We discuss a case of difficult extubation, due to inadequate deflation of the tracheal tube cuff, despite collapse of the pilot balloon, on its aspiration. This was caused by inadvertent kinking of the pilot balloon tubing due to inappropriate tape fixation of the endotracheal tube.

A stable breathing pattern during unassisted ventilation through an endotracheal tube (ETT) prior to extubation is an important factor in determining whether a patient can be successfully extubated. Proper interpretation of changes in the breathing pattern requires knowledge of the normal variability of the breathing pattern in critically ill, intubated patients. To establish these guidelines, ...

PURPOSE To evaluate a comprehensive scoring system which combines clinical manifestations of Pierre Robin Sequence (PRS) including severity of breathing difficulties, body weight and preoperative Cormack-Lehane grade, for its correlation with perioperative PRS airway management decision. DESIGN Forty PRS children were retrospectively recruited after surgery. Specialists examined all subjects ...

Objective: The purpose of this study was to update the state of knowledge on unplanned extubations (UEs) in neonatal intensive care units (NICUs). This review focuses on the following topics: incidence, risk factors, reintubation after UE, outcomes, and prevention. Material and Methods: Electronic databases were searched for relevant publications from January 1, 1950 through January 30, 2012 on...

A 1yr old boy weighing 10 kg underwent cleft palate surgery. Post extubation, a swelling was noticed beneath the tongue which progressed gradually and obstructed airway. Small sized endotracheal tube (ETT) used as nasal airway advanced till it relieved obstruction child started maintaining SpO2 >95%. Haemodynamic parameters were stable shifted from OT to PACU where he observed vigilantly for...

Negative pressure pulmonary edema following tracheal extubation is an uncommon and life-threatening complication of patients undergoing endotracheal intubation and general anesthesia for surgical procedures. The common pattern in these cases is the occurrence of an episode of airway obstruction upon emergence from general anesthesia, usually caused by laryngospasm. Patients who are predisposed ...

We report two rare cases of tracheobronchial injury (TBI) following endotracheal intubation. Both intubations were easy and performed by experienced anaesthetists. The injuries for both cases were possibly caused by the tip of an endotracheal tube. A 27-year-old woman regurgitated copiously during induction of general anaesthesia for a Caesarean section. She had a full-thickness TBI 2 cm above ...

Abstract Endotracheal intubation is indispensable in modern healthcare but typically entails two complications for the treated patients: biofouling‐induced infections and friction‐associated damage to tissue. Coatings on endotracheal tubes (ETT) may mitigate those problems, they require a well‐defined testing method assess their functionality. Here, such setup presented, which allows conducting...

Twenty-eight patients who required endotracheal intubation for open-heart surgery were randomly allocated to one of two types of endotracheal tube. The tracheal mucosa was examined with a fibreoptic bronchoscope at the time of extubation, usually 24 hours after operation. The degree of oedema, inflammation, and ulceration was scored by the bronchoscopist, who also photographed the whole length ...