BACKGROUND/AIMS Complete endotracheal tube obstruction is a medical emergency, and partial occlusion causes increased breathing rates and failure to wean off mechanical ventilation. Partial occlusion may be underestimated due to the lack of proper detection methods. We tested whether the sound of an endotracheal tube could be used to detect an endotracheal tube obstruction using an in vitro mod...

background: the aim was to compare the intensity of pain caused by suprapubic aspiration (spa) and urethral catheterization for urine sampling in premature infants. methods: a prospective randomized controlled design with 80 premature infants in alzahra university hospital, isfahan, iran was conducted. premature newborns who needed urine samples for microbiologic analysis were randomly assigned...

OBJECTIVE To conduct a cost-effectiveness analysis of the economic outcomes of ventilator-associated pneumonia (VAP) prevention associated with silver-coated endotracheal tubes versus uncoated endotracheal tubes. DESIGN We used a simple decision model based on a hypothetical 1,000-patient cohort intubated with silver-coated or uncoated endotracheal tubes. The primary end point was marginal ho...

Vocal cord paralysis is a known entity often described as a complication of neck surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following open-heart surgery are reported in the literature. The purpose of this a...

CEN, CFRN, CPEN, and Tom Pietrantonio, BSRT, RRT-RCP, reply: In a study published in Respiratory Care, Shimizu et al3 concluded that the conventional adhesive tape methods had greater extubation force than the 2 endotracheal tube holders and that extubation force varies considerably depending on the width, length, and type of adhesive tape used. Mohammed and Hassan4 studied endotracheal tube sl...

objectives the aim of this study was to compare hemodynamic changes following endotracheal intubation with gvl and mdl in patients undergoing cesarean section by general anesthesia. materials and methods seventy patients undergoing elective cesarean section by general anesthesia requiring endotracheal intubation were randomly allocated to be intubated with either gvl (n = 35) or mdl (n = 35). s...

A 40 year old male, a known case of hypertrophic cardiomyopathy, was admitted for catheterization. At catheterization and angiography, septum was hypertrophied to about 5cm and diffuse coronary artery aneurysm was revealed. We found no previous report of coronary artery aneurysm in hypertrophic cardiomyopathy.

A 28-year-old male patient with right maxillar, zygomatic arch, orbital wall, and nasal bone fractures had an orthognathic and nasal surgery. Naso-endotracheal intubation is the first choice during surgical correction of dentofacial deformities in an orthognathic surgery; however, its presence can interfere with concomitant surgical procedures on the nose. Traditionally, the naso-endotracheal t...

BACKGROUND Endotracheal tube security is a critical safety issue. We compared the mobility of an in situ endotracheal tube secured with adhesive tape to the one secured with a new commercially available purpose-designed endotracheal tube-holder device (Haider Tube-Guard). We also observed for the incidence of oropharyngeal or facial trauma associated with the 2 tube fixation methods. METHODS ...