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Titolo:
Update 2000: Tracheostomy on German intensive care units
Autore:
Westphal, K; Byhahn, C;
Indirizzi:
Univ Frankfurt Klinikum, Klin Anasthesiol Intens Med & Schmerztherapie, D-60590 Frankfurt, Germany Univ Frankfurt Klinikum Frankfurt Germany D-60590 590 Frankfurt, Germany
Titolo Testata:
ANASTHESIOLOGIE & INTENSIVMEDIZIN
fascicolo: 2, volume: 42, anno: 2001,
pagine: 70 - 74
SICI:
0170-5334(200102)42:2<70:U2TOGI>2.0.ZU;2-I
Fonte:
ISI
Lingua:
GER
Soggetto:
PERCUTANEOUS DILATATIONAL TRACHEOSTOMY; CRITICALLY ILL PATIENTS; BEDSIDE PROCEDURE; SAFE;
Keywords:
tracheostomy; intensive care medicine; surgery, operative; anaesthesiology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Westphal, K Univ Frankfurt Klinikum, Klin Anasthesiol Intens Med & Schmerztherapie, Theodor Stern Kai 7, D-60590 Frankfurt, Germany Univ Frankfurt Klinikum Theodor Stern Kai 7 Frankfurt Germany D-60590
Citazione:
K. Westphal e C. Byhahn, "Update 2000: Tracheostomy on German intensive care units", ANASTH INTM, 42(2), 2001, pp. 70-74

Abstract

A questionnaire was sent to German intensive care units (ICU) requesting information with regard to frequency, technique, and the medical/surgical specialties performing tracheostomies on these units. In July 1999, a total of 1,408 hospitals with a department of anaesthesia received a questionnaire. Information was sought regarding size of hospital and ICU, number of bedswith respirators, medical/surgical specialty in charge of the ICU, as wellas frequency, technique, and place of tracheostomy, 963 of the questionnaires were answered. 76.7% came from hospitals with up to 500 beds, 12.9% from hospitals with 500-749 beds, 3.3% from institutions of 750 to 1,000 beds,and 7.0% were returned from hospital centers with over 1,000 beds. Our data showed that currently about 31,600 tracheostomies are performed on GermanICU's, of these 51.3% are percutaneous tracheostomies, Ciaglia's percutaneous dilatational technique (PDT) is most commonly employed (56.6%). Conventional surgical tracheostomy is usually done in the operating room (83.0%) by a surgeon (67.9%), while percutaneous tracheostomies are usually performed at the patient's bedside on the ICU (86.3%) by an anaesthesiologist (75.5%). Our data shows that one of the most common surgical procedure in critically ill patients - tracheostomy - is undergoing rapid change. On the one hand, percutaneous tracheostomy techniques are becoming more common, on the other hand non-surgeons, especially anaesthesiologists, are increasingly performing the procedure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 13:16:36