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Titolo:
Tracheostomy in intensive care medicine
Autore:
Westphal, K; Byhahn, C; Lischke, V;
Indirizzi:
Univ0590nkfurt Klinikum, Klin Anasthesiol Intens Med & Schmerztherapie, D-6 Univ Frankfurt Klinikum Frankfurt Germany D-60590 & Schmerztherapie, D-6
Titolo Testata:
ANAESTHESIST
fascicolo: 3, volume: 48, anno: 1999,
pagine: 142 - 156
SICI:
0003-2417(199903)48:3<142:TIICM>2.0.ZU;2-H
Fonte:
ISI
Lingua:
GER
Soggetto:
PERCUTANEOUS DILATATIONAL TRACHEOSTOMY; CRITICALLY ILL PATIENTS; CONVENTIONAL SURGICAL TRACHEOSTOMY; DILATIONAL TRACHEOSTOMY; TRANSLARYNGEAL TRACHEOSTOMY; TRACHEAL STENOSIS; BEDSIDE PROCEDURE; PERIOPERATIVE COMPLICATIONS; ENDOTRACHEAL INTUBATION; NASOTRACHEAL INTUBATION;
Keywords:
tracheostomy, percutaneous, surgical complications; results; costs;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
111
Recensione:
Indirizzi per estratti:
Indirizzo: Westphal, K Univodornkfurt Klinikum, Klin Anasthesiol Intens Med & Schmerztherapie, The Univ Frankfurt Klinikum Theodor Stern Kai 7 Frankfurt Germany D-60590
Citazione:
K. Westphal et al., "Tracheostomy in intensive care medicine", ANAESTHESIS, 48(3), 1999, pp. 142-156

Abstract

Tracheostomy is one of the oldest surgical procedures and in the past decades has become the method of choice in the management of patients requiringlong-term mechanical ventilation. At present, several alternatives exist to conventional surgical tracheostomy, such as the percutaneous dilatationaltechniques according to Ciaglia (PDT), Griggs (GWDF), and Schachner (Rapitrach). In particular, PDT according to Ciaglia which was introduced in 1985, has been recognized as an equally safe, but less expensive procedure thanconventional tracheostomy. Fantoni's translaryngeal percutaneous techniqueis another new and safe procedure, which was first performed in 1996. Nonetheless, we believe that percutaneous procedures should only be performed by experienced physicians who are well-trained in both endotracheal intubation and mask ventilation. Furthermore, the capacity to perform surgical tracheostomy immediately in case of complications should be given. Only if the contraindications are carefully observed,will these new procedures retain their value and benefit in airway management of long-term ventilated patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 15:35:46