INTRODUCTION Endotracheal intubation in the ICU is associated with a high incidence of complications. Etomidate use is debated in septic shock because it increases the risk of critical illness-related corticosteroid insufficiency, which may impact outcome. We hypothesized that hydrocortisone, administered in all septic shock cases in our ICU, may counteract some negative effects of etomidate. ...

Acute cardiogenic pulmonary edema (ACPE) is a common cause of respiratory failure that necessitates endotracheal intubation. In some patients intubation and its attendant complications can be avoided with noninvasive ventilation (NIV). Both continuous positive airway pressure (CPAP) and NIV have been evaluated in patients with ACPE. Compared to conventional treatment, both CPAP and NIV improve ...

BACKGROUND In patients with acute exacerbations of chronic obstructive pulmonary disease, noninvasive ventilation may be used in an attempt to avoid endotracheal intubation and complications associated with mechanical ventilation. METHODS We conducted a prospective, randomized study comparing noninvasive pressure-support ventilation delivered through a face mask with standard treatment in pat...

Post-anesthesia stridor due to laryngospasm, laryngeal edema, or any other organic cause is a life-threatening condition requiring immediate intervention. The very rare functional psychogenic following emergence from general anesthesia may sometimes mimic an cause, but it neither fatal nor require airway management. However, if the not diagnosed timely, lead unnecessary manipulation of airway, ...

OBJECTIVE Endotracheal intubation of newborn infants is a common and potentially lifesaving procedure but a skill that trainees find difficult. Despite widespread use, no data are available on whether the use of a stylet (introducer) improves success rates. We aimed to determine whether pediatric trainees were more successful at neonatal orotracheal intubation when a stylet was used. METHODS ...

INTRODUCTION  The injuries caused for the orotracheal intubation are common in our way and widely told by literature. Generally the pipe rank of or consequence of its permanence in the aerial ways of the patient is caused by accidents in. It has diverse types of larynx injuries, caused for multiple mechanisms. OBJECTIVE  To verify, in literature, the main causes of laryngeal complications aft...

OBJECTIVE To determine possible indications for tracheotomy in the burned child based on bronchoscopic and laryngoscopic findings. DESIGN AND SETTING A retrospective case study of all patients admitted to a tertiary children's burn center. PARTICIPANTS All children admitted with burn inhalation injury between 1990 and 1995 (n = 211). INTERVENTION All patients underwent laryngoscopy and br...

In a recent special issue of RESPIRATORY CARE, Daniel Talmor presented a very nice review of airway management during a mass-casualty event.1 He rightly pointed out that only experienced clinicians should perform intubation in these circumstances, and that training clinicians for the sole purpose of providing intubation during a mass-casualty event is unwise. He also listed anesthesiologists, c...