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Titolo:
ELECTIVE BEDSIDE TRACHEOSTOMY IN THE INTENSIVE-CARE UNIT
Autore:
UPADHYAY A; MAURER J; TURNER J; TISZENKEL H; ROSENGART T;
Indirizzi:
NEW YORK HOSP,QUEENS MED CTR,DEPT SURG,56-45 MAIN ST FLUSHING NY 11355 NEW YORK HOSP,QUEENS MED CTR,DEPT SURG FLUSHING NY 11355 NEW YORK HOSP,CORNELL MED CTR,DEPT CARDIOTHORAC SURG NEW YORK NY 00000
Titolo Testata:
Journal of the American College of Surgeons
fascicolo: 1, volume: 183, anno: 1996,
pagine: 51 - 55
SICI:
1072-7515(1996)183:1<51:EBTITI>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERCUTANEOUS DILATIONAL TRACHEOSTOMY; CRITICALLY ILL PATIENTS; COMPLICATIONS; TRACHEOTOMY; MANAGEMENT; EXPERIENCE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
A. Upadhyay et al., "ELECTIVE BEDSIDE TRACHEOSTOMY IN THE INTENSIVE-CARE UNIT", Journal of the American College of Surgeons, 183(1), 1996, pp. 51-55

Abstract

BACKGROUND: Tracheostomy is a frequently performed procedure, and historically has had a high reported complication rate. This has led someauthors to suggest that a tracheostomy should be done only in the operating room (OR). Concerns regarding the hazards of transporting critically ill patients to the OR may inhibit the use of tracheostomy. Bedside tracheostomy in the Intensive Care Unit (ICU) has been shown to besafe, but this concept has not been widely accepted. STUDY DESIGN: Weretrospectively reviewed consecutive patients undergoing tracheostomyover a four-year period and compared the safety of elective beside tracheostomy with OR tracheostomy. RESULTS: We studied 536 patients who underwent tracheostomy during the four years, in 470 of whom the procedures were elective. Of these, 66 percent were done at the bedside without an anesthesiologist present. For the 311 patients who underwent bedside tracheostomy, the complication rate was 8.7 percent compared to9.4 percent of 159 patients undergoing OR tracheostomy (p values werenot significant). No deaths were directly associated with tracheostomy procedures, although the overall hospital mortality rate for these patients was 59 percent. CONCLUSIONS: A tracheostomy can safely be performed in an ICU without requiring transport of the patient to the operatic; suite, thereby eliminating the hazards of transport.

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Documento generato il 29/11/20 alle ore 16:30:09