Is percutaneous tracheostomy the best method in the management of patients with prolonged mechanical ventilation?
نویسندگان
چکیده
Although percutaneous tracheostomy is a standardized procedure, rare major complications are still being evaluated and discussed. We describe a case of patient, with hemodynamic and respiratory stability, who displayed massive hemorrhage after 16 days of "Ciaglia Blue Rhino" tracheostomy. Unfortunately, neither prompt resuscitation maneuvers nor the surgical approach saved the life of patient.
منابع مشابه
دو مورد Percutaneous Dilatational Tracheostomy و مقایسه آن با روش جراحی در بیمارستان امام خمینی(ره) تهران (گزارش موردی)
Background: percutaneous dilatational tracheostomy was invented by ciaglia in 1985. With advent of various instruments, various methods such as Fantoni, Grigges and etc, it became a widesepreadly used method of tracheostomy, especially in intensive care unit wards. In our country this was began in 2005, along with many work shops conducted by anesthesiology department of Tehran University of Me...
متن کاملUPDATE IN INTENSIVE CARE MEDICINE: HEMODYNAMIC MONITORIZATION IN THE CRITICAL PATIENT Percutaneous tracheostomy in the ventilated patient
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 ...
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Background: Prolonged intubation and need to mechanical ventilation is an indication for tracheostomy. This procedure can be done, surgical or percutaneous. In this study, we compare surgical and percutaneous dilated tracheostomy. Methods: In this retrospective study, which was conducted in ICU wards of Rasool Akram Hospital from Mehr 1387 to Mehr 1390. We compared complication of tra...
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 کاملAdverse outcomes after percutaneous dilatational tracheostomy versus surgical tracheostomy in intensive care patients: case series and literature review
Tracheostomy is a routinely done procedure in the setting of intensive care unit (ICU) in patients requiring prolonged mechanical ventilation. There are two ways of making a tracheostomy: an open surgical tracheostomy and percutaneous dilatational tracheostomy. Percutaneous dilatational tracheostomy is associated with fewer complications than open tracheostomy. In this study, we would like to c...
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ورودعنوان ژورنال:
- Respiratory medicine case reports
دوره 16 شماره
صفحات -
تاریخ انتشار 2015