background: the unplanned departure of endotracheal tube is one of the main complications for endotracheal intubation. in addition to endotracheal extubation, its movement can also lead to damage to the oral cavity. stabilizing endotracheal tube is the most important factor that can prevent unplanned departure of endotracheal tube as well as its movement. the current study was done with the aim...

Background: Mechanical Ventilation in the intensive care unit is one of the most important interventions. Artificial airways are used to facilitate ventilation and endotracheal tubes are usually used for this matter. Unplanned extubation is one of the major complications of oral endotracheal intubation. In addition to extubation , tube movement can also cause trauma to oral cavity. Stabilizing ...

Congenital hemangiomas are benign tumors of endothelium most often occurring as a solitary lesion with predilection for the head- and-neck. This report presents case giant friable hemangioma lower lip in 1-month-old male child posted excision lesion. Airway management was challenging size, site, and history repeated local site bleeding made mask ventilation impossible. Bypassing ventilation, su...

Negative pressure pulmonary edema (NPPE) is a rare complication that accompanies general anesthesia, especially after extubation. We experienced a case of negative pressure pulmonary edema after tracheal extubation following reversal of rocuronium-induced neuromuscular blockade by sugammadex. In this case, the contribution of residual muscular block on the upper airway muscle as well as large i...

a wide variation in the observed (A–a)DO2. However, these factors were not significantly different between the two groups and our primary outcome measure was the change in (A–a)DO2 between 1 h before extubation and 1 h after, so each patient acted as their own control such that only events occurring between the two measurements of (A–a)DO2 will have affected our results. All patients received a...

OBJECTIVES To determine the incidence of extubation failure in preterm newborns with birth weight < 1,250 g extubated to nasal continuous positive airway pressure and to identify the main risk factors associated with the need for reintubation in this population. METHODS A retrospective review of eligible infants admitted and mechanically ventilated between July 2002 and June 2004 was performe...

BACKGROUND Dexmedetomidine can facilitate a smooth extubation process and reduce the requirement of sevoflurane and emergence agitation when administrated perioperatively. We aimed to observe the extubation process and the recovery characteristics in pediatric patients undergoing tonsillectomy while anesthetized with either high-concentration sevoflurane alone or low-concentration sevoflurane c...

A crucial step in the transition from mechanical ventilation to extubation is the successful performance of a spontaneous breathing trial (SBT). The American College of Chest Physicians (ACCP) Guidelines recommend removal of the endotracheal tube upon successful completion of a SBT. However, this does not guarantee successful extubation as there remains a risk of re-intubation. Guidelines have ...

OBJECTIVE To examine the outcomes of children receiving dexmedetomidine after single-stage airway reconstruction. STUDY DESIGN Historical cohort study. SETTING Tertiary care children's hospital. SUBJECTS AND METHODS Of 61 eligible patients, 50 children undergoing single-stage airway reconstruction were included in the study. Thirty children received dexmedetomidine (Dex) as a primary seda...

Background The weaning process is complex and needs to be done carefully. The success of extubation in premature babies is associated with brain maturity and adequate function of the lungs. We aimed to identify the ventilator parameters and clinical conditions related to extubation success and failure in premature infants. Materials and Methods This is anobservational study, analytical and non-...