{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:22:24Z","timestamp":1787847744220,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>We experienced a case in which simultaneous weaning from sedation and mechanical ventilation were difficult because of instability of tracheal tube fixation that was caused by size mismatch between the trachea and the tube and by severe tracheal deviation. Irritative stimuli caused by the oral tracheal tube prevented conversion from deep sedation to light or no sedation. In this case, very early tracheostomy, which provided better tube fixation and successfully reduced the irritative stimuli to the trachea, was effective to help achieve discontinuation of sedation and facilitated successful weaning from mechanical ventilation. Eventually, the tracheostomy tube was successfully removed immediately after discontinuation of mechanical ventilation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sja.sja_790_20","type":"journal-article","created":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T09:46:36Z","timestamp":1609753596000},"page":"50-52","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Successful application of early tracheostomy in an intubated patient who suffered from irritative stimuli by an oral tracheal tube"],"prefix":"10.4103","volume":"15","author":[{"given":"Keiko","family":"Uemura","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoki","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiko","family":"Kawaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-10-20240909","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/S0140-6736(08)60105-1","article-title":"Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): A randomised controlled trial","volume":"371","author":"Girard","year":"2008","journal-title":"Lancet"},{"key":"R2-10-20240909","doi-asserted-by":"crossref","first-page":"R467","DOI":"10.1186\/cc2976","article-title":"Discomfort and factual recollection in intensive care unit patients","volume":"8","author":"van de Leur","year":"2004","journal-title":"Crit Care"},{"key":"R3-10-20240909","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.iccn.2008.05.004","article-title":"Endotracheal suctioning of the adult intubated patient--What is the evidence?","volume":"25","author":"Pedersen","year":"2009","journal-title":"Intensive Crit Care Nurs"},{"key":"R4-10-20240909","doi-asserted-by":"crossref","first-page":"858","DOI":"10.7326\/0003-4819-141-11-200412070-00010","article-title":"Systematic review: Transient left ventricular apical ballooning: A syndrome that mimics ST-segment elevation myocardial infarction","volume":"141","author":"Bybee","year":"2004","journal-title":"Ann Intern Med"},{"key":"R5-10-20240909","doi-asserted-by":"crossref","first-page":"2121","DOI":"10.1001\/jama.2013.5154","article-title":"Effect of early vs late tracheostomy placement on survival in patients receiving mechanical ventilation: The TracMan randomized trial","volume":"309","author":"Young","year":"2013","journal-title":"JAMA"},{"key":"R6-10-20240909","first-page":"CD007271","article-title":"Early versus late tracheostomy for critically ill patients","volume":"1","author":"Andriolo","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"R7-10-20240909","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1097\/00003246-199301000-00024","article-title":"Mechanisms of ventilator-induced lung injury","volume":"21","author":"Parker","year":"1993","journal-title":"Crit Care Med"},{"key":"R8-10-20240909","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/S0003-4975(99)01129-7","article-title":"Conservative treatment for postintubation tracheobronchial rupture","volume":"69","author":"Jougon","year":"2000","journal-title":"Ann Thorac Surg"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.SJA_790_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:35:31Z","timestamp":1787844931000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.SJA_790_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_790_20","relation":{},"ISSN":["1658-354X"],"issn-type":[{"value":"1658-354X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}