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Titolo:
Experience with percutaneous dilational tracheostomy
Autore:
Lim, JW; Friedman, M; Tanyeri, H; Lazar, A; Caldarelli, DD;
Indirizzi:
Rush Med Coll, Rush Presbyterian St Lukes Med Ctr, Dept Otolaryngol & Bronchoesophagol, Chicago, IL 60612 USA Rush Med Coll Chicago IL USA 60612 ronchoesophagol, Chicago, IL 60612 USA
Titolo Testata:
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
fascicolo: 9, volume: 109, anno: 2000,
pagine: 791 - 796
SICI:
0003-4894(200009)109:9<791:EWPDT>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
DILATATIONAL TRACHEOSTOMY; BEDSIDE TRACHEOTOMY; COMPLICATIONS; TRIAL;
Keywords:
airway management; percutaneous tracheostomy; tracheostomy complications;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Friedman, M 30 N Michigan Ave,Suite 1107, Chicago, IL 60602 USA 30 N Michigan Ave,Suite 1107 Chicago IL USA 60602 L 60602 USA
Citazione:
J.W. Lim et al., "Experience with percutaneous dilational tracheostomy", ANN OTOL RH, 109(9), 2000, pp. 791-796

Abstract

Percutaneous dilational tracheostomy (PDT) has gained popularity among critical care specialists in the past 10 years. The initial studies in our specialty resulted in essentially banning the procedure as a dangerous substitute for standard operative tracheostomy. Despite this action, more than 1,100 cases of percutaneous tracheostomy have been reported with details on complications. We reviewed all published data and studied 311 patients of ourown. A prospective study was performed in 3 groups of patients: 1) 50 patients scheduled for PDT performed in the operating room by a head and neck surgeon (group 1); 2) 50 patients who underwent standard operative tracheostomy performed by the same surgeon (group 2); and 3) 211 patients who underwent bedside PDT by critical care physicians (group 3). The intraoperative complication rates were 0% in group 1, 2% in group 2, and 4% in group 3; thepostoperative complication rates were 13%, 4%, and 12%, respectively. There were 2 deaths in group 3, and none in groups 1 or 2. The statistically significant differences among the groups were the superiority of group 1 overgroup 3 in intraoperative complications, as well as the lower postoperative complication rate of the standard tracheostomy group. These results show that PDT can be performed with acceptable morbidity rates in relation to published complication rates of standard tracheostomy, but it has no advantage over standard tracheostomy with respect to postoperative morbidity. When they are performed by a head and neck surgeon, the morbidity associated with both standard and percutaneous tracheostomies can be reduced.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 15:31:48