Improving Tracheostomy Decannulation Rate in Trauma Patients
نویسندگان
چکیده
منابع مشابه
Tracheostomy decannulation.
Tracheostomy tubes are placed for a variety of reasons, including failure to wean from mechanical ventilation, inability to protect the airway due to impaired mental status, inability to manage excessive secretions, and upper-airway obstruction. A tracheostomy tube is required in approximately 10% of patients receiving mechanical ventilation and allows the patient to move to a step-down unit or...
متن کاملTracheostomy: from insertion to decannulation.
Tracheostomy is a common surgical procedure, and is increasingly performed in the intensive care unit (ICU) as opposed to the operating room. Procedural knowledge is essential and is therefore outlined in this review. We also review several high-quality studies comparing percutaneous dilational tracheostomy and open surgical tracheostomy. The percutaneous method has a comparable, if not superio...
متن کاملImportance of flexible bronchoscopy in decannulation of tracheostomy patients.
OBJECTIVE To evaluate the importance of flexible bronchoscopy in tracheostomy patients in the process of decannulation to assess the incidence and types of laryngotracheal injury and compare the presence of such lesions with clinical criteria used for decannulation. METHODS We studied 51 tracheostomized patients aged between 19 and 87 years, with tracheal stent for a mean of 46 ± 28 days and ...
متن کاملTracheostomy Decannulation Kent L Christopher MD RRT Introduction Decannulation Decision Making Deflated-Cuff Tracheostomy Occlusion Procedure Benefits of Decannulation Protocol-Guided Decannulation Physiologic Effects of Decannulation
The respiratory therapist plays an integral role in tracheostomy tube decannulation. Removal of the tracheostomy tube should be considered only if the original upper-airway obstruction is resolved, if airway secretions are controlled, and if mechanical ventilation is no longer needed. Predictors of success include ability to produce a vigorous cough and the absence of aspiration. Tracheostomy d...
متن کاملTracheostomy decannulation: implication on respiratory mechanics.
BACKGROUND Tracheostomy decreases airway resistance and work of breathing. No comprehensive data are available on respiratory mechanics after tracheostomy decannulation. We evaluated respiratory mechanics after decannulation. METHODS Twenty-five patients with tracheostomy were included. Measurement of arterial blood gases, air-flow, and esophageal pressure during spontaneous breathing were ev...
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ژورنال
عنوان ژورنال: Critical Care Explorations
سال: 2019
ISSN: 2639-8028
DOI: 10.1097/cce.0000000000000022