COST containment and efficient resource use have forced anesthesiologists to rethink their management strategies for cardiac surgery. In the late 1970s, when anesthetic practice predominantly involved inhalational anesthesia, it was possible to extubate cardiac surgical patients within a few hours after surgery. However, there was no economic pressure or incentive to practice cost-effective med...

BACKGROUND Aims of this study were to assess the maximum displacement of tracheal tube tip during head-neck movement in children, and to evaluate the appropriateness of the intubation depth marks on the Microcuff Paediatric Endotracheal Tube regarding the risk of inadvertent extubation and endobronchial intubation. METHODS We studied children, aged from birth to adolescence, undergoing cardia...

OBJECTIVES The many advantages of early tracheal extubation following congenital cardiac surgery in young infants and children are now widely recognized. Benefits include avoiding the morbidity associated with prolonged intubation and the consequences of sedation and positive pressure ventilation in the setting of altered cardiopulmonary physiology. Our practice of tracheal extubation of young ...

Endotracheal intubation is an intervention frequently performed in the hospital setting order to protect central airway and provide mechanical support for ventilation. The complications of endotracheal tube include tracheitis, tracheal stenosis, tracheomalacia, granuloma formation. Tracheal crusting following tracheitis a very rare but fatal complication especially children. should be kept mind...

Although tracheal stenosis is a rare consequence, it possible in individuals undergoing extended intubation and tracheostomy. otorhinolaryngologists interventional pulmonologists are often responsible for treatment, since symptoms may not manifest weeks or months after extubation, primary care doctors frequently the first to meet this problem. Tracheal be mistaken asthma its clinical presentati...

Early tracheal extubation has been safely performed after large operative procedures, questioning the need for routine postoperative ventilation. Because immediate postoperative tracheal extubation of liver transplantation patients has not been previously reported, we performed preliminary studies at two institutions to evaluate potential risk and cost benefit. At the University of Colorado (UC...

STUDY OBJECTIVES To determine whether sedation with propofol would lead to shorter times to tracheal extubation and ICU length of stay than sedation with midazolam. DESIGN Multicenter, randomized, open label. SETTING Four academic tertiary-care ICUs in Canada. PATIENTS Critically ill patients requiring continuous sedation while receiving mechanical ventilation. INTERVENTIONS Random allo...

We report an unusual cause of difficult tracheal extubation due to occlusion of the endotracheal tube (ETT) pilot balloon tubing by a bite block. A 73-year-old man recently underwent coronary artery bypass graft and mitral valve repair at our institution. Fourteen days after discharge, he presented to his local emergency room with epigastric pain, and a Stanford type A aortic dissection extendi...

Abstract: Fast tracking approaches in liver transplantation include postoperative extubation immediately after surgery in the operating theatre. Based on the experience of 837 liver transplantations performed between 01/97 and 05/05, we report on the safety and feasibility of this procedure in almost 80% of transplant recipients, without increasing the incidence of subsequent reintubation (11%)...

BACKGROUND Postoperative residual neuromuscular blockade (NMB), defined as a train-of-four (TOF) ratio of <0.9, is an established risk factor for critical postoperative respiratory events and increased morbidity. At present, little is known about the occurrence of residual NMB in Canada. The RECITE (Residual Curarization and its Incidence at Tracheal Extubation) study was a prospective observat...