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Percutaneous Tracheostomy (percutaneou + tracheostomy)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

A simple intervention to reduce the complication of prolonged percutaneous tracheostomy

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 4 2009
A. Azim
No abstract is available for this article. [source]

Percutaneous Tracheostomy: Don't Beat Them, Join Them,

THE LARYNGOSCOPE, Issue 9 2004
D Russ Blankenship MD
Abstract Objectives: The introduction of percutaneous tracheostomy (PercTrach) has resulted in tension over the scope of practice between otolaryngologists and pulmonary/critical care (PCC) specialists. We sought to determine the value of a collaborative approach to the performance of PercTrach at the bedside in the intensive care unit setting. Study Design and Methods: A retrospective study of consecutive patients who underwent bedside PercTrach at the Medical College of Georgia between May of 2003 and November of 2003. All cases were performed in conjunction with the PCC team, which typically provided bronchoscopic guidance during the performance of the procedure, whereas the PercTrach was performed by the otolaryngology team, although these roles were occasionally reversed. In all cases, the PercTrach was performed using the Ciaglia Blue Rhino introducer set. Results: Twenty-three patients (12 males, 11 females) with a mean age of 47.6 ± 14.3 (range 23,65) years underwent PercTrach. The procedural times ranged from 7 to 21 minutes, with a mean of 13.9 ± 4.4 minutes; this represented 9.6 minutes on average to insert the tracheostomy tube and an additional 4.3 minutes to completely secure the tracheostomy tube. The time interval from consultation to PercTrach was less than 24 hours in 16 of 23 cases (overall mean time to PercTrach = 41.7 ± 37.1 hours), with delays beyond 24 hours related in most instances to patient stability. Conclusion: A multidisciplinary approach to PercTrach results in a number of clinical and educational benefits. Chief among these benefits is a rapid, cost-effective response to requests for elective tracheostomy. Practicing otolaryngologists with a prior bias against this approach (as we had) should reconsider adopting this revised procedure. [source]

Second redo percutaneous tracheostomy following complicated revision surgical tracheostomy

ANAESTHESIA, Issue 8 2008
J. Kinnear
No abstract is available for this article. [source]

Subcutaneous emphysema after percutaneous tracheostomy , time to dispense with fenestrated tubes?

ANAESTHESIA, Issue 9 2006
R. M. L'E.
No abstract is available for this article. [source]

Bonfils semirigid endoscope for guidance during percutaneous tracheostomy

ANAESTHESIA, Issue 7 2006
U. Buehner
Summary We report on the use of the Bonfils semirigid scope for endoscopic guidance during percutaneous dilational tracheostomy. Forty patients requiring percutaneous dilational tracheostomy on the General or Neurosurgical Intensive Care Unit were enrolled in this study. We used the ,45 degree curved distal tip' scope in the first 15 patients, evaluating its ease of use, optical quality of focus and image resolution as well as light intensity on a 10-point scale. We evaluated straight and curved versions of it in another 15 and 10 patients, respectively. We examined the impact on ventilation and cardiovascular parameters. In all patients (n = 40) visualisation of the procedure was satisfactory. There were no clinically significant changes in ventilatory or cardiovascular parameters. The image quality for most patients received a score of 7,10. The Bonfils scope provides a practical alternative to flexible bronchoscopes in this setting. [source]

Tracheal ring fracture , dislodgement after Blue Rhino percutaneous tracheostomy

ANAESTHESIA, Issue 12 2003
A. Thomas
No abstract is available for this article. [source]

Percutaneous dilational tracheostomy: a safer technique of airway management using a microlaryngeal tube

ANAESTHESIA, Issue 3 2002
L. Fisher
Summary Management of the airway in an intubated patient during formation of a tracheostomy can be hazardous. The usual method involves withdrawal of the tracheal tube, which has been providing a secure airway, prior to inserting the tracheostomy tube. A method of airway management, using a microlaryngeal tube, has been devised with the aim of maintaining full tracheal intubation and ventilation until the correct position of the tracheostomy tube can be verified. An audit of 250 successive cases of percutaneous tracheostomy demonstrated this method to be safe and effective. [source]

Oxygenation during percutaneous tracheostomy

ANAESTHESIA, Issue 4 2001
D. Mitra
No abstract is available for this article. [source]

Airway protection during percutaneous tracheostomy

ANAESTHESIA, Issue 10 2000
P. W. Doyle
[source]

Bronchoscopy during percutaneous tracheostomy

ANAESTHESIA, Issue 7 2000
A. Guha
No abstract is available for this article. [source]

Trends in the management of severe acute pancreatitis: interventions and outcome

ANZ JOURNAL OF SURGERY, Issue 5 2004
Richard Flint
Background: Severe acute pancreatitis (SAP) in the intensive care unit (ICU) is a complex and challenging problem. The aim of the present study was to identify trends in management of SAP patients admitted to a tertiary level ICU, and to relate these to changes in interventions and outcome. Methods: Patients admitted to the Department of Critical Care Medicine (DCCM), Auckland Public Hospital with SAP from 1988 to 2001 (inclusive) were identified from the DCCM prospective database, and data were extracted from several sources. Results: One hundred and twelve patients (men 69, women 43, mean age (±SD) 57.3 years ± 14.3) were admitted with SAP to DCCM in the 13-year period. Aetiology was gallstones (42%), alcohol (29%), or idiopathic (29%). At admission to DCCM the median duration of symptoms was 7 days (range 1,100) and the mean (±SD) Acute Physiology and Chronic Health Evaluation II score was 19.9 ± 8.2. Ninety-nine patients (88%) had respiratory failure and 79 (71%) had circulatory failure. The number of necrosectomies peaked between 1991 and 1995 (17/35 patients (49%) compared to 4/22 (18%) prior 1991; ,2 = 6.90, P = 0.032). Abdominal decompression, enteral nutrition, percutaneous tracheostomy, and the use of stents in endoscopic retrograde cholangiopancreatography were introduced over the study period. The length of stay in DCCM did not alter (median 4 days, range 1,60) but there was a reduction in the length of hospital stay (median 36 days to 15 days; anova= 6.16, P = 0.046). The overall mortality was 31% (35/112) and did not alter over the study period. Conclusions: SAP remains a formidable disease with a high mortality despite a number of changes in intensive care and surgical management. [source]