The effect of dexmedetomidine on the postoperative recovery of patients with severe traumatic brain injury undergoing craniotomy treatment: a retrospective study
ConclusionThe use of DEX in the ICU can effectively reduce the incidence of delirium in patients who return to the general ward after craniotomy. DEX had no adverse effect on the prognosis of patients other than causing bradycardia. (Source: European Journal of Medical Research)
Source: European Journal of Medical Research - April 30, 2024 Category: Research Source Type: research
Occlusive Tight Strapping for Tracheostomy Decannulation; Is it Safe?
We report and hypothesize the tight occlusive dressing method for tracheostomy decannulation to be the possible cause of SE in the present case. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 29, 2024 Category: ENT & OMF Source Type: research
Efficacy and safety of the water pressure method for endoscopic submucosal dissection in superficial pharyngeal cancer
Conclusions WPM-ESD achieved a high en bloc resection rate and short procedure time without serious AEs. Thus, it may be a useful treatment for pharyngeal lesions. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | open access Full text (Source: Endoscopy International Open)
Source: Endoscopy International Open - April 26, 2024 Category: Gastroenterology Authors: Matsuura, Noriko Kato, Motohiko Iwata, Kentaro Miyazaki, Kurato Masunaga, Teppei Kubosawa, Yoko Mizutani, Mari Hayashi, Yukie Sasaki, Motoki Sujino, Tomohisa Takabayashi, Kaoru Akimoto, Teppei Takatori, Yusaku Nakayama, Atsushi Sekimizu, Mariko Ozawa, Hir Tags: Original article Source Type: research
Airway Management for Acute and Reconstructive Burns: Our 30-year Experience
Semin Plast Surg DOI: 10.1055/s-0044-1786008Airway management in both acute and reconstructive burn patients can be a major challenge for evaluation, intubation, and securing the airway in the setting of altered airway structure. Airway evaluation in both acute and reconstructive patients includes examination for evidence of laryngeal and supraglottic edema and structural changes due to trauma and/or scarring that will impact the successful approach to acquiring an airway for surgical procedures and medical recovery. The approach to acquiring a successful airway is rarely standard laryngoscopy and often requires fiberoptic...
Source: Seminars in Plastic Surgery - April 26, 2024 Category: Cosmetic Surgery Authors: Mittal, Brita M. McQuitty, Robert A. Talon, Mark McQuitty, Alexis L. Tags: Review Article Source Type: research
Arthrogryposis multiplex congenita causing hypercapnic respiratory failure and airway obstruction in an adult patient
This case highlights arthrogryposis multiplex congenita (AMC) as a rare cause of hypercapnoeic respiratory failure and airway obstruction in adults and emphasizes the usage of leak-port in tracheostomy-NIV (non-invasive-ventilation) specially in resource poor setting when the tracheostomy-NIV mask is unavailable. Key messageThis case highlights arthrogryposis multiplex congenita (AMC) as a rare cause of hypercapnoeic respiratory failure and airway obstruction in adults and emphasizes the usage of leak-port in tracheostomy-NIV (non-invasive-ventilation) specially in resource poor setting when the tracheostomy-NIV mask is un...
Source: Respirology Case Reports - April 24, 2024 Category: Respiratory Medicine Authors: Harshana Bandara,
Sathiaruban Sathiyamoorthy,
Dinusha Withana,
Tharindi Dissanayake,
Harshani Athapaththu,
Wathsala Gunasinghe Tags: CLINICAL IMAGE Source Type: research
Recent updates in laryngeal hemangioma management: a scoping review
ConclusionLaryngeal hemangioma management requires personalized approaches informed by diverse therapies, clinical expertise, and collaboration. The review introduces an algorithm spanning observation to advanced interventions, adapting to each case ’s complexity. Ongoing research promises innovative treatments. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 23, 2024 Category: ENT & OMF Source Type: research
Individual patient data meta-analysis on awake pediatric extracorporeal life support: Feasibility and safety of analgesia, sedation and respiratory support weaning, and physiotherapy
CONCLUSION: Awake ECLS strategy with active physiotherapy can be applied in children from neonatal age. Ambulation is also possible in selected cases. Complications related to such management were limited. Further studies on aECLS are needed to evaluate safety and efficacy of early physiotherapy and define patient selection.PMID:38652693 | DOI:10.1177/02676591241240377 (Source: Perfusion)
Source: Perfusion - April 23, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Marta Cucchi Silvia Mariani Michal J Kawczynski Emma Shkurka Fabio Ius Giuseppe Comentale Aparna Hoskote Roberto Lorusso Source Type: research
Ultrasound mapping of soft tissue vascular anatomy proximal to the larynx: a prospective cohort study
