keyword
https://read.qxmd.com/read/38529620/spinal-muscular-atrophy-sma-mortality-despite-novel-medications-case-reports
#1
JOURNAL ARTICLE
John R Bach, Nayara Conceição, Miguel R Goncalves
Despite new effective medications, patients with SMA types 1-3 can continue to have inadequate cough flows to prevent episodes of acute respiratory failure. Ventilator unweanable intubated patients are thought to require tracheostomy tubes. As a result, potentially beneficial medications may be discontinued and patients die despite receiving these medications. Three cases are presented of medically treated, physically strengthening children, with SMA type 1. All three subsequently died or underwent tracheotomy...
March 25, 2024: American Journal of Physical Medicine & Rehabilitation
https://read.qxmd.com/read/38524381/three-different-surgical-methods-of-the-special-tracheobronchial-foreign-body-pen-cap-in-children-case-series
#2
Teng Zhi-Pan, Li Qi, Shen Xiao-Fei
We present three novel cases of tracheobronchial foreign bodies (TFBs) in children caused by pen caps. One was removed by the rigid bronchoscopy successfully, the second was removed by rigid bronchoscopy combined with tracheotomy, and the last one was treated by bronchotomy from an external thoracic approach. Rigid bronchoscopy is the most widely used for treating TFBs in clinics, especially treating large and special foreign bodies, because rigid bronchoscopy can provide a good view for observation and operation...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38508660/healthcare-service-use-and-medical-outcomes-of-tracheostomy-dependent-children-a-nationwide-study
#3
JOURNAL ARTICLE
In Gyu Song, You Sun Kim, Min Sun Kim, Ji Weon Lee, Yoon-Min Cho, Youna Lim, Seong Keun Kwon, Dong In Suh, June Dong Park
BACKGROUND: Despite the rising trend of tracheostomies in children, there is a lack of comprehensive resources for families to navigate the challenges of living with a tracheostomy, emphasising the need for evidence-based support in understanding postoperative care and long-term adjustments. This study aimed to examine the pattern of using healthcare services and nationwide medical outcomes in children who underwent a tracheotomy before the age of 2 years. METHODS: This retrospective study used the National Health Insurance System database from 2008 to 2016 and included all children codified with tracheotomy procedure codes before their second birthday...
March 19, 2024: BMJ Paediatrics Open
https://read.qxmd.com/read/38506019/-balloon-dilation-as-an-alternative-to-tracheotomy-for-acquired-subglottic-stenosis-in-children-of-the-first-year-of-life
#4
JOURNAL ARTICLE
Yu L Soldatskiy, D N Nikitina, M M Polunin, S R Edgem, N L Krugovskaya, A S Subbotina
OBJECTIVE: To study the efficacy and safety of balloon dilation as the first choice method in the treatment of children of the first year of life with acquired subglottic stenosis. MATERIAL AND METHODS: A retrospective analysis of the treatment of 25 patients aged 27 days to 11 months of life (average age 5.3±3.76 months) with subglottic stenosis caused by prolonged intubation, in whom balloon dilation was the first method of treatment. Grade III Cotton-Myer stenosis was preoperatively detected in 22 children, the remaining 3 had grade II stenosis...
2024: Vestnik Otorinolaringologii
https://read.qxmd.com/read/38496079/dysphagia-secondary-to-myotonic-dystrophy-unveiled-in-a-case-of-destructive-spondylitis-with-synovitis-acne-pustulosis-hyperostosis-osteitis-sapho-syndrome-presenting-as-torticollis
#5
Yoshinori Ishikawa, Takashi Kobayashi, Ryo Shoji, Naohisa Miyakoshi
To report an instructive case involving destructive spondylitis and synovitis-acne-pustulosis-hyperostosis-osteitis (SAPHO) syndrome, presenting with torticollis and postoperative dysphagia without hoarseness, attributed to hidden myotonic dystrophy (DM). A 51-year-old male patient with a cervical deformity, who was previously managed conservatively for a metastatic tumor, underwent reconstruction surgery and subsequently experienced postoperative dysphagia. The presence of destructive spondylitis with torticollis, warranting prompt assessment to prevent paralysis, adds complexity to the delayed identification of DM...
