keyword
https://read.qxmd.com/read/38478292/open-versus-closed-suctioning-among-mechanically-ventilated-pediatric-patients-a-randomised-control-trial
#21
JOURNAL ARTICLE
Subhranshu Sekhar Dhal, Rajiv Aggarwal, Hiremath Sagar, Nirmal Kumar Mohakud, Anilkumar Sapare, Sourav Padhee, Manaswinee Sahoo
OBJECTIVES: To compare the difference in efficacy of closed tracheal suction system (CTSS) to open tracheal suction system (OTSS) in reducing incidence of ventilator associated pneumonia (VAP). Also to evaluate their efficacy in stabilizing cardio-respiratory parameters, reducing mortality and duration of intubation. METHODS: This study was a single centre, parallel group, open label, randomized controlled study with an equal allocation (1:1) in pediatric patients requiring mechanical ventilation...
March 13, 2024: Indian Journal of Pediatrics
https://read.qxmd.com/read/38476932/obstructive-fibrinous-tracheal-pseudomembrane-following-repeated-intratracheal-interventions
#22
Wei Tang, Wenlai Zhou, Xiangde Zheng
Obstructive fibrinous tracheal pseudomembrane (OFTP) is a relatively rare complication of endotracheal intubation. Despite being well documented, the exact pathogenesis of OFTP remains unclear. Some studies suggest that it may arise from the early stage of ischemic tracheal wall injury caused by the cuff pressure during intubation. Diagnosis and treatment of OFTP can be facilitated through therapeutic bronchoscopy. In this case report, we describe a patient who presented with dyspnea following repeated intratracheal interventions and was diagnosed with OFTP...
2024: Drug, Healthcare and Patient Safety
https://read.qxmd.com/read/38476193/derivation-and-validation-of-a-quantitative-risk-prediction-model-for-weaning-and-extubation-in-neurocritical-patients
#23
JOURNAL ARTICLE
Weiling Cheng, Ning Zhang, Dongcheng Liang, Haoling Zhang, Lei Wang, Leqing Lin
BACKGROUND: Patients with severe neurological conditions are at high risk during withdrawal and extubation, so it is important to establish a model that can quantitatively predict the risk of this procedure. METHODS: By analyzing the data of patients with traumatic brain injury and tracheal intubation in the ICU of the affiliated hospital of Hangzhou Normal University, a total of 200 patients were included, of which 140 were in the modeling group and 60 were in the validation group...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38469643/endotracheal-tube-size-adjustments-within-seven-days-of-neonatal-intubation
#24
JOURNAL ARTICLE
Patrick J Peebles, Erik A Jensen, Heidi M Herrick, Paul J Wildenhain, Jennifer Rumpel, Ahmed Moussa, Neetu Singh, Ayman Abou Mehrem, Bin Huey Quek, Michael Wagner, Nicole R Pouppirt, Kristen M Glass, David G Tingay, Kate A Hodgson, Joyce E O'Shea, Taylor Sawyer, Brianna K Brei, Philipp Jung, Jennifer Unrau, Jae H Kim, James Barry, Stephen DeMeo, Lindsay C Johnston, Akira Nishisaki, Elizabeth E Foglia
BACKGROUND AND OBJECTIVES: Neonatal endotracheal tube (ETT) size recommendations are based on limited evidence. We sought to determine data-driven weight-based ETT sizes for infants undergoing tracheal intubation and to compare these with Neonatal Resuscitation Program (NRP) recommendations. METHODS: Retrospective multicenter cohort study from an international airway registry. We evaluated ETT size changes (downsizing to a smaller ETT during the procedure or upsizing to a larger ETT within 7 days) and risk of procedural adverse outcomes associated with first-attempt ETT size selection when stratifying the cohort into 200 g subgroups...
March 12, 2024: Pediatrics
https://read.qxmd.com/read/38468077/comparison-of-tracheal-versus-esophageal-temperatures-during-laparoscopic-surgery
#25
JOURNAL ARTICLE
Eun Kyung Lee, Yu Jeong Bang, Jeayoun Kim, Hyun Joo Ahn
PURPOSE: Recently, endotracheal tubes with an embedded temperature sensor in the inner surface of the tube cuff (temperature tracheal tubes) have been developed. We sought to assess whether temperature tracheal tubes show a good agreement with esophageal temperature probes during surgery. METHODS: We enrolled 40 patients who underwent laparoscopic surgery in an observational study. The tracheas of all patients were intubated with a temperature tracheal tube, and an esophageal temperature probe was inserted into the esophagus...
