BACKGROUND ProSeal LMA (PLMA), one of the advanced supraglottic devices has been successfully used to provide both spontaneous and controlled ventilation in children with upper respiratory tract infection (URTI). URTI does not imply restriction of disease to upper respiratory tract; it has been shown to produce pulmonary dysfunction. PEEP has been shown to improve oxygenation in such cases. Thi...

BACKGROUND Noninvasive positive-pressure ventilation (NPPV) unloads respiratory muscles. Spontaneous-breathing ventilation modes require patient effort to trigger the ventilator, whereas controlled modes potentially economize on patient triggering effort and thus achieve more complete respiratory muscle rest. Data on controlled NPPV have not been published to date. We hypothesize that controlle...

The article describes the successful experience of treating a female patient with severe poisoning by mixture drugs predominant cardiotoxic effect. number taken was many times higher than potentially lethal dose. Hemodynamics has been supported vasopressors and inotropic for long time, antidotes, sorbents, detoxification agents were used. Due to inadequate spontaneous ventilation, on artificial...

We describe difficult weaning after prolonged mechanical ventilation in three tracheostomized children affected by respiratory virus infection. Although the spontaneous breathing trials were successful, the patients failed all extubations. Therefore a tracheostomy was performed and the weaning plan was begun. The strategy for weaning was the decrease of ventilation support combining pressure co...

It is estimated that approximately 800 000 US patients annually require mechanical ventilation to treat acute respiratory failure due to medical disorders, trauma or the postoperative period. The use of mechanical ventilation is projected to increase significantly in the next few decades due to the impact of aging baby bloomers requiring more critical care resources. Although life-saving, the p...

introduction respiratory distress syndrome (rds) is a current cause of morbidity in premature infants resulted from surfactant deficiency. the primary aim of this randomized study was to describe the feasibility of early administration of surfactant via a thin catheter during spontaneous breathing (tec) and compare its outcomes with the insure (intubate, surfactant, extubate) procedure material...