18,494 results match your criteria intubation time

Subcutaneous emphysema and spontaneous pneumomediastinum in non-intubated COVID-19 patient: Presenting unusual case report.

Int J Surg Case Rep 2021 Jun 10;84:106071. Epub 2021 Jun 10.

Department of Critical Care Nursing, College of Nursing, Urmia University of Medical Science, Iran. Electronic address:

Introduction And Importance: In non-intubated COVID-19 patients, subcutaneous emphysema and spontaneous pneumomediastinum (SPM) remain rarely, with incidence rates of 3.0 and 1.2 per 100,000, respectively; nevertheless, the occurrence of these conditions in COVID-19 patients is unclear. Read More

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Cost-effectiveness of the i-gel Supraglottic Airway Device compared to Tracheal Intubation During Out-of-Hospital Cardiac Arrest: Findings from the AIRWAYS-2 Randomised Controlled Trial.

Resuscitation 2021 Jun 11. Epub 2021 Jun 11.

Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK; Oxford NIHR Biomedical Research Centre, Oxford, UK. Electronic address:

Aim: Optimal airway management during out-of-hospital cardiac arrest (OHCA) is uncertain. Complications from tracheal intubation (TI) may be avoided with supraglottic airway (SGA) devices. The AIRWAYS-2 cluster randomised controlled trial (ISRCTN08256118) compared the i-gel SGA with TI as the initial advanced airway management (AAM) strategy by paramedics treating adults with non-traumatic OHCA. Read More

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[Manikin-based comparison of the use of different supraglottic airways by laypersons].

Med Klin Intensivmed Notfmed 2021 Jun 14. Epub 2021 Jun 14.

Abteilung für Anästhesie, Krankenhaus der Barmherzigen Brüder, Trier, Deutschland.

Background: Supraglottic airways (SGA) are an established method of airway management both in prehospital medicine and clinical settings. Endotracheal intubation is the gold standard, but SGA offer advantages in terms of faster application learnability.

Objectives: In the present study it was investigated whether the time until the first sufficient ventilation in the three examined SGAs applied by bystander differed significantly. Read More

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Intensive care nurses' evidence-based knowledge and experiences regarding closed suctioning system.

Niger J Clin Pract 2021 Jun;24(6):883-891

Department of Fundamentals Nursing, Dokuz Eylul University, Faculty of Nursing, Balcova, Izmir, Turkey.

Background: Endotracheal suctioning is a vital procedure performed by intensive care nurses to maintain airway patency and optimal gas exchange in critically ill patients under mechanical ventilation. As the procedure can cause several complications, intensive care nurses should have adequate evidence-based knowledge on how to perform the procedure.

Aims: This study aimed at examining intensive care nurses' knowledge and experience of the closed suctioning system. Read More

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Airway Management in Singers: A Cross-sectional Survey.

J Voice 2021 Jun 10. Epub 2021 Jun 10.

Department of Otolaryngology Head & Neck Surgery, Medical College of Georgia at Augusta University, Augusta, GA , USA.

Objective: To review and establish current practices regarding airway management in vocal professionals undergoing surgery.

Study Design: Cross-sectional survey SETTING: The setting included practitioners that treat vocal professionals across international sub-specialty societies.

Subjects And Methods: A twenty-one-item survey was sent to practitioners that routinely treat vocal professionals including the American Broncho-Esophagological Association, European Laryngological Society, and 2017 Fall Voice Conference attendees. Read More

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Successful Reposition of Prolapsed Silicone Tube Using Hole and Lacrimal Probe Method.

Korean J Ophthalmol 2021 Jun 4;35(3):231-234. Epub 2021 Jun 4.

HanGil Eye Hospital, Incheon, Korea.

Purpose: Silicone tube intubation is the most common method for treatment of nasolacrimal drainage disorder or repair of lacerated canaliculus. However, some cases are prolapsed earlier than expected, subsequently affecting the success rate of silicone tube intubation. The author introduced a successful reposition of the prolapsed silicone tube. Read More

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Early vs. late tracheostomy in ventilated COVID-19 patients - A retrospective study.

