Weaning from mechanical ventilation using tracheostomy cuff deflation and a one-way speaking valve: a historical-cohort series
ConclusionBuccal fat pad is a reliable option for interpositional arthroplasty in the management of TMJ ankylosis, and it can be used either as a free graft or as a pedicled flap.
We present the unique method of using the laryngeal mask airways externally to facilitate preoxygenation and ventilation in a patient with a laryngeal stoma.
LARYNGEAL papillomatosis is a rare condition.1 The image presented is from a 60-yr-old female with a 5-yr history of dysphagia and progressive dyspnea who presented to an outside hospital for pharyngeal biopsy. Intraoperatively, she had complete airway obstruction, an urgent tracheostomy was performed, and she was transferred to our institution for definitive management. See image of intraoperative laryngoscopy demonstrating the exophytic and proliferative growth of laryngeal papillomatosis lesions that contribute to the risk of complete airway obstruction.
TRACHEAL stenosis after tracheostomy has a reported incidence of 6 to 21% and most commonly occurs secondary to granulation tissue around the stoma or cuff site or circumferential scarring ensuing due to pressure necrosis.1,2 Alternatively, a variant known as a tracheal “A-frame” deformity (see image) can develop, which results from loss of anterior support from tracheal rings.3 Consequently, there is inward collapse of the lateral tracheal walls, which gives the trachea the characteristic “A” shape at the previous stoma site.
Publication date: June 2018 Source:Anaesthesia Critical Care & Pain Medicine, Volume 37, Issue 3 Author(s): Paolo Pelosi, Lorenzo Ball, Iole Brunetti, Maria Vargas, Nicolò Patroniti
Cooper, New York City, 20071.Thursday morning, I woke up, got my kids ready and took them to school. I came home, tidied up the rest of the dishes, and gave my dog Cooper an indulgent breakfast: a full can of her favorite soft dog food —not just a quarter of a can mixed in with her dry food like usual, but the whole thing, every last bit, all to herself. After she finished, I carried her to my car. We drove to the vet, where a kind receptionist showed me into an exam room, past a potted ficus plant and a cheerful wooden sign rea ding, “Think PAWS-ITIVELY!” I sat down on a bench. Cooper stuck her head behi...
Despite risks, complications and negative impact to quality of life, tracheostomy is widely used to bypass upper airway obstruction after major oral cancer surgery (MOCS). Decision to tracheostomy is frequentl...
e V Abstract The report describes the rare case of a periprocedural hemorrhage during percutaneous dilatation tracheotomy. In the final analysis, the innominate artery could be identified as the source of the hemorrhage. Particular attention must be paid to preprocedural evaluation of the puncture site and the procedure following unexpected hemorrhage. Continuation of the percutaneous tracheotomy, with only a clinical suspicion of a vascular injury while the bleeding source remained undetectable, seemed to be the most reasonable option. In this case the potentially life-threatening hemorrhage could be st...
Prashant Sirohiya, Vinod Kumar, Rakesh Garg, Nishkarsh GuptaIndian Journal of Anaesthesia 2018 62(4):319-320
Conclusion The omental flap is a safe option even in patients with severe comorbidities. However, based on the data in this study, we would recommend the omental flap as a reserve option rather than first-line treatment for sternal defects. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text