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    Complications and 30-day hospital readmission rates of patients undergoing tracheostomy: A prospective analysis.
    Laryngoscope 2017 May 23. Epub 2017 May 23.
    Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, U.S.A.
    Objective: To determine inpatient and outpatient tracheostomy complication rates and 30-day hospital readmission rates, and to assess patient and procedural risk factors associated with complications and readmissions.

    Study Design: Prospective cohort study.

    Methods: Adult patients undergoing tracheostomy at a single academic hospital performed by any service, for any indication, were enrolled in this study over the course of 1 year. Read More

    Case Report of a Massive Retropharyngeal Goiter Resulting in Laryngeal Compression.
    A A Case Rep 2017 May 23. Epub 2017 May 23.
    From the Departments of *Otolaryngology-Head and Neck Surgery and †Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado.
    This is a rare presentation of a morbidly obese male with a massive retropharyngeal goiter causing laryngeal compressive symptoms and unique airway management challenges. Flexible laryngoscopy revealed a retropharyngeal mass circumferentially compressing the oropharynx and supraglottis and preventing the visualization of the glottis. Awake tracheostomy was performed before total thyroidectomy. Read More

    An Airway Management Protocol after Anterior Cervical Spine Surgery: Analysis the Results of Risk Factors Associated With Airway Complication.
    Spine (Phila Pa 1976) 2017 May 19. Epub 2017 May 19.
    *Graduate School of Medicine, University of Ulsan, Seoul 05505, Republic of Korea †Department of Neurological Surgery, Dongtan Sacred Heart Hospital, College of Medicine, Hallym University, Hwaseong, Gyeonggi-Do, Republic of Korea ‡Department of Neurological Surgery, Gangneung Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea §Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea.
    Study Design: Retrospective comparative cohort analysis.

    Objective: To evaluate the effect of postoperative airway management protocol (ASAN Extubation Protocol, AEP) on incidence of airway complications for patients undergoing anterior cervical spine surgery (ACSS).

    Summary Of Background Data: Postoperative airway compromise remains crucial for patients undergoing ACSS. Read More

    Respiratory Care Considerations for Children with Medical Complexity.
    Children (Basel) 2017 May 19;4(5). Epub 2017 May 19.
    Division of Respiratory Medicine, The Hospital for Sick Children, The University of Toronto, Toronto, ON M5G 1X8, Canada.
    Children with medical complexity (CMC) are a growing population of diagnostically heterogeneous children characterized by chronic conditions affecting multiple organ systems, the use of medical technology at home as well as intensive healthcare service utilization. Many of these children will experience either a respiratory-related complication and/or they will become established on respiratory technology at home during their care trajectory. Therefore, healthcare providers need to be familiar with the respiratory related complications commonly experienced by CMC as well as the indications, technical and safety considerations and potential complications that may arise when caring for CMC using respiratory technology at home. Read More

    Combined pulmonary and left ventricular support with veno-pulmonary ECMO and impella 5.0 for cardiogenic shock after coronary surgery.
    J Cardiothorac Surg 2017 May 22;12(1):38. Epub 2017 May 22.
    Department of Cardiothoracic Surgery, Zentrum Operative Medizine, University of Würzburg, Oberdürrbacher Str.6, 97080, Würzburg, Germany.
    Background: Mechanical circulatory support is a common practice nowadays in the management of patients after cardiogenic shock due to myocardial infarction. The single or combined use of one or more devices for mechanical support depends not only on the advantage or disadvantage of these devices but also on the timing of use of these devices before the development of multi organ failure. In our case we used more than one tool for mechanical circulatory support during the prolonged and complicated course of our patient with postcardiotomy cardiogenic shock after coronary artery bypass surgery. Read More

    Bronchopulmonary Dysplasia and Perinatal Characteristics Predict 1-Year Respiratory Outcomes in Newborns Born at Extremely Low Gestational Age: A Prospective Cohort Study.
    J Pediatr 2017 May 17. Epub 2017 May 17.
    Department of Pediatrics/Pediatric Allergy, Immunology and Pulmonary Medicine and Center for Asthma Research, Vanderbilt University, Nashville, TN.
    Objective: To assess the utility of clinical predictors of persistent respiratory morbidity in extremely low gestational age newborns (ELGANs).

