Tracheotomy is one of the most frequent surgical procedures in critically ill patients. Up to 10% of all individuals who require mechanical ventilation for at least three days will need a tracheotomy for prolonged ventilation or for adequate management of the airway. However, despite the widespread use of the technique and the abundant literature on the subject, few references to decannulation ...

Commonly encountered difficulties during decannulation are tube dependency, bleeding, and mechanical problems with cuff, aspiration, pulmonary complications, tracheomalacia, scarring of the tracheostomy wound, inversion of wound margin in skin, tracheal stenosis and also migration of granulation tissue inside the trachea through the tracheostomy wound. Patients with traumatic quadriplegia follo...

Most readers of “Twenty-Five–Year Experience With the Björk-Shiley Convexoconcave Heart Valve: A Continuing Clinical Concern” in this issue of Circulation have not heard of the valve.1 Many elements of its story parallel those of cerivastatin2,3 and rofecoxib,4 but with a twist: Recalling a heart valve may entail greater risks than leaving a possible “time bomb” in place. The Björk-Shiley story...

Abstract Introduction Tracheostomy decannulation is an extremely important part of tracheostomy care in paediatric patients. Due to the increased risk morbidity1 (bleeding, respiratory infection, airway plugging, accidental decannulation) and mortality2 (0.5-3.6%) associated with prolonged tracheostomies, it strongly advised decannulate patient as soon underlying cause for placement corrected o...

Objective Children with congenital heart defects (CHD) requiring cardiovascular surgery (CVS) rarely require tracheostomy placement; however the mortality rate remains high. The study aimed to analyze incidence of in children CHD, and determine factors contributing postoperative outcomes, decannulation rates, mortality. Methods Retrospective case series ≤18 years old CHD status post-CVS who und...

This is a report of 2 cases of Ludwig's angina. An Indonesian young female patient developed severe stridor after oral examination. Then she underwent tracheostomy and developed post decannulation dyspnea due to huge surgical emphysema. The second case regards an Indian young male who developed disseminated intravascular coagulation and died from hemorrhage. The objectives of our cases presenta...

BACKGROUND In the past decade, the rate and utilization of veno-venous extracorporeal membrane oxygenation (VV-ECMO) has increased dramatically. A single catheter technique has recently come into favour for providing VV-ECMO. Although it has been shown that intensivists can safely place these catheters, the safety of decannulation by intensivists has not been reported in the literature. OBJEC...

Pediatric laryngotracheal stenosis occurs by either congenital or acquired causes and usually indicates subglottic stenosis. The main goals of treatment are decannulation, preserving phonation, normal swallowing function. Various types degrees combined anomalies would be the barriers to reaching successful results unless comprehensive understanding Multidisciplinary team approaches encompassing...