Tracheal agenesis is a rare but uniformly fatal congenital condition that obstetricians, neonatologists or anaesthesiologists may encounter as an unexpected emergency. Ventilation with bag and mask or through an endotracheal tube placed in the oesophagus may be the only options left for immediate survival and evaluation. Ventilation and maintenance of adequate oxygenation can be difficult durin...

To the Editor-Recent developments of thoracoscopic surgical instmments and techniques have increased the demand for selective lung ventilation in younger children. Because the use of pediatric doublelumen endotracheal tubes' is limited, this is conventionally accomplished by blocking the required bronchus with a Fogarty embolectomy catheter' or with a pulmonary artery catheter.' In most reporte...

Background Easier to perform than the conventional procedure, mini-tracheostomy (MT) is widely used in the operating room or intensive care unit to remove sputum or other obstructions of the upper airway. This option, however, does carry the risk of various complications, including malposition, disposition, bleeding, and subcutaneous emphysema. Here, we report a case of endotracheal tube obstru...

To the Editor: We read, with interest, the recent case report written by Drs. Uria et al.1, and we agree with their assessment that it is important to perform a preliminary laryngoscopy prior to inserting a nasal tube. However, their recommendation to insert a bougie through the RAE® nasal tube, with its distal acute curve, can result in inappropriate bending of the distal portion which is unfa...

Corresponding author: Hyung Tae Kim, M.D., Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Junghwasandong 1-ga, Wansan-gu, Jeonju 560-750, Korea. Tel: 82-63-230-1593, Fax: 82-63-230-8169, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/lice...

Introduction Weaning from mechanical ventilation is defined as the process of release of ventilatory support and how the evaluation of this phase is conducted in the Spontaneous Breathing Test (SBT). One of the most used modes of SBT is the Continuous Positive Airway Pressure (CPAP). However, together with the mechanical ventilation modes it can be used the Automatic Tube Compensation (ATC), wh...

RATIONALE Primary tracheal adenoid cystic carcinoma of the trachea primary is a rare neoplasm and commonly misdiagnosed. Lung isolation during surgery and ventilation pose a tremendous challenge to anesthesiologists. PATIENT CONCERNS The authors describe a novel technique of lung isolation and ventilation with a Univent tube during thoracoscopic mediastinal tracheal resection and reconstructi...

OBJECTIVE To determine the long-term effects of ventilation tube insertion on hearing thresholds and tympanic membrane pathologic abnormalities in children with otitis media with effusion. DESIGN Prospective cohort study. SETTING Tertiary care children's hospital, otorhinolaryngology and audiology service. PARTICIPANTS Patients aged 8 to 16 years who participated in a randomized controlle...

OBJECTIVE To determine the costs and effectiveness of treatment with ventilation tubes as compared with watchful waiting in children with persistent otitis media with effusion. DESIGN Randomized controlled trial. SETTING Institutional practice. PATIENTS A total of 187 young children (19 months old) with persistent bilateral otitis media with effusion. INTERVENTIONS Treatment with ventil...

BACKGROUND Postirradiation otitis media with effusion (OME) due to transient edema and dysfunction of the eustachian tube is the most common radiotherapy-associated otologic complication in nasopharyngeal cancer (NPC) patients. However, it can be seen in other head and neck cancers whose field of radiation includes the nasopharynx. Whether to insert ventilation tubes in these patients remains c...