Tracheostomy in critically ill patients

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Tracheostomy in critically ill patients.

Tracheostomy is a common critical care procedure in patients with acute respiratory failure who require prolonged mechanical ventilatory support. Tracheostomy usually is considered if weaning from mechanical ventilation has been unsuccessful for 14 to 21 days. A recent clinical trial suggested that early tracheostomy may benefit patients who are not improving and who are expected to require pro...

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Percutaneous Dilatational Tracheostomy in Critically Ill Patients Taking Antiplatelet Agents

Background: Percutaneous dilatational tracheostomy (PDT) has been considered as an alternative to surgical tracheostomy in intensive care units (ICU), and is widely used for critically ill patients who need prolonged mechanical ventilation. Few studies have reported on PDT performed in critically ill patients taking antiplatelet agents. Our goals are to assess not only the feasibility and safet...

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Bedside percutaneous tracheostomy with bronchoscopic guidance in critically ill patients.

BACKGROUND Bedside percutaneous dilational tracheostomy, a relatively new method of tracheal cannulation, provides safe and ready access to the trachea to relieve airway obstruction and tracheopulmonary secretions. The dilational technique has undergone various modifications during the past decade. Complications of this procedure are primarily related to the lack of direct visualization during ...

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The role of early tracheostomy in critically ill neurosurgical patients.

OBJECTIVE To determine the value of early tracheostomy (within 7 days) in ventilated neurosurgical patients. METHODS Retrospective review of intubated patients in the neurosurgical intensive care unit (NICU) who underwent elective open tracheostomies for prolonged ventilation. RESULTS Thirty patients over a 2-year period were analysed. There were 19 males and 11 females, mean age 53.9 +/- 1...

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Timing of Tracheostomy in Critically Ill Patients: A Meta-Analysis

OBJECTIVE To compare important outcomes between early tracheostomy (ET) and late tracheostomy (LT) or prolonged intubation (PI) for critically ill patients receiving long-term ventilation during their treatment. METHOD We performed computerized searches for relevant articles on PubMed, EMBASE, and the Cochrane register of controlled trials (up to July 2013). We contacted international experts...

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ژورنال

عنوان ژورنال: Indian Journal of Otolaryngology and Head & Neck Surgery

سال: 2008

ISSN: 0019-5421,0973-7707

DOI: 10.1007/s12070-008-0107-9