BACKGROUND Cardiac surgery is frequently associated with prolonged endotracheal intubation. Because oral feeding is an important component of patient recovery after high-risk surgery, we sought to examine the contribution of dysphagia in the recuperation process after prolonged endotracheal intubation. METHODS All 254 adult patients who survived cardiac surgery between 2001 and 2004 at the To...

BACKGROUND Especially in the emergency setting, rapid and successful airway management is of major importance. Conventional endotracheal intubation is challenging and requires high level of individual skills and experience. Videolaryngoscopes like the C-MAC are likely to offer better glottis visualization and serve as alternatives to conventional endotracheal intubation. The aim of this study i...

BACKGROUND Prolonged mechanical ventilation (MV) is associated with high morbidity, mortality, and cost. However, few and limited data are available on the prediction of duration of MV. We conducted an observational cohort study to seek predictive criteria. METHODS The study was performed in a surgical ICU (SICU) in a university hospital. One hundred ninety-five consecutive unselected patient...

BACKGROUND Patients with severe traumatic brain injury (TBI) are at high risk for airway obstruction and hypoxia at the accident scene, and routine prehospital endotracheal intubation has been widely advocated. However, the effects on outcome are unclear. We therefore aim to determine effects of prehospital intubation on mortality and hypothesize that such effects may depend on the emergency me...

conclusions fentanyl and fentanyl plus lidocaine effectively decreased the hemodynamic response to tracheal intubation, however, neither fentanyl nor fentanyl plus lidocaine, could inhibit all hemodynamic responses, moreover fentanyl plus lidocaine was not more effective than fentanyl alone. background induction of anesthesia and endotracheal intubation often creates a period of hemodynamic ins...

Tracheal dissection is an uncommon complication of endotracheal intubation. A large source of morbidity and mortality in anesthesia is associated with airway issues. Several airway complications can be avoided or minimized by proper technique and vigilance. Emergency thoracotomy surgery is required in patients who suffer lower tracheal trauma. A tracheal tear poses additional challenges to trad...

abstract background: formation of biofilm and bacterial colonization within the endotracheal tube (ett) are significant sources of airway contamination and play a role in the development of ventilator-associated pneumonia (vap). this study was conducted to examine the effect of nebulized eucalyptus (ne) on bacterial colonization of ett biofilm. materials and methods: we performed a randomized c...

objectives the aim of this study was to compare hemodynamic changes following endotracheal intubation with gvl and mdl in patients undergoing cesarean section by general anesthesia. materials and methods seventy patients undergoing elective cesarean section by general anesthesia requiring endotracheal intubation were randomly allocated to be intubated with either gvl (n = 35) or mdl (n = 35). s...

The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. To overcome the obstacles...

BACKGROUND We aim to report the incidence of post-intubation hypotension in the critically ill, to report in-hospital mortality and length of stay in those who developed post-intubation hypotension, and to explore possible risk factors associated with post-intubation hypotension. MATERIAL/METHODS Adult (≥18 years) ICU patients who received emergent endotracheal intubation were included. We ex...