    Study Design: We enrolled ELGANs (<29 weeks' gestation) at ≤7 postnatal days and collected antenatal and neonatal clinical data through 36 weeks' postmenstrual age. We surveyed caregivers at 3, 6, 9, and 12 months' corrected age to identify postdischarge respiratory morbidity, defined as hospitalization, home support (oxygen, tracheostomy, ventilation), medications, or symptoms (cough/wheeze). Read More

    Transient Aphonia After Mediastinoscopy.
    Ann Thorac Surg 2017 Jun;103(6):e549-e550
    Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida; Department of Thoracic Surgery, Bay Pines Veterans Affairs Healthcare System, Bay Pines, Florida; Department of Surgery, University of Central Florida, Orlando, Florida. Electronic address:
    The most common adverse event after cervical mediastinoscopy is recurrent laryngeal nerve (RLN) injury, which has an incidence of 0.6% [1]. We report the case of a 68-year-old man with non-small cell lung cancer (NSCLC) who experienced transient bilateral vocal cord paralysis after mediastinoscopy, which manifested in complete aphonia. Read More

    Congenital H-type tracheoesophageal fistula: A multicenter review of outcomes in a rare disease.
    J Pediatr Surg 2017 May 11. Epub 2017 May 11.
    Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Texas Children's Hospital, 6701 Fannin St. Suite 1210, Houston, TX 77030, USA. Electronic address:
    Objective: To perform a multicenter review of outcomes in patients with H-type tracheoesophageal fistula (TEF) in order to better understand the incidence and causes of post-operative complications.

    Background: H-type TEF without esophageal atresia (EA) is a rare anomaly with a fundamentally different management algorithm than the more common types of EA/TEF. Outcomes after surgical treatment of H-type TEF are largely unknown, but many authoritative textbooks describe a high incidence of respiratory complications. Read More

    Prospective comparison of perioperative antibiotic management protocols in oncological head and neck surgery.
    J Craniomaxillofac Surg 2017 Apr 20. Epub 2017 Apr 20.
    Department of Oral and Maxillofacial Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany.
    Objectives: The adequate perioperative antibiotic prophylaxis in head and neck cancer surgery is an important and easy applicable tool to decrease nosocomial morbidity and mortality by reducing the rate of infections. In the study a strictly perioperative antibiosis is compared with an extended postoperative prophylactic antibiosis. We aim to clarify the value of postoperative prophylactic antibiosis for the recovery and clinical course of patients. Read More

    Pulmonary function tests do not predict mortality in patients undergoing continuous-flow left ventricular assist device implantation.
    J Thorac Cardiovasc Surg 2017 Apr 11. Epub 2017 Apr 11.
    Division of Cardiothoracic Surgery, University of Washington Medical Center, Seattle, Wash.
    Objectives: To investigate the effect of pulmonary function testing on outcomes after continuous flow left ventricular assist device implantation.

    Methods: A total of 263 and 239 patients, respectively, had tests of forced expiratory volume in 1 second and diffusing capacity of the lungs for carbon monoxide preoperatively for left ventricular assist device implantations between July 2005 and September 2015. Kaplan-Meier analysis and multivariable Cox regressions were performed to evaluate mortality. Read More

    Prevalence of skeletal muscle mass loss and its association with swallowing function after cardiovascular surgery.
    Nutrition 2017 Jun 2;38:70-73. Epub 2017 Feb 2.
    Department of Rehabilitation Medicine, Yokohama City University Medical Center, Yokohama, Japan.
    Objective: The aim of this study was to assess the prevalence of skeletal muscle mass loss and its association with swallowing function in patients with dysphagia after cardiovascular surgery.

