UPDATE IN INTENSIVE CARE MEDICINE: HEMODYNAMIC MONITORIZATION IN THE CRITICAL PATIENT Percutaneous tracheostomy in the ventilated patient
نویسندگان
چکیده
The medical indications of tracheostomy comprise the alleviation of upper airway obstruction; the prevention of laryngeal and upper airway damage due to prolonged translaryn-geal intubation in patients subjected to prolonged mechanical ventilation; and the facilitation of airway access for the removal of secretions. Since 1985, percutaneous tracheostomy (PT) has gained widespread acceptance as a method for creating a surgical airway in patients requiring long-term mechanical ventilation. Since then, several comparative trials of PT and surgical tracheostomy have been conducted, and new techniques for PT have been developed. The use of percutaneous dilatation techniques under bronchoscopic control is now increasingly popular throughout the world. Tracheostomy should be performed as soon as the need for prolonged intubation is identified. However a validated model for the prediction of prolonged mechanical ventilation is not available, and the timing of tracheostomy should be individualized. The present review analyzes the state of the art of PT in mechanically ventilated patients-this being regarded by many as the technique of choice in performing tracheostomy in critically ill patients. de la traqueotomía en el enfermo crítico.
منابع مشابه
Percutaneous versus surgical tracheostomy: A randomized controlled study with long-term follow-up.
OBJECTIVE To compare the safety, availability, and long-term sequelae of percutaneous vs. surgical tracheostomy. DESIGN Prospective, randomized, controlled study. SETTING Combined medical/surgical intensive care unit in a tertiary referral hospital. PATIENTS Two hundred critically ill mechanically ventilated patients who required tracheostomy. INTERVENTIONS Tracheostomy by either percut...
متن کاملبررسی مقایسه ای تراکئوستومی و عوارض ناشی از آن در دو روش تراکئوستومی پرکوتانئوس و روش استاندارد جراحی
Introduction & Objective: Percutaneous Dilatational Tratheostomy (PDT) is an elective procedure increasingly performed at bedside in intensive care unit (ICU). With this technique the complications during transferring to the operating room, duration between one patient candidate for PDT to perform it and cost decreased compared to the standard technique. In our study we compared the duration ...
متن کاملUPDATE IN INTENSIVE CARE: MECHANICAL VENTILATION Monitorization of respiratory mechanics in the ventilated patient
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Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques
BACKGROUND Although the standard tracheostomy described in 1909 by Jackson has been extensively used in critical patients, a more simple procedure that can be performed at the bedside is needed. Since 1957 several different types of percutaneous tracheostomy technique have been described. The purpose of the present study was to compare two bedside percutaneous tracheostomy techniques: percutane...
متن کاملمقایسه تراکئوستومی به روش جراحی و پرکوتانئوس در بخش مراقبتهای ویژه
Background: Prolonged mechanical ventilation and the need for tracheal intubation are the main indication of tracheostomy. This procedure can be done, in two ways: surgical tracheostomy or percutaneous tracheostomy. In this study, surgical tracheostomy was compared with percutaneous method in the intensive care unit. Methods: This clinical trial study was performed on 61 patients admitted to t...
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