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Trauma Surg Acute Care Open 2019 18;4(1):e000288. Epub 2019 Feb 18.

Surgery, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.

Background: Surgical critical care is crucial to the care of trauma and surgical patients. This study was designed to provide a contemporary assessment of patient types, injuries, and conditions in intensive care units (ICU) caring for trauma patients.

Methods: This was a multicenter prevalence study of the American Association for the Surgery of Trauma; data were collected on all patients present in participating centers' trauma ICU (TICU) on November 2, 2017 and April 10, 2018. Read More

Cureus 2019 Jan 14;11(1):e3881. Epub 2019 Jan 14.

Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.

Tracheostomy is a common procedure seen in critically ill patients that require long term ventilatory support. As with all airway access procedures, tracheotomy with prolonged tracheal tube placement comes with possible risks such as tracheal scarring, tracheal rupture, pneumothorax, tracheoesophageal fistula among others. Another possible complication, though rare, is escape of free air into the surrounding tissue, as well as pneumomediastinum (PM). Read More

J Invest Surg 2019 Mar 21:1-8. Epub 2019 Mar 21.

b Department of Surgery , University of Cape Town Health Sciences Faculty, Trauma Centre, Groote Schuur Hospital , Observatory , Cape Town , South Africa.

Introduction: Selective nonoperative management of neck injuries from penetrating mechanism has become an acceptable management strategy. We herein characterize current management strategies of cervical pharyngoesophageal injuries implemented by trauma surgeons in the United States.

Methods: The National Trauma Data Bank datasets 2007-2011 were queried for penetrating pharyngeal and/or cervical esophageal injuries. Read More

Head Neck 2019 Mar 21. Epub 2019 Mar 21.

Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul, Republic of Korea.

Background: A depressed tracheostomy scar can be esthetically unacceptable. We describe a new technique for managing tracheostomy scars using platysma muscle repositioning and the application of an acellular dermal substitute.

Methods: Seventeen patients with depressed tracheostomy scars were identified for scar management. Read More

J Intensive Care Med 2019 Mar 21:885066619837939. Epub 2019 Mar 21.

2 Critical Care Research Group, Adult Intensive Care Unit, The Prince Charles Hospital and University of Queensland, Brisbane, Queensland, Australia.

Purpose:: Patients supported with extracorporeal membrane oxygenation (ECMO) have been reported to have increased sedation requirements. Tracheostomies are performed in intensive care to facilitate longer term mechanical ventilation, reduce sedation, improve patient comfort, secretion clearance, and ability to speak and swallow. We aimed to investigate the safety of tracheostomy (TT) placement on ECMO, its impact on fluid intake, and the use of sedative, analgesic, and vasoactive drugs. Read More

J Med Toxicol 2019 Mar 20. Epub 2019 Mar 20.

Department of Emergency Medicine, Regions Hospital, 640 Jackson St., St. Paul, MN, 55101, USA.

Introduction: High-dose insulin (HDI) therapy has been used successfully for beta-blocker toxicity, but needs further study when hypotension persists despite HDI. The objective was to develop a model of propranolol toxicity with persistent hypotension despite HDI and to develop means to measure cerebral oxygen tension (PbrO).

Methods: Eight anesthetized Yorkshire pigs were instrumented with a tracheostomy, Swan-Ganz catheter, arterial catheter, and intra-cerebral pressure and oxygen monitor. Read More

Curr Opin Pediatr 2019 Mar 18. Epub 2019 Mar 18.

Section of Pulmonary Medicine and Pediatric Heart Lung Center, Department of Pediatrics, University of Colorado, School of Medicine, Aurora, Colorado, USA.

Purpose Of Review: Modern medical advances have resulted in an increased survival after extremely preterm birth. However, some infants will develop severe bronchopulmonary dysplasia (BPD) and fail to wean from invasive or noninvasive positive pressure support. It remains unclear which infants will benefit from tracheostomy placement for chronic ventilation. Read More

Neurocrit Care 2019 Mar 19. Epub 2019 Mar 19.

Department of Critical Care Services, Maine Medical Center, Tufts University School of Medicine, 22 Bramhall St., Portland, ME, 04102, USA.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Cincinnati Fetal Center, Cincinnati, OH; Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH.

