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    Comparison of Anesthetic Management and Outcomes in Patients Having Either Transnasal or Transoral Endoscopic Odontoid Process Surgery.
    J Neurosurg Anesthesiol 2017 Feb 20. Epub 2017 Feb 20.
    Department of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine, Rochester, MN.
    Background: Endoscopic neurosurgical procedures involving the upper cervical vertebrae are challenging due to a narrow operating field and close proximity to vital anatomical structures. Historically, transoropharyngeal (transoral) endoscopy has been the preferred approach. More recently, however, an endoscopic transnasal approach was developed as an alternative method in hopes to reduce postoperative dysphagia, a common complication following transoral neurosurgery. Read More

    Pulmonary outcomes following specialized respiratory management for acute cervical spinal cord injury: a retrospective analysis.
    Spinal Cord 2017 Feb 21. Epub 2017 Feb 21.
    Department of Physical Medicine and Rehabilitation, Santa Clara Valley Medical Center, San Jose, CA, USA.
    Study Design: Retrospective analysis.

    Objectives: To identify multivariate interactions of respiratory function that are sensitive to spinal cord injury level and pharmacological treatment to promote strategies that increase successful liberation from mechanical ventilation.

    Setting: United States regional spinal cord injury (SCI) treatment center. Read More

    Affection of the Respiratory Muscles in Combined Complex I and IV Deficiency.
    Open Neurol J 2017 26;11:1-6. Epub 2017 Jan 26.
    Institute of Clinical Chemistry, Academic Hospital München-Schwabing, Germany.
    Objectives: Combined complex I+IV deficiency has rarely been reported to manifest with the involvement of the respiratory muscles.

    Case Report: A 45y male was admitted for hypercapnia due to muscular respiratory insufficiency. He required intubation and mechanical ventilation. Read More

    Unsuspected subglottic web in a child managed for severe respiratory obstruction.
    Saudi J Anaesth 2017 Jan-Mar;11(1):99-101
    Department of Anaesthesiology, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.
    Subglottic stenosis is a known complication of a traumatic and prolonged intubation. In a child, subglottic area is narrower and more prone to damage by an oversized or overinflated endotracheal tube. The stenosis can present with complaints of change in voice, croup, or respiratory obstruction. Read More

    Determinants of cough effectiveness in patients with respiratory muscle weakness.
    Respir Physiol Neurobiol 2017 Feb 14. Epub 2017 Feb 14.
    Loyola University of Chicago Stritch School of Medicine, Maywood, IL, United States; Hines Veterans Affairs Hospital, Hines, IL, United States. Electronic address:
    Experiments were undertaken to mechanistically define expiratory-muscle contribution to effectiveness of cough while controlling glottic movement. We hypothesized that electrical abdominal-muscle stimulation in patients with respiratory-muscle weakness produces effective coughs only when glottic closure accompanies coughs. In ten spinal-cord-injury patients, esophago-gastric pressure and airflow were recorded during solicited-coughs, coughs augmented by abdominal-muscle stimulation, and passive open-glottis exhalations. Read More

    Diphtheroids-Important Nosocomial Pathogens.
    J Clin Diagn Res 2016 Dec 1;10(12):DC28-DC31. Epub 2016 Dec 1.
    Selection Grade Lecturer, Department of Community Medicine, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
    Introduction: Diphtheroids are defined as aerobic, non-sporulating, pleomorphic Gram-positive bacilli which are more uniformly stained than Corynebacterium diphtheriae, lack the metachromatic granules and are arranged in a palisade manner. They are usually commensals of the skin and mucous membranes. They differ from C. Read More

    Evolutional trends in the management of tracheal and bronchial injuries.
    J Thorac Dis 2017 Jan;9(1):E67-E70
    Cardiothoracic Unit, St Georges Hospital, London, UK.
    Tracheal and Bronchial injuries are potentially life threatening complications which require urgent diagnosis and therapeutic intervention. They typically occur in association with blunt and penetrating chest trauma although they are increasingly being encountered in patients following endobronchial intervention and percutaneous tracheostomy insertion. Their precise incidence is unknown. Read More

