BACKGROUND We retrospectively reviewed the presentation, diagnosis, treatment, and outcomes of patients with closed injury of the cervical trachea. We evaluated factors that improve diagnosis and treatment, reduce mortality, and avoid tracheal stenosis. METHODS We reviewed the clinical data of 17 patients with closed injury of the cervical trachea. All patients underwent CT scanning or endosc...

Background:  Successful weaning of the ventilator is a major challenge, especially in children. This study was conducted to compare the criteria of readiness for extubation and daily spontaneous breathing test (SBT) on the duration of mechanical ventilation and extubation failure rates. Materials and Metho...

a-56-year-old woman underwent carpal tunnel release surgery under general anesthesia. thirty minutes after extubation, the patient complained of chest discomfort with dyspnea. swelling of the neck and upper anterior chest was observed. computed tomography of the chest showed tracheal rupture at the brachiocephalic trunk level, and bronchoscopy demonstrated a 5 cm linear tracheal defect in the p...

Background Extubation is a more challenging medical practice than intubation, and countermeasures against it are similar to those described in the Difficult Intubation Guidelines, but problems cannot be overcome by completely the same methods. We predicted difficult extubation in a pediatric patient with left recurrent laryngeal nerve paralysis and devised an extubation method. Case presentat...

BACKGROUND Extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. In order to reduce these complications, and, based on basic physiological principles, a new practical ext...

Objective To explore the difference of anesthesia recovery and postoperative conscious state between remimazolam toluenesulfonic acid propofol after induction maintenance general anesthesia. Methods 104 patients undergoing elective tracheal intubation in our hospital were randomly divided into 2 groups: Remimazolam Toluenesulfonic group (Group R) Propofol P). MOAA/S score, modified Aldrete inde...

Background: The main concerns following general anesthesia, especially if it lasts longer than 4 hours, are postoperative pulmonary complications, including hypoxemia, lung atelectasis, and acute respiratory failure requiring reintubation. To avoid these extubation with support is crucial. high-flow nasal cannula (HFNC) increases end-expiratory volume reduces the work of breathing to improve ox...

Background: Both tracheal intubation and extubation are associated with dangerous consequences such as tachycardia, hypertension, myocardial ischemia arrhythmias. The aim was to evaluate pre–extubation two different doses of fentanyl on hemodynamic stabilization delayed recovery in mastectomy.
 Methodology: randomized controlled double–blind study conducted 126 patients aged 16–60 years, r...

Methods In this retrospective case note study we looked at the outcome of each extubation between 1st October 2013 and 30th September 2014. We included all patients >18 years of age invasively ventilated for >48 hours. We excluded patients proceeding directly to tracheostomy or extubated for withdrawal of care. Failed extubation was defined as the need for reintubation within 5 days of planned ...