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Titolo:
Percutaneous tracheostomy: a review.
Autore:
Ravat, F; Pommier, C; Dorne, R;
Indirizzi:
Ctr Hosp St Joseph & St Luc, Ctr Brules, F-69007 Lyon, France Ctr Hosp St Joseph & St Luc Lyon France F-69007 es, F-69007 Lyon, France
Titolo Testata:
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION
fascicolo: 3, volume: 20, anno: 2001,
pagine: 260 - 281
SICI:
0750-7658(200103)20:3<260:PTAR>2.0.ZU;2-2
Fonte:
ISI
Lingua:
FRE
Soggetto:
LARYNGEAL MASK AIRWAY; STANDARD SURGICAL TRACHEOSTOMY; ENDOTRACHEAL-TUBE EXCHANGER; CRITICALLY ILL PATIENTS; INTENSIVE-CARE UNIT; DILATATIONAL TRACHEOSTOMY; DILATIONAL TRACHEOSTOMY; NONSURGICAL TRACHEOSTOMY; ENDOSCOPIC TRACHEOSTOMY; BRONCHOSCOPIC GUIDANCE;
Keywords:
intensive care : techniques surgical; tracheotomy : percutaneous;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
116
Recensione:
Indirizzi per estratti:
Indirizzo: Ravat, F Ctr Hosp St Joseph & St Luc, Ctr Brules, 9 Rue Prof Grignard, F-69007 Lyon, France Ctr Hosp St Joseph & St Luc 9 Rue Prof Grignard Lyon France F-69007
Citazione:
F. Ravat et al., "Percutaneous tracheostomy: a review.", ANN FR A R, 20(3), 2001, pp. 260-281

Abstract

Objectives: The aim of this study was to evaluate the different techniquesof percutaneous tracheostomies, their advantages, drawbacks, complicationsand to compare them to standard surgical tracheostomies. This study will consider only elective (non emergency) bedside procedures in intensive care units. Data sources: Extraction from Medline((R)) database of english and french articles on percutaneous tracheostomies and searching along with major review articles. Study selection: The collected articles were selected according to their qualities regarding to their evidence level. In addition to several important or historic references, the literature of the five past years was studied. Data extraction: The articles were reviewed according to their contribution for techniques, perioperative and postoperative complications, recent advances, advantages and drawbacks of all procedures. Publications addressing recent comparisons between surgical and percutaneous tracheostomies were specially studied. Data synthesis: Four techniques of bedside percutaneous tracheostomies areavailable and marketed, in France: Ciaglia's dilation technique (with multiple or unique dilator), Griggs's technique (using a special designed forceps), and Fantoni's technique (Trans Laryngeal Tracheostomy). The most spredbut also first described technique is the Ciaglia's (1985). The most recent articles comparing surgical and percutaneous tracheostomies techniques are not able to demonstrate a superiority of one of them in terms of feasibility or safety. In other words, there should be a slight advantage for the percutaneous tracheostomy regarding to the late post-operative complications, as there should be a slight advantage for the surgical techniques regarding to the perioperative complications. The literature analysis point out firstly the learning curve for percutaneous dilational tracheostomy, with a significant decrease of complication incidence with the operator's experience and secondly the continuous endoscopic guidance seems to increase the safety of the percutaneous procedure. Conclusion: Since there has been a great deal of percutaneous tracheostomyin the intensive care units, the incidence of tracheostomy have increased in those services. There is a trend to replace the surgical procedure by the percutaneous one. However, according to the potentially jeopardizing complications, percutaneous tracheostomy should be done by an experienced operator with the help of a continuous endoscopic guidance. (C) 2001 Editions scientifiques et medicales Elsevier SAS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 10:41:08