Open bedside tracheostomy: routine procedure for patients under prolonged mechanical ventilation

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Open bedside tracheostomy: routine procedure for patients under prolonged mechanical ventilation.

BACKGROUND Tracheostomy is electively performed in critically ill patients requiring prolonged respiratory support. The risk of transporting, the increasing associated cost and operative room schedule are some of the obstacles for wider acceptance of this procedure. The use of rigid selection criteria exclude many patients who would benefit of this approach. OBJECTIVE To determine the safety ...

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Tracheostomy for infants requiring prolonged mechanical ventilation: 10 years' experience.

BACKGROUND Despite advances in care of critically ill neonates, extended mechanical ventilation and tracheostomy are sometimes required. Few studies focus on complications and clinical outcomes. Our aim was to provide long-term outcomes for a cohort of infants who required tracheostomy. METHODS This study is a retrospective review of 165 infants born between January 1, 2000 and December 31, 2...

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Can Tracheostomy Improve Outcome and Lower Resource Utilization for Patients with Prolonged Mechanical Ventilation?

BACKGROUND It is not clear whether the benefits of tracheostomy remain the same in the population. This study aimed to better examine the effect of tracheostomy on clinical outcome among prolonged ventilator patients. METHODS Data were from the medical claims data in Taiwan. A total of 3880 patients with ventilator use for more than 14 days between 2005 and 2009 were identified. Among them, 6...

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Parameters affecting the tidal volume during expiratory abdominal compression in patients with prolonged tracheostomy mechanical ventilation

[Purpose] The aim of this study was to clarify physical parameters affecting the tidal volume during expiratory abdominal compression in patients with prolonged tracheostomy mechanical ventilation. [Methods] Eighteen patients with prolonged mechanical ventilation were included in this study. Expiratory abdominal compression was performed on patients lying in a supine position. The abdomen above...

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Is percutaneous tracheostomy the best method in the management of patients with prolonged mechanical ventilation?

Although percutaneous tracheostomy is a standardized procedure, rare major complications are still being evaluated and discussed. We describe a case of patient, with hemodynamic and respiratory stability, who displayed massive hemorrhage after 16 days of "Ciaglia Blue Rhino" tracheostomy. Unfortunately, neither prompt resuscitation maneuvers nor the surgical approach saved the life of patient.

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ژورنال

عنوان ژورنال: Clinics

سال: 2007

ISSN: 1807-5932

DOI: 10.1590/s1807-59322007000400009