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43 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27867581/the-diseases-of-airway-tracheal-diverticulum-a-review-of-the-literature
#1
REVIEW
Asli Tanrivermis Sayit, Muzaffer Elmali, Dilek Saglam, Cetin Celenk
Tracheal diverticulum (DV) is a type of paratracheal air cyst (PTAC) that is often asymptomatic and usually detected incidentally by imaging methods. Tracheal DV are divided into two subgroups: congenital and acquired. Dysphagia, odynophagia, neck pain, hoarseness, hemoptysis, choking, and recurrent episodes of hiccups and burping can also be seen in symptomatic patients. Thin-section multidetector computed tomography (MDCT) is useful for diagnosis of tracheal diverticulum. The relationship between DV and tracheal lumen can be demonstrated by axial, coronal, and sagittal reformat multiplanar images...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27870576/airway-management-strategies-for-brain-injured-patients-meeting-standard-criteria-to-consider-extubation-a-prospective-cohort-study
#2
Victoria A McCredie, Niall D Ferguson, Ruxandra L Pinto, Neill Kj Adhikari, Robert A Fowler, Martin G Chapman, Althea Burrell, Andrew J Baker, Deborah J Cook, Maureen O Meade, Damon C Scales
RATIONALE: Patients with acute brain injury are frequently capable of breathing spontaneously with minimal ventilatory support despite persistent neurological impairment. OBJECTIVES: We sought to describe factors associated with extubation timing, success and primary tracheostomy in these patients. METHODS: We conducted a prospective multicenter observational cohort study in three academic hospitals in Toronto, Canada. Consecutive brain-injured adults receiving mechanical ventilation for at least 24 hours in 3 ICUs were screened by study personnel daily for extubation consideration criteria...
November 21, 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27840372/does-surgical-repair-still-have-a-role-for-iatrogenic-tracheobronchial-rupture-clinical-analysis-of-a-thoracic-surgeon-s-opinion
#3
Sung Kwang Lee, Do Hyung Kim, Sang Kwon Lee, Yeong-Dae Kim, Jeong Su Cho, Hoseok I
PURPOSE: The choice of surgical repair or conservative treatment for iatrogenic tracheobronchial rupture (ITBR) remains controversial. However, thoracic surgeons consider that surgical repair is an important treatment modality. The purpose of this study was to evaluate the clinical results from the perspective of the surgery-preferred group. METHODS: We treated 11 patients (8 women and 3 men; age: 52.6 ± 22.9 years) with ITBR from January 2011 to January 2016. A posterolateral thoracotomy or a trans-tracheal approach was performed according to the mechanism of injury...
November 14, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27818330/alive-in-the-airways-live-endobronchial-foreign-bodies
#4
REVIEW
Syed Rizwan Ali, Atul C Mehta
Aspiration of a foreign body into the lower airways is a common occurrence and can cause significant morbidity and mortality in humans. Most foreign bodies of the tracheobronchial tree are inanimate. However, medical literature includes reports of live foreign bodies in the airways. Fish, leeches and roundworms are the most common live foreign bodies of the lower airways. Fishermen are more prone to experience a live-fish aspiration while substandard conditions may expose individuals to leech and roundworm infestations...
November 3, 2016: Chest
https://www.readbyqxmd.com/read/27794574/short-term-use-of-uncovered-self-expanding-metallic-airway-stents-for-severe-expiratory-central-airway-collapse
#5
Adnan Majid, Daniel Alape, Fayez Kheir, Erik Folch, Sebastian Ochoa, Alejandro Folch, Sidhu P Gangadharan
BACKGROUND: Patients with severe symptomatic expiratory central airway collapse (ECAC) undergo a stent trial to determine whether they are candidate for tracheobronchoplasty. Most stent trials were done using silicone stents. However, there was a higher number of silicone stent-related complications. OBJECTIVES: The aim of this study was to evaluate the safety and efficacy of short-term uncovered self-expanding metallic airway stents (USEMAS) in patients with ECAC...
2016: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/27759743/perioperative-and-periprocedural-airway-management-and-respiratory-safety-for-the-obese-patient-2016-siaarti-consensus
#6
Flavia Petrini, Ida Di Giacinto, Rita Cataldo, Clelia Esposito, Vittorio Pavoni, Paolo Donato, Antonella Trolio, Guido Merli, Massimiliano Sorbello, Paolo Pelosi
Proper management of obese patients requires a team vision and appropriate behaviors by all health care providers in hospital. Specialist competencies are fundamental, as are specific clinical pathways and good clinical practices designed to deal with patients whose body mass index is ≥30 kg/m2. Standards of care for bariatric and non-bariatric surgery and for the critical care management of this population exist but are not well defined nor clearly followed in every hospital. Thus every anesthesiologist is likely to deal with this challenging population...
