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Laryngoscope 2022 Jun 24. Epub 2022 Jun 24.

Department of Otolaryngology - Head and Neck Surgery, McGill University Health Centre, Montreal, Quebec, Canada.

Cureus 2022 Jun 19;14(6):e26087. Epub 2022 Jun 19.

Orthopaedics, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers, Fukuoka, JPN.

Airway narrowing due to trauma-induced retropharyngeal hematoma is rare. However, it is dangerous to overlook this lesion because it can lead to airway obstruction and even death. In this article, we report a case of a patient who developed pharyngeal pain and dysphagia two days after bruising on the forehead due to a fall and required intubation management. Read More

Microorganisms 2022 Jun 14;10(6). Epub 2022 Jun 14.

Department of Molecular Medical Microbiology, Chair of Microbiology, Faculty of Medicine, Jagiellonian University Medical College, 31-121 Krakow, Poland.

: Bacterial biofilm on the surface of tracheostomy tubes (TTs) is a potential reservoir of potentially pathogenic bacteria, including . For this reason, our study aimed to investigate biofilm production in vitro and the presence of AD and MSCRAMM genes in clinical strains derived from TTs, with respect to antibiotic resistance and genetic variability. The clonality of the strains was analyzed by the PFGE method. Read More

Diagnostics (Basel) 2022 Jun 6;12(6). Epub 2022 Jun 6.

Department of Anaesthesiology and Intensive Care Medicine, Medical University Innsbruck, 6020 Innsbruck, Austria.

During the last five decades, lung sonography has developed into a core competency of intensive care medicine. It is a highly accurate bedside tool, with clear diagnostic criteria for most causes of respiratory failure (pneumothorax, pulmonary edema, pneumonia, pulmonary embolism, chronic obstructive pulmonary disease, asthma, and pleural effusion). It helps in distinguishing a hypovolemic from a cardiogenic, obstructive, or distributive shock. Read More

Rev Med Chil 2021 Nov;149(11):1544-1551

Unidad de Paciente Crítico, Hospital San Juan de Dios, Santiago, Chile.

Background: The overall mortality of patients with COVID-19 admitted to intensive care units is approximately 40%.

Aim: To describe the characteristics of a cohort of patients with COVID-19 who required invasive mechanical ventilation due to severe hypoxemic acute respiratory failure at a general hospital in Santiago, Chile.

Material And Methods: Review of medical records and follow up for 28 days of patients with COVID-19 confirmed by polymerase chain reaction who required invasive mechanical ventilation and who were admitted to the intensive care unit from March 24 to June 7, 2020. Read More

Biomed J 2021 Dec 27;44(6S1):S110-S118. Epub 2020 Jul 27.

Department of Anesthesiology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Anesthesiology, Xiamen Chang Gung Hospital, Xiamen, China. Electronic address:

Background: Emergency endotracheal intubations outside the operating room (OR) are associated with high complications. We compare the outcome of emergency endotracheal intubation in the general ward, the intensive care unit (ICU) and the emergency department (ED).

Methods: We retrospectively analyzed adult patients requiring emergency endotracheal intubation that called for anesthesiologists at our tertiary care institution from January 1, 2015 to December 31, 2016. Read More

CJC Open 2022 Jun 10;4(6):513-519. Epub 2022 Feb 10.

Tulane Research Innovation for Arrhythmia Discoveries, Tulane University School of Medicine, New Orleans, Louisiana, USA.

Background: Atrial fibrillation (AF) in acute ischemic stroke (AIS) is considered a binary entity regardless of AF type. We aim to investigate in-hospital morbidity and mortality among patients with nonparoxysmal AF-related AIS.

Methods: Patients hospitalized for AIS with associated paroxysmal or persistent AF were identified from the 2018 national inpatient sample database. Read More

Maedica (Bucur) 2022 Mar;17(1):64-73

Department of Anesthesiology and Critical Care, Subharti Medical College Meerut U.P. 250005, India.

Percutaneous dilational tracheostomy (PDT) is a frequently performed procedure in critically ill patients in hospital emergency department, intensive care unit (ICU) and operating theater (OT). The purpose of this study is to describe a technical modification of Griggs percutaneous tracheostomy by using two 7G and 12G dilators after undergoing sterilization by ethylene oxide. Two hundred patients underwent the procedure. Read More

Maedica (Bucur) 2022 Mar;17(1):230-233

Department of Otorhinolaryngology, University Hospital of Larissa, Greece.

Bilateral vocal cord paresis is a rare phenomenon caused by different underlying etiologies. Myasthenia gravis is included in this long differential diagnosis. Usually, it happens as part of a serious clinical state of a patient, that also suffers from generalized muscle weakness, diplopia, dysphagia, eyelid ptosis. Read More

J Artif Organs 2022 Jun 22. Epub 2022 Jun 22.

Department of Anesthesiology, Nippon Medical School, Tokyo, Japan.

