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Titolo:
The use of a laryngeal mask airway during percutaneous tracheostomy
Autore:
Kahveci, SF; Acar, HV; Ozcan, B; Kutlay, O;
Indirizzi:
Uludag Univ, Sch Med, Dept Anaesthesiol & Intens Care, Bursa, Turkey Uludag Univ Bursa Turkey Dept Anaesthesiol & Intens Care, Bursa, Turkey
Titolo Testata:
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
fascicolo: 3, volume: 8, anno: 1999,
pagine: 205 - 208
SICI:
1364-5706(199906)8:3<205:TUOALM>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
STANDARD SURGICAL TRACHEOSTOMY; CRITICALLY ILL PATIENTS; DILATATIONAL TRACHEOSTOMY; DILATIONAL TRACHEOSTOMY; ENDOSCOPIC TRACHEOSTOMY; HYPERCARBIA; INSERTION; ICU;
Keywords:
percutaneous tracheostomy; laryngeal mask airway;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Kahveci, SF Uludag Univ, Sch Med, Dept Anaesthesiol & Intens Care, Bursa, Turkey Uludag Univ Bursa Turkey esiol & Intens Care, Bursa, Turkey
Citazione:
S.F. Kahveci et al., "The use of a laryngeal mask airway during percutaneous tracheostomy", MIN INVAS T, 8(3), 1999, pp. 205-208

Abstract

Bedside percutaneous tracheostomy (PCT) for patients in intensive care units (ICU) is gaining popularity. Recently, the use of a laryngeal mask airway (LMA) to facilitate PCT has been described. We present a series of 18 patients where an LMA was inserted prior to PCT. This was successful in all but one patient. PCT could not be performed in this patient as oxygen desaturation had developed after inserting the LMA. The reason for this was probably an oedematous larynx, secondary to long-term intubation. Major bleeding in two patients [one of whom required packed red blood cell (RBC) transfusion] required surgical intervention and two patients had minor bleeding. No complications were related to the insertion or presence of the LMA during PCT, with the exception of the one patient cited above. The use of an LMA during PCT is a method of treatment worth noting in ICU patients. This technique may provide suitable conditions for performing PCT and is free from thecomplications associated with the presence of an endotracheal tube.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 09:21:27