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Analysis of the risk factors of delayed extubation after surgery for Ebstein's anomaly.
J Cardiothorac Surg
January 2025
Department of ICU in Pediatric Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, 100029, China.
Objective: In this study, we aimed to screen the risk factors for delayed extubation after surgery for Ebstein's anomaly (EA), determine the diagnostic cut-off values, and develop a prediction equation to accurately encourage rapid recovery after surgery.
Methods: The perioperative data of 76 pediatric patients undergoing EA surgery in the Surgical Department of the Pediatric Heart Center of Anzhen Hospital from September 2013 to September 2021 were retrospectively analyzed.
Results: Among these cases, 37 (48.
Risk factors and outcomes of postoperative extubation failure in children with fourth ventricular tumors: a case control study.
BMC Pediatr
December 2024
Pediatric Intensive Care Unit, Guangzhou Women and Children's Medical Center (Guangzhou Medical University), Guangzhou, Guangdong, 510030, China.
Background And Objective: Microsurgical resection of tumor is an important treatment for children with fourth ventricular tumors. There is a lack of data describing risk factors for postoperative extubation failure (EF) in these children. We aimed to identify risk factors for EF in children with fourth ventricular tumors and to determine the association between EF and clinical outcomes.
View Article and Find Full Text PDFPostintubation Tracheal Rupture in a Patient With Herpes Simplex Virus Type 1 (HSV-1) Tracheitis.
Cureus
October 2024
Pulmonary and Critical Care, University of Oklahoma Health Sciences Center, Oklahoma, USA.
Article Synopsis
- * A 70-year-old woman with diabetes presented with altered mental status due to diabetic ketoacidosis and pneumonia, was intubated for airway protection, but developed complications after extubation that led to cardiopulmonary arrest.
- * After resuscitation and further evaluation, her stridor was linked to tracheal injury caused by HSV-1, confirmed through bronchoscopy and biopsy, leading to successful antiviral treatment and eventual recovery following
A rare case of endotracheal tube cuff leakage with no detectable decrease in cuff pressure.
JA Clin Rep
November 2024
Department of Anesthesiology, Wakayama Medical University School of Medicine, Wakayama, 641-8510, Japan.
Background: Common causes of air leakage around an endotracheal tube include insufficient endotracheal tube cuff inflation and damage to the cuff, while damage to the pilot balloon or pilot balloon tubing is relatively rare.
Case Presentation: A 74-year-old female with vertebral osteomyelitis was scheduled for an extreme lateral interbody fusion followed posterior fixation. A fiber-optic light was utilized as part of the surgical illuminator.
High-flow nasal cannula oxygen therapy versus noninvasive ventilation for elderly chronic obstructive pulmonary disease patients after extubation: a noninferior randomized controlled trial protocol.
BMC Pulm Med
October 2024
Department of Respiratory Care, West China Hospital of Sichuan University, Guoxue Alley 37#, Wuhou District, Chengdu, 610041, Sichuan, China.
Article Synopsis
- Noninvasive ventilation (NIV) is often used for COPD patients after extubation but can lead to issues like discomfort and poor compliance, especially in elderly patients.
- This study aims to compare high-flow nasal cannula (HFNC) therapy and NIV for elderly COPD patients post-extubation, focusing on reintubation rates and other safety and efficacy measures.
- The research will enroll 168 patients and track various outcomes such as vital signs, treatment failures, and overall clinical results in an ethically approved framework.
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