October 19, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27777507/fully-covered-metallic-stents-for-the-treatment-of-benign-airway-stenosis
#7
Caroline Dahlqvist, Sebahat Ocak, Maximilien Gourdin, Anne Sophie Dincq, Laurie Putz, Jean-Paul d'Odémont
Introduction. We herein report our experience with new fully covered self-expanding metallic stents in the setting of inoperable recurrent benign tracheobronchial stenosis. Methods. Between May 2010 and July 2014, 21 Micro-Tech® FC-SEMS (Nanjing Co., Republic of Korea) were placed in our hospital in 16 patients for inoperable, recurrent (after dilatation), and symptomatic benign airway stenosis. Their medical files were retrospectively reviewed in December 2014, with focus on stent's tolerance and durability data...
2016: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/27707500/pathophysiology-research-challenges-and-clinical-management-of-smoke-inhalation-injury
#8
REVIEW
Perenlei Enkhbaatar, Basil A Pruitt, Oscar Suman, Ronald Mlcak, Steven E Wolf, Hiroyuki Sakurai, David N Herndon
Smoke inhalation injury is a serious medical problem that increases morbidity and mortality after severe burns. However, relatively little attention has been paid to this devastating condition, and the bulk of research is limited to preclinical basic science studies. Moreover, no worldwide consensus criteria exist for its diagnosis, severity grading, and prognosis. Therapeutic approaches are highly variable depending on the country and burn centre or hospital. In this Series paper, we discuss understanding of the pathophysiology of smoke inhalation injury, the best evidence-based treatments, and challenges and future directions in diagnostics and management...
October 1, 2016: Lancet
https://www.readbyqxmd.com/read/27566790/transtracheal-jet-ventilation-in-the-can-t-intubate-can-t-oxygenate-emergency-a-systematic-review
#9
REVIEW
L V Duggan, B Ballantyne Scott, J A Law, I R Morris, M F Murphy, D E Griesdale
BACKGROUND: Transtracheal jet ventilation (TTJV) is recommended in several airway guidelines as a potentially life-saving procedure during the 'Can't Intubate Can't Oxygenate' (CICO) emergency. Some studies have questioned its effectiveness. METHODS: Our goal was to determine the complication rates of TTJV in the CICO emergency compared with the emergency setting where CICO is not described (non-CICO emergency) or elective surgical setting. Several databases of published and unpublished literature were searched systematically for studies describing TTJV in human subjects...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27566791/systematic-review-of-the-anaesthetic-management-of-non-iatrogenic-acute-adult-airway-trauma
#10
S J Mercer, C P Jones, M Bridge, E Clitheroe, B Morton, P Groom
INTRODUCTION: Non-iatrogenic trauma to the airway is rare and presents a significant challenge to the anaesthetist. Although guidelines for the management of the unanticipated difficult airway have been published, these do not make provision for the 'anticipated' difficult airway. This systematic review aims to inform best practice and suggest management options for different injury patterns. METHODS: A literature search was conducted using Embase, Medline, and Google Scholar for papers after the year 2000 reporting on the acute airway management of adult patients who suffered airway trauma...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27538676/tracheostomy-or-not-prediction-of-prolonged-mechanical-ventilation-in-guillain-barr%C3%A3-syndrome
#11
Christa Walgaard, Hester F Lingsma, Pieter A van Doorn, Mathieu van der Jagt, Ewout W Steyerberg, Bart C Jacobs
BACKGROUND: Respiratory insufficiency occurs in 20 % of Guillain-Barré syndrome (GBS) patients, and the duration of mechanical ventilation (MV) ranges widely. We identified predictors of prolonged MV to guide clinical decision-making on tracheostomy. METHODS: We analyzed prospectively collected data from 552 patients with GBS in the context of two clinical trials and three cohort studies in The Netherlands. Potential predictors for prolonged MV, defined as duration of ≥14 days, were considered using crosstabs...
August 18, 2016: Neurocritical Care
https://www.readbyqxmd.com/read/27518664/fire-related-inhalation-injury
#12
REVIEW
Robert L Sheridan
No abstract text is available yet for this article.
August 4, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27439772/airway-stenting-in-the-management-of-iatrogenic-tracheal-injuries-10-year-experience
#13
Rachid Tazi-Mezalek, Ali I Musani, Sophie Laroumagne, Philippe J Astoul, Xavier B D'Journo, Pascal A Thomas, Hervé Dutau
BACKGROUND AND OBJECTIVE: Iatrogenic tracheal injury (ITI) is a rare yet severe complication of endotracheal tube (ETT) placement or tracheostomy. ITI is suspected in patients with clinical and/or radiographic signs or inefficient mechanical ventilation (MV) following these procedures. Bronchoscopy is used to establish a definitive diagnosis. METHODS: We conducted a retrospective, single-centre chart review of 35 patients between 2004 and 2014. Depending on the nature and location of ITI and need for MV, patients were triaged to surgical repair, endoscopic management with airway stents or conservative treatment consisting of ETT or tracheotomy cannula (TC) placement distal to the wound and bronchoscopic surveillance...