February 2024: Curēus
https://read.qxmd.com/read/38485853/tracheostomy-for-the-pediatric-patient-with-fibrodysplasia-ossificans-progressiva-a-case-report
#6
JOURNAL ARTICLE
Megumi Kobayashi, Misako Hirai, Makoto Suzuki, Akira Sasaki
BACKGROUND: Fibrodysplasia ossificans progressiva (FOP) is an extremely rare connective tissue disease characterized by subsequent ossification of skeletal muscles, tendons, ligaments, and other fibrous tissues. The ossification of these tissues progresses during childhood and leads to limb and trunk deformities. Since any surgery may trigger subsequent ossification, it is relatively contraindicated for patients with FOP. In this report, we describe our experience in performing tracheostomy in a pediatric patient with FOP who developed a restrictive respiratory disorder due to progressive deformity of the trunk...
March 15, 2024: Surgical Case Reports
https://read.qxmd.com/read/38456683/quantifying-the-association-between-surgical-spine-approach-and-tracheostomy-timing-after-traumatic-cervical-spinal-cord-injury
#7
JOURNAL ARTICLE
Ahmad Essa, Husain Shakil, Armaan K Malhotra, James P Byrne, Jetan Badhiwala, Eva Y Yuan, Yingshi He, Andrew S Jack, Francois Mathieu, Jefferson R Wilson, Christopher D Witiw
BACKGROUND AND OBJECTIVES: Recent evidence suggests earlier tracheostomy is associated with fewer complications in patients with complete cervical spinal cord injury (SCI). This study aims to evaluate the influence of spine surgical approach on the association between tracheostomy timing and in-hospital adverse events treating patients with complete cervical SCI. METHODS: This retrospective cohort study was performed using Trauma Quality Improvement Program data from 2017 to 2020...
March 8, 2024: Neurosurgery
https://read.qxmd.com/read/38454458/effects-of-hyperbaric-oxygen-combined-cabin-ventilator-on-critically-ill-patients-with-liberation-difficulty-after-tracheostomy
#8
JOURNAL ARTICLE
Yinliang Qi, Jixiang Xu, Hui Liu, Xiaomei Zhou
BACKGROUND: Critically ill patients undergoing liberation often encounter various physiological and clinical complexities and challenges. However, whether the combination of hyperbaric oxygen and in-cabin ventilator therapy could offer a comprehensive approach that may simultaneously address respiratory and potentially improve outcomes in this challenging patient population remain unclear. METHODS: This retrospective study involved 148 patients experiencing difficulty in liberation after tracheotomy...
March 7, 2024: Biomedical Engineering Online
https://read.qxmd.com/read/38425590/comparison-of-pressure-control-ventilation-and-palpation-methods-to-protect-the-endotracheal-tube-cuff-during-tracheotomy-a-manikin-simulation-study
#9
JOURNAL ARTICLE
Yuki Kojima, Takeshi Murouchi, Kazuma Asano, Kazuya Hirabayashi
Objective This study aims to evaluate and compare the suitability and safety of palpation and pressure control ventilation (PCV) methods for the accurate positioning of an endotracheal tube (ETT) cuff. Methods We conducted a pilot simulation randomized crossover study using a medical manikin. Twenty junior resident physicians who had completed anesthesiology training participated in the study. Airway management was performed using a modified manikin designed to simulate palpation and PCV methods. Participants performed both methods in a randomized order...
January 2024: Curēus
https://read.qxmd.com/read/38417263/soft-tissue-injury-events-associated-with-neural-integrity-monitoring-endotracheal-tubes-a-maude-database-analysis
#10
JOURNAL ARTICLE
Andrew Salib, Ana L Melero Pardo, Michael Z Lerner
OBJECTIVE: Neural integrity monitoring (NIM) endotracheal tubes are widely used to provide intraoperative monitoring of the recurrent laryngeal nerve during certain neck surgeries, especially thyroidectomy, in order to reduce the risk of nerve injury and subsequent vocal fold paralysis. The unique design of NIM tubes and the increased technical skill required for correct placement compared to standard endotracheal tubes may increase the risk of upper aerodigestive tract soft tissue injury...