    Patient and Hospital Characteristics Associated with Inter-hospital Transfer for Adults with Ventilator Dependent Respiratory Failure.
    Ann Am Thorac Soc 2017 Feb 15. Epub 2017 Feb 15.
    Medical University of South Carolina, Pulmonary and Critical Care Medicine , 96 Jonathan Lucas Dr. , Suite 812 CSB , Charleston, South Carolina, United States , 29425 ;
    Rationale: Patients with ventilator-dependent respiratory failure have improved outcomes at centers with greater expertise, yet most patients are not treated in such facilities. Efforts to align care for respiratory failure and hospital capability would necessarily require inter-hospital transfer.

    Objectives: To characterize the prevalence and patient and hospital factors associated with inter-hospital transfer of adults residing in Florida with ventilator-dependent respiratory failure. Read More

    The Impact of Early Tracheostomy in Neurotrauma Patients: A Retrospective Study.
    Indian J Crit Care Med 2017 Jan;21(1):6-10
    Neurotrauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
    Background: Although majority of neurotrauma patients require long term ventilatory support but the timing of tracheostomy in such patients is controversial.

    Method: This retrospective study was conducted at a Tertiary Care Hospital, Pune, India. Patients >18 years of age, who underwent percutaneous tracheostomy (PCT) from June 2010 to November 2014 at neurotrauma unit (NTU) of hospital, were included. Read More

    Prevention of Tracheostomy-Related Hospital-Acquired Pressure Ulcers.
    Otolaryngol Head Neck Surg 2017 Feb 1:194599816689584. Epub 2017 Feb 1.
    1 Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA.
    Objective To determine if standardization of perioperative tracheostomy care procedures decreased the incidence of hospital-acquired tracheostomy-related pressure ulcers. Methods All patients at least 18 years old who underwent placement of a tracheostomy tube in the operating room from July 1, 2014, through June 30, 2015, were cared for postoperatively through an institutionally adopted quality improvement protocol. This included 4 elements: (1) placement of a hydrocolloid dressing underneath the tracheostomy flange in the postoperative period, (2) removal of plate sutures within 7 days of the tracheostomy procedure, (3) placement of a polyurethane foam dressing after suture removal, and (4) neutral positioning of the head. Read More

    Upper Airway Obstruction Requiring Emergent Tracheostomy Secondary to Laryngeal Sarcoidosis: A Case Report.
    Am J Case Rep 2017 Feb 13;18:157-159. Epub 2017 Feb 13.
    Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven, CT, USA.
    BACKGROUND Laryngeal sarcoidosis is a rare extrapulmonary manifestation of sarcoidosis, accounting for 0.33-2.1% of cases. Read More

    Evidence-based guides in tracheostomy use in critical patients.
    Med Intensiva 2017 Feb 7. Epub 2017 Feb 7.
    MD Anderson Cancer Center, The University of Texas, Texas, United States. Electronic address:
    Objectives: Provide evidence based guidelines for tracheostomy in critically ill adult patients and identify areas needing further research.

    Methods: A task force composed of representatives of 10 member countries of the Pan-American and Iberic Federation of Societies of Critical and Intensive Therapy Medicine and of the Latin American Critical Care Trial Investigators Network developed recommendations based on the Grading of Recommendations Assessment, Development and Evaluation system.

    Results: The group identified 23 relevant questions among 87 issues that were initially identified. Read More

    Airway management and mechanical ventilation in acute brain injury.
    Handb Clin Neurol 2017 ;140:15-32
    Department of Neurology, University of Heidelberg, Heidelberg, Germany.
    Patients with acute neurologic disease often develop respiratory failure, the management of which profoundly affects brain physiology and long-term functional outcomes. This chapter reviews airway management and mechanical ventilation of patients with acute brain injury, offering practical strategies to optimize treatment of respiratory failure and minimize secondary brain injury. Specific concerns that are addressed include physiologic changes during intubation and ventilation such as the effects on intracranial pressure and brain perfusion; cervical spine management during endotracheal intubation; the role of tracheostomy; and how ventilation and oxygenation are utilized to minimize ischemia-reperfusion injury and cerebral metabolic distress. Read More

