INTRODUCTION Muscle rigidity and generalized spasm can cause severe pain in patients with tetanus. Administration of high dose sedative or narcotic agents can increase respiratory failure and prolong mechanical ventilation support. CASE PRESENTATION In this report, ultrasound-guided sciatic nerve block was performed in a 25-year-old patient with tetanus to progress his respiratory drive which...

Pope JF, Birnkrant DJ. Noninvasive ventilation to facilitate extuWeaning from mechanical ventilation and endotrabation in a pediatric intensive care unit. J Intensive Care Med cheal extubation is generally accomplished un2000;15:99–103. eventfully in children. Extubation failure, defined Noninvasive ventilation has been used extensively to treat as the need for reintubation, was reported to occ...

OBJECTIVE To determine the effects of tracheostomy on respiratory mechanics and work of breathing (WOB). DESIGN A before-and-after trial of 20 patients undergoing tracheostomy for repeated extubation failure. SETTING Surgical intensive care unit at a university teaching hospital and a level I trauma center. PATIENTS A consecutive sample of 20 patients who met extubation criteria (Pa(O2), ...

BACKGROUND Perioperative respiratory complications after adenotonsillectomy (T&A) are common and have been described to occur more frequently in children below 3 years of age, those with cranio-facial abnormalities, Down syndrome, obstructive sleep apnea, morbid obesity, and failure to thrive. AIMS To investigate the association between awake vs deep tracheal extubation and perioperative resp...