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The effect of continuous positive airway pressure (CPAP) application on airway problems in pediatric patients with subglottic stenosis who undergo balloon dilatation.
Perioper Med (Lond)
January 2025
College of Medicine, QU Health, Qatar University, Doha, Qatar.
Background: Subglottic stenosis is a significant clinical challenge in pediatric anesthesia, often necessitating interventions that can lead to various postoperative complications. The aim of this study was to determine the effect of prophylactic continuous positive airway pressure (CPAP) application on recovery time and airway complications in pediatric patients with subglottic stenosis undergoing balloon dilatation.
Methods: A prospective, double-blinded, parallel-group, randomized controlled study was conducted at Health Sciences University Ümraniye Training and Research Hospital on pediatric patients with subglottic stenosis, aged from 0 to 12 years and who underwent elective balloon dilatation under general anesthesia.
Clinical and swallowing characteristics of tracheostomized patients with post-intubation acquired tracheal or laryngotracheal stenosis.
Clinics (Sao Paulo)
December 2024
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. Electronic address:
Article Synopsis
- The study examined patients with tracheal or laryngotracheal stenosis who required tracheostomy, focusing on their swallowing and clinical profiles before undergoing airway interventions.
- It involved a retrospective cohort study where patients underwent swallowing evaluations and imaging, with follow-ups at 6 and 12 months to assess progress.
- Results showed female predominance, high rates of subglottic stenosis, and that many had significant swallowing difficulties, indicating a need for personalized care due to potential complications affecting recovery.
A rare cause of respiratory distress in preterm infants: a case report of acquired subglottic cysts.
Ital J Pediatr
October 2024
Departement of Mother and Child, Neonatal Intensive Care Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, 42123, Italy.
Article Synopsis
- Subglottic cysts (SGCs) are rare but serious causes of breathing problems in premature infants, often linked to factors like male gender and invasive ventilation.
- A case study details a premature male infant born at 25 weeks who developed SGCs after extended intubation, leading to severe airway obstruction treated by tracheotomy and cyst removal.
- The findings highlight the importance of considering SGCs in similarly affected preterm infants, emphasizing the need for early diagnosis and intervention to improve outcomes.
Evaluation of ventilator-associated pneumonia care practice in the intensive care units of a comprehensive specialized hospital in Northwest Ethiopia: a 1.5-year prospective observational study.
BMC Anesthesiol
October 2024
Department of Anesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Article Synopsis
- Nosocomial infections, particularly Ventilator-Associated Pneumonia (VAP), are a major concern in intensive care units, contributing significantly to patient morbidity and mortality, with compliance to prevention measures being unclear in the local context.
- A study conducted in a specialized hospital in northwest Ethiopia aimed to evaluate adherence to VAP prevention protocols among adult patients on mechanical ventilation for over 48 hours, using established healthcare standards for data collection.
- Results showed 70% overall compliance with VAP care bundles, with perfect adherence in some areas like peptic ulcer prevention, but very low rates in practices such as oral hygiene and humidification, indicating a need for improvement in VAP prevention among healthcare providers.
Laryngotracheal stenosis: a single-center retrospective analysis of endoscopic treatment strategies and recurrence.
Ann Med Surg (Lond)
October 2024
Thoracic Surgery Department, Saint Joseph Hospital, East Jerusalem.
Background: Laryngotracheal stenosis is a process of fibrosis that results in airway obstruction; it may be congenital or acquired. Acquired cases are due to iatrogenic, traumatic, infectious and autoimmune causes. Patients present with a spectrum of breathing difficulties that might be fatal.
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