A tracheal intubation-related tracheobronchial rupture is a relatively rare complication. We report a case of tracheobronchial rupture after single lumen endotracheal intubation. Twenty four hours after extubation of an endotracheal tube, subcutaneous emphysema developed on the patient's neck. A pneumomediastinum was also detected by computerized tomography (CT). The patient recovered uneventfu...

Aim: To compare the efficacy of intravenous dexamethasone with placebo in preventing POST after endotracheal intubation general surgical patients. Design: Randomized controlled trial. Place and duration study: Department Anesthesiology Surgical Intensive Care Unit Pain Management, Civil Hospital, Dow University Health Sciences Karachi from 12th January 2015 to 11th July 2015. Methodology: Sixty...

BACKGROUND The aim of our study was to evaluate the pulmonary effects of noninvasive ventilation (NIV) with or without recruitment maneuver (RM) after open heart surgery. METHODS One-hundred patients undergoing coronary artery bypass surgery were randomized into four groups after the operation: 1) RM with sustained inflation during mechanical ventilation postoperatively (RM group, n = 25); 2)...

We have studied the pharmacokinetics and pharmacodynamics of alfentanil, fentanyl and sufentanil together with propofol in patients undergoing coronary artery bypass graft surgery (CABG). Sixty patients (age 40-73 yr, 56 male) were assigned randomly to receive alfentanil, fentanyl or sufentanil and propofol. Plasma concentrations of these drugs and times for the plasma concentration to decrease...

Acute postoperative negative pressure pulmonary edema (NPPE) is a respiratory complication due to acute airway obstruction (UAO) that occurs shortly after extubation of patients who under general anesthesia (incidence 0.05 to 0.1%) Usually, this complication develops in healthy young patients, capable of generating high negative intrathoracic pressures (NIP), which is the catalyst in the pathop...

perform bag mask ventilation on a daily basis, prior to laryngeal mask airway (LMA) insertion and tracheal intubation? It is a common criticism that (over)use of the LMA means trainees perform less intubations and I welcome the recommendation that trainees should be preferentially attached to lists where facemask anaesthesia and intubations occur. Trainees moving between theatres will also incr...

Purpose: This study investigated the clinical effects of laryngeal mask and tracheal intubation on infant anaesthesia. Methods: A total of 60 cases of children undergoing surgery were selected in our hospital from September 2013 to June 2015. They were randomly divided into two groups: study and control groups. The study group underwent laryngeal mask anaesthesia, whereas the control group unde...

INTRODUCTION Cardiac surgery is associated with post-operative reductions of functional residual capacity (FRC). Manual hyperinflation (MH) aims to prevent airway plugging, and as such could prevent the reduction of FRC after surgery. The main purpose of this study was to determine the effect of MH on post-operative FRC of cardiac surgical patients. METHODS This was a randomized controlled tr...

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...