    The role of adjunctive procedures in reducing postoperative tracheobronchial obstruction in single lung patients with congenital tracheal stenosis undergoing slide tracheoplasty.
    J Pediatr Surg 2017 Jan 27. Epub 2017 Jan 27.
    Takatsuki General Hospital, Takatsuki, Japan.
    Purpose: Congenital tracheal stenosis (CTS) and a single right lung treated with slide tracheoplasty (ST) has relatively high rates of mortality and morbidity. We report a single institution's experience with adjunctive procedures at the time of ST to reduce postoperative tracheal obstruction in patients with a single right lung and CTS.

    Methods: With IRB approval, 8 patients with a single right lung and CTS who underwent ST in our institution between 2008 and 2016 were reviewed. Read More

    Inter-center variation in death or tracheostomy placement in infants with severe bronchopulmonary dysplasia.
    J Perinatol 2017 Feb 9. Epub 2017 Feb 9.
    Department of Pediatrics, University of Texas Southwestern Medical Center and the Children's Medical Center of Dallas, Dallas, TX, USA.
    Objective: To estimate the presence and sources of inter-center variation (ICV) in the risk of death or tracheostomy placement (D/T) among infants with severe bronchopulmonary dysplasia (sBPD)Study design:We analyzed the Children's Hospitals Neonatal Database between 2010 and 2013 to identify referred infants born <32 weeks' gestation with sBPD. The association between center and the primary outcome of D/T was analyzed by multivariable modeling. Hypothesized diagnoses/practices were included to determine if these explained any observed ICV in D/T. Read More

    Fiberoptic-Guided Blue Rhino Dilator-Assisted Dilation of Postintubation Tracheal Stenosis: A Case Report About a Novel Technique.
    A A Case Rep 2017 Feb 8. Epub 2017 Feb 8.
    From the *Department of Onco-Anesthesiology and Palliative Medicine and †Department of Pulmonary Medicine, AIIMS, Ansari Nagar, New Delhi, India.
    Posttracheostomy tracheal stenosis is a rare complication of prolonged tracheal intubation. Treatment modalities that may be used include surgical resection and anastomosis, endoscopic tracheal dilation, laser resection, and tracheal stenting. We describe a novel salvage modality for dilation of a symptomatic tracheal stenosis using a percutaneous tracheostomy dilator wherein rigid bronchoscopic dilation was not feasible and balloon tracheal dilation had failed. Read More

    Adverse outcomes associated with postoperative atrial arrhythmias after lung transplantation: a meta-analysis and systematic review of the literature.
    Clin Transplant 2017 Feb 9. Epub 2017 Feb 9.
    Department of Anesthesiology, Duke University.
    Background: Postoperative atrial arrhythmias (AAs) are common after lung transplantation but studies are mixed regarding their impact on outcomes. We therefore performed this systematic review and meta-analysis to determine whether AAs after lung transplantation impede postoperative recovery.

    Methods: MEDLINE, EMBASE, CINAHL, and the Cochrane Register were searched to identify studies comparing outcomes in adult patients undergoing lung transplantation who experienced postoperative AAs in the immediate postoperative period versus those without postoperative AAs. Read More

    Functional outcomes of supraglottic squamous cell carcinoma treated by transoral laser microsurgery compared with horizontal supraglottic laryngectomy in patients younger and older than 65 years.
    Acta Otorhinolaryngol Ital 2016 Dec;36(6):450-458
    Otorhinolaryngology, Head & Neck Surgery Department, University Hospital of Vigo, Spain.
    The treatment of supraglottic carcinoma remains a controversial issue. Five accepted surgical and non-surgical oncological treatments have been currently established: standard horizontal supraglottic laryngectomy (HSL), supraglottic CO2 laser microsurgery (TLM), transoral robotic surgery, radiotherapy alone and radiotherapy in combination with chemotherapy. Some studies have shown that complications of head and neck surgeries increase significantly in patients over 65 years compared to younger patients. Read More

