In recent years, laser resection of lung metastases has been established as the standard procedure worldwide. To avoid airway fire, it is necessary to collapse the surgical lung. The selective lobar bronchial blockade is a technique that allows one-lung ventilation while the operated lobe is collapsed in patients with previous pulmonary resection requiring subsequent resection or with limited p...

OBJECTIVE To determine the removal time of the chest tube in ICU trauma patients under positive ventilation pressure (PVP). METHODS This was randomized clinical trial being performed in ICU department of Rajaei trauma hospital from March to December 2011. A total number of 92 trauma patients who were admitted in ICU and were under ventilation and had chest tube were randomly assigned into two...

A 14 year-old adolescent with achondroplasia and Jeune's syndrome (asphyxiating thoracic dystrophy) presented for cervical spine surgery in the prone position. Due to the need for home mechanical ventilation at night, the patient had a tracheostomy in place. With the first surgical procedure, the cuffed tracheostomy tube was left in place during prone positioning. Difficulties encountered with ...

The laryngeal tube has a potential role in airway management during anaesthesia or cardiopulmonary resuscitation. In patients with unstable necks, the head and neck may need to be stabilised manually (manual in-line stabilisation), but it is not known whether this procedure affects the ease of insertion of the laryngeal tube. We studied, in a cross-over study, 21 adult patients to compare the s...

Dear Editor, Endotracheal intubation (ETI) is a simple, rapid, safe and non-surgical technique for airway management. It maintains airway patency, protects the lungs from aspiration, and permits leak-free ventilation during mechanical ventilation. The anesthesiologists’ knowledge, technical skills and crisis management capabilities play an important role in controlling the occurrence of unwante...

Weaning from mechanical ventilation represents the period of transition from total ventilatory support to spontaneous breathing. About 70% of intubated mechanically ventilated patients are extubated on the first spontaneous breathing trial (SBT) attempt, whether by disconnection from the ventilator or after breathing at low levels of pressure support for short periods of time, such as 30 to 120...

Background The term non-invasive ventilation (NIV) refers to the application of artificial ventilation without any conduit access to the airways i.e., without an endotracheal or tracheostomy tube. Recently, NIV has assumed a prominent role in the management of acute respiratory failure. By avoiding endotracheal intubation, NIV prevents complications associated with invasive ventilation like air...

Objective: The aim of this study was to compare the success rates for insertion using the laryngeal mask, laryngeal tube, and I-gel supraglottic airway devices in a neonatal airway manikin during a resuscitation simulation course. Methods: Three groups of health care professionals were given a brief supervised training in using the devices. For each participant the positioning of each device wa...

INTRODUCTION One of the main treatments of chronic otitis media with effusion is ventilation of the middle ear with a ventilation tube (VT). The objective of this study was to determine the incidence and the types of VT complications in children with otitis media with effusion in Ahwaz. MATERIALS AND METHODS In this prospective study, the medical records of 208 children (52 male and 35 female...