Purpose: Congenital high airway obstruction syndrome (CHAOS) is a devastating fetal condition of complete airway discontinuity resulting in significant hydrops and extreme lung hyperplasia. It is universally fatal with survival reported only in the rare spontaneous fistulization or EXIT intervention (Ex Utero Intrapartum Treatment). Even in these cases, mortality remains high, and current investigations are targeting prenatal interventions. Read More

SAGE Open Med Case Rep 2019 8;7:2050313X19832164. Epub 2019 Mar 8.

Department of Internal Medicine, Haeundae Paik Hospital, College of Medicine, Inje University, Busan, Republic of Korea.

Relapsing polychondritis is a rare and multi-system autoimmune disease of unknown etiology characterized by inflammation and destruction of cartilaginous structures. Its clinical manifestations include recurrent chondritis of the ears, nose, pinna, peripheral joints, and laryngotracheobronchial tree and can be life-threatening in advanced cases of laryngotracheal stenosis. Because of the rarity of relapsing polychondritis and lack of understanding of its pathogenesis, there is no standard medical therapy, and treatment is tailored according to disease activity and site of organ involvement. Read More

Scand J Caring Sci 2019 Mar 18. Epub 2019 Mar 18.

Nursing Department, Batman Unıversıty Health College, Batman, Turkey.

Introduction: Tracheostomy is defined as the surgical procedure for creating an opening at the 3rd or 4th cartilage ring in the anterior wall of the trachea to provide airway patency. It was known that tracheostomy is regarded as the oldest known life-saving method. Tracheostomy care involves a complex care process that requires knowledge and skills for elderly patients and their caregivers. Read More

Vet Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois.

Objective: To report our experience with partial arytenoidectomy in sedated standing horses.

Study Design: Retrospective study.

Animals: Fourteen client-owned adult horses. Read More

Laryngoscope 2019 Mar 18. Epub 2019 Mar 18.

Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.

Laryngoscope 2019 Mar 18. Epub 2019 Mar 18.

Department of Anesthesiology & Intensive Care Medicine, Emergency Medicine & Pain Management, Municipal Hospital Dresden, University Teaching Hospital, Dresden, Germany.

J Trauma Acute Care Surg 2019 Mar 13. Epub 2019 Mar 13.

Division of Pediatric General Surgery, UCSF Benioff Children's Hospital Oakland, Oakland, CA.

Background: Early tracheostomy has been associated with shorter hospital stay and fewer complications in adult trauma patients. Guidelines for tracheostomy have not been established for children with severe TBI. The purpose of this study was to 1) define nationwide trends in time to extubation and time to tracheostomy; and 2) determine if early tracheostomy is associated with decreased length of stay and fewer complications in children with severe TBI. Read More

Stroke 2019 Mar 18:STROKEAHA119024638. Epub 2019 Mar 18.

From the Department of Neurosurgery, Mount Sinai Hospital, New York (S.R.P., A.C.L., N.S.D., X.Z., J.M., C.P.K.).

Background and Purpose- Although obesity is an established risk factor for cardiovascular disease and stroke, studies have shown evidence of an obesity paradox-a protective effect of obesity in patients who already have these disease states. Data on the obesity paradox in intracerebral hemorrhage is limited. Methods- Clinical data for adult intracerebral hemorrhage patients were extracted from the National Inpatient Sample between 2007 and 2014. Read More

Int J Pediatr Otorhinolaryngol 2019 Feb 27;121:64-67. Epub 2019 Feb 27.

Department of Otolaryngology - Head and Neck Surgery, College of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea. Electronic address:

Objective: The incidence of SGS has been reported to be less than 8% after endotracheal intubation. Therefore there is an increasing trend in the number of patients with acute acquired SGS due to mechanical ventilation in the intensive care unit. However, there have been no reports describing the treatment of SGS in children in South Korea. Read More

Int J Cardiol 2019 Mar 6. Epub 2019 Mar 6.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States of America.

Background: There are limited data on prolonged invasive mechanical ventilation (IMV) and tracheostomy use in intubated acute myocardial infarction with cardiogenic shock (AMI-CS) patients.

Methods: Using the National Inpatient Sample, all admissions with AMI-CS requiring IMV between January 1, 2000, and December 31, 2014, were included. Prolonged IMV was defined as IMV use >96 h. Read More

J Pediatr 2019 Mar 11. Epub 2019 Mar 11.

Section of Cardiology, Department of Pediatrics, University of Colorado Denver School of Medicine, Denver, CO.

