The Impact of Tracheal Intubation on Host Defenses and Risks for Nosocomial Pneumonia

1991 ◽  
Vol 12 (3) ◽  
pp. 523-543
Author(s):  
Steven A. Levine ◽  
Michael S. Niederman
2018 ◽  
Vol 77 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Kellie Ryan ◽  
Sudeep Karve ◽  
Pascale Peeters ◽  
Elisa Baelen ◽  
Danielle Potter ◽  
...  

2006 ◽  
Vol 104 (1) ◽  
pp. 48-51 ◽  
Author(s):  
François Lenfant ◽  
Mehdi Benkhadra ◽  
Pierre Trouilloud ◽  
Marc Freysz

Background During retrograde tracheal intubation, the short distance existing between the cricothyroid membrane and vocal cords may be responsible for accidental extubation. The insertion of a catheter into the trachea before the removal of the guide wire may help to cope with this problem. This work was conducted to study the impact of such a modification on the success rate and the duration of the procedure. Methods Procedures of retrograde tracheal intubation following the classic and modified techniques were randomly performed in cadavers (n = 70). The duration of the procedure from the puncture of the cricothyroid membrane to the inflation of the balloon of the endotracheal tube was measured, and, at the end of the procedure, the position of the endotracheal tube was checked under laryngoscopy. The procedure was considered to have failed if it had taken more than 5 min or when the endotracheal tube was not positioned in the trachea. Results The mean time to achieve tracheal intubation was similar in both groups (123 +/- 51 vs. 127 +/- 41 s; not significant), but intubation failed significantly more frequently with the classic technique (22 vs. 8 failures; P < 0.05). All failures were related to incorrect positioning of the endotracheal tube. In four cases, both techniques failed. Conclusions This efficient, simple modification of the technique significantly increases the success rate of the procedure, without prolonging its duration. These data should be confirmed in clinical conditions but may encourage a larger use of the retrograde technique in cases of difficult intubation.


2006 ◽  
Vol 32 (11) ◽  
pp. 1773-1781 ◽  
Author(s):  
Pieter Depuydt ◽  
Dominique Benoit ◽  
Dirk Vogelaers ◽  
Geert Claeys ◽  
Gerda Verschraegen ◽  
...  

2017 ◽  
Author(s):  
Shirin Glander ◽  
Fei He ◽  
Gregor Schmitz ◽  
Anika Witten ◽  
Arndt Telschow ◽  
...  

ABSTRACTThe selective impact of pathogen epidemics on host defenses can be strong but remains transient. By contrast, life-history shifts can durably and continuously modify the balance between costs and benefits of immunity, which arbitrates the evolution of host defenses. Their impact on the evolutionary dynamics of host immunity, however, has seldom been documented. Optimal investment into immunity is expected to decrease with shortening lifespan, because a shorter life decreases the probability to encounter pathogens or enemies. Here, we document that in natural populations of Arabidopsis thaliana, the expression levels of immunity genes correlate positively with flowering time, which in annual species is a proxy for lifespan. Using a novel genetic strategy based on bulk-segregants, we partitioned flowering time-dependent from – independent immunity genes and could demonstrate that this positive co-variation can be genetically separated. It is therefore not explained by the pleiotropic action of some major regulatory genes controlling both immunity and lifespan. Moreover, we find that immunity genes containing variants reported to impact fitness in natural field conditions are among the genes whose expression co-varies most strongly with flowering time. Taken together, these analyses reveal that natural selection has likely assorted alleles promoting lower expression of immunity genes with alleles that decrease the duration of vegetative lifespan in A. thaliana and vice versa. This is the first study documenting a pattern of variation consistent with the impact that selection on flowering time is predicted to have on diversity in host immunity.


Bioimpacts ◽  
2021 ◽  
Author(s):  
Ata Mahmoodpoor ◽  
Ali Shamekh ◽  
Sarvin Sanaie

The impact of gut as the origin of different disorders has led to the "gut-origin concept" of diseases. The gut microbiome regulates host defenses against viral infections, thus dysbiosis can play a major role in triggering the cascade of inflammation and causing immune imbalances in COVID-19 patients. It appears that gut microbial signature in COVID-19 patients can be used as a potential diagnostic, therapeutic, and even a prognostic marker. Personalized nutrition therapy can be used by profiling the gut microbiota of individual patients and specialized probiotics/synbiotics to modify gut dysbiosis. Hence, improving overall immune responses can be recommended in these patients.


Sign in / Sign up

Export Citation Format

Share Document