What's New in Critical Illness and Injury Science? Important Considerations for Work of Breathing During Tracheostomy Weaning and Decannulation
نویسندگان
چکیده
© 2016 International Journal of Critical Illness and Injury Science | Published by Wolters Kluwer ‐ Medknow In 1909 Jackson presented his tracheotomy technique to the Eastern Section of the American Laryngological, Rhinological and Otological Society.[1] His technique would become the foundation of the tracheostomy, a procedure that would ultimately become widely utilized during the polio epidemic of the early 1900s.[2] In modern surgical practice, Jackson’s open tracheostomy is still used but percutaneous dilatational tracheostomy (PDT) is now also a common method. First described by Ciaglia in 1985,[3] PDT has now become widely accepted due to its relative ease, low cost, and low complication profile.[4]
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Tracheostomy decannulation: marathons and finish lines
Critically ill patients with a tracheostomy who are recovering from respiratory failure eventually require evaluation for airway decannulation. Although expert recommendations guide decisions for managing decannulation, few if any investigative data exist to inform evidence-based care. Consequently, practice variation limits the effectiveness of weaning from tracheostomy. In an investigation re...
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INTRODUCTION Tracheostomy is probably the most common surgical procedure in critically ill patients and is generally performed to facilitate mechanical ventilation weaning. Evidence-based guidelines have confirmed the benefits of tracheostomy weaning protocols and of the physiotherapists engagement in this process; however, no consensus decannulation criteria are currently available. Therefore,...
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