    Methods: A retrospective cohort study was performed in 65 consecutive patients with dysphagia after cardiovascular surgery who were prescribed speech therapy. Skeletal muscle index (SMI) was calculated as total psoas muscle area assessed via abdominal computed tomography divided by height squared. Read More

    An International Survey on Ventilator Practices Among Extracorporeal Membrane Oxygenation Centers.
    ASAIO J 2017 May 18. Epub 2017 May 18.
    From the *Baylor College of Medicine, Houston, Texas; †Texas Children's Hospital, Houston, Texas; ‡Children's Medical Center at Dallas part of Children's HealthSM, Dallas, Texas; §University of Texas at Arlington, Arlington, Texas; and ¶University of Texas Southwestern Medical Center at Dallas, Dallas, Texas.
    Although the optimal ventilation strategy is unknown for patients placed on extracorporeal support, there are increasing reports of extubation being used. Our objective is to describe the change in ventilation strategies and use of tracheostomy and bronchoscopy practices among extracorporeal membrane oxygenation (ECMO) centers across the world. A descriptive, cross-sectional 22 item survey of neonatal, pediatric, and adult ECMO centers was used to evaluate ventilator strategies, extubation, bronchoscopy, and tracheostomy practices. Read More

    [Effect of endotracheal tube with subglottic suction line to stop tracheostomy bleeding in critical patients].
    Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2017 May;29(5):477-478
    Department of Critical Care Medicine, Sichuan Provincial Crops Hospital of Chinese People's Armed Police Force, Leshan 614000, Sichuan, China. Corresponding author: Li Qiaoke, Email:
    Objective: To observe the effect of endotracheal tube with subglottic suction line on tracheostomy bleeding in critical patients.

    Methods: This procedure was utilized for 35 critical patients with tracheostomy bleeding. With the help of bronchoscope, the endotracheal tube with subglottic suction line was inserted during tracheostomy to 0. Read More

    Electroencephalographic monitoring during sevoflurane anaesthesia in an amyotrophic lateral sclerosis patient with locked-in state.
    J Clin Neurosci 2017 May 15. Epub 2017 May 15.
    Department of Anaesthesiology, Nantan General Hospital, Kyoto, Japan.
    Recently, the cognitive abilities of patients with amyotrophic lateral sclerosis (ALS) have been found to be impaired along with the neurodegeneration of motor neurons. Electroencephalography (EEG) of end-stage ALS patients has reportedly shown specific features based on neuronal network modulations, differing from EEG of other patients with cognitive failure and dementia. However, EEG of end-stage ALS patients during anaesthesia has not yet been reported. Read More

    Extended resection of the trachea in a patient with cicatricial tracheal stenosis after tracheostomy complicated with esophageal-tracheal fistula and extensive defect of the frontal tracheal wall.
    Kardiochir Torakochirurgia Pol 2017 Mar 31;14(1):55-58. Epub 2017 Mar 31.
    Republican Specialized Centre of Surgery Named After Academician V.Vakhidov, Tashkent, Uzbekistan.
    We present a case of one-stage radical surgical treatment of a 24-year-old female patient with cicatricial granulating tracheal stenosis after tracheostomy complicated by esophageal-tracheal fistula and an extensive defect of the anterior wall of the trachea after numerous unsuccessful attempts to correct the narrowing of the trachea and eliminate the fistula by endoscopic and open surgical techniques. The patient underwent extended tracheal resection with end-to-end anastomosis with liquidation of the esophageal-tracheal fistula and elimination of the defect of the anterior wall of the trachea by cervical access. Read More

    [Swallowing Disorders in Tracheo(s)tomized Patients].
    Laryngorhinootologie 2017 May 17;96(5):280-292. Epub 2017 May 17.
    Stimmheilzentrum Bad Rappenau, Bad Rappenau.
    Objective Since many years it has been conjectured that tracheotomy/tracheostomy interferes with swallowing and leads to a higher risk of aspiration. The aim of this review was to contribute to the discussion whether there is a causal relationship between tracheotomy/tracheostomy and dysphagia or only a chronological concomitance. Material and Methods Citations for this review rest upon a research in PubMed data base of the National Center for Biotechnology Information (NCBI). Read More

    Otorhinolaryngological emergencies in a Tertiary Hospital in Port Harcourt.
    Niger J Clin Pract 2017 May;20(5):606-609
    Department of Ear Nose and Throat Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
    Background: Emergencies are not uncommon in a typical otorhinolaryngological (ORL) clinic. The knowledge of the profile and prevalence of these emergencies will go a long way in helping to equip as well as aid proper and prompt management of these conditions so as to reduce their morbidity and mortality.

