Background and Aims Cardiovascular stress response to extubation can result in elevated heart rate (HR) and mean arterial blood pressures which can be detrimental in high-risk patients. Settings and Design The objective of this study is to compare the esmolol and labetalol efficacy in attenuating hemodynamic response to tracheal extubation. Materials and Methods Sixty patients scheduled for...

Patients with chronic obstructive pulmonary disease (COPD) who have been intubated and mechanically ventilated may prove difficult to wean. Noninvasive ventilation may be used in an attempt to avoid new endotracheal intubation. The efficacy of administration of noninvasive pressure support ventilation was evaluated in 30 COPD patients with postextubation hypercapnic respiratory insufficiency, c...

ho w t o cit e thi s article : bila n n , p oorshir i b.th e rol e o f ches t physiotherap y i n preventio n o f postextubatio n atelectasi s i n pediatri c patient s wit h neuromuscula r diseases . ira n j chil d neuro l. 2013 winte r; 7 (1) : 21-24 .   objective there are controversial findings in the literature on the effects of chest physiotherapy on postextubation lung collapse in pediatri...

BACKGROUND AND OBJECTIVE Postextubation problems such as laryngeal edema and reintubation are common complications after tracheal intubation. The cuff-leak test has been proposed as a method of identifying those patients at high risk in clinical practice, but its efficacy remains controversial. METHODS We searched electronic databases including PubMed, the Cochrane Controlled Trials Register,...

OBJECTIVE Endotracheal tube air leak pressures are used to predict postextubation upper airway compromise such as stridor, upper airway obstruction, or risk of reintubation. To determine whether the absence of an endotracheal tube air leak (air leak test >/=30 cm H2O) measured during the course of mechanical ventilation predicts extubation failure in infants and children. DESIGN Prospective, ...

BACKGROUND The efficacy of corticosteroids in reducing the incidence of postextubation laryngeal oedema is controversial. We aimed to test our hypothesis that methylprednisolone started 12 h before a planned extubation could prevent postextubation laryngeal oedema. METHODS We did a placebo-controlled, double-blind multicentre trial in 761 adults in intensive-care units. Patients who were vent...

INTRODUCTION Dysphagia is common among survivors of critical illness who required mechanical ventilation during treatment. The risk factors associated with the development of postextubation dysphagia, and the effects of dysphagia on patient outcomes, have been relatively unexplored. METHODS We conducted a retrospective, observational cohort study from 2008 to 2010 of all patients over 17 year...

Background and Aims: Laryngospasm and vomiting occurring after tracheal extubation in children is potentially dangerous. The aim of this study was to investigate the effects of preoperative 0.5 mg/kg i.v. Dexamethasone on the incidence of postextubation laryngospasm, and vomiting in children after tonsillectomy. Material and Methods : This study was performed at the Ilam Imam Khomeini hospital,...