Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Percutaneous tracheostomy: A clinical comparison of dilatational (Ciaglia)and translaryngeal (Fantoni) techniques
Autore:
Westphal, K; Byhahn, C; Wilke, HJ; Lischke, V;
Indirizzi:
JW Goethe Univ Hosp Ctr, Dept Anesthesiol Intens Care Med & Pain Control, Frankfurt, Germany JW Goethe Univ Hosp Ctr Frankfurt Germany n Control, Frankfurt, Germany
Titolo Testata:
ANESTHESIA AND ANALGESIA
fascicolo: 4, volume: 89, anno: 1999,
pagine: 938 - 943
SICI:
0003-2999(199910)89:4<938:PTACCO>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICALLY ILL PATIENTS; DILATIONAL TRACHEOSTOMY; COMPLICATIONS; TRACHEOTOMY; EXPERIENCE; TRIAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Westphal, K JW Goethe Univ Hosp, Dept Anesthesiol, D-60590 Frankfurt, Germany JW Goethe Univ Hosp Frankfurt Germany D-60590 kfurt, Germany
Citazione:
K. Westphal et al., "Percutaneous tracheostomy: A clinical comparison of dilatational (Ciaglia)and translaryngeal (Fantoni) techniques", ANESTH ANAL, 89(4), 1999, pp. 938-943

Abstract

A number of percutaneous procedures for tracheostomy have been establishedwithin the last few years, among them a new technique by Fantoni using a translaryngeal approach for cannula placement. To compare the new translaryngeal tracheostomy (TLT) to the common percutaneous dilatational technique (PDT), we prospectively studied 90 patients who required elective tracheostomy. Tracheostomy was performed according to either the Ciaglia or the Fantoni technique in 45 patients at bedside. The overall complication rate was 11.1% (n = 5) in PDT, Including aspiration of blood (n = 4) and severe bleeding requiring surgical intervention (n = 1). During TLT, there were technical difficulties involving guidewire placement in 31.1% (n = 14), and one patient required conversion to PDT. No other complications were noted in TLT. Regardless of the technique used, the postoperative PaO2/FIO2 ratio was slightly lower than preoperatively (P was not significant). When PDT and TLT were compared, the postoperative PaO2/FIO2, ratio was significantly lower in PDT than in TLT (P < 0.05), whereas the preoperative levels did not vary significantly between PDT and TLT. During TLT, the Pace, increased significantly, whereas it remained stable throughout PDT. No infection of the tracheostoma was noted in either the PDT or the TLT. We therefore consider both the PDT and the TLT equally safe and attractive techniques for establishinglong-term airway access in critically ill patients. Implications: Electivetracheostomy is a widely accepted procedure for gaining long-term airway access. Two techniques for percutaneous tracheostomy-the established Ciagliamethod and the new translaryngeal Fantoni technique-were prospectively studied for perioperative complications and practicability in 90 critically ill-patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/10/20 alle ore 00:46:23