A difficult extubation!
 An 8 y old male child suffered from Crouzon syndrome, in whom intubation was perceived to be difficult, but extubation expected much more difficult. syndrome is a genetic disorder characterized by the premature fusion of skull bones (craniosynostosis). This early prevents growing normally and affects shape head face.

Background: With the evolution of anesthesia and surgical procedures, fast track extubation has gained an increased interest, mainly based on the possibility of reducing health costs seemingly without compromising patient care. Aim: To compare two groups of patients submitted to a non-fast track extubation and a fast track extubation protocol after coronary artery bypass graft surgery with card...

OBJECTIVE To investigate the association between the rapid shallow breathing index and successful extubation in patients with traumatic brain injury. METHODS This study was a prospective study conducted in patients with traumatic brain injury of both genders who underwent mechanical ventilation for at least two days and who passed a spontaneous breathing trial. The minute volume and respirato...

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...

HYPOTHESIS The use of weaning and sedation protocols affects the intensive care unit (ICU) course of a trauma population. DESIGN Nonrandomized before-after trial. SETTING A level I trauma center. PATIENTS Three hundred twenty-eight consecutive trauma patients receiving mechanical ventilation treated in the ICU between October 1, 1997, and November 1, 1999. INTERVENTION Sedation and wean...

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...