    Patients And Methods: A descriptive retrospective 8 years review of all patients that presented to the ENT Surgery Department from January 2004 to December 2012. Read More

    Predictors for routine admission to paediatric intensive care for post-supraglottoplasty laryngomalacia patients.
    J Laryngol Otol 2017 May 17:1-5. Epub 2017 May 17.
    Department of Otolaryngology Head and Neck Surgery,Freeman Hospital,Newcastle upon Tyne,UK.
    Objectives: Supraglottoplasty for the treatment of laryngomalacia has little current evidence regarding post-operative care. Our study aimed to: (1) retrospectively assess what proportion of patients required paediatric intensive care unit level of care; (2) identify pre-operative predictive factors common to these cases; and (3) report patient outcomes at six weeks' follow up.

    Methods: A 10-year retrospective case series analysis was conducted of all patients diagnosed with laryngomalacia and subsequently treated with supraglottoplasty. Read More

    Analysis of extracellular brain chemistry during percutaneous dilational tracheostomy: A retrospective study of 19 patients.
    Clin Neurol Neurosurg 2017 May 10;159:1-5. Epub 2017 May 10.
    Department of Neurosurgery, University of Lübeck, Germany.
    Objective: The purpose of this study was to analyze changes in brain tissue chemistry around percutaneous dilational tracheostomy (PDT) in patients with acute brain injury (ABI) in a retrospective single-center analysis.

    Patients And Methods: We included 19 patients who had continuous monitoring of brain tissue chemistry and intracranial pressure (ICP) during a 20h period before and after PDT. Different microdialysis parameters (lactate, pyruvate, lactate pyruvate ratio (LPR), glycerol and glutamate) and values of ICP, cerebral perfusion pressure (CPP) and brain tissue oxygenation (PBrO2) were recorded per hour. Read More

    Repetitive postoperative extubation failure and cardiac arrest due to laryngomalacia after general anesthesia in an elderly patient: a case report.
    J Anesth 2017 May 15. Epub 2017 May 15.
    Department of Emergency and Critical Care Medicine, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
    The authors report a case involving an elderly patient who experienced repetitive perioperative cardiac arrest caused by laryngomalacia. The patient underwent surgery under general anesthesia; however, 2 h after initial extubation, he experienced cardiopulmonary arrest. Return of spontaneous circulation was achieved by immediate resuscitation. Read More

    Comparison of the pull and introducer percutaneous endoscopic gastrostomy techniques in patients with head and neck cancer.
    United European Gastroenterol J 2017 Apr 21;5(3):365-373. Epub 2016 Jul 21.
    Gastrointestinal Endoscopy Unit, University of São Paulo Medical School, São Paulo, Brazil.
    Background And Study Aims: Percutaneous endoscopic gastrostomy (PEG) in head and neck cancer (HNC) patients is associated with higher complication and mortality rates when compared to a general patient population. The pull technique is still the preferred technique worldwide but it has some limitations. The aim of this study is to compare the pull and introducer PEG techniques in patients with HNC. Read More

    Intraoperative neuromonitoring in thyroid surgery: Is the two-staged thyroidectomy justified?
    Int J Surg 2017 May;41 Suppl 1:S13-S20
    Department of Surgical Sciences, University of Cagliari, Cittadella Universitaria, SS554, Bivio Sestu, 09042, Monserrato (CA), Italy. Electronic address:
    Background: The aim of this study was to evaluate the diagnostic accuracy of intraoperative neuromonitoring (IONM) in predicting postoperative nerve function during thyroid surgery and its consequent ability to assist the surgeon in intraoperative decision making.

