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Báo cáo y học: "The routine use of pediatric airway exchange catheter after extubation of adult patients who have undergone maxillofacial or major neck surgery: a clinical observational study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: The routine use of pediatric airway exchange catheter after extubation of adult patients who have undergone maxillofacial or major neck surgery: a clinical observational study. | Available online http ccforum.eom content 8 6 R385 Research The routine use of pediatric airway exchange catheter after extubation of adult patients who have undergone maxillofacial or major neck surgery a clinical observational study Levent Dosemeci1 Murat Yilmaz1 Arif Yegin1 Melike Cengiz2 and Atilla Ramazanoglu3 Open Access Assistant Professor Department of Anesthesiology and ICU Akdeniz University Hospital Antalya Turkey Specialist Department of Anesthesiology and ICU Akdeniz University Hospital Antalya Turkey 3Professor Director of Department of Anesthesiology and ICU Akdeniz University Hospital Antalya Turkey Corresponding author Levent Dosemeci leventege@yahoo.com Received 25 March 2004 Critical Care 2004 8 R385-R390 DOI 10.1186 cc2956 Revisions requested 6 May 2004 This article is online at http ccforum.com content 8 6 R385 Revisions received 29 July 2004 2004 Dosemeci et al. licensee BioMed Central Ltd. Accepted 19 August 2004 This is an Open Access article distributed under the terms of the Published 22 September 2004 Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction We conducted the present study to determine the usefulness of routinely inserting a pediatric airway exchange catheter PAEC before tracheal extubation of adult patients who had undergone maxillofacial or major neck surgery and have risk factors for difficult reintubation. Methods A prospective observational and clinical study was performed in the 25-bed general intensive care unit of a university hospital. Thirty-six adult patients who underwent maxillofacial or major neck surgery and had risk factors for difficult reintubation were extubated after insertion of the PAEC. Results Four of 36 11.1 patients required emergency reintubation after 2 4 6 and 18 hours after tracheal extubation respectively. Reintubation of these .