a 21-year old man with cervical spinal cord damage due to diving was admitted in the icu. tracheostomy was performed due to prolonged mechanical ventilation. left lung atelectasis happened frequently. because of the difficulty of bronchoscopy and failing of recruitment, using a double lumen, two tracheal tubes were guided into the left and right lungs through the tracheostomy stoma site. after ...

background: foregut duplication cysts associated with vertebral anomalies are referred to as neurenteric cyst. about 30 cases have been reported in the literature so far. posterior mediastinal neurenteric cysts are very rare and a few studies could be found in the literature even after extensive search. because of rarity we are prompted to present 7 cases of posterior mediastinal neurenteric cy...

OBJECTIVES (1) To identify tracheostomy complications in institutionalized children with chronic tracheostomy. (2) To determine factors that predispose to development of tracheostomy complications in institutionalized children with chronic tracheostomy. STUDY DESIGN Case series with chart review over 10 years. SETTING Tertiary children's hospital. SUBJECTS AND METHODS Children were includ...

INTRODUCTION The creation of paediatric palliative care units (PPCU) could optimise the management of children with palliative focus after admission to a paediatric intensive care unit (PICU). This study describes the clinical and epidemiological characteristics of children referred from PICU to the PPCU of the Autonomous Community of Madrid (CAM). The overall treatment, relapses, re-admissions...

AIMS To present our experience of severe upper airway obstruction caused by ulcerative laryngitis in children. METHODS Retrospective case note review of 263 children with severe upper airway obstruction and a clinical diagnosis of croup admitted to a paediatric intensive care unit (PICU) over a five year period. RESULTS A total of 148 children (56%) underwent microlaryngoscopy (Storz 3.0 ri...