High frequency ventilation, another alternative strategy for management of BPF, has been advocated in patients with BPF as a conduit for providing adequate gas exchange at lower mean ventilation pressures 9. Various HFV approaches including high frequency jet ventilation (HFJV) and high frequency oscillatory ventilation (HFOV) have been proposed and utilized. HFJV employs high gas pressures pro...

BACKGROUND The i-gel provides good airway sealing but gastric insufflation may occur when peak inspiratory pressure (PIP) exceeds the sealing pressure of the i-gel without a gastric tube. Pressure-controlled ventilation (PCV) provides lower PIP compared with volume-controlled ventilation (VCV) and low PIP may reduce the incidence of gastric insufflation in children during positive pressure vent...

BACKGROUND AND OBJECTIVES We report a case of pneumothorax caused by a bronchial perforation during a reintubation using an airway exchange catheter (AEC) in a patient with a head and neck cancer. CASE REPORT A 53 year old man with oropharynx carcinoma was admitted to ICU for severe pneumonia and severe acute respiratory distress syndrome (ARDS). The patient was recognized as a difficult-to-i...

of 50 cm H2O and no CO2 waveform was observed. Auscultation revealed no breath sounds over both lung fields and no gurgling sounds over the epigastrium. The ventilation equipment was checked and found to be normal, so we withdrew the ETT into the oropharynx and reinserted the tube again. The tube was reinserted smoothly but manual ventilation was still difficult. After treatment for a suspected...

INTRODUCTION Etiopathogenetically, there are two types of chollesteatomas: congenital, and acquired. Numerous theories in the literature try to explain the nature of the disease, however, the question about cholesteatomas remain still unanswered. The aim of the study was to present a case of external ear canal cholesteatoma (EEC) developed following microsurgery (ventilation tube insertion and ...

UNLABELLED Tracheal secretion leakage might lead to ventilator-associated pneumonia. Standard tracheal tube cuffs are cylindrical in shape. Bronchial tree aspiration is observed in the presence of leakage past tracheal tube cuffs. The new TaperGuard tracheal tube has a cuff in the shape of a cone, preventing from the development of microtubules and microaspiration. The aim of the study was to c...

OBJECTIVE To examine whether there are changes in the distance between the orotracheal tube and carina induced by orthostatic retractor placement or by pneumoperitoneum insufflation in obese patients undergoing gastroplasty. METHODS 60 patients undergoing bariatric surgery by two techniques: open (G1) or videolaparoscopic (G2) gastroplasty were studied. After tracheal intubation, adequate ven...

provided the original work is properly cited. CC Bronchial blockers are simple alternative methods of facilitating placement of devices for one-lung ventilation. The Coopdech bronchial blocker (Daiken Medical, Osaka, Japan) has been clinically introduced to perform one-lung ventilation with a single-lumen tracheal tube [1]. The distal tip of the Coopdech bronchial blocker has a pre-formed angul...

■ ■ Your healthcare provider may recommend a tracheostomy when you cannot breathe on your own. This can happen in conditions like severe pneumonia, a massive heart attack, or stroke. In such cases, you may need help from a breathing machine for more than a couple of weeks. At first, the breathing machine delivers air to the lungs through a temporary tube that goes into the windpipe through your...

INTRODUCTION An unplanned extubation (UEX) is a frequent and preventable adverse event of mechanical ventilation. OBJECTIVES To fnd out the causes of unplanned extubation and assess the use of a quality improvement intervention to reduce this event rate. POPULATION Patients with invasive mechanical ventilation for more than 12 hours over the period from May 1st 2010 and April 30th 2011 in a...