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Titolo:
Dilatational percutaneous tracheostomy: Modification of technique
Autore:
Atweh, NA; Possenti, PP; Caushaj, PF; Burns, G; Pineau, MJ; Ivy, M;
Indirizzi:
Yale Univ, Dept Surg, Sch Med, New Haven, CT 06520 USA Yale Univ New Haven CT USA 06520 t Surg, Sch Med, New Haven, CT 06520 USA Bridgeport Hosp, Sect Trauma & Surg Crit Care, Bridgeport, CT 06610 USA Bridgeport Hosp Bridgeport CT USA 06610 it Care, Bridgeport, CT 06610 USA
Titolo Testata:
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
fascicolo: 1, volume: 47, anno: 1999,
pagine: 142 - 144
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICALLY ILL PATIENTS; DILATIONAL TRACHEOSTOMY; BRONCHOSCOPIC GUIDANCE; SURGICAL TRACHEOSTOMY; BEDSIDE PROCEDURE; EXPERIENCE; SAFE; ICU;
Keywords:
tracheostomy; percutaneous dilatational tracheostomy; hemoptysis; bronchoscopy; airway control;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Atweh, NA Yale Univ, Dept Surg, Sch Med, New Haven, CT 06520 USA Yale Univ New Haven CT USA 06520 h Med, New Haven, CT 06520 USA
Citazione:
N.A. Atweh et al., "Dilatational percutaneous tracheostomy: Modification of technique", J TRAUMA, 47(1), 1999, pp. 142-144

Abstract

Background: Major inherent risks associated with percutaneous dilatationaltracheostomy include loss of airway during endotracheal tube manipulation,inability to cannulate the trachea below the endotracheal tube, and difficulties related to neck anatomy. Method: Percutaneous dilatational tracheostomy technique was modified to make the incision in the suprasternal area, and the use of air leak technique confirmed tracheal penetration below the endotracheal cuff. Bronchoscopy was not used. Results: One hundred patients underwent percutaneous dilatational tracheostomy using the modification mentioned above. Although three patients had minor bleeding complications, there was no loss of airway; nor were there other complications. Conclusion: This technique provides improved safety from loss of airway and illuminates the need fur concomitant bronchoscopy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 09:32:44