March 11, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38466059/related-factors-of-crkp-infection-in-neurosurgery-and-comparison-of-therapeutic-effects-of-tigecycline-versus-polymyxin-b-for-crkp-infection
#26
JOURNAL ARTICLE
Ning Li, Huixuan Chen, Yang Li, Yongjian Feng, Haohui Yu, Shengming Liu, Shiyong Wang
OBJECTIVE: This paper aimed to identify the factors related to Carbapenem-resistant Klebsiella pneumoniae (CRKP) infection in neurosurgical patients, and to compare the therapeutic effects of tigecycline versus polymyxin B against CRKP infection, so as to provide a reliable reference for neurosurgery in future prevention and treatment of CRKP infection. METHODS: One hundred and fifty cases of KPN treated in the neurosurgery department of our hospital from January 1, 2019 to December 31, 2021 were selected, 50 of which were found to be infected with CRKP and the other 100 were detected with carbapenem-sensitive Klebsiella pneumoniae (CSKP) by culture, analysis of factors associated with infection with CRKP...
March 8, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38463437/predictive-factors-for-first-pass-intubation-failure-in-trauma-patients
#27
JOURNAL ARTICLE
Katherine Kilkenny, Shea McGrinder, Michael J Najac, Johnathon LeBaron, Pietro Carpenito, Nisha Lakhi
OBJECTIVE: The primary objective of this study was to elucidate risk factors for multiple intubation attempts (MIA) in trauma patients requiring emergent tracheal intubation (ETI). Risk factors for mortality, intensive care unit (ICU) admission, and prolonged ventilation were assessed as secondary outcomes. The association between multiple intubation attempts and adverse outcomes has been well described in the literature. Though previous studies have identified anatomical risk factors for difficult airways, no study to date has investigated predictors for MIA in a trauma setting...
2024: International Journal of General Medicine
https://read.qxmd.com/read/38462978/use-of-the-disposcope-endoscope-for-awake-orotracheal-intubation-in-an-elderly-patient-with-a-large-vocal-cord-polyp-a-case-report
#28
Duo Yang, Sen Li, Jinxin Lan, Shujun Ye, Longsheng Zhang
BACKGROUND: Vocal cord polyps are commonly encountered in the otorhinolaryngology department. The risk of anesthesia is high in patients with large vocal cord polyps. Awake intubation with appropriate airway tools provides a favorable safety profile. CASE: We present the case of a 60-year-old male patient who had been suffering from a large vocal cord polyp for 16 years. Electronic laryngoscopy revealed that the vocal cord polyp was approximately 1.5 cm in diameter...
March 11, 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38461134/comparison-of-laryngeal-mask-airway-seal-between-anesthesiologists-and-individuals-without-previous-airway-experience
#29
JOURNAL ARTICLE
Markus Tannheimer, Martin Reinke, Raimund Lechner
BACKGROUND: Tracheal intubation is the gold standard for airway management in emergency medicine, but more difficult to apply for inexperienced individuals than laryngeal mask airway (LMA). OBJECTIVE: The aim of our study was to investigate if inexperienced individuals are able to secure the airway with the help of LMA after a short introduction. A second aim was to evaluate Thiel-fixed specimens against unfixed ones. METHODS: In a body donor model, LMA application was evaluated between medical students without previous airway experience and anesthesiologists by comparing the sealing of the larynx using a water column applied to the esophagus...
November 30, 2023: Journal of Emergency Medicine
https://read.qxmd.com/read/38461020/a-49-year-old-man-with-fever-and-dyspnea-after-endobronchial-ultrasound-guided-transbronchial-fine-needle-aspiration-biopsy
#30
Zenglin Liao, Hao Wang, Jing An, Jiajia Dong, Xiaoyu Long
A 49-year-old man, a farmer, had been experiencing coughing, phlegm, and difficulty breathing for 2 months. He underwent a CT scan at a local hospital that showed a mediastinal mass. Bronchoscopy showed no obstruction in the tracheal lumen, and an endobronchial ultrasound-guided transbronchial fine needle aspiration (EBUS-TBNA) biopsy was performed on the mediastinal mass. The cytologic smear of the mediastinal mass showed a few atypical epithelial cells; the possibility of a tumor could not be ruled out...
