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Titolo:
Percutaneous tracheostomy by forceps dilation: report of 162 cases
Autore:
Escarment, J; Suppini, A; Sallaberry, M; Kaiser, E; Cantais, E; Palmier, B; Quinot, JF;
Indirizzi:
Hop Instruct Armees St Anne, Serv Sante Armees, F-83800 Toulon Naval, France Hop Instruct Armees St Anne Toulon Naval France F-83800 on Naval, France Hop Instruct Armees St Anne, Serv Anesthesie Reanimat, F-83800 Toulon Naval, France Hop Instruct Armees St Anne Toulon Naval France F-83800 on Naval, France
Titolo Testata:
ANAESTHESIA
fascicolo: 2, volume: 55, anno: 2000,
pagine: 125 - 130
SICI:
0003-2409(200002)55:2<125:PTBFDR>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
DILATATIONAL TRACHEOSTOMY; ENDOSCOPIC TRACHEOSTOMY; BEDSIDE PROCEDURE; EXPERIENCE; INSERTION; TRACHEOTOMY; HYPERCARBIA; MANAGEMENT; GUIDANCE; AIRWAY;
Keywords:
tracheostomy, percutaneous dilatational, tracheal stenosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
41
Recensione:
Indirizzi per estratti:
Indirizzo: Escarment, J Hop Instruct Armees St Anne, Serv Sante Armees, Blvd St Anne,F-83800 Toulon Naval, France Hop Instruct Armees St Anne Blvd St Anne Toulon Naval France F-83800
Citazione:
J. Escarment et al., "Percutaneous tracheostomy by forceps dilation: report of 162 cases", ANAESTHESIA, 55(2), 2000, pp. 125-130

Abstract

A prospective, observational clinical study evaluated the safety of percutaneous single-step dilational tracheostomy over a 43-month period. One hundred and sixty-two patients were deemed suitable for the procedure. The meanduration of tracheal intubation prior to tracheostomy was 6 days. The meanduration of the procedure was 9.3 min. Intra-operative complications occurred in 27 patients (16.6%), most of which were minor technical difficultieswithout morbidity. Postoperative complications, some of which were associated with morbidity, occurred in 16 patients. There were two deaths secondary to premature decannulation, one case of severe bleeding and five pneumothoraces. Long-term complications were assessed in 81 patients; there were four tracheal stenoses requiring surgery or laser therapy and seven patients with granulation tissue at the stoma site which did not require treatment. Forceps dilatational percutaneous tracheostomy appeared to be a convenient bedside procedure. However, complications do occur and further studies should address late sequellae, such as tracheal stenosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 12:50:38