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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8687880 | PMC |
| http://dx.doi.org/10.1177/0003134820960072 | DOI Listing |
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Clinical study on the predictive utility of high flow CPAP in weaning from prolonged mechanical ventilation in critical paediatric surgery patients.
Rev Esp Anestesiol Reanim (Engl Ed)
December 2024
Servicio de Anestesiología y Reanimación, Hospital Universitario La Paz, Madrid, Spain.
Introduction And Objectives: Weaning paediatric patients from mechanical ventilation (MV) often results in extubation failure (EF) (14%-22%) and 2% of patients will require tracheostomy (2%).
Methods: We performed an observational study in 115 critically ill patients in whom a novel high-flow CPAP (CPAP-ANRI) system was connected to the tracheal tube during ventilation (CPAP + TI). After extubation, the same system was connected to various interfaces.
Modification of Ayre's T-Piece From Anesthesia Circuit for Spontaneously Ventilating Tracheostomized Adults.
A A Pract
November 2024
From the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Transporting spontaneously ventilating adults with tracheostomies from the operating room (OR) or other anesthetizing locations to the intensive care unit (ICU) or other recovery locations presents significant challenges, as traditional T-pieces may not be readily available. This article describes a novel modification to the Ayre's T-piece, designed to address this gap by using readily available equipment. The modification integrates a 3-mL syringe, a size 7.
View Article and Find Full Text PDFNovel Hyoid Reconstruction and Tracheal Onlay Grafting in a Child with Teratoma and Absence of Hyoid.
Laryngoscope
December 2024
Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.
Herein is presented a case of a 3-year-old who was the product of a pregnancy complicated by fetal congenital cervical teratoma. The teratoma was resected day-of-life 6, and he underwent tracheotomy. Radiologic review of his cartilaginous cervical anatomy in utero, pre- and post-tumor excision indicated congenital absence of the hyoid.
View Article and Find Full Text PDFResearch report: Management of dysphagia using pharyngeal electrical stimulation in the general intensive care population - A service development.
J Intensive Care Soc
November 2024
Department of Speech, Voice and Swallowing, Wythenshawe Hospital, Wythenshawe, UK.
Background: Dysphagia places a substantial burden on the critically ill, affecting 12%-84% of this cohort, and is independently associated with worse outcomes. Pharyngeal electrical stimulation (PES-treatment) is a novel dysphagia therapy with an emerging evidence base. This retrospective observational study describes our dysphagia service and reports the use of PES-treatment as a standard of care in recovering critically ill patients at a single-site tertiary UK hospital.
View Article and Find Full Text PDFSubmucosal Thyroarytenoid Myectomy with Arytenoidectomy in Treating Bilateral Vocal Fold Immobility.
Laryngoscope
November 2024
Division of Otolaryngology, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, U.S.A.
Article Synopsis
- Surgery for bilateral vocal fold immobility (BVFI) seeks to improve airway function while maintaining voice and swallowing capabilities, and current methods often result in challenging healing outcomes and granulation tissue issues.
- A case-series analysis of eight BVFI patients who underwent a new surgical technique showed successful decannulation rates and improved respiratory symptoms without negatively impacting long-term voice or swallowing functions.
- The proposed method, submucosal thyroarytenoid myomectomy with arytenoidectomy, effectively utilizes body’s natural healing processes while preserving important laryngeal structures, enhancing overall treatment effectiveness for BVFI.
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