BACKGROUND The authors prospectively evaluated the occurrence and outcomes of unplanned extubations (self-extubation and accidental extubation) and reintubation after weaning, and examined the hypothesis that these events may differ regarding their influence on the risk of nosocomial pneumonia. METHODS Data were taken from a prospective, 2-yr database including 750 mechanically ventilated pat...

BACKGROUND The impact of delays in extubation on operating room (OR) workflow are challenging to assess because such delays may or may not be a bottleneck to the patient leaving the OR. We developed an observational measure that quantifies the influence of extubation times on OR workflow. METHODS The time from dressing on the patient (or its functional equivalent) to tracheal extubation was o...

OBJECTIVE The aim of this study was to evaluate the effects of esmolol infusion on the prevention of haemodynamic responses to tracheal extubation in patients undergoing elective craniotomy. METHODS With approval from the Medical School Ethics Committee at Marmara University and the patients' written consent, 30 patients between 20-65 years of age undergoing elective craniotomy were randomly ...

We studied prospectively the effects of the technique of tracheal extubation on arterial haemoglobin oxygen saturation (SpO2) in 120 ASA I-III children, mean age 5.3 (range 0.25-16.9) yr. At completion of surgery, tracheal extubation was performed when spontaneous ventilation had resumed, children were fully awake and SpO2 was 99-100%. Children were allocated randomly to receive a single lung i...

The care of pediatric liver transplant recipients has traditionally included postoperative mechanical ventilation. In 2005, we started extubating children undergoing liver transplantation in the operating room according to standard criteria for extubation used for general surgery cases. We reviewed our single-center experience to determine our rates of immediate extubation and practice since th...

Extubation failure-need for reintubation within 72 h of extubation, is common in intensive care unit (ICU). It can cause increased morbidity, higher costs, higher ICU and hospital length of stay (LOS) and mortality. Patients with advanced age, high severity of illness at ICU admission and extubation, preexisting chronic respiratory and cardiovascular disorders are at increased risk of extubatio...

Structured abstract Background: The efficacy of corticosteroids for reducing the incidence of post-extubation laryngeal edema remains controversial. Objective: To evaluate whether methylprednisolone (MP) started 12 hr prior to planned tracheal extubation, can prevent post-extubation laryngeal edema. Design: Prospective, randomized, blinded, placebocontrolled trial performed in 15 intensive care...

conclusions we concluded that propofol can reduce sbp, dbp, map, hr & cough production at the time of injection but there were no significant changes in these parameters after extubation. results heart rate and blood pressure in patients receiving propofol were less than the control group (p < 0.05) at the time of injection of propofol, but there were no differences between the two groups at th...

conclusions implementing educational programs with the introduction of estimation techniques besides the use of manometer as a standard intraoperative monitoring will improve the safety of the practice. results the mean etcp after the in vitro survey was significantly lower than the mean etcp before the intervention (45 ± 13 vs. 51 ± 15 cm h2o, p = 0.002). the rate of measurements within the sa...