BACKGROUND In the past decade, the rate and utilization of veno-venous extracorporeal membrane oxygenation (VV-ECMO) has increased dramatically. A single catheter technique has recently come into favour for providing VV-ECMO. Although it has been shown that intensivists can safely place these catheters, the safety of decannulation by intensivists has not been reported in the literature. OBJEC...

Pediatric laryngotracheal stenosis occurs by either congenital or acquired causes and usually indicates subglottic stenosis. The main goals of treatment are decannulation, preserving phonation, normal swallowing function. Various types degrees combined anomalies would be the barriers to reaching successful results unless comprehensive understanding Multidisciplinary team approaches encompassing...

Figure 1. Fascial excision of neck. Figure 2. Midline neck defect following tracheostomy decannulation after one year.

OBJECTIVES/HYPOTHESIS To determine if open surgical treatment options for adult and adolescent laryngotracheal stenosis are more successful than endoscopic procedures. STUDY DESIGN Systematic review. METHODS Embase and MEDLINE were searched for publications on adult and adolescent patients (>13 years old) with laryngotracheal stenosis. Cause of stenosis (intubation, idiopathic, or trauma) a...

INTRODUCTION The management of laryngotracheal stenosis is complex and is influenced by multiple factors that can affect the ultimate outcome. Advanced lesions represent a special challenge to the treating surgeon to find the best remedying technique. OBJECTIVE To review the efficacy of our surgical reconstructive approach in managing advanced-stage laryngotracheal stenosis treated at a terti...

Eighty-one patients with long-term tracheostomy tubes (mean duration, 4.9 months) were examined via fiberoptic bronchoscopy prior to decannulation. Obstructive airway lesions were observed in 54 patients (67 percent). All tracheal lesions were anatomically located proximal to the stoma. No cuff lesions were observed. The two most commonly observed lesions were tracheal granuloma (60 percent) an...

OBJECTIVE To determine the causes of laryngotracheal reconstruction (LTR) failures. DESIGN Retrospective chart review. SETTING Tertiary care children's hospital. PATIENTS Seventeen pediatric patients who underwent revision LTR from October 1, 1986, to December 31, 1998. INTERVENTION Laryngotracheal reconstruction. MAIN OUTCOME MEASURE Decannulation. RESULTS Seventeen patients requir...

Results Age and weight were 12 ± 17months and 6.4 ± 3.3kg, respectively. Twenty patients had single ventricle and 38 had biventricular physiology. The duration of ECMO was 8.4 ± 4.4 days. Fifty-two (84%) were successfully weaned off ECMO and 34 (55%) survived to hospital discharge. The weaning from ECMO was affected by peak serum lactate during ECMO (risk ratio = 1.02, 95% CI: 1.003-1.036, p = ...