Preoperative tracheostomy is associated with thyroid gland invasion and poorer prognosis in laryngectomized patients
ConclusionPreoperative tracheostomy is an independent predictive factor for thyroid gland invasion and has adverse oncological outcomes in laryngectomized patients. Conversely, the rates of thyroid gland invasion are low when tracheostomy was not performed beforehand. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - January 18, 2024 Category: ENT & OMF Source Type: research
Non-pharmacological interventions for the prevention of pain during endotracheal suctioning in ventilated neonates
CONCLUSIONS: Facilitated tucking / four-handed care / gentle human touch probably reduces PIPP score. The evidence of a single study suggests that facilitated tucking / four-handed care / gentle human touch slightly increases self-regulatory and approach behaviours during endotracheal suctioning. Based on a single study, familiar odour and white noise have little or no effect on any of the outcomes compared to no intervention. The use of expressed breast milk or oral sucrose suggests that there is no discernible advantage of one method over the other for reducing pain during endotracheal suctioning. None of the studies rep...
Source: Cochrane Database of Systematic Reviews - January 18, 2024 Category: General Medicine Authors: Sofie Pirlotte Katrien Beeckman Isabel Ooms Filip Cools Source Type: research
Sensory interventions to relieve dyspnoea in critically ill mechanically ventilated patients
Conclusions
In mechanically ventilated patients, sensory interventions can modulate the processing of respiratory signals by the brain irrespective of the intensity of the neural drive to breathe. It should therefore be possible to alleviate dyspnoea without resorting to pharmacological interventions or having to infringe the constraints of mechanical ventilation lung protection strategies by increasing ventilatory support. (Source: European Respiratory Journal)
Source: European Respiratory Journal - January 18, 2024 Category: Respiratory Medicine Authors: Bureau, C., Nierat, M.-C., Decavele, M., Rivals, I., Dangers, L., Beurton, A., Virolle, S., Deleris, R., Delemazure, J., Mayaux, J., Morelot-Panzini, C., Dres, M., Similowski, T., Demoule, A. Tags: Original Articles: Critical care Source Type: research
Arterial Blood Gas Analysis in Patients with Stridor, and the Impact of Emergency Tracheostomy on It: A Tertiary Care Center Experience
AbstractComparative evaluation of arterial blood gas in patients with stridor, before and after emergency tracheostomy. The present prospective study was conducted in tertiary care Centre from February 2022 to June 2023 on 42 patients who presented with stridor and underwent emergency tracheostomy in our department. After proper history taking and clinical examination, nonsurgical cause of stridor was ruled out. Patients were then classified on the basis of location of cause of stridor (whether oropharyngeal, hypo-pharyngeal, supra-glottic, glottic or sub-glottic). Immediately an arterial blood gas (ABG) analysis was done,...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 17, 2024 Category: ENT & OMF Source Type: research
Management of membranous tracheal rupture due to the endotracheal tube cuff during thyroid surgery
Ulus Travma Acil Cerrahi Derg. 2024 Jan;30(1):65-67. doi: 10.14744/tjtes.2023.14093.ABSTRACTTracheobronchial ruptures can be extremely dramatic and life threatening and are encountered in approximately 5 out of 100,000 cases after orotracheal intubation. They can occur as a result of intubation, tracheostomy, and bronchoscopy. In this case report, we presented a 56-year-old female patient with a history of thyroid surgery 27 years prior who presented to our clinic with recurrent multinodular goiter. The patient underwent a complementary complication-free thyroidectomy assisted by intermittent intraoperative nerve monitorin...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 16, 2024 Category: Emergency Medicine Authors: Erman Al çı Azad Gazi Sahin Source Type: research
A Systematic Review of Mortality Associations in Patients who Develop Tracheoinnominate Artery Fistula Following Tracheostomy
CONCLUSIONS: Mortality is a major concern after detection of a TIF and resuscitation paired with endovascular or open surgical intervention is imperative. Rapidly investigating sentinel bleeds and intervening upon hemorrhage with temporary cuff over inflation may lead to improved outcomes.PMID:38217444 | DOI:10.1177/00031348241227211 (Source: The American Surgeon)
Source: The American Surgeon - January 13, 2024 Category: Surgery Authors: Katherine Ward Daniela Hinchman-Dominguez Laura Stokes Elizabeth L Norton Joel R Narveson Viren P Punja Source Type: research
Early Deep Sedation Practices Worsened During the Pandemic Among Adult Patients Without COVID-19: A Retrospective Cohort Study
Chest. 2024 Jan 12:S0012-3692(24)00027-8. doi: 10.1016/j.chest.2024.01.019. Online ahead of print.ABSTRACTBACKGROUND: There is substantial evidence that patients with COVID-19 were treated with sustained deep sedation during the pandemic. However, it is unknown whether such guideline-discordant care had spillover effects to patients without COVID-19.RESEARCH QUESTION: Did patterns of early deep sedation change during the pandemic for patients on mechanical ventilation without COVID-19?STUDY DESIGN AND METHODS: We used electronic health record data from 4,237 patients who were intubated without COVID-19. We compared sedatio...
Source: Chest - January 13, 2024 Category: Respiratory Medicine Authors: Anna K Barker Thomas S Valley Michael T Kenes Michael W Sjoding Source Type: research
Swallowing dysfunctions in patients with disorders of consciousness: Evidence from neuroimaging data, assessment, and management
NeuroRehabilitation. 2024;54(1):91-107. doi: 10.3233/NRE-230135.ABSTRACTFollowing severe brain injuries, a subset of patients may remain in an altered state of consciousness; most of these patients require artificial feeding. Currently, a functional oral phase and the presence of exclusive oral feeding may constitute signs of consciousness. Additionally, the presence of pharyngo-laryngeal secretions, saliva aspiration, cough reflex and tracheostomy are related to the level of consciousness. However, the link between swallowing and consciousness is yet to be fully understood. The primary aim of this review is to establish a...
Source: NeuroRehabilitation - January 13, 2024 Category: Rehabilitation Authors: Amandine Regnier Evelyne M élotte Charl ène Aubinet Naji Alnagger David Fischer Aude Lagier Aurore Thibaut Steven Laureys Jean-Fran çois Kaux Olivia Gosseries Source Type: research