    Supracricoid laryngectomy for recurrent laryngeal cancer after chemoradiotherapy: a systematic review and meta-analysis.
    Acta Otorhinolaryngol Ital 2016 Dec;36(6):439-449
    Otolaryngology Head and Neck Surgery Unit of "Azienda Ospedaliera di Rilievo Nazionale dei Colli, Ospedale Monaldi", Naples, Italy.
    Residual or recurrent laryngeal cancer after irradiation is a difficult clinical problem with a rate that ranges from 13% to 36% of cases. Supracricoid laryngectomy (SCL) with cricohyoidopexy (CHP) or cricohyoidoepiglottopexy (CHEP) provide reliable oncological and functional results for selected primary and recurrent patients with glottic and supraglottic carcinomas. We conducted a systematic review and meta-analysis to assess the oncological and functional outcomes of patients treated with open partial horizontal laryngectomy types IIa and IIb (CHEP, CHP) in terms of the recurrence of squamocellular cancer of the larynx after radiotherapy failure. Read More

    Starplasty tracheostomy: case series and literature review.
    Eur Arch Otorhinolaryngol 2017 Feb 7. Epub 2017 Feb 7.
    Department of Otolaryngology, Head and Neck Surgery, Shaare Zedek Medical Center, 12 Bayit Street, P.O. Box 3235, 91031, Jerusalem, Israel.
    Objectives: The starplasty tracheostomy (SPT) technique has been suggested to reduce the short-term complications of tracheostomy, including accidental decannulation and pneumothorax. The aim of the present study was to conduct a review of key parameters prior to and following treatment of neonates and children with the SPT technique, including indications, complications, perioperative department stay, and overall length of stay in one University-Affiliated Medical Center.

    Methods: A retrospective chart review of all children under the age of 18 underwent SPT in a single center between February 2006 and January 2012. Read More

    Multiple myeloma presenting with bilateral ankle pain (microangiopathy) and complicated by streptococcal meningitis and Pneumocystis carinii pneumonia.
    BMJ Case Rep 2017 Feb 7;2017. Epub 2017 Feb 7.
    Department of Emergency and Intensive Care Medicine, Royal Berkshire NHS Foundation Trust, Reading, UK.
    Multiple myeloma is characterised by the neoplastic proliferation of a single clone of plasma cells producing a monoclonal immunoglobulin. This clone of plasma cells proliferates in the bone marrow, resulting in extensive skeletal destruction with osteolytic lesions, osteopenia and pathological fractures. Additional disease-related complications include hypercalcaemia, renal insufficiency, anaemia and infection. Read More

    Palliative care approaches to neonates with chronic respiratory failure.
    Semin Perinatol 2017 Feb 3. Epub 2017 Feb 3.
    Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave, Box #45, Chicago, IL 60611. Electronic address:
    Neonates with chronic respiratory failure have uncertain prognosis and can face significant treatment burden. As the trajectory of the illness becomes more concerning, consultation with a pediatric palliative service should be considered, especially as therapeutic options shift from standard to "innovative." Benefits include as follows: supporting emotionally conflicted providers and parents, maintaining transparency in determination of goals, and balancing medical progress with each individual patient's and family's best interests. Read More

    Intravenous Poison Hemlock Injection Resulting in Prolonged Respiratory Failure and Encephalopathy.
    J Med Toxicol 2017 Feb 6. Epub 2017 Feb 6.
    Department of Emergency Medicine, Wake Forest Baptist Medical Center, Meads Hall 1 Medical Center Blvd, Winston Salem, NC, 27103, USA.
    Background: Poison hemlock (Conium maculatum) is a common plant with a significant toxicity. Data on this toxicity is sparse as there have been few case reports and never a documented poisoning after intravenous injection.

    Objectives: We present a case of intravenous poison hemlock injection encountered in the emergency department. Read More

    A Predictive Model for Prognosis in Motor Neuron Disease.
    J Neurol Disord 2016 Dec 29;4(8). Epub 2016 Nov 29.
    School of Health Sciences, University of Brasilia, DF, Brazil.
    Objectives: There have been attempts to establish biomarkers for motor neuron disease, without success. The study aim to seek possible markers to be used in the clinical routine evaluation, to optimize timing for palliative interventions.