Objectives: To assess whether better baseline pulmonary hemodynamics or positive acute vasoreactivity testing (AVT) during cardiac catheterization are associated with improved outcomes in infants with bronchopulmonary dysplasia (BPD) and pulmonary hypertension (PH).

Study Design: This retrospective, single-center study included 26 premature neonates with BPD who underwent catheterization to evaluate PH. AVT was assessed with exposure to 100% fractional inspired oxygen with or without inhaled nitric oxide. Read More

Int J Stroke 2019 Mar 14:1747493019835335. Epub 2019 Mar 14.

Department of Neurology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.

Background And Purpose: There is evidence that racial and ethnic differences among intracerebral hemorrhage (ICH) patients exist. We sought to establish the occurrence of disparities in hospital utilization in the United States.

Methods: We identified ICH patients from United States Nationwide Inpatient Sample database for years 2006-2014 using codes (DX1 = 431, 432. Read More

J Neurol 2019 Mar 13. Epub 2019 Mar 13.

Department of Neurology, Tokyo Metropolitan Neurological Hospital, 2-6-1 Musashidai, Fuchu, Tokyo, 183-0042, Japan.

Background: Body weight reduction after disease onset is an independent predictor of survival in amyotrophic lateral sclerosis (ALS), but significance of weight variation after diagnosis remains to be established.

Objective: To investigate weight variation after diagnosis and its prognostic significance in patients with ALS as a prospective cohort study.

Methods: Seventy-nine patients with ALS were enrolled in this study. Read More

Hosp Pediatr 2019 Mar 13. Epub 2019 Mar 13.

Division of Pediatric Critical Care Medicine, Rainbow Babies and Children's Hospital, University Hospitals Cleveland Medical Center, Cleveland, Ohio.

Objective: Describe clinical outcomes and risk factors for ICU readmissions in a cohort of children who underwent tracheostomy placement after cardiac arrest.

Methods: A retrospective, multicenter cohort analysis of children <18 years old admitted to a Virtual Pediatric Systems, LLC-participating PICU from January 2009 to December 2016 and underwent tracheostomy after cardiac arrest.

Results: Among 394 index admissions, the median age was 16. Read More

Fortschr Neurol Psychiatr 2019 Mar 13. Epub 2019 Mar 13.

Institut für neurorehabilitative Forschung (InFo) der BDH-Klinik Hessisch Oldendorf gGmbH, Assoziiertes Institut der Medizinischen Hochschule Hannover (MHH).

Introduction: We analyzed the delivery of healthcare services among patients in neurological and neurosurgical early rehabilitation programmes in the German states of Lower Saxony and Bremen.

Methods: Patients´applications and admissions for neurological and neurosurgical early rehabilitation in Lower Saxony and Bremen were recorded during a period of two weeks both in November 2015 as well as 2016. The proportion of patients admitted to early rehabilitation within a six-week-period after disease onset was calculated. Read More

J Craniofac Surg 2019 Mar 6. Epub 2019 Mar 6.

Umraniye Research and Education Hospital. Department of Otolaryngology, Istanbul, Turkey.

Subglottic and mediastinal hemangioma are rare benign vascular tumors of childhood. They cause potentially life threatening condition which requires intervention. Several therapeutic options have been described in the literature with varying degrees of success and complications. Read More

J Spec Oper Med Spring 2019;19(1):99-106

Similar to people, airway obstruction is a potentially preventable cause of combat and line of duty death for civilian law enforcement Operational K9s (OpK9) and military working dogs (MWD). Basic (i.e. Read More

Khirurgiia (Mosk) 2019(2):19-25

Vishnevsky National Medical Research Center for Surgery of Healthcare Ministry of Russia, Moscow, Russia.

Aim: To present single-center experience and results of surgical treatment of acquired tracheal stenosis.

Material And Methods: There were 99 patients with acquired tracheal stenosis for the period from January 2008 to December 2017. Median age was 39 (28; 55) years (range 19-79 years), male/female ratio - 64/35. Read More

Ann R Coll Surg Engl 2019 Mar 11:1-9. Epub 2019 Mar 11.

Department of Cardiothoracic Surgery, St. George's Hospital , London , UK.

Introduction: We examine the influence of variations in provision of cardiac surgery in the UK at hospital level on patient outcomes and also to assess whether there is an inequality of access and delivery of healthcare. Cardiothoracic surgery has pioneered the reporting of surgeon-specific outcomes, which other specialties have followed. We set out to identify factors other than the individual surgeon, which can affect outcomes and enable other surgical specialties to adopt a similar model. Read More

J Oral Maxillofac Surg 2019 Feb 13. Epub 2019 Feb 13.

