Tracheostomy patients on the ward: multiple benefits from a multidisciplinary team?
نویسنده
چکیده
Patients requiring tracheostomies tend to have a longer length of stay due to their underlying disease. After a thorough literature search, Garrubba and colleagues found only three studies assessing the impact of multidisciplinary teams (MDTs) on tracheostomy patients on the ward. One consistent observation was the decreased time to decannulation after institution of MDT care when compared with historical controls. Although a large prospective randomized trial is desirable before MDT is recommended, many institutions may have already formed a team approach to provide coordinated care resulting in improved outcome and length of stay.
منابع مشابه
Impact of a specialized multidisciplinary tracheostomy team on tracheostomy care in critically ill patients.
BACKGROUND A multidisciplinary tracheostomy team was created in 2005 to follow critically ill patients who had undergone a tracheostomy until their discharge from hospital. Composed of a surgeon, surgical resident, respiratory therapist, speech-language pathologist and clinical nurse specialist, this team has been meeting twice a week for rounds involving patients who transitioned from the inte...
متن کاملMultidisciplinary care for tracheostomy patients: a systematic review
INTRODUCTION Appropriate care for patients with tracheostomies in hospital settings is an important issue. Each year more than 7000 patients receive tracheostomies in Australia and New Zealand alone. Many of these tracheostomy patients commence their care in the intensive care unit (ICU) and once stabilised are then transferred to a general ward. Insufficient skills and experience of staff cari...
متن کاملA Multidisciplinary Children's Airway Center: Impact on the Care of Patients With Tracheostomy.
BACKGROUND Children with complex airway problems see multiple specialists. To improve outcomes and coordinate care, we developed a multidisciplinary Children's Airway Center. For children with tracheostomies, aspects of care targeted for improvement included optimizing initial hospital discharge, promoting effective communication between providers and caregivers, and avoiding tracheostomy compl...
متن کاملMultidisciplinary team approach in the management of tracheostomy patients.
OBJECTIVE To examine whether the implementation of a multidisciplinary percutaneous tracheostomy team decreases complications, improves efficiency in patient care, and reduces length of stay and cost in patients undergoing percutaneous tracheostomy. STUDY DESIGN Case series with planned data collection. SETTING Urban, academic, tertiary care medical center. SUBJECTS AND METHODS Patients w...
متن کاملAn intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study
INTRODUCTION Without specific strategies to address tracheostomy care on the wards, patients discharged from the intensive care unit (ICU) with a tracheostomy may receive suboptimal care. We formed an intensivist-led multidisciplinary team to oversee ward management of such patients. To evaluate the service, we compared outcomes for the first 3 years of the service with those in the year preced...
متن کامل