    Methods: A cohort study evaluated clinical, respiratory and neurophysiological variables every 3-4 months across 20 months in 101 patients with motor neuron disease using riluzole. Read More

    Update on traumatic acute spinal cord injury. Part 2.
    Med Intensiva 2017 Feb 1. Epub 2017 Feb 1.
    Unidad de Cuidados Intensivos, Complexo Hospitalario Universitario de A Coruña, A Coruña, España. Electronic address:
    The aim of treatment in acute traumatic spinal cord injury is to preserve residual neurologic function, avoid secondary injury, and restore spinal alignment and stability. In this second part of the review, we describe the management of spinal cord injury focusing on issues related to short-term respiratory management, where the preservation of diaphragmatic function is a priority, with prediction of the duration of mechanical ventilation and the need for tracheostomy. Surgical assessment of spinal injuries based on updated criteria is discussed, taking into account that although the type of intervention depends on the surgical team, nowadays treatment should afford early spinal decompression and stabilization. Read More

    Discussing Life-sustaining Therapy With Surrogate Decision Makers.
    Continuum (Minneap Minn) 2017 Feb;23(1, Cerebrovascular Disease):254-258
    Clinicians caring for patients with severe stroke in intensive care units often grapple with requests from surrogate decision makers for life-prolonging treatment that members of the care team may believe to be futile. An example is a surrogate decision maker's request to place a tracheostomy and feeding tube in a patient who, in the clinical judgment of the neurocritical care team, is very unlikely to recover interactive capacity. This article presents a case, discusses definitions of medical futility, and summarizes recommended steps for mediating conflict regarding potentially inappropriate treatment. Read More

    Subglottic Metastatic Rectal Adenocarcinoma: A Specialist Multidisciplinary Airway Team Approach for Optimized Voice and Airway Outcome.
    Case Rep Otolaryngol 2017 5;2017:2131068. Epub 2017 Jan 5.
    Department of Otolaryngology-Head and Neck Surgery, Northwick Park Hospital, London North West Healthcare NHS Trust, London, UK.
    A 56-year-old female with a background of metastatic rectal adenocarcinoma presented with a subglottic mass causing biphasic stridor. Transoral laser microsurgery and the use of fibrin glue prevented the need for tracheostomy. Six months postoperatively there was no evidence of recurrence. Read More

    How should this patient with repeated aspiration pneumonia be managed and treated?-a proposal of the Percutaneous ENdoscopIc Gastrostomy and Tracheostomy (PENlIGhT) procedure.
    J Thorac Dis 2016 Dec;8(12):3720-3727
    Department of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
    Cerebrovascular accident (CVA) is commonly seen among the elderly with a substantial proportion of patients suffering from long-term dysphagia and/or an inability to protect their airway. This potentially imposes on them an increased risk of malnutrition and aspiration pneumonia. In this article, we present a patient with malnutrition and dysphagia secondary to CVA. Read More

    Parma tracheostomy technique: a hybrid approach to tracheostomy between classical surgical and percutaneous tracheostomies.
    J Thorac Dis 2016 Dec;8(12):3633-3638
    Parma Medical School, University of Parma, Parma, Italy.
    Background: The aim of our study is to compare the classical surgical tracheostomy (TT) technique with a modified surgical technique designed and created by the cardiothoracic surgery staff of our department to reduce surgical trauma and postoperative complications. This modified technique combines features of percutaneous TT and surgical TT avoiding the use of specialized tools, which are required in percutaneous TT.

