introduction  mechanical ventilation may be lifesaving intervention,it can be associated with complications,thus,successful weaning is constitutive.one of the factors which is  important in successful weaning is  method of weaning. it is shown that  weaning is conducted successfully by using spontaneous breathing trial (sbt) through t-piece and pressure support (ps) ventilation.but few studies ...

introduction: post-operative sore throat and cough are common complications of endotracheal intubation. these conditions may be very distressing for the patient and may lead to unpleasant memories. this study was performed in order to determine whether beclomethasone and lidocaine spray could reduce the frequency of post-operative sore throat and hoarseness after tracheal extubation.  materials...

BACKGROUND A biofilm is found on the inner side of endotracheal tubes (ETT) in mechanically ventilated patients, but its features and role in pneumonia remain unclear. METHODS This prospective, observational, monocentric study included critically ill ventilated subjects. Measurement of the ETT inner volume was first performed before extubation using the acoustic reflection method. After extub...

UNLABELLED Adequate preoperative evaluation and preparation for surgery are required to prevent prolonged mechanical ventilation after thymectomy, and facilitate the recovery of patients with myasthenia gravis (MG). The objective of this study was to identify the preoperative risk factors for extubation failure after thymectomy in patients with MG. METHODS A retrospective study was conducted ...

Background: Neonatal respiratory distress syndrome is a disease affecting preterm neonates caused by insufficient pulmonary surfactant in alveoli. The reported case fatality rate 57 to 89% low- and middle-income countries. As there very scanty data regarding the studies on MIST technique India, we have generated our institution compare morbidity mortality profile babies with RDS treated InSurE ...

Results Out of 680 intubations, 73(11%) patients [46 (63%) male] had failed extubations. Average age was 60(21-88) years. Average time to re-intubation was 22.1(1-72) hours, 45(62%) being re-intubated at≤24 hours. Average time intubated was 2.2 days with 3 patients intubated for >7 days. Fifteen(21%) patients had had no sedation within 4 hours of extubation. All others had one or more of fentan...

12 day male patient followed with supracardiac total anomalous pulmonary venous connection (TAPVC) was admitted to our service after one of surgical repair .The extubation attempts failed three times because the atelectasis occurred in lungs. As conventional therapy improve Atelectasis, dornase alpha tested via intubation cannula . It avoided recurrence and discharged no oxygen

Hernandez first described the submental route for endotracheal intubation in 1986 as an alternative airway maneuver for maxillofacial procedures. Since that time, several case studies have been performed demonstrating the efficacy of the submental approach. This method was recently implemented in the case of a patient with altered nasal anatomy who sustained a mandibular fracture necessitating ...

PURPOSE To evaluate a comprehensive scoring system which combines clinical manifestations of Pierre Robin Sequence (PRS) including severity of breathing difficulties, body weight and preoperative Cormack-Lehane grade, for its correlation with perioperative PRS airway management decision. DESIGN Forty PRS children were retrospectively recruited after surgery. Specialists examined all subjects ...