subcutaneous emphysema is a rare complication of postoperative nausea and vomiting and can lead to airway compromise. we describe a case of delayed, severe subcutaneous emphysema after postoperative vomiting which fortunately did not lead to airway compromise and eliminated with conservative management. rough and difficult laryngoscopy and intubation, presence of clots and bloody discharge afte...

Mounier Kuhn syndrome, or congenital tracheobronchomegaly, is an under diagnosed clinical entity with peculiar anatomical and physiological features making anesthetic care challenging. A 58-year-old chronic smoker with history of recurrent pneumonia and bronchiectasis presented for septoplasty. Thoracic imaging revealed a dilated trachea and main bronchi, tracheal and bronchial diverticuli, and...

An African-American man, aged 34 years, underwent an elective uncomplicated right wrist laceration repair while under general anesthesia. Following extubation, the patient developed hypoxemia, tachypnea, shortness of breath, pulmonary rales, frothy sputum, decreased oxygen saturation, and evidence of upper airway obstruction. Chest radiograph showed pulmonary edema. The patient was diagnosed wi...

BACKGROUND The pediatric literature addressing extubation readiness parameters and strategies to wean from mechanical ventilation is limited. METHODS We designed a survey to assess the use of extubation readiness parameters among pediatric critical care physicians at academic centers in the United States. RESULTS The overall response rate was 44.1% (417/945). The majority of respondents che...

BACKGROUND AND OBJECTIVE Reducing postoperative mechanical ventilation in patients undergoing liver transplantation may have clinical and organizational advantages. On the basis of our experience, we here evaluate the possibility of practising immediate tracheal extubation in the operating theatre. METHODS In this prospective study, patients consecutively undergoing liver transplantation betw...

Observations have been made of pupil size, as affected by intravenously administered atropine and neostigmine, and by extubation, during reversal of curarization. Pulse rate and blood pressure changes were also recorded. Some degree of mydriasis was observed in 70 per cent of patients after atropine, in 86 per cent after neostigmine, and in 55 per cent at extubation. Pulse rate increased in 88 ...

Post-extubation dysphagia is a common and serious problem. The presence of neuromuscular disease at the time of intubation is likely to increase this. Until recently, the prevalence and the association with length of intubation had not been clarified. Results published in this journal suggest that 93% of extubated patients with neuromuscular disease had post-extubation dysphagia, which in 33% o...