CONCLUSIONS: Given the prevalence of arteries and veins, particularly in areas where tracheostomies are commonly performed, we strongly advocate for routine ultrasound assessments before such procedures are performed.PMID:38653329 | DOI:10.4097/kja.23900 (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 23, 2024 Category: Anesthesiology Authors: Alessandro De Cassai Margherita Iuzzolino Silvia De Pinto Giovanni Zecchino Tommaso Pettenuzzo Annalisa Boscolo Eugenio Biamonte Paolo Navalesi Marina Munari Source Type: research
Association of Early Tracheostomy with Length of Stay and Mortality in Critically Ill Patients
J Laryngol Otol. 2024 Apr 22:1-22. doi: 10.1017/S0022215124000537. Online ahead of print.NO ABSTRACTPMID:38644742 | DOI:10.1017/S0022215124000537 (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - April 22, 2024 Category: ENT & OMF Authors: Aman M Patel Rushi Patel Lucy Revercomb David Avery Cohen Christopher C Tseng Wayne D Hsueh Andrey Filimonov Source Type: research
Factors Associated With Time to Decannulation in Patients With Tracheostomy Following Severe Traumatic Brain Injury
CONCLUSIONS: This study found that a change in swallowing ability is a potentially significant factor for reducing time to decannulation. Identifying factors that could explain differences in time to decannulation is essential for patient outcomes, especially if these factors are modifiable and could be targeted in rehabilitation and treatment.PMID:38649274 | DOI:10.4187/respcare.11376 (Source: Respiratory Care)
Source: Respiratory Care - April 22, 2024 Category: Respiratory Medicine Authors: Signe J Eskildsen Carrinna A Hansen Thomas Kallemose Derek J Curtis Irene Wessel Ingrid Poulsen Source Type: research
A historical cohort study on predictors for successful weaning from prolonged mechanical ventilation and up to 3-year survival follow-up in a rehabilitation center
CONCLUSION: Successful weaning from PMV may be associated with better survival and allows chronically ventilated patients to become independent on a ventilator. A larger study is needed to further validate our findings.PMID:38642907 | DOI:10.1016/j.rmed.2024.107636 (Source: Respiratory Care)
Source: Respiratory Care - April 20, 2024 Category: Respiratory Medicine Authors: Mila Fradkin Maya Elyashiv Amasha Camel Nirit Agay Michael Brik Pierre Singer Rachel Dankner Source Type: research
Tracheostomy Placement in Severe Neurologic Impairment: Ethical Considerations and Provider Perspectives
1. Describe the ethical issues commonly encountered when tracheostomy placement is considered for children with severe neurologic impairment, and empathize with the diversity of perspectives on how these ethical questions should be answered.2. Appreciate the need for systematic processes for determining tracheostomy eligibility in children with severe neurologic impairment and related comorbidities. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Stockton S. Beveridge, Katherine Maddox, Yarah Ghotmi Source Type: research
Caregiver Decision-Making Regarding Tracheostomies in Preterm Infants with Severe Bronchopulmonary Dysplasia
1. Describe caregiver decision-making experiences regarding tracheostomy placement in infants with severe bronchopulmonary dysplasia, including from families that have chosen not to proceed with tracheostomy and families that speak Spanish.2. Practically integrate caregiver perspectives and advice to improve clinical care for other families facing this decision. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Rachel M. Macak, Teresa Glade, Ivy Hansen, Tsivya Devereaux, Kristen Ameel, Katie Gradick, Dominic Moore, Jody L. Lin Source Type: research
Tracheostomy Decision-Making and Counseling: Comparing Providers ’ and Caregivers’ Perspectives and Perceptions
1. Appreciate the intricacies of tracheostomy decision-making and understand it encompasses factors beyond the medical procedure itself, including quality of life, values, and goals.2. Recognize the disparities between caregivers' and providers' perceptions of tracheostomy counseling and tell the differences between their perspectives on the decision-making process. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Andy Liu, Catherine Hammack-Aviran, Jessica Turnbull Source Type: research
Multidrug-resistant pathogens and ventilator-associated pneumonia in critically ill COVID-19 and non-COVID-19 patients: a prospective observational monocentric comparative study
CONCLUSION: COVID-19 patients with VAP appear to have a significantly higher ICU and in-hospital mortality risk regardless of the presence of MDR and DTR pathogens. Tracheostomy and a shorter duration of mechanical ventilation appear to be associated with better outcomes.PMID:38637766 | PMC:PMC11027225 | DOI:10.1186/s12931-024-02779-1 (Source: Respiratory Care)
Source: Respiratory Care - April 18, 2024 Category: Respiratory Medicine Authors: Giorgia Montrucchio Eleonora Balzani Gabriele Sales Anna Vaninetti Francesca Grillo Anna Chiara Trompeo Marinella Zanierato Vito Fanelli Silvia Corcione Francesco Giuseppe De Rosa Antonio Curtoni Cristina Costa Luca Brazzi Source Type: research