    Methods: From October 2008 to March 2014 we performed 67 tracheostomies using this New Modified Surgical Technique (NMST) and 56 TT with the Classical Surgical Technique (CST). Read More

    "Footprints in the Bathroom": The Role of Spirituality in Patient Diagnosis.
    J Dev Behav Pediatr 2017 Feb/Mar;38 Suppl 1:S79-S81
    Veronica Meneses, MD, MSHS, Douglas Vanderbilt, MD, Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA. Linda Barnes, PhD, Department of Family Medicine, Boston University School of Medicine, Boston, MA. Marilyn, Augustyn, MD, Department of Pediatrics, Boston University School of Medicine, Boston, MA.
    Case: Lucy is a 12-year-old Latina whose mother brought her to the pediatric clinic for help with her anxiety symptoms, "hearing voices," and episodes of "spacing out." Lucy did not cry at birth secondary to vocal cord paralysis and still has the tracheostomy performed at a few days of life. In addition to her neonatal intensive care unit stay, she has been hospitalized for pneumonia. Read More

    Tracheal Cartilaginous Sleeve in Syndromic Craniosynostosis: An Underrecognized Source of Significant Morbidity and Mortality.
    J Craniofac Surg 2017 Jan 30. Epub 2017 Jan 30.
    *Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine †Department of Otolaryngology, Texas Children's Hospital, Houston, TX.
    Tracheal cartilaginous sleeve (TCS) is a rare and previously unrecognized source of morbidity and mortality in patients with certain craniosynostosis syndromes. There is a paucity of reporting on this airway anomaly, and the true incidence of TCS is largely unknown. The purpose of this study was to investigate the incidence of TCS among patients with syndromic craniosynostosis at our institution. Read More

    Risk Factors for Tracheostomy Requirement in Extremely Low Birth Weight Infants.
    J Matern Fetal Neonatal Med 2017 Jan 31:1-15. Epub 2017 Jan 31.
    c Department of Pediatrics at Drexel University College of Medicine , Philadelphia , United States.
    Aim: To identify variables that affect the risk for tracheostomy in a population of extremely low birth weight (ELBW) infants.

    Methods: A retrospective matched case-control study was conducted. ELBW infants with a tracheostomy were compared with controls without tracheostomy. Read More

    Intratracheal Keloid.
    Fetal Pediatr Pathol 2017 Feb 27;36(1):87-88. Epub 2017 Jan 27.
    a Laboratory , Children's Hospital of New Orleans , New Orleans , Louisiana , USA.
    Background: Keloidal scarring can complicate surgical procedures.

    Case Report: This 21-month-old African-American child developed a keloid around his tracheostomy that extended into the trachea.

    Conclusion: Keloidal formation from a tracheostomy site can extend into the trachea. Read More

    Knowledge, Skills and Experience Managing Tracheostomy Emergencies: A Survey of Critical Care Medicine trainees >.
    Ir Med J 2016 Oct 12;109(9):471. Epub 2016 Oct 12.
    Department of Critical Care Medicine, Mater Misericordiae University Hospital, Eccles St, Dublin 7.
    Since the development of percutaneous tracheostomy, the number of tracheostomy patients on hospital wards has increased. Problems associated with adequate tracheostomy care on the wards are well documented, particularly the management of tracheostomy-related emergencies. A survey was conducted among non-consultant hospital doctors (NCHDs) starting their Critical Care Medicine training rotation in a university affiliated teaching hospital to determine their basic knowledge and skills in dealing with tracheostomy emergencies. Read More

    [A case of bronchiolitis obliterans secondary to human metapneumovirus bronchiolitis].
    Mikrobiyol Bul 2016 Oct;50(4):606-612
    Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Pediatric Intensive Care Unit, Istanbul, Turkey.
    Human metapneumovirus (hMPV), formerly classified in Paramyxoviridae family is now moved into Pneumoviridae, which was described as a novel family. It causes upper and lower respiratory tract infections (LRTIs) usually in children younger than five years old. The recent epidemiological studies indicated that hMPV is the second most frequently detected virus in LRTIs of young children, following the respiratory syncytial virus (RSV). Read More

    Anatomic criteria determining high-risk carotid surgery patients.
    J Cardiovasc Surg (Torino) 2017 Jan 25. Epub 2017 Jan 25.
    Department of Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany -
    Background: Based on randomized trials, carotid endarterectomy (CEA) is the standard procedure for patients with a 50-99% symptomatic carotid stenosis and carefully selected patients with an asymptomatic high-grade carotid stenosis. Carotid artery stenting (CAS) is a technical alternative for patients with a high surgical risk or difficult anatomic conditions (e.g. Read More