In Japan, successful cases of a bridge to lung transplantation (BTT) by extracorporeal membrane oxygenation (ECMO) are rare. We present the case of a man in his thirties, diagnosed with interstitial pneumonia 6 years prior and registered for lung transplant 1 year prior due to disease progression despite treatment. Due to the patient's worsening respiratory failure, he was transferred to our hospital for BTT by ECMO. Read More

Braz J Otorhinolaryngol 2022 Jun 9. Epub 2022 Jun 9.

Children's Hospital of Fudan University, Department of Otolaryngology-Head and Neck Surgery, Shanghai, China.

Objective: Bilateral Vocal Fold Paralysis (BVFP) is a rare but significant resource of respiratory distress in neonates and infants. The objective of this study was to evaluate the efficacy and functional outcomes of Endoscopic Percutaneous Suture Lateralization (EPSL) for the treatment of BVFP in neonates and infants.

Methods: A case series study of nine patients undergoing EPSL for BVFP between January 2019 and June 2021 was conducted. Read More

Ann Otol Rhinol Laryngol 2022 Jun 20:34894221104955. Epub 2022 Jun 20.

Department of Otolaryngology, Children's National Medical Center, Washington, DC, USA.

Objective: To identify factors predicting success in slide tracheoplasty surgery at a regional children's hospital and compare with available published literature.

Measures: Retrospective chart review comparing demographics (age, weight) and clinical (operative and hospital course, need for additional airway intervention) factors experienced with slide tracheoplasty. Findings were compared with a systematic review of published literature. Read More

Indian J Crit Care Med 2022 May;26(5):654

Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India.

Kapoor I. Reply to Letter to Editor: Effect of Percutaneous Tracheostomy on Optic Nerve Sheath Diameter [TONS Trial]. Indian J Crit Care Med 2022;26(5):654. Read More

Indian J Crit Care Med 2022 May;26(5):653

ASL Salerno, Salerno, Italy.

Di Paola I, Graziano M, Cornetta P. Effect of Percutaneous Tracheostomy on Optic Nerve Sheath Diameter (TONS Trial). Indian J Crit Care Med 2022;26(5):653. Read More

Indian J Crit Care Med 2022 May;26(5):579-583

Department of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Introduction: Chronically critically ill (CCI) patients often have high costs of care and poor outcomes. Disease management programs offering home care may reduce costs but need buy-in from informal caregivers. An understanding of caregiver burden in this population is lacking. Read More

J Pediatr Surg 2022 May 11. Epub 2022 May 11.

Department of Paediatric Otolaryngology, Royal Hospital for Children, Glasgow, Scotland, UK.

Objectives: Tracheobronchomalacia (TBM), a condition where an abnormality of the tracheal walls causes collapse during the respiratory cycle, is a common cause of airway obstruction in childhood. TBM can present with a large spectrum of disease severity and underlying pathologies that may be managed medically and surgically, and it is not always clear which patients would most benefit from surgical intervention. We aim to describe the incidence, patient characteristics, and predictors of surgical intervention in a large cohort of paediatric patients. Read More

Am J Otolaryngol 2022 Jun 7;43(5):103525. Epub 2022 Jun 7.

Department of Otolaryngology-Head & Neck Surgery, University of Michigan Medical Center, Ann Arbor, MI, United States of America; Global Tracheostomy Collaborative, Raleigh, NC, United States of America. Electronic address:

Objective: To investigate perspectives of patients, family members, caregivers (PFC), and healthcare professionals (HCP) on tracheostomy care during the COVID-19 pandemic.

Methods: The cross-sectional survey investigating barriers and facilitators to tracheostomy care was collaboratively developed by patients, family members, nurses, speech-language pathologists, respiratory care practitioners, physicians, and surgeons. The survey was distributed to the Global Tracheostomy Collaborative's learning community, and responses were analyzed. Read More

Clin Neurol Neurosurg 2022 Jun 6;219:107329. Epub 2022 Jun 6.

Eskisehir Osmangazi University, Department of Neurology, Eskisehir, Turkey. Electronic address:

Objective: To determine clinical progression rates in patients with medulla oblongata infarction (MOI).

Materials And Methods: The data of patients diagnosed with MOI were analysed retrospectively. Dermographic characteristics of the patients; Age, gender, history and stroke etiology were evaluated. Read More

Semin Respir Crit Care Med 2022 Jun 17. Epub 2022 Jun 17.

Section of Interventional Pulmonology, Department of Pulmonary and Critical Care Medicine, Clinical Immunology and Allergy, David Geffen School of Medicine at University of California, Los Angeles, California.

Tracheostomy is a procedure commonly performed in intensive care units (ICU) for patients who are unable to be weaned from mechanical ventilation. Both percutaneous and surgical techniques have been validated and are chosen based on the local expertise available. A primary advantage to the percutaneous technique is the ability to perform this procedure in the ICU without transporting the patient to a procedure suite or operating room; this has become particularly important with the novel coronavirus disease 2019 (COVID-19) pandemic. Read More

Laryngoscope 2022 Jun 17. Epub 2022 Jun 17.

Department of Otolaryngology - Head & Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Objectives: To determine the incidence of tracheostomy accidental decannulations (AD) among pediatric inpatients and identify risks for these events.

Study Design: Prospective cohort.

