OBJECTIVE To describe post-extubation noninvasive positive pressure ventilation use in intensive care unit clinical practice and to identify factors associated with noninvasive positive pressure ventilation failure. METHODS This prospective cohort study included patients aged ≥ 18 years consecutively admitted to the intensive care unit who required noninvasive positive pressure ventilation wi...

Background and Aim: Tracheal extubation is a crucial step of general anaesthesia which associated with intense airway hemodynamic responses secondary to activation mechanoreceptors in larynx. The present study aims compare the efficacy intravenously administered dexmedetomidine esmolol attenuating response endotracheal extubation. Materials Method: This prospective, randomized, double-blind was...

The comments of Drs. Maxwell and Mihm invite a further discussion of diuretic use in the setting of postoperative negative-pressure pulmonary edema (NPPE). Although diuretics were administered to the patient in our case, as originally stated, it is debatable whether this therapy benefited the patient in the case scenario. In NPPE, the primary problem is not fluid overload but a combination of n...

Background: ETT is important in securing paediatric airway and its right size plays crucial role patients. The anatomy patients different from adults hence requires precise size. subglottic diameter being the narrowest portion of upper airway, determines USG safe, reliable, non-invasive tool used to estimate correct Conventional formulae included age height. Concerns prone position include acci...

Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: Intensive care and emergency departments. Br J Anaesth 2011; 106: 632–42 7. Flin R, Fioratou E, Frerk C, Trotter C, Cook TM. Human factors in the development of complications of airwaymanagement: preliminary eva...

Endotracheal intubation is an intervention frequently performed in the hospital setting order to protect central airway and provide mechanical support for ventilation. The complications of endotracheal tube include tracheitis, tracheal stenosis, tracheomalacia, granuloma formation. Tracheal crusting following tracheitis a very rare but fatal complication especially children. should be kept mind...

Although tracheal stenosis is a rare consequence, it possible in individuals undergoing extended intubation and tracheostomy. otorhinolaryngologists interventional pulmonologists are often responsible for treatment, since symptoms may not manifest weeks or months after extubation, primary care doctors frequently the first to meet this problem. Tracheal be mistaken asthma its clinical presentati...

Objectives: Desflurane may be useful for ambulatory anesthesia. However, desflurane-induced airway irritability makes its use challenging, especially in children. Ketamine can used to reduce separation anxiety and emergence agitation (EA). ketamine increase bronchial secretions. This study compared desflurane with sevoflurane anesthesia, terms of time EA, preschool children intravenous (IV) pre...

Background: Acute negative pressure pulmonary edema is a complication that usually occurs shortly after extubation in patients receiving general anesthesia. It may also occur due to the bite of endotracheal tube prior extubation.Case presentation: A 52-year-old male patient was scheduled for ventriculoperitoneal shunt operation. General anesthesia applied. Respiratory and hemodynamic variables ...

INTRODUCTION Reports on reintubation have focused on patients in whom planned extubation has been unsuccessful or those who have been accidentally extubated. However, reintubation is often required in events not related to accidental extubation. These cases have not been well described previously. OBJECTIVES To examine the causes, outcomes, and contributing factors associated with patients wh...