BACKGROUND The aims of our study were to (1) examine how data from exercise treadmill testing (ETT) can identify patients who have coronary plaque or stenosis, using CT angiography (CTA) as the reference standard, and (2) identify patient characteristics that may be used in selecting ETT versus CTA. METHODS AND RESULTS The Rule Out Myocardial Infarction Using Computer-Assisted Tomography (ROM...

BACKGROUND Formation of a bacterial biofilm within the endotracheal tube (ETT) after tracheal intubation is rapid and represents a ready source of lung bacterial colonization. The authors investigated bacterial colonization of the ventilator circuit, the ETT, and the lungs when the ETT was coated with silver-sulfadiazine and chlorhexidine in polyurethane, using no bacterial/viral filter attache...

A 28-year-old male patient with occipito-atlanto-axial instability underwent a cervical fusion with posterior technique. Post-operatively, the endotracheal tube (ETT) was removed, and the patient was transferred to the intensive care unit. After transfer, an upper airway obstruction developed and reintubations with a laryngoscope were attempted but failed. We inserted a #4 proseal laryngeal mas...

A surgical needle will generally not penetrate an endotracheal tube (ETT) and intraoperative ETT cuff perforation is uncommon because the cuff, which is the weakest part of the tube, is placed in the subglottic trachea. We report a very rare case, in which an intraoperative airway air leak during maxillary advancement surgery was postoperatively confirmed to be due to ETT cuff deflation because...

Partial or total obstruction of an endotracheal tube (ETT) by mucus can cause severe respiratory distress, hypoxemia, or death. Signs of an obstructed ETT include increased ventilation pressure, changes in the ventilator graphics, S(pO(2)) decrease, and cardiovascular changes. We present 3 patients whose ETTs were partially obstructed by mucus. In each case the patient displayed adverse effects...

Endotracheal tubes (ETTs) constitute a resistive extra load for intubated patients. The ETT pressure drop (DeltaP(ETT)) is usually described by empirical equations that are specific to one ETT only. Our laboratory previously showed that, in adult ETTs, DeltaP(ETT) is given by the Blasius formula (F. Lofaso, B. Louis, L. Brochard, A. Harf, and D. Isabey. Am. Rev. Respir. Dis. 146: 974-979, 1992)...

BACKGROUND The exercise treadmill test (ETT) and Tl201 single proton emission computed tomography (SPECT) are of short- to medium-term prognostic value in coronary heart disease. We assessed the long-term prognostic value of these tests in a large population of patients with low- to intermediate risk of cardiac events. METHODS AND RESULTS One thousand one hundred thirty-seven patients (857 me...

Background—The exercise treadmill test (ETT) and Tl201 single proton emission computed tomography (SPECT) are of shortto medium-term prognostic value in coronary heart disease. We assessed the long-term prognostic value of these tests in a large population of patients with lowto intermediate risk of cardiac events. Methods and Results—One thousand one hundred thirty-seven patients (857 men, age...

A 21-month-old girl was admitted to the pediatric intensive care unit (PICU) following a near drowning. Emergency medical services personnel intubated the child in the field, using a 3.0 mm inner-diameter endotracheal tube (ETT). There was an undocumented report of a second intubation attempt by emergency personnel in the field. After arrival in the outlying emergency room the child vomited, di...

BACKGROUND The present study was designed to develop criteria for screening patients with type 2 diabetes mellitus (T2DM) for asymptomatic coronary artery disease (CAD). METHODS A total of 213 patients with T2DM without typical angina or chest pain were studied between 2002 and 2007. We also evaluated 53 patients with T2DM who had reported chest discomfort using an exercise treadmill test (ET...