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Framework for decannulation in neurological patients

Decannulation is often complicated by severe dysphagia, reduced cough strength, excessive bronchial secretions, and altered airway anatomy. What diagnostic procedures and therapeutic options are crucial for rehabilitation?

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Editor's Choice

An extremely rare subtype of lymphoma

Primary pulmonary DLBCL is a rare clinical condition with nonspecific clinical manifestations, posing significant challenges for diagnosis. This patient was initially misdiagnosed as having organizing pneumonia.

Tracheal stenosis misdiagnosed as asthma

This case highlights that tracheal stenosis should be considered as a differential diagnosis in children presenting with the signs and symptoms of respiratory distress, particularly if the patient has a history of intubation.

The hidden dangers of whooping cough

A case of rib fracture and pneumothorax in an adult patient with pertussis highlights the potential for significant musculoskeletal and pulmonary injuries due to the intense coughing associated with the infection. 

Pertussis in children: expert consensus

Despite high vaccination rates in children, whooping cough has resurged in many developed countries. How can we better prevent, diagnose, and manage the disease?

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Case Studies

An extremely rare subtype of lymphoma

Primary pulmonary DLBCL is a rare clinical condition with nonspecific clinical manifestations, posing significant challenges for diagnosis. This patient was initially misdiagnosed as having organizing pneumonia.

Tracheal stenosis misdiagnosed as asthma

This case highlights that tracheal stenosis should be considered as a differential diagnosis in children presenting with the signs and symptoms of respiratory distress, particularly if the patient has a history of intubation.

The hidden dangers of whooping cough

A case of rib fracture and pneumothorax in an adult patient with pertussis highlights the potential for significant musculoskeletal and pulmonary injuries due to the intense coughing associated with the infection. 

Current Reviews

Cough Syrup Tragedies and the Commercial Determinants of Health

Child deaths related to consumption of adulterated cough syrups in India and other low- and middle-income countries highlight an ongoing public health crisis. Recent tragedies linked to diethylene glycol adulteration of cough syrups expose …

Patient report outcome measures for Spanish-speaking adults with bronchiectasis: systematic review of measurement properties

Bronchiectasis is a chronic respiratory disease characterised by a complex pathogenetic intersection involving not only airway inflammation but also mucociliary dysfunction and infection, resulting in permanent bronchial dilatation [ 1 , 2 ]. The …

Ethnobotanical uses of plants in Nigeria: an analysis of current research trends and patterns

Nigeria boasts a rich pool of plants, each often intertwined with distinct applications, rituals, and cultural beliefs across the diverse ethnic communities [ 1 ]. The country is characterised by high biodiversity and cultural diversity [ 2 , 3 ] …

Reframing Refractory Chronic Cough: The Role of Interoception

  • Open Access
  • Cough
  • Review

Refractory chronic cough (RCC) remains a persistent clinical challenge, often resistant to traditional treatments. Emerging evidence now positions RCC as a disorder rooted in hypersensitivity, driven primarily by central neural processes rather …

Further Reading

The Sore Throat and Antibiotic Resistance (STAR) Study in Malaysia: Nationwide Survey of Antibiotic Use for Upper Respiratory Tract Infection and Sore Throat

Upper respiratory tract infections (URTIs) and sore throats are mainly viral in origin and typically resolve without medical intervention and the use of antibiotics [ 1 ]. Current medical guidelines advocate for supportive care which includes …

Dose-dependent relationships in potential prescribing cascades: a cohort study using community pharmacy dispensing data

Potential prescribing cascades may be dose-dependent, particularly for angiotensin-converting enzyme inhibitors, antidepressants and dihydropyridine calcium channel blockers. Before initiating new medication, attention should be paid to recent dose …

Voluntary peak cough flow: A simple and effective tool to predict dysphagia across diverse etiologies

Swallowing and coughing are vital physiological functions that contribute to airway protection and help maintain airway integrity by preventing and clearing penetration/aspiration [ 1 ]. While swallowing facilitates the safe transport of food and …

Comparison of standardized diaphragm ultrasound measurement and conventional methods for predicting weaning failure: a prospective observational study

Weaning from invasive mechanical ventilation is a critical process that must be timed appropriately to optimize clinical outcomes. Early weaning attempts, result in extubation failure and reintubation, while delaying the process puts patients at …

Image Credits
Patient connected to a ventilator in the ICU/© PatrikSlezak / Getty Images / iStock, Immunohistochemistry of patient with primary pulmonary DLBCL/© 2025, Sunjie Li et al, J Med Case Reports, Young boy with oxygen mask lying in a hospital bed/© No-Te / stock.adobe.com (symbolic image with model), CT scan of patient with whooping cough/© 2024, Petra Zatovkaňuková et al, BMC Infect Dis, 3D illustration of Bordetella pertussis bacteria/© Alex / Generated with AI / stock.adobe.com, Nasal spray/© PixieMe / Stock.adobe.com, Man taking a pill/© sebra / stock.adobe.com (symbolic image with model)