Postintubation subglottic stenosis is one of the most common causes of stridor in newborns and babies after prolonged mechanical ventilation. Management of this pathology is complex and requires highly trained personnel because it is associated with a high rate of airway-related mortality. This article presents the rescue of a difficult airway in a pediatric patient with subglottic stenosis with a new device available on the market, the Ventrain, offering certain advantages over those available until now.

pharmacy-compounded drugs were tested through patches, pricks and intradermal (IDR) tests. Purpose To assess the incidence of positive allergic reactions in tested patients and to define the culprit drugs and their potential allergic role in these reactions. Materials and MethodsThe study was conducted between 2007 and 2010 on patients from our hospital. We collected information on the characteristics of the adverse drug reaction on skin, the drugs tested, the tests performed and their results.

BackgroundClinical trials (CT) lead to the development of new drugs and new indications for existing ones. The countries that value these as among their priorities, participate in large numbers of high quality CT to ensure the best treatments for their patients, the best development for their scientists, institutions and health centres, and, finally, additional resources from them for the health sector. It is important to know the design of CT to interpret and evaluate the results when applying them to clinical practice.PurposeTo characterise the main design aspects of CT managed in the Pharmacy Department of a tertiary hospital with 710 beds.Material and methodsThis was a retrospective descriptive study of CT that was initiated between 1 January 2016 and 30 September 2017. For each, we collected the phase of the CT, design (randomised/non-randomised, blinded or unblinded, controlled/uncontrolled) and the automatic handling of the CT samples through the Interactive Web Response System (IWRS). In addition, the type of promoter responsible for the development of the CT, clinical departments involved and the international or national scope of the CT were studied. Information was obtained through the computer application PKensayos® and from documentation corresponding to each CT.ResultsIn the studied period, 117 CT were initiated (66 in 2016 and 51 in the study period of 2017). Of these, 74 were phase III, 21 phase II, 11 phase I, six phase IV and in five studies two phases were combined. In terms of design, 79.5% were randomised, 55.6% were open label (the remainder were double-blind), 78.6% were controlled (40.2% were placebo-controlled). For 84.6% of CT, sample management was controlled automatically through IWRS. In 12% of the CT, the sponsor was an independent industry research entity. Clinical departments involved were: oncology 44.4%, endocrinology 12.8%, cardiology 12%, haematology 10.2%, digestive 8.5%, dermatology 4.3%, pneumology 3.4% and others 4. 4%. Only 7.7% were national CT.ConclusionThe predominant type was a phase III randomised, open, controlled with placebo, international, oncology trial. There was considerable informatisation (IWRS), and the industry was responsible for the development of CT in most cases.No conflict of interest