Am J Otolaryngol 2021 Jun 7;42(6):103102. Epub 2021 Jun 7.

Department of Otolaryngology Head and Neck Surgery, Sheba Medical Center, Tel-Hashomer, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Background: Tracheostomy is one of the most common surgical procedures performed on ventilated COVID-19 patients, yet the appropriate timing for operating is controversial.

Objectives: Assessing the effect of early tracheostomy on mortality and decannulation; elucidating changes in ventilation parameters, vasopressors and sedatives dosages immediately following the procedure.

Methods: A retrospective cohort of 38 ventilated COVID-19 patients, 19 of them (50%) underwent tracheostomy within 7 days of intubation (early tracheostomy group) and the rest underwent tracheostomy after 8 days or more (late tracheostomy group). Read More

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A Standardized Extubation Schedule Reduce Respiratory Events After Extubation Following Mandibular Distraction in Infants.

J Oral Maxillofac Surg 2021 May 12. Epub 2021 May 12.

Department of Intensive Care Unit, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. Electronic address:

Background: The rational time for intubation during early mandibular distraction osteogenesis (MDO) in infants is unknown. To investigate the differences in clinical outcomes following MDO before and after a standardized extubation protocol implementation in infants.

Methods: A retrospective cohort study was performed for infants patients under 1 year old undergoing MDO. Read More

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Trends in Endotracheal Intubation During In-Hospital Cardiac Arrests: 2001-2018.

Crit Care Med 2021 Jun 9. Epub 2021 Jun 9.

Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA. Center for the Study of Healthcare Innovation, Implementation, and Policy, Health Services Research and Development, Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA. Center for Resuscitation Science, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. Division of Hospital Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA. Division of Pulmonary, Critical Care Medicine, and Sleep Medicine Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Objectives: Airway management during in-hospital cardiac arrest represents a fundamental component of resuscitative efforts, yet little is known about temporal trends in intubation during in-hospital cardiac arrest. Our objective was to investigate changes in in-hospital cardiac arrest airway management over time and in response to national guideline updates.

Design: Observational cohort study of a prospectively collected database. Read More

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[Effect of dexmedetomidine on swallowing function of patients undergoing awake intubation in oral and maxillofacial surgery].

Shanghai Kou Qiang Yi Xue 2021 Apr;30(2):206-209

Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China.

Purpose: To evaluate the sedative effect of dexmedetomidine in awake intubation and its influence on swallowing function.

Methods: Fifty patients with awake intubation in oral and maxillofacial surgery were randomly divided into two groups: dexmedetomidine(DEX) group and midazolam+fentanyl(MF) group. 15 min before intubation, patients in DEX group were intravenously given 50 mL dexmedetomidine(1. Read More

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Surgical and Radiological Management of Complicated Uterine Leiomyoma Aided by 3D Models in a Patient with Fibrodysplasia Ossificans Progressiva.

Am J Case Rep 2021 Jun 10;22:e931614. Epub 2021 Jun 10.

Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

BACKGROUND Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal dominant disorder of the connective tissue. Over time, patients with FOP experience decreased range of motion in the joints and the formation of a second skeleton, limiting mobility. Patients with FOP are advised to avoid any unwarranted surgery owing to the risk of a heterotopic ossification flare-up. Read More

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Cecal intubation time in screening colonoscopy.

Hyun Young Kim

Medicine (Baltimore) 2021 May;100(19):e25927

Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea.

Abstract: The time required to intubate the cecum varies. The aim of this study was to determine whether demographic and anthropometric factors, such as body mass index (BMI), percent body fat, muscle mass, and fat mass, affect the cecal intubation time (CIT) during complete colonoscopy.A retrospective chart review of 1229 patients (aged 40-80 years) was performed. Read More

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An initial learning experience of tracheal intubation with video laryngoscope: Experiences from a novice PGY.

Medicine (Baltimore) 2021 May;100(19):e25723

Department of Anesthesiology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Abstract: Tracheal intubation is an essential technique for many healthcare professionals and one of the mega code simulations in advanced cardiac life support. In recent years, video laryngoscopy (VL) has provided a rescue for difficult airways during intubation and has proven to have higher success rates. Moreover, VL facilitates a more rapid learning curve for inexperienced doctors. Read More

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Comparison of direct and video laryngoscope endotracheal intubations by pediatric residents: A study of a child model with normal airway.

