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Weaning from mechanical ventilation using tracheostomy cuff deflation and a one-way speaking valve: a historical-cohort series

Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research

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Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research
Background When tracheal intubation is difficult or unachievable before surgery or during an emergent resuscitation, this is a critical safety event. Consensus algorithms and airway devices have been introduced in hopes of reducing such occurrences. However, evidence of improved safety in clinical practice related to their introduction is lacking. Therefore, we selected a large perioperative database spanning 2002 to 2015 to look for changes in annual rates of difficult and failed tracheal intubation.Methods Difficult (more than three attempts) and failed (unsuccessful, requiring awakening or surgical tracheostomy) intubat...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Condition:   Tracheostomy Complication Intervention:   Device: Tracheostomy tube Sponsor:   Assiut University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions: The rates of tracheal intubation adverse events in this study are higher than in nonelective pediatric intubations in all conditions and highlight the high-risk nature of intubations in pediatric sepsis. Further research is needed to identify optimal practices for intubation in pediatric sepsis.
Source: Pediatric Critical Care Medicine - Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
Gaumard Scientific, a company headquartered in Miami, Florida, is releasing what it claims is the “world’s most advanced wireless and tetherless mobile pediatric patient simulator”. It’s intended as a training tool to practice...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Emergency Medicine News Pediatrics Source Type: blogs
The objective of this narrative review is to provide an overview of the indications for point-of-care ultrasound (POCUS) of the upper airway. The use of US to guide and assist clinical airway management has potential benefits for both provider and patient. Ultrasound can be utilized to determine airway size and predict the appropriate diameter of single-lumen endotracheal tubes (ETTs), double-lumen ETTs, and tracheostomy tubes. Ultrasonography can differentiate tracheal, esophageal, and endobronchial intubation. Ultrasonography of the neck can accurately localize the cricothyroid membrane for emergency airway access and si...
Source: Canadian Journal of Anaesthesia - Category: Anesthesiology Authors: Tags: Can J Anaesth Source Type: research
The evidence regarding tracheostomy insertion during venovenous extracorporeal membrane oxygenation (VV-ECMO) is scarce.1 The recent study by Kruit et al is therefore extremely welcome.2 They report a high incidence of bleeding (40%) associated with percutaneous tracheostomy insertion during VV-ECMO albeit with a low incidence of significant bleeding (8%). Systemic, procedural, and pathological bleeding is common during VV-ECMO and just as there are risks and benefits associated with therapeutic anticoagulation, so too there are for percutaneous tracheostomy insertion during VV-ECMO (Table 1).
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research
Suruchi Ambasta, Suman Lata Gupta, G Rajiv, Srinivasan SwaminathanSaudi Journal of Anaesthesia 2018 12(1):142-143
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
FOR PATIENTS WITH respiratory failure that is refractory or not amenable to conventional mechanical ventilation techniques, veno-venous extracorporeal membrane oxygenation (V-V ECMO) is becoming an accepted life support technique in intensive care units. The need for prolonged respiratory support in this patient population often is accompanied by prolonged translaryngeal endotracheal intubation. The literature supports early tracheostomy in select patients who are expected to necessitate prolonged mechanical ventilation, with multiple potential benefits including shorter durations of ventilator dependence, shorter length o...
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Editorial Source Type: research
In this report, we describe the intraoperative occurrence of an airway fire during a surgical tracheostomy and subsequent patient management.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research
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