    Materials And Methods: A total of 2365 consecutive patients were submitted to thyroidectomy by the same surgical team. Group A included 1356 patients (2712 nerves at risk) in whom IONM was utilized, and Group B included 1009 patients (2018 nerves at risk) in whom IONM was not utilized. Read More

    Factors associated with successful decannulation in pediatric tracheostomy patients.
    Acta Otolaryngol 2017 May 14:1-6. Epub 2017 May 14.
    a Department of Otolaryngology , Sapporo Medical University School of Medicine , Sapporo , Japan.
    Objectives: To investigate the outcome of pediatric tracheostomy and identify predictive factors for successful decannulation.

    Methods: We performed a retrospective chart review of a series of 42 consecutive patients of less than 24 months of age who underwent a tracheostomy between 2012 and 2015.

    Results: Successful decannulation was achieved in 11 patients (26%). Read More

    The Effect of Noninvasive Positive Pressure Ventilation on Pneumonia Hospitalizations in Children With Neurological Disease.
    Child Neurol Open 2017 Jan-Dec;4:2329048X16689021. Epub 2017 Jan 10.
    Division of Respirology, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
    The aim of this retrospective single-institution observational study was to identify whether the frequency of hospitalizations for pneumonia would change before and after the initiation of noninvasive positive pressure ventilation in children with neurological conditions. Included patients were 1 to 18 years old with an underlying neurological disease and had been prescribed nocturnal noninvasive positive pressure ventilation. The authors excluded patients with a tracheostomy or those who used noninvasive positive pressure ventilation solely for obstructive sleep apnea. Read More

    Tracheotomy-Related Deaths.
    Dtsch Arztebl Int 2017 Apr;114(16):273-279
    Department of Otorhinolaryngology, Head and Neck Surgery, Plastic Surgery, Muncipial Hospital Dresden, Academic Teaching Hospital of the Technical University of Dresden; Department of Anesthesiology and Intensive Care Medicine, Emergency Medicine and Pain Therapy, Muncipial Hospital Dresden, Academic Teaching Hospital of the Technical University of Dresden.
    Background: Tracheotomies are frequently performed on ventilated patients in intensive care and sometimes lead to fatal complications. In this article, we discuss the causes and frequency of death associated with open surgical tracheotomy (OST) and percutaneous dilatational tracheotomy (PDT) on the basis of a review of the pertinent literature.

    Methods: We systematically searched the PubMed, EMBASE, and Cochrane Library databases and the Karlsruhe Virtual Catalog for publications (1990-2015) on tracheotomy-related deaths in adults, using the search terms "tracheotomy" and "tracheostomy. Read More

    Male child with somatic mosaic Osteopathia Striata with Cranial Sclerosis caused by a novel pathogenic AMER1 frameshift mutation.
    Am J Med Genet A 2017 May 12. Epub 2017 May 12.
    Department of Clinical Genetics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
    Osteopathia striata with cranial sclerosis (OSCS; OMIM #300373) is a rare X-linked dominant condition caused by mutations in the AMER1 gene (also known as WTX or FAM123B). It is a condition which usually affects females in whom the clinical phenotype can be extremely variable. Conversely affected males typically die in utero or during the neonatal period [Perdu et al. Read More

    The characteristics of salivary pepsin in patients with severe motor and intellectual disabilities.
    Brain Dev 2017 May 8. Epub 2017 May 8.
    Department of Pediatrics and Child Health, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
    Purpose: The aim of the present study was to determine the utility of measuring the salivary pepsin level (SPL) as an objective assessment of gastroesophageal reflux disease (GERD) in severe motor and intellectual disabilities (SMID) patients.