March 2024: Chest
https://read.qxmd.com/read/38459726/phosgene-toxicity-clinical-manifestations-and-treatment-a-systematic-review
#31
JOURNAL ARTICLE
Alireza Asgari, Mohammadreza Parak, Yazdan Hasani Nourian, Mostafa Ghanei
Exposure to phosgene, a colourless poisonous gas, can lead to various health issues including eye irritation, a dry and burning throat, vomiting, coughing, the production of foamy sputum, difficulty in breathing, and chest pain. This systematic review aims to provide a comprehensive overview of the clinical manifestations and treatment of phosgene toxicity by systematically analyzing available literature. The search was carried out on various scientific online databases to include related studies based on inclusion and exclusion criteria with the use of PRISMA guidelines...
February 1, 2024: Cell Journal
https://read.qxmd.com/read/38457595/laryngeal-mask-airway-combined-with-bronchial-blocker-achieved-1-lung-ventilation-in-a-patient-with-bilateral-vocal-cord-paralysis-a-case-report
#32
JOURNAL ARTICLE
Yi Li, Yudong Zhang, Yu Zhang, Lei Meng, Chong Li, Jianli Li
INTRODUCTION: One-lung ventilation (OLV) is a commonly used technique to facilitate surgical visualization during thoracic surgical procedures. Double-lumen endotracheal tubes and one-lumen tracheal tube combined with bronchial blocker might lead to intubation-related laryngeal injury. PATIENT CONCERNS: In the perioperative period, how to avoid further damage to the vocal cord while achieving OLV during operation is challenging work. DIAGNOSIS: She was diagnosed with systemic lupus erythematosus, bilateral vocal cord paralysis, and lung tumor...
March 8, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38453228/tracheal-compression-by-brachiocephalic-arterial-trunk-a-rare-cause-of-failed-endotracheal-intubation
#33
JOURNAL ARTICLE
Rafaela Noversa, Isabel Gouveia, Carla Pinto
Encountering and managing an unanticipated difficult airway are among the many challenges faced by anaesthesiologists. Due to the intimate anatomical relationship between the thoracic vasculature and the trachea, an anatomical variation could potentially lead to airway compression. This clinical case report documents a failed intubation in an adult patient caused by undiagnosed extrinsic tracheal compression from the brachiocephalic arterial trunk, a rare condition. After a thorough investigation and diagnostic clarification, a safe anaesthetic plan following the predictable difficult airway guidelines was established to enable surgery...
March 7, 2024: BMJ Case Reports
https://read.qxmd.com/read/38452638/anesthetic-management-of-thyroid-carcinoma-invading-the-upper-tracheal-segment-a-case-report
#34
Yuyan Ding, Lianbing Gu, Lijun Wang, Lingxi Xing, Yihu Zhou, Yueyi Jiang
INTRODUCTION AND IMPORTANCE: Intratracheal tumors account for approximately 0.2 % of respiratory tumors, including primary and secondary tumors. Secondary tumors of the upper trachea are most commonly derived from advanced thyroid cancer. Surgical resection is currently the general curative modality for thyroid cancer with tracheal invasion. Patients with tracheal tumors invading and protruding into the lumen may have reduced oxygen reserve capacity, leading to a shorter safe window for general anesthesia induction...
February 27, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38441580/coronary-artery-calcification-detected-by-initial-polytrauma-ct-in-severely-injured-patients-retrospective-single-center-cohort-study
#35
JOURNAL ARTICLE
Hans-Jonas Meyer, Tihomir Dermendzhiev, Michael Hetz, Georg Osterhoff, Christian Kleber, Timm Denecke, Jeanette Henkelmann, Michael Metze, Robert Werdehausen, Gunther Hempel, Manuel F Struck
OBJECTIVES: Coronary artery calcifications detected by computed tomography (CT) provide prognostic relevance for vascular disorders and coronary heart disease, whereas their prognostic relevance in severely injured trauma patients remains unclear. MATERIAL AND METHODS: All consecutive trauma patients requiring emergency tracheal intubation before initial CT at a level-1 trauma center and admission to the intensive care unit (ICU) over a 12-year period (2008-2019) were reanalyzed...
