ABSTRACT Purpose Perform content validation of a decannulation protocol for tracheostomized adult patients. Methods To validate the developed by speech therapists, Delphi technique was used. The 11 items were judged experts through rounds via e-mail and classified as adequate, partially adequate or inadequate, in addition to providing comments suggestions on each item. 30 respiratory physiother...

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 = ...

Bilateral vocal fold immobility in children is a challenging problem because a balance between good airway and voice quality has to be achieved. Surgery to improve the airway is often postponed or avoided because of fear of losing the voice. In this study our results of laser arytenoidectomy in children are described. This was a retrospective case notes review at a tertiary level paediatric ENT...

Replacement of the aortic valve with a new BjorkShiley prosthesis was performed in 1 10 patients during the period from November, 1971 to July, 1973. The previously reported Delrin-disc Bjork-Shiley valve had a built-in valvular leak of up to 10 percent due to .003” clearance. The new pyrolite-disc prosthesis is machined to a clearance of .001”. Excellent clinical results have been achieved in ...

OBJECTIVES This study was performed to evaluate the frequency and risk factors associated with new aortal lesions induced by surgical manipulation and their correlation with postoperative stroke. BACKGROUND Little is known about the causative mechanism of intraoperative atheroembolism after cardiac surgery. METHODS Epiaortic echocardiography was performed before cannulation and after decann...

INTRODUCTION AND OBJECTIVES Subglottic stenosis is one of the most common causes of upper airway obstruction. Almost 90% of them result from endotracheal intubation. Therapy depends on the degree of stenosis, among other factors. Therapeutic approaches range from watchful waiting, in mild stenosis, to complex surgery for severe cases. We report our experience on the surgical management of post-...

BACKGROUND The prevalence of sleep-disordered breathing (SDB) in patients with prolonged mechanical ventilation (PMV) is unknown. The aim of this study was to assess the frequency of SDB in patients admitted to a long-term acute care (LTAC) hospital who weaned from PMV. METHODS Retrospective chart review was conducted of all PMV patients who had in-patient polysomnography (PSG) between Janua...

Abstract Background Fulminant Myocarditis (FM) leads to cardiogenic shock with multi-organic dysfunction, being peripheral venoarterial extracorporeal membranous oxygenation (VA-ECMO) a rescue technique. Despite growing experience, it is still related several complications. We aim appraise the management of patients FM and adverse events associated VA-ECMO. Methods conducted retrospective study...