Prophylactic tracheostomy in aged and poor risk general surgical patients.

نویسندگان

  • T E STARZL
  • W H MEYER
  • J J FARRELL
چکیده

The value of tracheostomy in the postoperative care of certain thoracic and neurosurgical patients has been recognized for some time,' but there has not been widespread acceptance of this procedure as an adjunct to therapy for the critically ill general surgical patient. The present report concerns the prophylactic use of tracheostomy in a series of aged and bad risk patients. For each of these patients a major operation was deemed mandatory, but the prognosis for immediate postoperative survival was poor because of debilitation and independent pulmonary or cardiovascular disease. The objectives of tracheostomy were to allow maximum utilization of pulmonary reserve and to prevent postoperative pulmonary complications. The most common postoperative complications are related to the respiratory system.' These complications, which may only be a source of morbidity in younger people, carry serious implications for feeble geriatric or poor risk patients. Preexisting

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عنوان ژورنال:
  • Journal of the American Medical Association

دوره 169 7  شماره 

صفحات  -

تاریخ انتشار 1959