BACKGROUND Tracheostomy decreases airway resistance and work of breathing. No comprehensive data are available on respiratory mechanics after tracheostomy decannulation. We evaluated respiratory mechanics after decannulation. METHODS Twenty-five patients with tracheostomy were included. Measurement of arterial blood gases, air-flow, and esophageal pressure during spontaneous breathing were ev...

OBJECTIVE To investigate the long-term outcomes of supracricoid partial laryngectomy with cricohyoidoepiglottopexy (CHEP) and its modified version, in which we reserve the poster inferior borders of both thyroid cartilage laminas to protect swallowing function. METHODS This retrospective survival analysis was performed in 86 patients, wherein 46 undergoing CHEP and 40 undergoing modified CHEP...

OBJECTIVES/HYPOTHESIS The objective of this study was to determine if there are differences in decannulation rates and duration of cannulation between pediatric patients undergoing tracheotomy for different indications. STUDY DESIGN Retrospective chart review. METHODS Medical records for pediatric patients (age 0-18 years) undergoing tracheotomy between January 1, 2003, and May 31, 2012, we...

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...

background: this study aimed to use a mixed-method approach to investigate affecting factors on the performance of community health workers (chw) in iran’s villages. methods: this study was conducted during 2014-2015 with a mixed method in three phases of literature review, delphi technique and developing a rich picture. overall, in order to finalize the affecting factors and their relationship...

in today's organizations, an effective human resource management as the most important organizational source- especially in critical industries such as electricity industry- is not achievable unless having a systematic, specialized and professional perspective. professionalism is a perfect and holistic view to a work or working situation that it encompasses a comprehensive mastery in affai...

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the main goal of this research is to assess socio- psychotic factors affecting the application ictsby facultymembers in islamic azad university. simple random sampling method was used. given that the presentsurvey has a descriptive-field plan and questionnaire is measurement tool that reliability and validity of thistool was confirmed. the results of study show that nine variables affect the ap...

BACKGROUND Accidental decannulation is a cause of substantial morbidity and mortality in patients in long-term acute care hospitals who require a tracheostomy tube. OBJECTIVE To analyze features of accidental decannulation (AD) following placement of a tracheostomy tube, and to implement strategies to reduce the problem. METHODS An analysis of data collected prospectively for quality manage...