Turk Arch Pediatr 2021 1;56(3):224-229. Epub 2021 May 1.

Pediatric Emergency Clinic, University of Health Sciences Tepecik Training and Research Hospital Izmir, Turkey.

Objective: This study aimed to compare the efficacy of direct and videolaryngoscopy procedures performed by pediatric residents who had limited experience of direct endotracheal intubation and had not previously used video laryngoscopes in a normal airway child manikin.

Material And Methods: The endotracheal intubations performed by pediatric residents with a direct laryngoscope and Storz C-MAC videolaryngoscope on a pediatric manikin with a normal airway were compared. Theoretical and practical training was given before the study. Read More

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Open Appendicectomy under Spinal Anesthesia-A Valuable Alternative during COVID-19.

Surg J (N Y) 2021 Apr 3;7(2):e69-e72. Epub 2021 Jun 3.

Department of Colorectal Surgery, Milton Keynes University Hospital, Standing Way, Milton Keynes, United Kingdom.

 Concerns relating to coronavirus disease 2019 (COVID-19) and general anesthesia (GA) prompted our department to consider that open appendicectomy under spinal anesthesia (SA) avoids aerosolization from intubation and laparoscopy. While common in developing nations, it is unusual in the United Kingdom. We present the first United Kingdom case series and discuss its potential role during and after this pandemic. Read More

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Evaluation of a novel colonoscope offering flexibility adjuster - a retrospective observational study.

Therap Adv Gastroenterol 2021 30;14:17562848211013494. Epub 2021 May 30.

Interdisciplinary Endoscopy, First Medical Department, University Medical Center Mainz, Mainz, Germany.

Background: Although colonoscopy is the gold standard for colorectal cancer screening, colonic looping may make complete colonoscopy challenging. Commonly available stiffening device colonoscopy has been described as helpful but not effective enough to prevent looping. In this context the effect on cecal intubation time and rate was described differently in various studies and in some studies had no impact on cecal intubation time at all. Read More

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Post operative sore throat: Comparison between Macintosh versus Video Laryngoscope in patients intubated by trainee anaesthetists - A Randomised Control Trial.

Pak J Med Sci 2021 May-Jun;37(3):764-769

Amir Raza Statistician, Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.

Objectives: Postoperative sore throat (POST) is a common complication related to endotracheal intubation. The aim of this study was to compare the incidence of POST in patients intubated by trainee anaesthetist using Video Laryngoscope™ (VDL) or Conventional Macintosh Laryngoscope (CL).

Methods: Total 110 patient scheduled for elective laparoscopic cholecystectomy were included from main operating room of Aga Khan University Hospital between June 2017-2018. Read More

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Effect of intracuff dexamethasone on incidence and severity of post operative sore -Prospective randomized study.

J Anaesthesiol Clin Pharmacol 2021 Jan-Mar;37(1):114-118. Epub 2021 Apr 10.

Department of Anaesthesiology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, India.

Background And Aims: Postoperative sore throat (POST) continues to be a common concern following endotracheal intubation. Objectives of the present study were to compare the effects of intracuff dexamethasone on the incidence and severity of POST, postoperative hoarseness of voice (POHV) and cough (POC).

Material And Methods: This prospective, randomized, double blinded study was conducted in 60 patients undergoing short laparoscopic surgery lasting <2 h. Read More

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Haemodynamic responses following orotracheal intubation in patients with hypertension---Macintosh direct laryngoscope versus Glidescope®videolaryngoscope.

Indian J Anaesth 2021 Apr 15;65(4):321-327. Epub 2021 Apr 15.

Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Background And Aims: Glidescope®videolaryngoscope (GVL) is a video intubation system with 60° angle blade that provides excellent laryngeal view, does not require alignment of oral, pharyngeal, and laryngeal axes for visualisation of glottis, thus causing less stimulation of orolaryngopharynx. The aim of this study was to compare haemodynamic responses (blood pressure and heart rate) and airway morbidity using the Macintosh direct laryngoscope (MDL) and the Glidescope®videolaryngoscope (GVL) in hypertensive patients.