Chairman and George Guttman Professor of Craniofacial Surgery, Section of Hospital Dentistry, Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, Columbia University College of Dental Medicine, New York, NY.

Purpose: The aims were to report the characteristics of Le Fort fractures and to quantify the associated hospital costs.

Materials And Methods: From October 2015 to December 2016, the National Inpatient Sample was searched for patients admitted with a primary diagnosis of a Le Fort fracture. Predictor variables were drawn from demographic, admission, and injury characteristics. Read More

J Clin Sleep Med 2019 Mar 15;15(3):477-482. Epub 2019 Mar 15.

Division of Pulmonary and Sleep Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Study Objectives: Although Pierre Robin sequence (PRS) is a major cause of neonatal obstructive sleep apnea (OSA), longitudinal studies reporting evolution with age are lacking. This study aimed to describe changes in sleep-related respiratory parameters and sleep architecture in neonates with PRS treated conservatively (defined for this paper as treatment without tracheostomy or mandibular distraction).

Methods: A retrospective, 14-year, single-institution study of neonates with PRS who underwent diagnostic polysomnography (PSG) and at least one follow-up PSG. Read More

Clin Plast Surg 2019 Apr 8;46(2):249-259. Epub 2019 Feb 8.

Pediatric Plastic Surgery, Craniofacial Program, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, 2 Dudley Street, Suite 180, Providence, RI 02905, USA. Electronic address:

Pierre Robin sequence consists of clinical triad of micrognathia, glossoptosis, and airway compromise with variable inclusion of cleft palate. Evaluation of airway obstruction includes physical examination, polysomnography for obstruction events, and a combination of nasoendoscopy and bronchoscopy to search for synchronous obstructive lesions. A multidisciplinary approach is required given the high rate of syndromic disease. Read More

J Med Case Rep 2019 Mar 10;13(1):73. Epub 2019 Mar 10.

Neonatal Intensive Care Unit, Ruth Rappaport Children's Hospital, Rambam Health Campus, Haifa, Israel.

Background: A giant congenital cervical teratoma is often highly vascularized; thus, in addition to a life-threatening airway occlusion at birth it comprises a high risk for significant and lethal blood loss during resection. In the case presented, an endovascular embolization of the carotid artery that supplied a giant congenital cervical teratoma was done as part of a three-stage treatment soon after birth and contributed to an overall good outcome. Embolization in cases of cervical teratomas was not described previously. Read More

J Pediatr Surg 2019 Feb 23. Epub 2019 Feb 23.

Department of Pediatric Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.

Background/purpose: Haddad syndrome (HS) is a very rare disease considered a form of neurocristopathy. It is characterized by a combination of congenital central hypoventilation syndrome (CCHS) and Hirschsprung's disease (HD). We report the clinical features and disease progression of HS to provide better care for HS patients by achieving an earlier diagnosis and optimal treatment. Read More

Kaohsiung J Med Sci 2019 Feb;35(2):111-115

Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Remifentanil was a μ-agonist, with a rapid onset, a powerful narcotic analgesic activity and a fast nonspecific esterases hydrolyzation and theoretically an ideal opioid for percutaneous dilatational tracheostomy (PDT). The present study discussed use of remifentanil in critically ill patients undergoing PDT. Ninety-nine patients were randomly assigned to the propofol/remifentanil group (PR group, n = 49) or the propofol group (P group, n = 50). Read More

Oral Oncol 2019 Mar 11;90:102-108. Epub 2019 Feb 11.

Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Objective: We examined associations between pre-, post-, and peri-operative variables and health resource use in head and neck cancer patients.

Methods: Patients (N = 183) who were seen for a pre-surgical consult between January 2012 and December 2014 completed surveys that assessed medical history, a patient-reported outcome measure (PROM) of dysphagia, and quality of life (QOL). After surgery, peri-operative (e. Read More

Am J Phys Med Rehabil 2019 Feb 27. Epub 2019 Feb 27.

