نتایج جستجو برای: reintubation
تعداد نتایج: 569 فیلتر نتایج به سال:
BACKGROUND Anesthesia without muscle relaxants has been reported to be effective for early extubation after thymectomy, but postoperative respiratory status of the patients has not been studied intensively. METHODS Fifty-two consecutive patients undergoing thymectomies for myasthenia gravis (MG) were evaluated. RESULTS Forty-two (81%) of the 52 patients were extubated in the operating room,...
STUDY DESIGN A multicenter, retrospective cohort study. OBJECTIVE To evaluate clinical outcomes in patients with reintubation after anterior cervical spine surgery. METHODS A total of 8887 patients undergoing anterior cervical spine surgery were enrolled in the AOSpine North America Rare Complications of Cervical Spine Surgery study. Patients with or without complications after surgery were...
William Shakespeare coined the phase when he wrote in As You Like It: “Can one desire too much of a good thing?” For many years now we have concentrated our efforts on liberating the patient from ventilatory support. The removal of the endotracheal tube (ETT) has been seen as a mere afterthought at the end of the liberation process. However, this approach results in an extubation failure rate (...
Laryngeal edema is a frequent complication of intubation. It often presents shortly after extubation as post-extubation stridor and results from damage to the mucosa of the larynx. Mucosal damage is caused by pressure and ischemia resulting in an inflammatory response. Laryngeal edema may compromise the airway necessitating reintubation. Several studies show that a positive cuff leak test combi...
OBJECTIVE To evaluate the utility of the Cook airway exchange catheter (CAEC) for extubation/reintubation in pediatric patients with a known difficult airway. DESIGN Prospective, nonrandomized. SETTING Pediatric intensive care unit; single academic institution. PATIENTS Twenty intubated children </=18 yrs of age with a known difficult airway requiring extubation. INTERVENTIONS The CAEC ...
BACKGROUND The authors prospectively evaluated the occurrence and outcomes of unplanned extubations (self-extubation and accidental extubation) and reintubation after weaning, and examined the hypothesis that these events may differ regarding their influence on the risk of nosocomial pneumonia. METHODS Data were taken from a prospective, 2-yr database including 750 mechanically ventilated pat...
BACKGROUND Assessment of a patient's readiness for removal of the endotracheal tube in the ICU is based on respiratory, airway, and neurological measures. However, nearly 20% of patients require reintubation. We created a prediction model for the need for reintubation, which incorporates variables importantly contributing to extubation failure. METHODS This was a cohort study of 2,007 endotra...
BACKGROUND Reintubation is associated with high mortality. Identification of methods to avoid reintubation is needed. The aim of this study was to assess whether prophylactic noninvasive ventilation (NIV) would benefit patients with various cough strengths. METHODS We prospectively enrolled 356 patients who successfully passed a spontaneous breathing trial in a respiratory intensive care unit...
BACKGROUND While studies have suggested that prophylactic noninvasive ventilation (NIV) could prevent post-extubation respiratory failure in the intensive care unit, they appear inconsistent with regard to reintubation. We assessed the impact of a prophylactic NIV protocol on reintubation in a large population of at-risk patients. METHODS Prospective before-after study performed in the medica...
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