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Titolo:
The guide wire dilating forceps technique of percutaneous tracheostomy
Autore:
van Heerbeek, N; Fikkers, BG; van den Hoogen, FJA; Mollen, RMHG; Marres, HAM;
Indirizzi:
Univ Nijmegen Hosp, Dept Intens Care, NL-6500 HB Nijmegen, Netherlands Univ Nijmegen Hosp Nijmegen Netherlands NL-6500 HB Nijmegen, Netherlands Univegen,egen Hosp, Dept Otorhinolaryngol Head & Neck Surg, NL-6500 HB Nijm Univ Nijmegen Hosp Nijmegen Netherlands NL-6500 HB Surg, NL-6500 HB Nijm Univ Nijmegen Hosp, Dept Surg, NL-6500 HB Nijmegen, Netherlands Univ Nijmegen Hosp Nijmegen Netherlands NL-6500 HB Nijmegen, Netherlands
Titolo Testata:
AMERICAN JOURNAL OF SURGERY
fascicolo: 4, volume: 177, anno: 1999,
pagine: 311 - 315
SICI:
0002-9610(199904)177:4<311:TGWDFT>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICALLY ILL PATIENTS; DILATATIONAL TRACHEOSTOMY; PERIOPERATIVE COMPLICATIONS; SURGICAL TRACHEOSTOMY; BEDSIDE PROCEDURE; TRACHEOTOMY; EXPERIENCE; INTUBATION; GUIDANCE; TRIAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Fikkers, BG Univlandsegen Hosp, Dept Intens Care, POB 9101, NL-6500 HB Nijmegen, Nether Univ Nijmegen Hosp POB 9101 Nijmegen Netherlands NL-6500 HB r
Citazione:
N. van Heerbeek et al., "The guide wire dilating forceps technique of percutaneous tracheostomy", AM J SURG, 177(4), 1999, pp. 311-315

Abstract

BACKGROUND: Prospective evaluation of the percutaneous tracheostomy by theguide wire dilating forceps (GWDF) technique. METHODS: In 50 selected patients percutaneous tracheostomy with fiberscopic control was performed and evaluated. RESULTS: Most percutaneous tracheostomies were performed without any adverse effect. No life-threatening complications or deaths were related to the procedure. The procedure was successful in 49 of 50 patients (98%). In 1 patient the procedure was converted to an open tracheostomy because significant bleeding occurred. Five perioperative complications, including this significant bleeding and four minor complications, occurred in 50 patients (10%). Early complications occurred in 6 of 48 patients (13%), including one significant bleeding and five minor complications. A subglottic stenosis occurred in 2 of 36 successfully decannulated patients (6%). In one case this was certainly due to prolonged endotracheal intubation,CONCLUSIONS: The GWDF technique is a safe and efficient bedside alternative to open tracheostomy, Fiberscopic control is recommended to increase the safety of the procedure. Although studies of late complications are necessary, it appears to be justifiable to consider percutaneous tracheostomy for patients who require tracheostomy. Am J Surg. 1999;177:311-315. (C) 1999 byExcerpta Medica, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 10:28:23