    Subjects And Methods: This prospective study included 26 SMID patients who underwent simultaneous 24-h multichannel intraluminal impedance pH measurement (pH/MII) and SPL evaluation. The enrolled patients were divided into GERD (+) or GERD (-) groups according to the pH/MII findings. Read More

    Feasibility of an endotracheal tube-mounted camera for percutaneous dilatational tracheostomy.
    Acta Anaesthesiol Scand 2017 May 11. Epub 2017 May 11.
    Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
    Background: Percutaneous dilatational tracheostomy (PDT) in critically ill patients is often led by optical guidance with a bronchoscope. This is not without its disadvantages. Therefore, we aimed to study the feasibility of a recently introduced endotracheal tube-mounted camera (VivaSight™-SL, ET View, Misgav, Israel) in the guidance of PDT. Read More

    Risk factors for ventilator-associated pneumonia among patients undergoing major oncological surgery for head and neck cancer.
    Front Med 2017 May 11. Epub 2017 May 11.
    Department of Oral Surgery, Dental Hospital, Kunming Medical University, Kunming, 650031, China.
    Patients undergoing major oncological surgery for head and neck cancer (SHNC) have a particularly high risk of nosocomial infections. We aimed to identify risk factors for ventilator-associated pneumonia (VAP) in patients undergoing SHNC. The study included 465 patients who underwent SHNC between June 2011 and June 2014. Read More

    Emergent sclerotherapy of a newborn with expanding lymphatic malformation causing respiratory distress.
    Radiol Case Rep 2017 Jun 15;12(2):409-412. Epub 2017 Feb 15.
    Department of Pediatric Otolaryngology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, USA.
    The present report describes a case of acute airway obstruction in a newborn caused by an expanding hemorrhagic macrocystic lymphatic malformation (LM), which was successfully treated with emergent decompression and interventional radiology-guided sclerotherapy. The use of sclerotherapy for macrocystic LMs has been well described for various indications. The urgent interventional treatment obviated the need for a tracheostomy. Read More

    Reaction Products of Hexamethylene Diisocyanate Vapors with "Self" Molecules in the Airways of Rabbits Exposed Via Tracheostomy.
    Xenobiotica 2017 May 10:1-31. Epub 2017 May 10.
    a Department of Internal Medicine , Yale University School of Medicine , New Haven , CT 06520 , USA.
    Hexamethylene diisocyanate (HDI) is a widely used aliphatic diisocyanate and a well-recognized cause of occupational asthma. "Self" molecules (peptides/proteins) in the lower airways, susceptible to chemical reactivity with HDI, have been hypothesized to play a role in asthma pathogenesis and/or chemical metabolism, but remain poorly characterized. This study employed unique approaches to identify and characterize "self" targets of HDI reactivity in the lower airways. Read More

    Compared Outcomes of Concurrent versus Staged Transoral Robotic Surgery with Neck Dissection.
    Otolaryngol Head Neck Surg 2017 May 1:194599817706499. Epub 2017 May 1.
    4 Division of Otolaryngology-Head and Neck Surgery, Stony Brook University Medical Center, Stony Brook, New York, USA.
    Objective Outcomes of concurrent versus staged neck dissection with transoral robotic surgery have not been studied. This study compares outcomes of concurrent versus staged transoral robotic surgery and neck dissection. Design Retrospective administrative database analysis. Read More

    Heart-Shaped Bilateral Medullary Pyramidal Infarction as a Pathognomonic Finding of Anterior Spinal Artery Occlusion.
    Neurocrit Care 2017 May 8. Epub 2017 May 8.
    Department of Neurologic Surgery, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA.
    Background: Unilateral anterior spinal artery (ASA) occlusion resulting in bilateral medullary pyramidal (BMP) infarction is a rare and devastating stroke subtype. We present two cases highlighting the diagnostic and clinical challenges of BMP infarction.

    Methods: Case reports and literature review. Read More

    Ethical and Legal Considerations in the Management of an Unbefriended Patient in a Vegetative State.
    Neurocrit Care 2017 May 8. Epub 2017 May 8.
    Department of Neurology, NYU Langone Medical Center, 550 First Avenue, New York, NY, 10016, USA.
    Background: Patients without surrogates are referred to as "unbefriended." Because these patients do not have representatives to assist with medical decision-making, patient autonomy and self-determination, fundamental concepts of American healthcare, are jeopardized.