Methods: Fifty patients with hypertension controlled on antihypertensive medications scheduled for elective surgery under general anaesthesia were randomly assigned to group GVL ( = 25) or group MDL ( = 25). Read More

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Retention of Critical Procedural Skills After Simulation Training: A Systematic Review.

AEM Educ Train 2021 Jul 16;5(3):e10536. Epub 2020 Oct 16.

the Children's Hospital of Eastern Ontario (CHEO) University of Ottawa Ottawa Ontario Canada.

Objective: While short-term gains in performance of critical emergency procedures are demonstrated after simulation, long-term retention is relatively uncertain. Our objective was to determine whether simulation of critical emergency procedures promotes long-term retention of skills in nonsurgical physicians.

Methods: We searched multiple electronic databases using a peer-reviewed strategy. Read More

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CPR compression strategy 30:2 is difficult to adhere to, but has better survival than continuous chest compressions when done correctly.

Resuscitation 2021 Jun 5;165:31-37. Epub 2021 Jun 5.

Department of Emergency Medicine, Oregon Health & Science University, Portland, OR United States.

Background: A large, randomized trial showed no significant difference in survival to discharge between cardiopulmonary resuscitation (CPR) strategies of 30 compressions with pause for 2 ventilations per cycle (30:2) and continuous chest compression with asynchronous ventilations (CCC). Data from the same trial suggested that adherence to the intended CPR strategy was associated with significantly greater survival. We sought to determine the adherence rate with intended strategy and then explore the association of adherence with survival to discharge in the Resuscitation Outcomes Consortium (ROC). Read More

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Factors Affecting Cecal Intubation Time in Colonoscopy: Impact of Obesity.

Cureus 2021 May 31;13(5):e15356. Epub 2021 May 31.

General Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, TUR.

Objective This study aims to determine the factors that prolong cecal intubation time (CIT) and determine the effect of obesity on CIT measured using multiple indexes. Methods Patients who underwent elective colonoscopy between July 10, 2020, and January 20, 2021, were evaluated in this prospective observational study. Age, gender, constipation, bowel preparation, presence of diverticulosis, previous surgery history, auxiliary maneuver and additional analgesic requirement, cecum intubation length (CL) and obesity indices [body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR)] were analyzed. Read More

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Comparison of Videolaryngoscope and Intubating Laryngeal Mask Airway for Tracheal Intubation with Manual-in-line Stabilization in Patients Undergoing Cervical Spine Surgery.

Anesth Essays Res 2020 Jul-Sep;14(3):485-491. Epub 2020 Nov 26.

Department of Anaesthesiology and Critical Care, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Background: This prospective, randomized study compared CMAC videolaryngoscope with intubating laryngeal mask airway (ILMA) for intubation under manual-in-line-stabilization (MILS) in patients undergoing cervical spine surgery. Settings and Design: Sixty-five ASA Physical Status Classes I and II patients aged 18-65 years undergoing elective cervical spine surgery were randomly allocated into two groups: group CM-intubation with CMAC videolaryngoscope ( = 33) and Group IL-intubation using ILMA ( = 32).

Materials And Methods: Intubation was performed in all patients after the application of MILS. Read More

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November 2020

Comparison of Oral Clonidine and Gabapentin Premedication for Attenuation of Pressor Response to Laryngoscopy and Endotracheal Intubation.

Anesth Essays Res 2020 Jul-Sep;14(3):412-419. Epub 2021 Mar 22.

Batra Hospital and Medical Research Centre, New Delhi, India.

Background: During the administration of general anesthesia, direct laryngoscopy and endotracheal intubation cause an increase in heart rate, arterial pressure, and dysrhythmias in upto 90% of patients. These changes can be particularly hazardous for patients with cerebral or coronary diseases. Both clonidine and gabapentin have been used for anesthetic effects, but a better drug for controlling hemodynamic parameters is being investigated. Read More

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Comparison of Conventional Technique versus Modified Tube First Technique of Awake Nasotracheal Fiber-optic Intubation: A Randomized Control Open-Label Trial.

