Scenario #1 A 60-year-old male found unresponsive for roughly 10 hours at his home was brought to the emergency department. A head computer tomography (CT) revealed an ischemic stroke affecting the right middle cerebral artery. He was subsequently admitted to the neurology service and underwent a swallow study, which revealed pharyngeal motor dysfunction and a delay in swallow initiation leadin...

BACKGROUND Given that, in most clinical circumstances, enteral nutrition (nasal gastric tube feeding) may not necessarily be superior to parenteral nutrition (IV feeding), consideration of patient preference should be included in decisions on the method of feeding. OBJECTIVES To evaluate patient preference for nasal gastric versus IV feeding. METHODS We administered a written questionnaire ...

For nasal stops and nasalized vowels, one-tube models offer only an inadequate representation. To model the spectral components of nasal speech signals, a minimum of two connected tubes is necessary. Typically, the estimation of branched-tube area functions is based on a pole-zero model. The present paper introduces a variational Bayesian scheme under Gaussian assumptions to estimate the tube a...

In cases of multiple facial trauma and other specific cases, the anesthesiologist may be asked to convert an oral endotracheal tube to a nasal endotracheal tube or vice versa. Conventionally, the patient is simply extubated and the endotracheal tube is re-inserted along either the oral or nasal route. However, the task of airway management can become difficult due to surgical trauma or worsenin...

BACKGROUND Initial ventilation strategy may play an important role in the development of bronchopulmonary dysplasia in very preterm infants. Early nasal continuous positive airway pressure is an accepted approach, but randomized clinical trials are lacking. Our aim was to determine whether early nasal continuous positive airway pressure, preceded by a sustained inflation, is more effective and ...

PURPOSE To describe the use of a ruler to increase the accuracy and customization of Lester Jones tube placement. MATERIALS AND METHODS This was a review of 92 patients who underwent minimally invasive conjunctivodacryocystorhinostomy using this instrument. RESULTS The success rate was 100%, with an average operating time of 15 minutes. In nine patients, late migration of the Jones tube int...

OBJECTIVE Positive-pressure ventilation (PPV) using a manual ventilation device and a face mask is recommended for compromised newborn infants in the delivery room (DR). Mask ventilation is associated with airway obstruction and leak. A nasal tube is an alternative interface, but its safety and efficacy have not been tested in extremely preterm infants. METHODS An unblinded randomized control...

In oral and maxillofacial surgery, many complications associated with nasotracheal tube can be caused. In this case, we reported ballooning tube damage of nasotracheal tube during orthognathic double-jaw surgery and replacement of tube through cut down of tube and tube exchange using airway exchange catheter. The patient scheduled for high Le Fort I osteotomy and bilateral sagittal split osteot...