Tracheostomy tubes are used to administer positive-pressure ventilation, to provide a patent airway, and to provide access to the lower respiratory tract for airway clearance. They are available in a variety of sizes and styles from several manufacturers. The dimensions of tracheostomy tubes are given by their inner diameter, outer diameter, length, and curvature. Differences in dimensions betw...

OBJECTIVE Evaluate parental perceptions associated with tracheostomy morbidity and quality of life in the management of Pierre Robin Sequence (PRS). STUDY DESIGN Retrospective review/survey. METHODS 42 Pierre Robin patients were identified, records were reviewed and airway assessments evaluated relative to airway compromise. Twenty patients had undergone tracheostomy. Perceptions of quality...

OBJECTIVES The aim of this study is to present our experience with elective surgical tracheostomy for intensive care unit (ICU) patients who needed prolonged translaryngeal intubation in order to evaluate the proper timing and advantages of early vs. late tracheostomy and to stress upon the risks associated with delayed tracheostomy. METHODS Medical records of all patients, who underwent elec...

OBJECTIVE To determine risk factors associated with tracheostomy placement after severe traumatic brain injury (TBI) and subsequent outcomes among those who did and did not receive a tracheostomy. METHODS This retrospective cohort study compared adult trauma patients with severe TBI (n = 583) who did and did not receive tracheostomy. A multivariable logistic regression model assessed the asso...

BACKGROUND Although the benefits of early tracheostomy have been discussed in numerous studies, it is still unclear whether it is safe to perform early tracheostomy on unstable stroke patients. The purpose of this study is to assess the influences of the timing of tracheostomy on the incidence of complications following surgical tracheostomy in stroke patients. METHODS We retrospectively perf...

The respiratory therapist plays an integral role in tracheostomy tube decannulation. Removal of the tracheostomy tube should be considered only if the original upper-airway obstruction is resolved, if airway secretions are controlled, and if mechanical ventilation is no longer needed. Predictors of success include ability to produce a vigorous cough and the absence of aspiration. Tracheostomy d...

BACKGROUND Tracheostomy is a common procedure for patients requiring prolonged mechanical ventilation. However, the timing of tracheostomy is quite variable. This study was performed to find out the factors determining the timing of tracheostomy in medical intensive care unit (ICU). METHODS Patients who were underwent tracheostomy between January 2008 and December 2009 in the medical ICU of S...

Tracheostomy in the neurosurgical setting is an important tool for airway maintenance, especially in Cerebellopontine angle tumour patients. A retrospective study was conducted at the Neurosurgical centre of a tertiary care institute for analyzing the factors dictating early or late tracheostomy and its consequent early or late decannulation. 170 records were retrieved of which 15.8% underwent ...

Tracheostomy directly exposes the lower respiratory tract to the exogenous bacteria increasing the risk of colonization of lower respiratory tract. The present study was done in patients who underwent tracheostomy and the study compares bacterial flora of oropharnyx and lower respiratory tract during tracheostomy with that of the bacterial flora of the lower respiratory tract during the first t...

Objectives: The optimal timing for tracheostomy after cardiac surgery in patients undergoing prolonged ventilation is controversial. The aim of this study was to assess the effect of tracheostomy timing on shortand long-term mortality of these patients. Design: Retrospective study of prospectively collected data. Setting: Cardiac surgical intensive care unit (ICU) in a tertiary-care, university...