Anesth Essays Res 2020 Jul-Sep;14(3):395-400. Epub 2021 Mar 22.

Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Background: Although the conventional awake fiber-optic nasal intubation is most commonly used in anticipated difficult tracheal intubation, it has several potential difficulties.

Aims: The aim of this study is to compare another technique modified tube first (MTF) technique with the conventional one in terms of time taken, ease of glottis visualization, number of attempts needed, and complications.

Settings And Design: This was a prospective, randomized, open-label trial conducted on 60 patients with an anticipated difficult airway undergoing oromaxillofacial surgery at a tertiary care center. Read More

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Supraventricular tachycardia in children from the perspective of a specialised between-hospital transport team.

An Pediatr (Engl Ed) 2020 Oct 20;93(4):236-241. Epub 2020 Sep 20.

Servicio de Cardiología Pediátrica, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain; Paediatric Cardiology Department, Royal Brompton and HarefieldNHS Foundation Trust, Chelsea, Londres, United Kingdom. Electronic address:

Aims: The aim of this study is to establish the incidence of supraventricular tachycardia (SVT) as a main reason for between-hospital transfer in children, as well as to describe the clinical presentation, prognosis and treatment, risk factors presenting with haemodynamic compromise, and to propose a specific management protocol for the transport.

Methods: A retrospective observational study was conducted on all patients with supraventricular tachycardia transferred by the Hospital Vall d'Hebron Sistema de Emergencias Médicas Pediátricas (SEM-P) between January 2005 and June 2017.

Results: During the study period, 67 (0. Read More

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October 2020

Early extubation strategy after congenital heart surgery: 1-year single-centre experience.

Cardiol Young 2021 Jun 7:1-7. Epub 2021 Jun 7.

Department of Cardiology, Children's Hospital, Boston, MA, USA.

Introduction: Our aim was to present the initial experience with a protocol-driven early extubation strategy and to identify risk factors associated with failed spontaneous breathing trials within 12 hours after surgery.

Methods: A single institutional retrospective study of children up to 18 years of age was conducted in post-operative cardiac surgical patients over a 1-year period. A daily spontaneous breathing trial protocol was used to assess patients' readiness for extubation. Read More

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Effect of remimazolam on intraoperative neuromonitoring during thyroid surgery: a case series.

J Anesth 2021 Jun 5. Epub 2021 Jun 5.

Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Japan.

Intraoperative neuromonitoring is widely used to prevent accidental injury during thyroid surgery. Anesthesia should be performed without muscle relaxant or agents with high muscle-relaxant potency. Remimazolam, a novel intravenous anesthetic, became available for clinical use in 2020. Read More

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Efficacy and Safety of Levetiracetam vs. Phenytoin as Second Line Antiseizure Medication for Pediatric Convulsive Status Epilepticus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

J Trop Pediatr 2021 05;67(2)

Pediatric Neurology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.

Objective: To evaluate the efficacy and safety of levetiracetam (LEV) in comparison to phenytoin (PHT) as second line antiseizure medication (ASM) for Pediatric convulsive status epilepticus (SE).

Data Source: PubMed, Embase, Google scholar/Google, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials.

Study Selection: Randomized controlled trials (RCTs) assessing LEV and PHT as second line agent for convulsive SE in children <18 years published between 1 January 2000 and 30 November 2020. Read More

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Tracheostomy is Safe in Patients With Prolonged Intubation After Coronavirus Disease 2019 Infection.

J Surg Res 2021 Apr 27;266:361-365. Epub 2021 Apr 27.

Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey. Electronic address:

Background: Tracheostomy improves outcomes for critically ill patients requiring prolonged mechanical ventilation. Data are limited on the use and benefit of tracheostomies for intubated, critically ill coronavirus disease 2019 (COVID-19) patients. During the surge in COVID 19 infections in metropolitan New York/New Jersey, our hospital cared for many COVID-19 patients who required prolonged intubation. Read More

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