Prophylactic tracheostomy in aged and poor risk general surgical patients.
نویسندگان
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
منابع مشابه
Evaluation of prophylactic antibiotic administration in general surgery division of a teaching hospital in north of Iran
Surgical site infections are one of the most important post-surgery complications. Antimicrobial prophylaxis has been used routinely in surgeries to reduce infection incidence. However, inappropriate selection of antimicrobial agents or dosing can develop antimicrobial resistance, serious adverse reactions and prolong hospitalization. Current study aimed to examine prophylactic antibiotic presc...
متن کاملValue of Prophylactic Postoperative Antibiotic Therapy after Bimaxillary Orthognathic Surgery: A Clinical Trial
Introduction: Antibiotic therapy before or after orthognathic surgery is commonly recommended by surgeons to minimize the risk of wound infection. This article evaluates the value of Prophylactic antibiotic therapy in order to diminish the incidence of postoperative wound infection after orthognathic surgery. Materials and Methods: Fifty candidates for bimaxillary orthognathic surgery were di...
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 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...
متن کاملAudit on tracheostomies performed at the General Intensive Care Unit, Kuala Lumpur Hospital.
During a 6-month period from October 2000 to March 2001, we analysed the indications, methods, waiting period and complications following a tracheostomy at the General Intensive Care Unit (GIGU) of Hospital Kuala Lumpur. There were 49 tracheostomies performed during this period. Thirty of them were performed in the GICU using the percutaneous dilatational method while 19 were performed elective...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of the American Medical Association
دوره 169 7 شماره
صفحات -
تاریخ انتشار 1959