We describe the use of single-shot lamina thoracic paravertebral block (TPVB) with sedation for a 56-year-old female patient who had modified radical mastectomy with axillary clearance. Two years ago, she suffered vocal cord palsy post thyroidectomy, which was managed with tracheostomy. The tracheostomy tube was removed 8 months later, leaving the patient with persistent hoarseness of voice and...

Liu et al report the conclusion that the cumulative result of all 11 studies is that early tracheostomy is associated with a decrease in intensive care unit (ICU) length of stay. The largest, best-designed studies do not concur. The largest effect size, suggesting ICU stay is shortened in association with early tracheostomy, is produced by much smaller studies, which are less robustly designed ...

Background. While single-institution studies reported the indications and outcomes of tracheostomy in children with congenital heart disease (CHD), no national analyses have been performed. We sought to examine the indications, performance, outcomes, and resource utilization of tracheostomy in children with CHD using a nationally representative database. Methods. We identified all children unde...

INTRODUCTION Tracheostomy is a common airway procedure for life support. The fracture of the tracheostomy tube is a rare complication. We report a case of a 14-year-old boy whose fractured stainless steel tracheostomy tube dislodged into the tracheobronchial tree. We include a literature review and proposed recommendations for tracheostomy care. CASE PRESENTATION A 14-year-old Thai boy who ha...

Objective . To reveal the effective and safe timing of tracheostomy in patients with CNS diseases by comparative assessment duration respiratory support ICU, frequency development ventilator-associated pneumonia, level consciousness according to Glasgow Coma Scale (GCS), survival rate, as well incidence complications rate. Materials methods A retrospective study was conducted among neurological...

Tracheostomy tubes are used to administer positive-pressure ventilation, to provide a patent airway, to provide protection from aspiration, and to provide access to the lower respiratory tract for airway clearance. They are available in a variety of sizes and styles, from several manufacturers. The dimensions of tracheostomy tubes are given by their inner diameter, outer diameter, length, and c...

Since the beginning of intensive care in the 1950s until today, tracheostomy has been in permanent play. Successive epochs may be differentiated through several periods.1 The first period started in August 1952, when Bjorn Ibsen, facing a huge polio epidemic so deadly that about 80% of the patients were dying in Copenhagen from the respiratory form, he performed tracheostomies and delivered con...

.. Objective: This study involves the review of management of patients who required temporary airway support and were treated either with tracheostomy or endotracheal intubatione in ear, nose, throat. Department and intensive care unit of Multan Medical & Dental College Ibne Sina Hospital Multan. Another important aspect of the study is to compare the results of tracheostomy with endotracheal i...

Tracheostomy tubes are used to administer positive-pressure ventilation, to provide a patent airway, and to provide access to the lower respiratory tract for airway clearance. They are available in a variety of sizes and styles from several manufacturers. The dimensions of tracheostomy tubes are given by their inner diameter, outer diameter, length, and curvature. Differences in dimensions betw...

BACKGROUND The single tapered dilator (STD) percutaneous dilatational tracheostomy (PDT) technique now appears to be the single most common method of performing a tracheostomy in the critical care unit (CCU). METHODS A single-centre, prospective evaluation of all PDTs performed in an adult mixed surgical and medical CCU between November 2003 and October 2009 was done. All procedures were unde...