AIM The purpose of this study was to determine the incidence of reintubation due to upper airway obstruction in a homogeneous group of ventilated infants with Respiratory Syncytial Virus bronchiolitis. Our secondary objective was to determine whether prophylactic administration of dexamethasone prior to extubation was associated with decreased risk of reintubation. METHODS This retrospective ...

BACKGROUND Prediction of extubation failure, particularly in neurocritical patients, is unique and controversial. We conducted a systematic review and meta-analysis to identify the risk factors for extubation failure in these patients. METHODS A literature search of databases (MEDLINE, EMBASE, the Cochrane Library, and Web of Science) was performed up to August of 2013 to identify trials that...

BACKGROUND Tracheal extubations may be performed before or after awakening from anaesthesia. The advantage of extubation during anaesthesia may avoid all the unpleasant effects of fully awake extubation such as severe hypertension and tachycardia, malignant dysrhythmias, myocardial ischemia laryngospasm, and cough induced high intraocular and intracranial pressure. AIM To show the current pra...

We conducted a retrospective study to investigate the anesthesia-controlled time and factors that contribute to prolonged extubation in open colorectal surgery. Using our hospital database, demographic data, various time intervals (waiting for anesthesia time, anesthesia time, surgical time, emergence time, exit from operating room after extubation, total operating room time, and post-anesthesi...

background: early extubation is implemented in cardiothoracic units worldwide for its advantages such as decreased mortality, morbidity, and hospitalization costs. we conducted a retrospective study to evaluate potential factors which may affect extubation time. methods: the records of 334 eligible patients who underwent elective coronary artery bypass grafting (cabg) in 2008 in kowsar hospital...

Multiple studies have confirmed that erector spinae block is effective in thoracic and breast surgeries. However, which investigate the efficacy of this cardiac surgery are scarce. This study aimed to compare continuous with multimodal intravenous analgesia coronary bypass surgery. Methods: Forty patients undergoing were divided into either group A (IV) (n = 20) who received or B (ES) had block...

Airway management relates to the period of tracheal intubation, maintenance of endotracheal tube in situ, and finally extubation. Problems related to difficult extubation still pose significant challenge for both anesthesiologists and intensivists. This article reviews current approach to extubation strategy following difficult intubation. Guidelines and algorithm may be helpful in order to ens...

BACKGROUND Respiratory distress syndrome remains a significant problem among premature infants. Mechanical ventilation through an endotracheal tube remains the mainstay of respiratory support but may be associated with lung injury and the development of chronic lung disease of prematurity. Efforts are needed to reduce the duration of mechanical ventilation in favour of less invasive forms of re...

BACKGROUND The ventilatory capacity of the respiratory neuromuscular system can be studied with the hypercapnia test. OBJECTIVE To determine whether decreased response to the hypercapnia test is associated with failure to pass a spontaneous breathing trial (SBT) or extubation failure. METHODS We studied 103 intubated patients ready for SBT. We used a hypercapnia test in which we approximate...

OBJECTIVE To assess the value of a spontaneous breathing trial (SBT) using a flow-inflating bag in predicting extubation success. Secondary goals were to evaluate the positive and negative predictive accuracy of a 15-min SBT. DESIGN Prospective, blinded, clinical study. SETTING Pediatric intensive care unit (ICU) of a university hospital PATIENTS Infants and children intubated for >or=24 ...