February 24, 2024: American Journal of Otolaryngology
https://read.qxmd.com/read/38415203/application-of-the-integrated-airway-humidification-device-enhances-the-humidification-effect-of-the-rabbit-tracheotomy-model
#11
JOURNAL ARTICLE
Honglan Sheng, Jie Ni, Feng Zhao, Mi Tian, Yuhang Zhao, Longmei Dai, Ting Li, Yun Xue, Zongze Song, Qiong Yu
Long-term mechanical ventilation after tracheotomy is a common treatment in intensive care unit patients. This study investigated the differences among the effects of different wetting states on the airway, lung, and serum inflammatory factors. New Zealand rabbits ( n = 36) were selected to construct tracheotomy models and then divided into four groups: Model, Mask, YTH, and Sham groups. Lung tissue dry/wet ratio was used to evaluate the humidification effect; cytokines, including tumor necrosis factor-α, interleukin (IL)-6, IL-8, and IL-10, were used to evaluate the inflammatory response; hematoxylin and eosin staining was used to evaluate the histopathology...
2024: Open Life Sciences
https://read.qxmd.com/read/38392034/constructing-a-nomogram-model-to-estimate-the-risk-of-ventilator-associated-pneumonia-for-elderly-patients-in-the-intensive-care-unit
#12
JOURNAL ARTICLE
Wensi Gan, Zhihui Chen, Zhen Tao, Wenyuan Li
BACKGROUND: Ventilator-associated pneumonia (VAP) causes heavy losses in terms of finances, hospitalization, and death for elderly patients in the intensive care unit (ICU); however, the risk is difficult to evaluate due to a lack of reliable assessment tools. We aimed to create and validate a nomogram to estimate VAP risk to provide early intervention for high-risk patients. METHODS: Between January 2016 and March 2021, 293 patients from a tertiary hospital in China were retrospectively reviewed as a training set...
January 19, 2024: Advances in Respiratory Medicine
https://read.qxmd.com/read/38388288/-acute-respiratory-distress-due-to-tracheostomy-tube-migration
#13
JOURNAL ARTICLE
N Verger, P Parpet, Y Bentoumi, R Paulet, M Thyrault, B Sztrymf
Tracheostomy cannula care is of paramount importance in the daily management of tracheotomized patients. While some complications are commonplace, specific events can occur, often according to type of cannula. We herein report the case of a 71-year-old patient; following a lengthy stay in the intensive care unit, she had received a Safe T-Tube cannula designed to provide support in a stenotic trachea. At home, while suctioning her tracheal secretions, she suddenly experienced respiratory distress requiring a rapid intervention...
February 21, 2024: Revue des Maladies Respiratoires
https://read.qxmd.com/read/38381152/an-unknown-foreign-laryngeal-object-an-exotic-complication-of-skull-base-osteoradionecrosis
#14
JOURNAL ARTICLE
Stefan Grasl, Christian Wassipaul, Gregor Fischer, Christoph Arnoldner, Stefan Janik
BACKGROUND: Osteoradionecrosis (ORN) of the skull base is a rare complication after head and neck radiation with a broad variety of subsequent complications. METHODS: A 68-year-old woman with a complex oncological history (right-sided sphenoid meningioma; left-sided neck metastasis of a Cancer of Unknown Primary-CUP) was admitted with a right-sided epi-/ oropharyngeal mass and severe pain exacerbations for further evaluation. CT scan revealed an advanced ORN of the skull base with subsequent abruption of the ventral part of the clivus...
February 21, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38375754/retropharyngeal-abscess-due-to-fusobacterium-necrophorum-complicated-by-progressive-internal-carotid-artery-stenosis-and-multiple-cranial-nerve-palsies
#15
Sohta Matsumura, Takeo Sato, Satoshi Matsushima, Tatsushi Kokubu, Tadashi Umehara, Teppei Komatsu, Kenichiro Sakai, Hidetaka Mitsumura, Yasuyuki Iguchi
BACKGROUND: A case of retropharyngeal abscess complicated by both artery and nerve injury has rarely been reported. METHODS: A 36-year-old woman suddenly presented with right eye visual loss, dilated pupil, reduced direct light reflex, ptosis and ocular motility disorder on the side of inflammation progression, and was diagnosed with retropharyngeal abscess due to Fusobacterium necrophorum. The patient was treated only with antibiotics and, no further surgery was necessary but tracheotomy...