    Methods: We present a case of an unbefriended patient in a vegetative state and discuss the ethical and legal complications associated with management of unbefriended patients. Read More

    [Prolonged weaning during early neurological and neurosurgical rehabilitation : S2k guideline published by the Weaning Committee of the German Neurorehabilitation Society (DGNR)].
    Nervenarzt 2017 May 8. Epub 2017 May 8.
    Helios Klinik Schloss Pulsnitz, Pulsnitz, Deutschland.
    Prolonged weaning of patients with neurological or neurosurgery disorders is associated with specific characteristics, which are taken into account by the German Society for Neurorehabilitation (DGNR) in its own guideline. The current S2k guideline of the German Society for Pneumology and Respiratory Medicine is referred to explicitly with regard to definitions (e.g. Read More

    Teratoma of the neonatal head and neck: A 41-year experience.
    Int J Pediatr Otorhinolaryngol 2017 Jun 14;97:66-71. Epub 2017 Feb 14.
    Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, United States; Department of Otolaryngology, Harvard Medical School, United States.
    Objective: To review our institution's experience with the presentation, evaluation, and management of teratoma of the head and neck in the neonatal population.

    Design: Retrospective case series (November 1970 through September 2011).

    Setting: Tertiary care children's hospital. Read More

    Prevention of post-operative pediatric tracheotomy wounds: A multidisciplinary team approach.
    Int J Pediatr Otorhinolaryngol 2017 Jun 31;97:235-239. Epub 2017 Mar 31.
    Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, 915 Olentangy River Road #4000, Columbus, OH 43212, USA; Department of Pediatric Otolaryngology-Head and Neck Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA. Electronic address:
    Objective: Tracheotomy-related pressure wounds have been reported as high as 29%. All advanced stage (stage 3 or 4) wounds are reported by hospitals, and CMS will no longer reimburse healthcare costs to manage them. We present the results of an intensive, multidisciplinary wound prevention strategy starting in the operating room at the time of tracheotomy placement. Read More

    Endoscopic management of bilateral vocal fold paralysis in newborns and infants.
    Int J Pediatr Otorhinolaryngol 2017 Jun 18;97:13-17. Epub 2017 Mar 18.
    Otolaryngologyst at Hospital Guillermo Grant Benavente, Concepcion, Chile.
    Introduction: Bilateral vocal cord paralysis in adducted position (BVCPAd) is a severe cause of airway obstruction and usually debuts with stridor and airway distress necessitating immediate intervention. Tracheostomy has long been the gold standard for treating this condition, but has significant associated morbidity and mortality in pediatric patients. New conservative procedures have emerged to treat this condition thus avoiding tracheostomy, like endoscopic anterior and posterior cricoid split (EAPCS). Read More

    Laryngotracheal anomalies and airway fluoroscopy in infants.
    Int J Pediatr Otorhinolaryngol 2017 Jun 30;97:109-112. Epub 2017 Mar 30.
    Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD, United States. Electronic address:
    Objectives: The role of airway fluoroscopy in the diagnosis of laryngotracheal anomalies in infants is controversial. We aimed to (i) compare airway fluoroscopic characteristics with endoscopic findings in infants presenting for evaluation of upper airway obstruction and (ii) assess the as low as is reasonably achievable (ALARA) status for airway fluoroscopy as an initial diagnostic test in suspected laryngotracheal anomalies.

    Materials And Methods: We performed a retrospective review of children who underwent fluoroscopy and endoscopic evaluation of the airway in the operating room for suspected laryngotracheal anatomic abnormalities. Read More

    Routine airway surveillance in pediatric tracheostomy patients.
    Int J Pediatr Otorhinolaryngol 2017 Jun 22;97:1-4. Epub 2017 Mar 22.
    Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA; Department of Otolaryngology, Harvard Medical School, Boston, MA, USA. Electronic address:
    Objectives: The aim of this study is to review airway findings in children with tracheostomies who underwent surveillance direct laryngoscopy and bronchoscopy (DLB) to determine the yield of routine airway evaluation in these patients.

    Study Design: Retrospective chart review at tertiary referral children's hospital.

