John Mccloskey

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BACKGROUND Uncuffed endotracheal tubes are routinely used in young children. This study tests a formula for selecting appropriately sized cuffed endotracheal tubes and compares the use of cuffed versus uncuffed endotracheal tubes for patients whose lungs are mechanically ventilated during anesthesia. METHODS Full-term newborns and children (n = 488)(More)
Supratentorial gliomas in the pediatric age group at the University of Kentucky Medical Center accounted for 20% of all childhood brain tumors. Seventeen of the 20 children with these tumors, regardless of histologic type, mode of therapy, or other parameters died within five years after tissue diagnosis, and most were dead within two years. Unlike the(More)
BACKGROUND Septic cavernous sinus thrombosis is a rare complication of paranasal sinusitis. OBJECTIVE To familiarize the clinician with the pathogenesis, diagnosis, and appropriate management of septic cavernous sinus thrombosis. DESIGN Case report and literature review. SETTING Pediatric intensive care unit in a university hospital. PATIENT We(More)
medical practice. Ultrasonography can confirm endotracheal intubation, assess vocal cord function, detect endobronchial intubation and diagnose pneumothorax. We present a novel use of real time ultrasound to guide tracheal intubation in a series of 25 children. This new technique is called Ultrasound Guided Tracheal Intubation (UGTI). It is kinesthetically(More)
Candidosis is the most common postmortem cerebral mycosis, yet is rarely appreciated clinically. From 8975 complete autopsies, 41 patients were identified with tissue verified deep candidosis. Nineteen of them (46 per cent) had cerebral candidal infections. There were eight males and 11 females, and 15 whites and four blacks. The age varied from 17 days to(More)
OBJECTIVE Review our institutional experience with an alternative to fiberoptic-guided endobronchial intubation. AIM The aim of this retrospective cohort study was to present our experience with the use of fluoroscopy to facilitate endobronchial lung isolation in infants undergoing thoracoscopic procedures. BACKGROUND Anesthesiologists are more(More)
The concomitant occurrence of brachial plexus injuries and cervical spine fractures in three recent patients is reviewed. The injuries included a fracture or dislocation of the upper portion of the cervical spine and damage to the upper roots of the brachial plexus. All of the patients had associated head injuries and two suffered a spinal cord injury.(More)
To determine the recent postmortem character of cerebral mycoses, 1,752 consecutive complete autopsies done in the endemic fungal area of central Kentucky from 1964 through 1973 were reviewed. Fourteen patients (0.8%) had histologically confirmed fungal infections in the brain. The most prevalent fungus was Candida spp. which was observed in six patients.(More)