Early Experience With Percutaneous Tracheotomy

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A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients.

OBJECTIVE The timing of tracheotomy in patients requiring mechanical ventilation is unknown. The effects of early percutaneous dilational tracheotomy compared with delayed tracheotomy in critically ill medical patients needing prolonged mechanical ventilation were assessed. DESIGN Prospective, randomized study. SETTING Medical intensive care units. PATIENTS One hundred and twenty patients...

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Percutaneous Tracheotomy in Emergency Situation Setting

While Percutaneous Tracheotomy (PT) has become a standard procedure to ensure airway patency in elective indications, it is not yet accepted as standard for the management of emergency airway situations, despite more and more reports highlighting its use in this setting. After comparing PT with other emergency airway access techniques, we report a new approach performed under general anesthesia...

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Tracheal flap after percutaneous dilatational tracheotomy.

A 66-YR-OLD male patient developed expiratory stridor shortly after decannulation. Bronchoscopy showed, at the stoma site, a large flap (fig. A and B, arrows) that moved synchronously with the respiratory cycle and obstructed more than 80% of the lumen during expiration (fig. B). The reinsertion of the tracheotomy tube trapped the flap between the tube itself and the anterior tracheal wall, and...

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Percutaneous dilational tracheotomy in liver transplant recipients

Methods We reviewed the data of liver transplant recipients who underwent percutaneous dilational tracheotomy in Baskent University Hospital between January 2010 and March 2015. Collected data included demographics (age, sex, body weight, length); etiology of chronic liver failure; comorbidities; Child, Model for End Stage Liver Disease (MELD), acute physiology and chronic health evaluation II ...

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Despite decades of experience in tracheotomy, there still exists a controversy over its ideal timing. The aim of our study was to compare the impact of early and late percutaneous tracheotomy in terms of their ability to reduce mechanical ventilation duration and length of stay in Intensive Care Unit, as well as the frequency of ventilator-associated pneumonia and mortality rates in tracheotomi...

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ژورنال

عنوان ژورنال: The Laryngoscope

سال: 1992

ISSN: 0023-852X

DOI: 10.1288/00005537-199202000-00010