Russell-Silver syndrome (RSS) is a rare genetic malformation characterized by the growth of 2-year-old male child with RSS who underwent hip spica surgery under general anesthesia. The patient had history mild developmental delay, failure to gain weight, and frequent vomiting. Anesthetic implications RSS, including airway management, glucose homeostasis, hypothermia, pharmacological considerati...

N egative pressure pulmonary edema is an uncommon complication of extubation of the trachea (>0.1%) mostly caused by laryngospasm (1). Upper airway obstruction from glottis closure leads to marked inspiratory efforts, which generate very negative intrathoracic pressure. This may cause pulmonary edema (1,2) and, rarely, hemoptysis (3,4). This report is the first to document both bronchoscopic an...

Weaning from MV is the gradual removal of the ventilatory prosthesis, a different process to extubation, which involves removing the endotracheal tube (MacIntyre et al., 2001). The best moment to start weaning depends on multiple factors. Premature exhubation puts the patient at risk of reintubation and airway trauma. However, prolonged weaning exposes individuals to risk of hospital infection ...

Mr. M.D.S., a 27-year-old Indian male, presented with complaints of diffuse body pain and spasms, 7 days after a needle penetrated his right foot at his place of work. He was diagnosed clinically with tetanus. The patient was electively intubated to protect the airway and transferred to an intensive care unit. In addition to his tetanus, he developed multiple hospital-acquired infections. After...

Postextubation stridor is associated with significant morbidity. It commonly results in extubation failure after established medical treatment fails, such as nebulized epinephrine and/or intravenous steroids. The role of heliox (i.e., combination of helium and oxygen) in managing patients with postextubation stridor has not been fully established. We report two cases of postextubation stridor s...

A 3-month-old male child underwent uneventful inguinal herniotomy under general anesthesia. After extubation, airway obstruction followed by pulmonary edema appeared for which the baby was reintubated and ventilated. The baby made a complete recovery and extubated after about 2 h. A post-operative computed tomography scan revealed a posterior mediastinal cystic mass abutting the tracheal bifurc...

The aim of this study was to establish predictors for successfully planned extubation, which can be followed by medical personnel. The patients who were admitted to the adult intensive care unit of a tertiary hospital and met the following criteria between January 2005 and December 2014 were collected retrospectively: intubation > 48 hours; and candidate for extubation. The patient characterist...

To the Editor-It was with great interest that I read Dr. Larson's description of "the best treatment" for laryngospasm.' I am not only familiar with the said maneuver, hut have had the opportunity to use it on multiple occasions. In my experience it only works in the semiconscious patient with supraglottic obstruction that is unrelieved by simple airway support measures. I believe that it works...