    The 'wayfinding' experience of family carers who learn to manage technical health procedures at home: a grounded theory study.
    Scand J Caring Sci 2017 Jan 25. Epub 2017 Jan 25.
    Rehabilitation Teaching and Research Unit, Department of Medicine, University of Otago, Wellington, New Zealand.
    Background: With more care taking place in the home, family carers play an important role in supporting patients. Some family carers undertake technical health procedures generally managed by health professionals in hospital settings (e.g. Read More

    A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report.
    Acta Med Iran 2016 Dec;54(12):812-816
    Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
    Parapharyngeal abscess is a life-threatening disease. Upper respiratory tract infection is the main cause in children. We present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. Read More

    Successful tracheostomy decannulation after complete or sensory incomplete cervical spinal cord injury.
    Spinal Cord 2017 Jan 24. Epub 2017 Jan 24.
    Department of Rehabilitation Medicine, Pulmonary Rehabilitation Center, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea.
    Study Design: Retrospective study.

    Objectives: To report the successful tracheostomy decannulation/extubation in cervical spinal cord injury (C-SCI) patients.

    Setting: Tertiary university hospital, pulmonary rehabilitation center. Read More

    A Case Report: Establishing a Definitive Airway in a Trauma Patient With a King Laryngeal Tube In Situ in the Presence of a Closed Head Injury and Difficult Airway: "Between the Devil and the Deep Blue Sea".
    A A Case Rep 2017 Jan 20. Epub 2017 Jan 20.
    From the *Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada; and †Department of Otolaryngology, Queen's University, Hotel Dieu Hospital, Kingston, Ontario, Canada.
    Airway management in trauma is a crucial skill, because patients are at risk of aspiration, hypoxia, and hypoventilation, all of which may be fatal in the setting of increased intracranial pressure. The King Laryngeal Tube reusable supraglottic airway (King Systems, Noblesville, IN) allows for temporary management of a difficult airway but poses a challenge when an attempt is made to exchange the device for an endotracheal tube, often managed by emergency tracheostomy. We describe a novel fiberoptic, video laryngoscope-assisted approach to intubation in a difficult trauma airway with an in situ King Laryngeal Tube. Read More

    Percutaneous Dilatational Tracheostomy via Griggs Technique.
    Arch Iran Med 2017 Jan;20(1):49-54
    Faculty of Paramedical, Department of Anesthesiology, Kermanshah University of Medical Science, Kermanshah, Iran.
    Background: Tracheostomy is considered the airway management of choice for patients who need prolonged mechanical ventilation support. Percutaneous Dilatational Tracheotomy (PDT) is a technique that can be performed easily and rapidly at bedside and is particularly useful in the intensive care setting. The Griggs percutaneous tracheotomy is unique in its utilization of a guide wire dilator forceps. Read More

    Laryngotracheal Stenosis.
    Otolaryngol Head Neck Surg 2017 Feb 26;156(2):321-328. Epub 2016 Oct 26.
    1 Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
    Objective Laryngotracheal stenosis (LTS) is a fibrotic process that narrows the upper airway and has a significant impact on breathing and phonation. Iatrogenic injury from endotracheal and/or tracheostomy tubes is the most common etiology. This study investigates differences in LTS etiologies as they relate to tracheostomy dependence and dilation interval. Read More

    Prognostic role of margin status in open and CO2 laser cordectomy for T1a-T1b glottic cancer.
    Braz J Otorhinolaryngol 2016 Dec 24. Epub 2016 Dec 24.
    University of Turin, Surgical Sciences Department, 2nd ENT Division, Turin, Italy.
    Introduction: Cordectomy by laringofissure and transoral laser surgery has been proposed for the treatment of early glottic cancer.

    Objectives: The aim of this retrospective study was to evaluate the prognostic value of margin status in 162 consecutive cases of early glottic carcinoma (Tis-T1) treated with CO2 laser endoscopic surgery (Group A) or laryngofissure cordectomy (Group B), and to compare the oncologic and functional results.

    Methods: Clinical prognostic factors, local recurrence rate according to margin status, overall survival and disease-free survival were analyzed. Read More

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