bacteria link VAP to the host and the duration of respiratory management. Risk factors include long-term respiratory management with a ventilator, re-intubation, administration of antibacterial agents before the onset of pneumonia, primary disease (burns, trauma, central nervous system diseases, respiratory diseases, and ...