March 5, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38441273/outcomes-of-not-using-tracheoplasty-in-asymptomatic-tracheal-stenosis-found-during-open-heart-surgery
#36
JOURNAL ARTICLE
Seon Yong Bae, Jae Hong Lee, Hye Won Kwon, Sungkyu Cho, Chiheon Kwon, Woong-Han Kim, Jae Gun Kwak
OBJECTIVES: We aimed to review the outcomes of treating incidentally encountered asymptomatic airway stenosis during open-heart surgery conservatively without the use of tracheoplasty. METHODS: Between January 2002 and October 2022, 25 patients were incidentally diagnosed with tracheal stenosis during open-heart surgery. Intraoperative bronchoscopy and/or laryngoscopy revealed tracheal stenosis; however, this was not consistent with the findings of the preoperative computed tomography...
March 5, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38440038/pre-medications-for-non-emergency-tracheal-intubation-in-the-united-states-neonatal-intensive-care-units
#37
JOURNAL ARTICLE
Mahmoud A Ali, Muppala Prasanth Raju, Greg Miller, Niraj Vora, Madhava Beeram, Venkata Raju, Ashith Shetty, Vinayak Govande, Nguyen Nguyen, Arpitha Chiruvolu
BACKGROUND: Premedication in neonates undergoing elective intubation effectively minimizes the negative physiological events of bradycardia, systemic hypertension, intracranial hypertension, and hypoxia. Premedication decreases procedure-related pain and discomfort. This study aimed to evaluate the current practice of pre-intubation medications for non-emergent intubations in preterm and term neonates in the United States. STUDY DESIGN: A cross-sectional survey (Appendix) was sent via e-mail to all level 3 and 4 Neonatal Intensive Care Units (NICUs) of the Organization of Neonatal Perinatal Medicine Training Program Directors (ONTPD), NICU directors with pediatric residency only, and Baylor Scott and White Health, Mednax, and Envision health services systems...
February 2024: Curēus
https://read.qxmd.com/read/38430636/flurbiprofen-in-the-subglottic-space-to-prevent-postoperative-sore-throat-after-cardiac-surgery-a-randomized-double-blind-study
#38
JOURNAL ARTICLE
Maria Calabrese, Gabriella Arlotta, Maria Enrica Antoniucci, Luca Montini, Diana Giannarelli, Temistocle Taccheri, Filippo Corsi, Stefano De Paulis, Andrea Scapigliati, Francesca Bevilacqua, Joel Vargas, Michele Corrado, Natalia Pavone, Piergiorgio Bruno, Massimo Massetti, Franco Cavaliere
STUDY OBJECTIVE: Postoperative sore throat (POST) and hoarseness are common complications of tracheal intubation. This study aims to evaluate the efficacy of flurbiprofen administered through the subglottic port of tracheal tubes to prevent POST after cardiac surgery. DESIGN: Single-center, prospective, randomized, double-blind, placebo-controlled trial. SETTING: Tertiary Care Referral University Hospital (Fondazione Policlinico Universitario A...
March 1, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38430145/analysis-of-the-positive-effects-of-optimizing-the-sequence-of-attracting-and-suctioning-below-the-glottis-on-the-incidence-of-ventilator-associated-pneumonia
#39
JOURNAL ARTICLE
Honghong Yang, Ling Wang, Chaochao Liu, Yanqing Bai, Rong Zhang
OBJECTIVE: This study aimed to investigate the impact of optimizing the subglottic suction and aspiration sequence on ventilator-associated pneumonia (VAP) incidence. METHODS: A total of 108 patients undergoing transcatheter orotracheal intubation with subglottic secretion drainage (SSD) and mechanical ventilation were selected from the Department of Critical Care Medicine in our hospital between September 2021 and March 2023. The patients were randomly assigned to either the observation group or the control group (54 cases each) using a random number method...
March 1, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38429877/incidence-and-factors-associated-with-dysphagia-in-intensive-care-unit-patients-24%C3%A2-h-after-extubation
#40
JOURNAL ARTICLE
Xuantian Luo, Yeqing Lin, Hongping Mo, Lifeng Zhang
BACKGROUND: Post-extubation dysphagia deserves attention because it places patients at risk following extubation, especially critically ill patients in intensive care unit. However, there are limited studies of post-extubation dysphagia in the early stages after extubation. AIMS: To investigate the incidence and factors associated with post-extubation dysphagia among patients in intensive care unit within 24 h of extubation. STUDY DESIGN: A prospective descriptive study was carried out with 173 adult patients in intensive care unit with tracheal extubation at a tertiary hospital in Guangzhou, China...
March 1, 2024: Nursing in Critical Care
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