Aim To determine predictors and outcomes of extubation failure in extremely preterm (EP) infants born <28 weeks' gestational age (GA). Methods Retrospective clinical audit across two tertiary-level neonatal intensive care units Melbourne, Australia. Two-hundred four EP who survived to their first from mechanical ventilation. Extubation (re-intubation) within 7 days after the extubation. Results...

Stridor is a serious complication of congenital neuraxial anomalies, which though, can get completely resolved with early neurosurgical correction of the anomaly. However, stridor relief may or may not be achieved soon after surgery. Persistent postoperative stridor can potentially cause extubation failure that may be difficult to handle in small children. There are no extubation guidelines for...

Background: The unplanned departure of endotracheal tube is one of the main complications for endotracheal intubation. In addition to endotracheal extubation, its movement can also lead to damage to the oral cavity. Stabilizing endotracheal tube is the most important factor that can prevent unplanned departure of endotracheal tube as well as its movement. The current study was done with the aim...

BACKGROUND Patients with advanced non-small-cell lung cancer (NSCLC) and acute respiratory failure (ARF) from central airway obstruction (CAO) may be offered end-of-life care rather than intensive care treatment and palliative bronchoscopic intervention. OBJECTIVES To determine whether bronchoscopic intervention could be immediately successful in restoring airway patency and obviate the need ...

BACKGROUND The modified nasal trumpet (MNT) is a prepackaged nasopharyngeal airway modified with distal holes and fitted with a 15 mm adaptor allowing connection to an anaesthesia circuit. It may be useful for airway management during anaesthesia. METHODS After applying a spray to constrict the nasal mucosa, we used the MNT in 346 spontaneously breathing patients for three indications: alone ...

STUDY OBJECTIVE To determine the usefulness of routinely inserting a hollow airway exchange catheter (jet stylet) prior to tracheal extubation of adult patients with risk factors for difficult tracheal intubation. DESIGN Prospective, 1-year study of 40 consecutive patients undergoing mechanical ventilation who had one or more risk factors for difficult tracheal reintubation. SETTING Surgica...

Negative-pressure pulmonary oedema caused by upper airway obstruction after tracheal extubation is well recognised, but extensive pulmonary haemorrhage is rare. We report a case of post-extubation, laryngospasm-induced pulmonary oedema with associated pulmonary haemorrhage. The patient required mechanical ventilation with high positive end-expiratory pressure.

background:respiratory distress syndrome is the most common respiratory disease in premature neonate and the most important cause of death among them. we aimed to investigate factors to predict successful or failure of insure method as a therapeutic method of rds.methods:in a cohort study,45 neonates with diagnosed rds and birth weight lower than 1500g were included and they underwent insure fo...

Assessment of weaning readiness The ability to separate successfully from mechanical ventilation is dependent upon a host of physiologic factors (Table 1). Central ventilatory drive must be adequate; the patient must be able to maintain a patent airway, if extubation or decannulation is contemplated; and the patient must be able to cough and adequately clear secretions. Airway resistance must b...

BACKGROUND Respiratory distress syndrome remains a significant problem among premature infants. Mechanical ventilation through an endotracheal tube remains the mainstay of respiratory support but may be associated with lung injury and the development of chronic lung disease of prematurity. Efforts are needed to reduce the duration of mechanical ventilation in favour of less invasive forms of re...