Professor of Physical Medicine and Rehabilitation Department of PM&R, Professor of Neurology, Department of Neurology, Medical Director of the Center for Ventilator Management Alternatives and Pulmonary Rehabilitation of the University Hospital, of the Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Continuous noninvasive ventilatory support (CNVS) and mechanical insufflation exsufflation (MIE) have been used since 1953 to spare patients with ventilatory pump failure from ever requiring tracheostomy tubes for ventilatory support or secretion management. Today there are patients with spinal muscular atrophy type 1 who are 25 years old and CNVS dependent since 4 months or age, post-polio survivors CNVS dependent for 64 years, Duchenne muscular dystrophy patients over age 45 CNVS dependent for over 25 years, high level spinal cord injured patients CNVS dependent for over 20 years, and even lung disease patients dependent on CNVS. All these patients, although unweanable from ventilatory support and with little or no measurable vital capacity, can also be extubated to CNVS and MIE without resort to tracheotomies when necessary to continue CNVS. Read More

Laryngoscope 2019 Mar 5. Epub 2019 Mar 5.

Department of Otolaryngology, Children's National Health System, Washington, DC, U.S.A.

Objectives/hypothesis: Laryngotracheal reconstruction (LTR) is a collection of procedures used to treat pediatric laryngotracheal stenosis. Arytenoid prolapse is a potential postoperative complication that may lead to upper airway obstruction. This study investigates the incidence, risk factors, and need for surgical intervention for post-LTR arytenoid prolapse. Read More

Prog Neuropsychopharmacol Biol Psychiatry 2019 Feb 28;92:450-456. Epub 2019 Feb 28.

Departments of Anesthesiology and Surgical Intensive Care, Hôtel-Dieu, University Hospital of Nantes, Nantes, France; Department of Anesthesiology and Surgical Intensive Care, Hôtel-Dieu, University Hospital of Nantes, 44093 Nantes, France. Electronic address:

Background: High-dose baclofen could prove beneficial in patients with unhealthy alcohol use in intensive care units (ICU). However, the pharmacokinetic properties of baclofen are unknown in this population. Our objectives were to investigate the pharmacokinetics of baclofen and the relationship between baclofen exposure and its toxicity in the ICU. Read More

J Robot Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Otolaryngology - Head and Neck Surgery, Boston University School of Medicine, Boston, MA, USA.

Transoral robotic surgery (TORS) is a common modality for treatment of oropharyngeal and laryngeal cancer. Current FDA approval extends to the da Vinci S and Si platforms. Many hospitals are adopting the da Vinci Xi platform. Read More

BMJ Case Rep 2019 Feb 28;12(2). Epub 2019 Feb 28.

Unidade de Doenças Auto-imunes/Medicina 7.2, Hospital de Curry Cabral, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.

Sudden respiratory distress in association with severe weight loss are unusual features of systemic sclerosis (SSc). We report the case of a 56-year-old Caucasian woman with a 9-year history of a diffuse form of SSc who presented with acute stridor due to vocal cord paralysis and required an emergency tracheostomy. She had sought medical attention only after 4 years of disease onset, presenting with a mask-like face, diffuse skin thickening, acro-osteolysis and severe interstitial lung disease. Read More

Pulmonology 2019 Feb 26. Epub 2019 Feb 26.

University of Porto, Portugal. Electronic address:

Aging Male 2019 Mar 1:1-8. Epub 2019 Mar 1.

c Faculty of Health Sciences , University of Avrasya , Trabzon , Turkey.

Aim: In this study our aim was to evaluate the nosocomial infections and to understand factors affecting the cost of used antibiotics in palliative care unit.

Materials And Methods: Between 2016 and 2017, 113 patients were included in the study in palliative care unit of University of Health Sciences Bursa Yuksek Ihtisas Research and Training Hospital. Patients medical records were analyzed retrospectively for nosocomial infections, chronic diseases, presence of decubitis ulcers, opioid use, enteral, parenteral feedings, mortality and antibiotic cost. Read More

Pediatr Clin North Am 2019 04 1;66(2):489-508. Epub 2019 Feb 1.

Special Infant Care Follow-up Program, Department of Pediatrics/Neonatology, Duke University Medical Center, Box 2739, Durham, NC 27710, USA.

Premature and critically ill term infants are often discharged from the neonatal intensive care unit (NICU) with ongoing medical problems, including respiratory problems; growth, nutrition and feeding problems; and neurologic injury. At discharge, they may also be dependent on technology such as supplemental oxygen, tracheostomy, mechanical ventilation, feeding tube, and monitors. Primary care physicians must have special knowledge and understanding of the medical complications of NICU graduates to coordinate post-discharge care. Read More

Int J Pediatr Otorhinolaryngol 2019 Jan 25;120:157-161. Epub 2019 Jan 25.

