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Titolo:
PERCUTANEOUS DILATIONAL TRACHEOSTOMY - REPORT OF 356 CASES
Autore:
HILL BB; ZWENG TN; MALEY RH; CHARASH WE; TOURSARKISSIAN B; KEARNEY PA;
Indirizzi:
UNIV KENTUCKY,ALBERT B CHANDLER MED CTR,DEPT SURG,DIV GEN SURG,C-223,800 ROSE ST LEXINGTON KY 40536 UNIV KENTUCKY,ALBERT B CHANDLER MED CTR,DEPT SURG,DIV GEN SURG LEXINGTON KY 40536
Titolo Testata:
The journal of trauma, injury, infection, and critical care
fascicolo: 2, volume: 41, anno: 1996,
pagine: 238 - 243
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTENSIVE-CARE UNIT; CRITICALLY ILL PATIENTS; DILATATIONAL TRACHEOSTOMY; COMPLICATIONS; EXPERIENCE; TRACHEOTOMY; STENOSIS; TRIAL;
Keywords:
PERCUTANEOUS DILATIONAL TRACHEOSTOMY; COMPLICATIONS; REVIEW;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
40
Recensione:
Indirizzi per estratti:
Citazione:
B.B. Hill et al., "PERCUTANEOUS DILATIONAL TRACHEOSTOMY - REPORT OF 356 CASES", The journal of trauma, injury, infection, and critical care, 41(2), 1996, pp. 238-243

Abstract

Objective: To evaluate the procedure time, complications, and percutaneous dilational tracheostomy (PDT) charges. Design: Operative data were prospectively collected for 356 PDTs including the initial series of 141 PDTs reported in 1994. Short- and long-term complications were retrospectively identified by review of medical records and patient telephone interviews, Materials and Methods: PDT was performed using the ''Ciaglia'' method of serial dilation over a Seldinger guidewire. Discharged patients (n = 258) were followed for a mean (+/- SD) of 10 +/- 7 months. Measurements and Main Results: The mean procedure time was 15 +/- 8 minutes; operative mortality rate, 0.3% (1/356); overall complication rate, 191 (69/356); long-term symptomatic tracheal stenosis rate, 3.78 (8/214), The mean total patient charge for bedside PDT was $1,370; for open tracheostomy in the operating room, $2,675, Conclusions: Surgeons can rapidly perform PDT at the bedside with a lower risk ofcomplications than open tracheostomy and at a significantly reduced patient charge.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 07:05:19