as a preliminary to laryngotomy, for the removal of warts from the larynx. The tube used was Fuller's, with a split or dilating outer canula. Bronchitis supervened ; but after a few days the child was apparently doing well. On the seventh day after the operation severe arterial haemorrhage occurred from the trachea, with fatal result. At the autopsy, the trachea and innominate artery opposite t...

Sir,—Recently, difficulty was encountered during anaesthesia for a 75-year-old man who presented with hoarseness but no history of dyspnoea. Indirect laryngoscopy revealed a small tumour on the left vocal cord but the laryngeal aperture was adequate. Subsequently, the patient was anaesthetized for the purpose of direct laryngoscopy and biopsy. Premedication comprised atropine 0.6 mg and prometh...

OBJECTIVE To explore the effects of the placement of a pediatric tracheotomy tube on the degree of caregiver burden and overall health status of parents using general and disease-specific instruments. METHODS Between January and July 2001, the Medical Outcomes Study Short Form 12 (SF-12) and the Pediatric Tracheotomy Health Status Instrument (PTHSI) were administered to 154 families of childr...

A 33 month old male with a history of prematurity, developmental delay, intractable epilepsy, chronic lung disease, pulmonary hypertension, tracheotomy, hypotonia, VP shunt, and ECMO in infancy presents for resection of a hepatic mass. He arrives to the operating room with a cuffed tracheostomy tube in place (mechanically ventilated on 30% FiO2), and a tunneled left internal jugular single lume...

ENDOTRACHEAL INTUBATION IS THE MOST COMMON PROcedureforairwaycontrolforpatientsrequiringmechanical ventilation. Extubation is performed once patients haveimprovedsothatmechanicalventilationcanbediscontinued.Forpatientswhorequireprolongedmechanicalventilation, replacement of the endotracheal tube with a tracheotomy is often considered. The most common reason for tracheotomyinsertionintheintensiv...

Patients with a tracheostomy stoma experience compromised speech and function due to the associated changes in airflow patterns. Rehabilitation of a patient with tracheal stoma is a highly challenging task. The main objective is to design an inexpensive, easily fabricated stomal prosthesis for postlaryngectomy patients who require prolonged tracheotomy. This clinical case report describes a 29-...

Nasogastric tube syndrome (NTS) is characterized by acute upper airway obstruction due to bilateral vocal cord paralysis. Although NTS a rare cause of paralysis, it has the potential causing serious morbidities even mortality. We here with present case concurrent and cerebrovascular disease patient. 73 year-old male was admitted our university hospital emergency department respiratory distress ...