Emory University School of Medicine Departments of Pediatrics and Otolaryngology, USA; Children's Healthcare of Atlanta at Egleston, USA.

Introduction: Children with tracheostomies are medically complex and may be discharged with limited and variably trained home nursing support. When faced with emergencies at home, caregivers must often take the lead role in management, and many lack experience with troubleshooting these emergencies prior to initial discharge.

Methods: A high-fidelity simulation-based tracheostomy education program was designed using a programmable mannequin (Gaumard HAL S3004 one-year-old pediatric simulator). Read More

Medicine (Baltimore) 2019 Mar;98(9):e14691

Department of Medicine, MacKay Medical College.

To determine the natural history of patient with bilateral vocal fold immobility (BVFI), and to identify the factors or predictors associated with the tracheostomy and duration of cannulation for those who require tracheostomy.A retrospective review was carried out at a single tertiary referral center over a 23-year period of infants less than 1 year old who presented with BVFI. All information related to sex, etiology, gestational age at birth, vocal fold (VF) position at diagnosis, presence of concomitant airway disease, age at attainment of VF movement, age at decannulation, and current tracheostomy status were recorded to perform descriptive and comparative analyses. Read More

Trauma Case Rep 2019 Apr 15;20:100177. Epub 2019 Feb 15.

University of Pittsburgh Medical Center, Hamot, Erie, PA, United States of America.

We describe a case of traumatic lingual hematoma in a patient on dual antiplatelet therapy. After securing the airway, bilateral lingual artery embolization successfully halted expanding hematoma formation. Patient subsequently required tracheostomy for continued airway edema. Read More

Pediatrics 2019 Mar;143(3)

Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California

Background: Early administration of anti-influenza medications is recommended for all children hospitalized with influenza. We investigated whether early use of anti-influenza medications is associated with improved outcomes in children with tracheostomy hospitalized with influenza.

Methods: We performed a multicenter retrospective cohort study through the Pediatric Health Information System database for patients aged 30 days to 19 years who were discharged between October 1, 2007, and September 30, 2015 with diagnostic codes for both influenza and tracheostomy. Read More

J Med Case Rep 2019 Feb 26;13(1):44. Epub 2019 Feb 26.

Division of General Anaesthesiology, Emergency and Intensive Care Medicine, Medical University of Graz, Auenbruggerplatz 5, 8036, Graz, Austria.

Background: Atlanto-occipital dislocation is a rare and severe injury of the upper spine associated with a very poor prognosis.

Case Presentation: We report the case of a 59-year-old European man who suffered from out-of-hospital cardiac arrest following a motor vehicle accident. Cardiopulmonary resuscitation was initiated immediately by bystanders and continued by emergency medical services. Read More

Laryngoscope 2019 Feb 22. Epub 2019 Feb 22.

Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.

Objectives/hypothesis: To report the clinical safety and efficacy of three-dimensional (3D)-printed, patient-specific, bioresorbable airway splints in a cohort of critically ill children with severe tracheobronchomalacia.

Study Design: Case series.

Methods: From 2012 to 2018, 15 subjects received 29 splints on their trachea, right and/or left mainstem bronchi. Read More

J Intensive Care Soc 2019 Feb 28;20(1):59-65. Epub 2018 Mar 28.

Acute Intensive Care Unit, University Hospital South Manchester, Manchester, UK.

Introduction: Temporary tracheostomy is commonly used in patients admitted to intensive care units. Cuffed tubes prevent laryngeal airflow, preventing vocalisation. Sub-glottic suction tubes such as the 'Blue Line Ultra ' are used primarily to remove sub-glottic secretions, but retrograde gas flows via the suction port can facilitate above cuff vocalisation. Read More

J Oral Maxillofac Surg 2019 Jan 26. Epub 2019 Jan 26.

Professor, Stomatological Hospital of Chongqing Medical University, Chongqing; the Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing; and the Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China. Electronic address:

Purpose: To investigate the relation between postoperative complications and long-term survival in patients with oral cancer after surgery and to explore the methods that improve survival rate through analyzing risk factors for postoperative complications.

Materials And Methods: This is a retrospective single-institution study of a cohort of 287 patients with oral cancer who underwent surgery at the Stomatological Hospital of the Chongqing Medical University (Chongqing, China) from January 1, 2007 through December 31, 2012.

Results: Postoperative complications occurred in 80 patients (27. Read More