    Methods: A retrospective chart review was conducted of all of the children with tracheostomies who underwent DLB after tracheostomy between 1984 and 2015. Read More

    Molecular epidemiological survey of bacteremia by multidrug resistant Pseudomonas aeruginosa: the relevance of intrinsic resistance mechanisms.
    PLoS One 2017 8;12(5):e0176774. Epub 2017 May 8.
    Institute of Biomedical Sciences, Laboratory of Molecular Microbiology, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil.
    The bacterial factors associated with bacteremia by multidrug-resistant and extensively drug-resistant P. aeruginosa, including overexpression of efflux pumps, AmpC overproduction, and loss/alteration of the OprD porin in isolates that are non-Metallo-β-Lactamase producing were analyzed in a retrospective study. Molecular analyses included strain typing by Pulsed Field Gel Electrophoresis and identification of key genes via qualitative and quantitative PCR-based assays. Read More

    Traumatic laryngotracheal stenosis treated by hyoid-sternohyoid osseomuscular flap combined with xenogenic acellular dermal matrix: A case report and literature review.
    J Int Med Res 2017 Jan 1:300060517705985. Epub 2017 Jan 1.
    1 Department of Otorhinolaryngology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
    Objective The treatment of laryngotracheal stenosis is a major therapeutic challenge. Various treatments include observation, medical management, and surgical management. The most effective surgical management is resection and reconstruction. Read More

    Ethical considerations and palliative care in patients with amyotrophic lateral sclerosis: A review.
    Rev Neurol (Paris) 2017 May 4;173(5):300-307. Epub 2017 May 4.
    Université de Lille, Faculté de Médecine, Lille, France; Service de Neurologie et Pathologie du Mouvement, CHRU de Lille, Avenue du Professeur Emile Laine, 59037 Lille, France; Troubles cognitifs, dégénératifs et vasculaires, INSERM U1171, Lille, France.
    Amyotrophic lateral sclerosis (ALS) is not a curable disease, but it is treatable. By definition, much of the care provided to ALS patients is palliative, even though active life-sustaining strategies are available to prolong survival. Healthcare professionals must develop communication skills that help patients cope with the inexorable progression of the disease and the inevitability of death. Read More

    Tracheostomy as a bridge to spontaneous breathing and awake-ECMO in non-transplant surgical patients.
    Eur J Heart Fail 2017 May;19 Suppl 2:120-123
    Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
    Aims: The tracheostomy is a frequently used procedure for the respiratory weaning of ventilated patients allows sedation free ECLS use in awake patient. The aim of this study is to assess the possibility and highlight the benefits of lowering the impact of sedation in surgical non-transplant patients on ECLS. The specific objective was to investigate the use of tracheostomy as a bridge to spontaneous breathing on ECLS. Read More

    Marital status is a prognostic factor in amyotrophic lateral sclerosis.
    Acta Neurol Scand 2017 May 3. Epub 2017 May 3.
    Department of Experimental BioMedicine and Clinical Neurosciences, ALS Clinical Research Center, University of Palermo, Palermo, Italy.
    Background And Objectives: Several variables have been linked to a shorter survival in patients with amyotrophic lateral sclerosis (ALS), for example, female sex, older age, site of disease onset, rapid disease progression, and a relatively short diagnostic delay. With regard to marital status, previous studies suggested that living with a partner might be associated to a longer survival and a higher likelihood to proceed to tracheostomy. Therefore, to further strengthen this hypothesis, we investigated the role of marital status as a prognostic variable in a cohort of ALS patients. Read More

    A Case of Statin-Associated Autoimmune Myopathy.
    Clin Med Insights Case Rep 2017 30;10:1179547616688231. Epub 2017 Mar 30.
    St. Mary Medical Center, Department of Internal Medicine, Long Beach, CA, USA; UCLA, David Geffen School of Medicine, CA, USA.
    A 70-year-old previously independent man developed progressive proximal leg weakness resulting in a fall at home suffering traumatic brain injury. He was prescribed a statin medication two years prior, but this was discontinued on admission to the hospital due to concern for statin myopathy. His weakness continued to progress while in acute rehabilitation, along with the development of dysphagia requiring placement of gastrostomy tube and respiratory failure requiring tracheostomy. Read More

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