Methods: All tracheostomy patients (≤18 years) admitted at a tertiary children's hospital between August 2018 and April 2021 were included. Read More

Indian J Crit Care Med 2022 Feb;26(2):167-173

Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India.

Background: Organophosphorus (OP) and carbamate pesticides are widely used for crop protection. We describe the spectrum of laryngeal abnormalities in patients admitted to the intensive care unit (ICU) with acute OP and carbamate poisoning as there is limited information on it.

Materials And Methods: Consecutive patients admitted to the ICU with acute OP and carbamate poisoning over 20 months (December 2014-July 2016) were recruited. Read More

Indian J Crit Care Med 2022 Feb;26(2):235-238

Department of Nephro Critical Care, Sir HN Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India.

Background: COVID-19 infection can be associated with systemic hyperinflammation, hypercoagulable state, vasculitis, and cardiomyopathy leading to multiorgan failure. Use of extracorporeal blood purification has been shown to mitigate the cytokine storm, improving hemodynamic stability and pulmonary function.

Case Summary: We report a case of a young patient with malignant cerebral edema due to acute cerebrovascular accident, with COVID-19. Read More

Acta Anaesthesiol Scand 2022 Jun 15. Epub 2022 Jun 15.

Division of Anaesthesia and Intensive Care, Perioperative Services at Landspitali, the National University Hospital of Iceland, Reykjavik, Iceland.

Background: Tracheostomies are commonly utilized in ICU patients due to prolonged mechanical ventilation, upper airway obstruction, or surgery in the face/neck region. However, practices regarding the timing of placement and utilization vary. This study provides a nationwide overview of tracheostomy utilization and outcomes in the ICU over a 14-year period. Read More

World Neurosurg 2022 Jun 11. Epub 2022 Jun 11.

Department of general surgery, Hayatabad Medical complex, Peshawar, Pakistan.

Background: Although posterior procedures are used for most cases of basilar invagination, transoral decompression is an important tool in complex deformities with severe degeneration and neural compression.

Methods: Consecutive patients who underwent transoral odontoidectomy for basilar invagination and atlantoaxial dislocation at the neurosurgical unit of Lady Reading Hospital Peshawar between June 2016 and January 2022 were retrospectively included. Preoperative and postoperative neurological, clinical and radiological parameters were recorded and compared. Read More

Florence Nightingale J Nurs 2022 Jun;30(2):126-132

Department of Nursing Principles, Ege University, Faculty of Nursing, İzmir, Turkey.

Aim: The study aimed to examine pain behavior during nursing interventions in patients who were on mechanical ventilation.

Method: The study was carried out in patients who were under treatment at a university hospital during the 2017-2018 period and who were connected to a mechanical ventilator and were unable to communicate verbally. In two intensive cares (n = 165), 568 pain assessments were made before and during nursing interventions (aspirating the respiratory tract, wound care, injection applications, bed bath, perineal care, mouth care, etc. Read More

J Bronchology Interv Pulmonol 2022 Apr 5. Epub 2022 Apr 5.

Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause severe respiratory failure leading to prolonged mechanical ventilation. Data are just emerging about the practice and outcomes of tracheostomy in these patients. We reviewed our experience with tracheostomies for SARS-CoV-2. Read More

J Intensive Care Med 2022 Jun 12:8850666221107839. Epub 2022 Jun 12.

Department of Anesthesiology, 2013Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA.

Objective: In many institutions, intensive care unit (ICU) nurses assess their patients' muscle function as part of their routine bedside examination. We tested the research hypothesis that this subjective examination of muscle function prior to extubation predicts tracheostomy requirement.

Methods: Adult, mechanically ventilated patients admitted to 7 ICUs at Beth Israel Deaconess Medical Center (BIDMC) between 2008 and 2019 were included in this observational study. Read More

J Neuromuscul Dis 2022 Jun 7. Epub 2022 Jun 7.

Astellas Gene Therapies (formerly Audentes Therapeutics), San Francisco, CA, USA.

BackgroundX-linked myotubular myopathy (XLMTM) is a life-threatening congenital myopathy that, in most cases, is characterized by profound muscle weakness, respiratory failure, need for mechanical ventilation and gastrostomy feeding, and early death.ObjectiveWe aimed to characterize the neuromuscular, respiratory, and extramuscular burden of XLMTM in a prospective, longitudinal study.MethodsThirty-four participants <  4 years old with XLMTM and receiving ventilator support enrolled in INCEPTUS, a prospective, multicenter, non-interventional study. Read More

Multidiscip Respir Med 2022 Jan 25;17:857. Epub 2022 May 25.

Hospital General Universitario Morales Meseguer, Molina Segura, Murcia, Spain.

Pediatr Crit Care Med 2022 Jun 10. Epub 2022 Jun 10.

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, MA.

Objectives: To describe epidemiology, interventions, outcomes, and the health services experience for a cohort of children with pulmonary hypertension (PH) who underwent tracheostomy placement and to identify risk factors for inhospital mortality and 30-day readmissions.

Design: Retrospective cohort study of the Pediatric Health Information System database.

Setting: Thirty-seven freestanding U. Read More