Introduction  Tracheostomy weaning in patients who suffered a severe acquired brain injury is often a challenge and decannulation failures are not uncommon. Objective  Our study objective is to describe the decannulation failure rate in patients undergoing rehabilitation following a severe acquired brain injury (sABI); to describe the factors associated with a successful tube weaning. Methods  ...

The purpose of this study was to prospectively compare parameters that might predict successful translaryngeal extubation and tracheostomy tube decannulation. Irrespective of ventilatory function, 62 extubation/decannulation attempts were made on 49 consecutive patients with primarily neuromuscular ventilatory insufficiency who satisfied criteria. Thirty-four patients required 24-h ventilatory ...

To provide recommendations to otolaryngologists, pulmonologists, and allied clinicians for tracheostomy decannulation in pediatric patients. An iterative questionnaire was used establish expert by the members of International Pediatric Otolaryngology Group. Twenty-six completed survey. Recommendations address patient criteria readiness, airway evaluation prior decannulation, protocol, follow-up...

OBJECTIVE To compare single-stage laryngotracheal reconstruction (ssLTR) and double-stage LTR (dsLTR). DESIGN Retrospective medical record review. SETTING Tertiary care children's hospital. PATIENTS Seventy-one patients underwent 84 procedures (22 ssLTRs and 62 dsLTRs). INTERVENTION Review of preoperative disease severity and surgical outcomes for patients who underwent ssLTR vs dsLTR. ...

Objective: Decannulation of patients with tracheotomy usually requires decrease in tracheostomy tube size, capping for 24-48 hours and observation after tube removal. Delay in decannulation may increase cardiopulmonary load, prolong hospitalization and cause patient distress. We propose a one-stage procedure in an intensive care unit (ICU) setting for patients undergoing head and neck surgeries...

BackgroundThe long-term implications of tracheostomy in cardiac surgical patients are largely unknown. We sought to investigate outcomes including decannulation and mortality a population post-cardiac surgery patients.MethodsAll undergoing at single institution between 1997 2016 were evaluated for postoperative placement, time decannulation, mortality. Patients stratified by as well successful ...

OBJECTIVE To evaluate outcomes of the endoscopic posterior cricoid split with rib graft (EPCS/RG) procedure in the treatment of subglottic stenosis (SGS), posterior glottic stenosis (PGS), and bilateral vocal fold immobility (BVFI). STUDY DESIGN Retrospective chart review. METHODS Chart review of all patients who underwent EPCS/RG at a single tertiary-care facility between 1999 and 2014. Pa...

Insufficient cough strength has a major role in extubation and decannulation outcomes. Cough capacity can be easily evaluated by measuring flows during coughing. Values vary depending on whether cough flows are measured through the mouth or through a tracheostomy or endotracheal tube. It is important to standardize these measurements and start using them routinely in the extubation and decannul...

introduction: clinical policies of “10 steps of breast feeding” proposed by world health organization (who) can promote breast feeding. the goal of this study was to evaluate breast feeding in the first hour after birth and its relation to the influencing factors. material and methods: in this cross-sectional study, the data is related to mothers and infants referring to two baby friendly hospi...