AIM To examine the relation of overventilation and other clinical events to the development of pneumothoraces in ventilated neonates. METHODS A case-control study. RESULTS Fifty three (8.7%) of 606 ventilated neonates developed a pneumothorax. Eighteen (34%) cases and 23 (43%) controls were unintentionally overventilated (PaCO(2) < 4 kPa) at some time before the pneumothorax developed in th...

Although neonatal nasal intermittent positive pressure ventilation (NIPPV) is widely used today, its place in neonatal respiratory support is yet to be fully defined. Current evidence indicates that NIPPV after extubation of very premature infants reduces the rate of reintubation. However, much is still not known about NIPPV including its mechanisms of action. It may improve pulmonary mechanism...

OBJECTIVE To compare mechanical ventilation weaning based on a protocol using the spontaneous breathing trial against mechanical ventilation weaning without a standardized protocol in heart patients. METHODS Prospective, open, randomized study. In 2006, 36 patients undergoing mechanical ventilation for over 24 hours were randomized into two groups: control group - eighteen patients whose mech...

BACKGROUND Many trauma patients are intubated for conditions that fully resolve during their emergency department (ED) stay. Often, these patients remain intubated until after they leave the ED. OBJECTIVE The objective of this study was to examine the prognosis of patients extubated in the ED. METHODS Data from the records of adult trauma patients who were intubated and then extubated in th...

Purpose: To investigate the pulmonary outcomes of early extubation (within the first 24 hours of life) with synchronized nasal intermittent positive pressure ventilation (NIPPV) in extremely premature infants born at 25–26 weeks’ gestation. Methods: Medical records of extremely premature infants (gestational age: 25–26 weeks) born and admitted to the Keimyung University Dongsan Medical Center b...

www.chestpubs.org First, it is surprising that signifi cant differences in the evaluated outcomes are found in studies with such small sample sizes ( , 70 patients per study in all studies). Second, all the studies except the trial by Trevisan et al 6 were carried out in respiratory units admitting mostly patients with COPD. This is not the rule in most ICUs. 7 Third, the control groups (invasi...

Objective. To investigate whether high-flow nasal cannula (HFNC) oxygen therapy is superior to conventional oxygen therapy for reducing hypoxemia and postoperative pulmonary complications (PPC) in patients with thoracoscopic lobectomy after extubation. Methods. Patients with intermediate to high risk for PPC were enrolled in this study. Subjects were randomly assigned to HFNC group (HFNCG) or c...

OBJECTIVE To evaluate the complication of vocal cord dysfunction following open heart surgery and its short- and long-term effects. MATERIALS AND METHODS Five cases (1.9%) of vocal cord dysfunction which were diagnosed among 270 cases of adult open heart surgery performed at this centre between February 1993 and May 1995. RESULTS All five patients developed respiratory insufficiency followi...