November 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/27437615/percutaneous-techniques-versus-surgical-techniques-for-tracheostomy
#14
REVIEW
Patrick Brass, Martin Hellmich, Angelika Ladra, Jürgen Ladra, Anna Wrzosek
BACKGROUND: Tracheostomy formation is one of the most commonly performed surgical procedures in critically ill intensive care participants requiring long-term mechanical ventilation. Both surgical tracheostomies (STs) and percutaneous tracheostomies (PTs) are used in current surgical practice; but until now, the optimal method of performing tracheostomies in critically ill participants remains unclear. OBJECTIVES: We evaluated the effectiveness and safety of percutaneous techniques compared to surgical techniques commonly used for elective tracheostomy in critically ill participants (adults and children) to assess whether there was a difference in complication rates between the procedures...
July 20, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27275076/tracheostomy-in-special-groups-of-critically-ill-patients-who-when-and-where
#15
REVIEW
Aisling Longworth, David Veitch, Sandeep Gudibande, Tony Whitehouse, Catherine Snelson, Tonny Veenith
Tracheostomy is one of the most common procedures undertaken in critically ill patients. It offers many theoretical advantages over translaryngeal intubation. Recent evidence in a heterogeneous group of critically ill patients, however, has not demonstrated a benefit for tracheostomy, in terms of mortality, length of stay in Intensive Care Unit (ICU), or incidence of ventilator-associated pneumonia. It may be a beneficial intervention in articular subsets of ICU patients. In this article, we will focus on the evidence for the timing of tracheostomy and its effect on various subgroups of patients in critical care...
May 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27110526/effect-of-etomidate-versus-combination-of-propofol-ketamine-and-thiopental-ketamine-on-hemodynamic-response-to-laryngoscopy-and-intubation-a-randomized-double-blind-clinical-trial
#16
Afshin Gholipour Baradari, Abolfazl Firouzian, Alieh Zamani Kiasari, Mohsen Aarabi, Seyed Abdollah Emadi, Ali Davanlou, Nima Motamed, Ensieh Yousefi Abdolmaleki
BACKGROUND: Laryngoscopy and intubation frequently used for airway management during general anesthesia, is frequently associated with undesirable hemodynamic disturbances. OBJECTIVES: The aim of this study was to compare the effects of etomidate, combination of propofol-ketamine and thiopental-ketamine as induction agents on hemodynamic response to laryngoscopy and intubation. PATIENTS AND METHODS: In a double blind, randomized clinical trial a total of 120 adult patients of both sexes, aged 18 - 45 years, scheduled for elective surgery under general anesthesia were randomly assigned into three equally sized groups...
February 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27134746/placement-of-self-expandable-bifurcated-metallic-stents-without-use-of-fluoroscopic-and-guidewire-guidance-to-palliate-central-airway-lesions
#17
Cengiz Özdemir, Sinem Nedime Sökücü, Levent Karasulu, Seda Tural Önür, Levent Dalar
BACKGROUND: Self-expandable metallic stents (SEMS) can be used to treat malignant obstructions and fistulas of the central airways. SEMS can be placed using different methods. Recently, a rigid bronchoscope has been used for stent placement without the need for fluoroscopy. We retrospectively evaluated patients for whom SEMS were placed using a rigid bronchoscope, without employing guidewires or fluoroscopy. We describe the intra- and post-procedural complications of the method. METHODS: Data collected between January 2014 and July 2015 were retrospectively evaluated by reference to hospital records...
2016: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/27076967/management-of-large-mediastinal-masses-surgical-and-anesthesiological-considerations
#18
REVIEW
Wilson W L Li, Wim Jan P van Boven, Jouke T Annema, Susanne Eberl, Houke M Klomp, Bas A J M de Mol
Large mediastinal masses are rare, and encompass a wide variety of diseases. Regardless of the diagnosis, all large mediastinal masses may cause compression or invasion of vital structures, resulting in respiratory insufficiency or hemodynamic decompensation. Detailed preoperative preparation is a prerequisite for favorable surgical outcomes and should include preoperative multimodality imaging, with emphasis on vascular anatomy and invasive characteristics of the tumor. A multidisciplinary team should decide whether neoadjuvant therapy can be beneficial...
March 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27073134/resuscitating-the-tracheostomy-patient-in-the-ed
#19
REVIEW
Brit Long, Alex Koyfman
BACKGROUND: Emergency physicians must be masters of the airway. The patient with tracheostomy can present with complications, and because of anatomy, airway and resuscitation measures can present several unique challenges. Understanding tracheostomy basics, features, and complications will assist in the emergency medicine management of these patients. OBJECTIVE OF REVIEW: The aim of this review is to provide an overview of the basics and features of the tracheostomy, along with an approach to managing tracheostomy complications...
June 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27033293/an-anterior-jugular-vein-variant-in-a-patient-requiring-tracheostomy-demonstrating-the-importance-of-preoperative-procedural-ultrasound
#20
Paul Sooby, Laura Pocock, Trevor King, George Manjaly
A 50-year-old woman was admitted to the intensive care unit (ICU) for a life-threatening exacerbation of asthma requiring intubation and ventilation for 7 days. On day 8, she was stepped down from the ventilator via the insertion of a tracheostomy to aid weaning. It was initially decided that a percutaneous tracheostomy would be attempted on ICU, however, following further consideration, it was decided that due to anatomical factors (short neck) a surgical tracheostomy would be performed by the ear, nose and throat (ENT) team...
March 31, 2016: BMJ Case Reports
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