Articles: intubation.
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Am. J. Respir. Crit. Care Med. · Apr 2013
Multicenter Study Clinical TrialEarly identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score in a multicenter cohort study.
Difficult intubation in the intensive care unit (ICU) is a challenging issue. ⋯ Difficult intubation in the ICU is strongly associated with severe life-threatening complications. A simple score including seven clinical items discriminates difficult and nondifficult intubation in the ICU. Clinical trial registered with www.clinicaltrials.gov (NCT 01532063).
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Randomized Controlled Trial Multicenter Study
Nasogastric hydration versus intravenous hydration for infants with bronchiolitis: a randomised trial.
Bronchiolitis is the most common lower respiratory tract infection in infants and the leading cause of hospital admission. Hydration is a mainstay of treatment, but insufficient evidence exists to guide clinical practice. We aimed to assess whether intravenous hydration or nasogastric hydration is better for treatment of infants. ⋯ Australian National Health and Medical Research Council, Samuel Nissen Charitable Foundation (Perpetual), Murdoch Children's Research Institute, Victorian Government.
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Multicenter Study Observational Study
Outcome of tracheotomized patients following reintubation.
To evaluate the outcome of tracheotomized patients after reintubation. ⋯ In our cohort of reintubated patients, tracheotomy is a common procedure in the ICU. Patients with tracheotomy had an outcome similar to those without tracheotomy.
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Randomized Controlled Trial Multicenter Study Comparative Study
Comparison of Laryngeal Mask Airway Supreme and Laryngeal Mask Airway Proseal with respect to oropharyngeal leak pressure during laparoscopic cholecystectomy: a randomised controlled trial.
The Proseal LMA achieves higher oropharyngeal leak pressure and tidal volumes than does the LMA Supreme during elective laparoscopic cholecsystectomy.
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Tracheal intubation is an important intervention to stabilize critically ill and injured children. Provider training level has been associated with procedural safety and outcomes in the neonatal intensive care settings. We hypothesized that tracheal intubation success and adverse tracheal intubation-associated events are correlated with provider training level in the PICU. ⋯ Across a broad spectrum of PICUs, resident provider tracheal intubation success is low and adverse associated events are high, compared with fellows. More intensive pediatric resident procedural training is necessary before "live" tracheal intubations in the intensive care setting.