Background: Post-extubation respiratory failure is a common event after discontinuation of mechanical ventilation. The incidence of reintubation is relatively high, being about 623% among patients undergoing, mechanical ventilation for more than 48 hours within 48-72 hours of endotracheal removal, so it is important to identify those patients at risk of post extubation respiratory failure. Aim ...

We carefully read the article by Yamauchi et al.(1) on using noninvasive positive pressure ventilation (NIPPV) after extubation and congratulate the authors on their study. However, in the last few years, several studies with conflicting results have been published.(1-6) The authors presented the results from a retrospective observational study. Data were collected over a seven-month period to ...

Background: The decision to extubate the patient is crucial and challenging. The use of corticosteroids to reduce airway edema and extubation failure in intensive care patients is debatable. Methods: In an observational prospective cohort study from April 2021 to July 2021, 110 patients undergoing head and neck surgery at Imam Khomeini Hospital's special wards were enrolled. Inclusion criteria...

INTRODUCTION The process of weaning may impose cardiopulmonary stress on ventilated patients. Heart-rate variability (HRV), a noninvasive tool to characterize autonomic function and cardiorespiratory interaction, may be a promising modality to assess patient capability during the weaning process. We aimed to evaluate the association between HRV change and weaning outcomes in critically ill pati...

Laryngeal edema is a frequent complication of intubation. It often presents shortly after extubation as post-extubation stridor and results from damage to the mucosa of the larynx. Mucosal damage is caused by pressure and ischemia resulting in an inflammatory response. Laryngeal edema may compromise the airway necessitating reintubation. Several studies show that a positive cuff leak test combi...