February 20, 2024: Head & Neck
https://read.qxmd.com/read/38369797/-calculus-around-tracheotomy-tube-in-a-child-a-case-report
#16
JOURNAL ARTICLE
Y T Huang, Y Q Chen, H Qin, H Wen, W L Liu, Y H Liu, R Liang, Y L Jin
No abstract text is available yet for this article.
February 7, 2024: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://read.qxmd.com/read/38362182/impact-of-long-term-nasal-airflow-deprivation-on-sinonasal-structures-and-chronic-rhinosinusitis-in-total-laryngectomy-patients
#17
JOURNAL ARTICLE
Marn Joon Park, Mirye Bae, Ji Heui Kim, Yoo-Sam Chung, Yong Ju Jang, Myeong Sang Yu
OBJECTIVE: Total laryngectomy (TL) patients are good models in which to evaluate the effects of nasal airflow cessation on the sinonasal tract. Here, we evaluated changes in sinonasal structures and association with sinus opacification in the computed tomography (CT) images 3 years post-TL. METHODS: Patients who underwent TL from 2005 to 2017 in a teaching academic center were reviewed retrospectively. Patients with a final follow-up CT taken less than 3 years after TL, tracheoesophageal puncture, inadequate CT image, or history of sinonasal surgery were excluded...
February 2024: Laryngoscope Investigative Otolaryngology
https://read.qxmd.com/read/38343442/a-case-series-of-patients-with-complex-airway-disease-and-large-thyroid-tumors-anterior-to-the-trachea-precluding-tracheostomy
#18
Saira Imran, Leon L Chen, Michelle Rausen, Luc G T Morris, Snehal Patel, Neil A Halpern
BACKGROUND: This case series explores the management of respiratory failure in patients with large anterior tracheal thyroid tumors where tracheostomy is not an option. To our knowledge, this study is the first to address the challenges associated with caring for such patients. CASE SUMMARY: We present the clinical courses of four intubated adults with advanced thyroid cancer and complex airway issues that preclude surgical tracheostomy. Interventions included custom airway stents, long-term intubation, and oncological therapies...
February 2024: Critical care explorations
https://read.qxmd.com/read/38343086/aortic-versus-axillary-cannulation-in-acute-type-a-aortic-dissection-repair-a-meta-analysis
#19
REVIEW
Yoshiyuki Yamashita, Serge Sicouri, Aleksander Dokollari, Roberto Rodriguez, Scott M Goldman, Basel Ramlawi
BACKGROUND: Research comparing the effectiveness of central aortic cannulation to axillary artery cannulation in repairing acute type A aortic dissection is limited and controversial. This meta-analysis aimed to compare early outcomes of central aortic cannulation versus axillary artery cannulation for surgery for acute aortic dissection type A. METHODS: A comprehensive systematic search was conducted across PubMed/MEDLINE, Scopus, and the Cochrane Central Register of Controlled Trials up to September 1, 2023...
February 11, 2024: Asian Cardiovascular & Thoracic Annals
https://read.qxmd.com/read/38342876/association-between-timing-of-percutaneous-dilatational-tracheotomyand-clinical-outcomes-of-critically-ill-elderly-patients
#20
JOURNAL ARTICLE
Chen Li, Ting Wang, Donglai Sheng, Min Zhang, Min Zheng, Xiuhua Li
OBJECTIVE: To determine the effect of timing of tracheotomy on the outcome of critically-ill elderly patients. STUDY DESIGN: Descriptive study. Place and Duration of the Study: Intensive Care Unit, Jingxian Hospital, Anhui, China, from January 2017 to December 2021. METHODOLOGY: Two hundred and thirty-five critically-ill elderly patients who had undergone percutaneous dilatational tracheotomy (PDT) were enrolled. The PDT-related complications and clinical outcomes were analysed...
February 2024: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
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