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Titolo:
Percutaneous dilational tracheostomy: A comparison of single-versus multiple-dilator techniques
Autore:
Johnson, JL; Cheatham, ML; Sagraves, SG; Block, EFJ; Nelson, LD;
Indirizzi:
Orlando Reg Med Ctr, Dept Surg Educ, Orlando, FL 32806 USA Orlando Reg MedCtr Orlando FL USA 32806 Surg Educ, Orlando, FL 32806 USA
Titolo Testata:
CRITICAL CARE MEDICINE
fascicolo: 6, volume: 29, anno: 2001,
pagine: 1251 - 1254
SICI:
0090-3493(200106)29:6<1251:PDTACO>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
DILATATIONAL TRACHEOSTOMY; GASTROSTOMY; EXPERIENCE;
Keywords:
percutaneous dilational tracheostomy; bedside surgical procedures; airway; respiratory failure;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Johnson, JL Orlando Reg Med Ctr, Dept Surg Educ, Orlando, FL 32806 USA Orlando Reg Med Ctr Orlando FL USA 32806 rlando, FL 32806 USA
Citazione:
J.L. Johnson et al., "Percutaneous dilational tracheostomy: A comparison of single-versus multiple-dilator techniques", CRIT CARE M, 29(6), 2001, pp. 1251-1254

Abstract

Objective: To compare the safety and efficacy of single- vs. multiple-dilator techniques in the performance of percutaneous dilational tracheostomy. Design: Prospective randomized trial. Setting: Intensive care units at a level 1 trauma center. Patients: Fifty consecutive patients requiring tracheostomy for airway control or prolonged mechanical ventilatory support. Interventions: Patients were randomized to receive a percutaneous dilational tracheostomy by either the single- or multiple-dilator technique described by Ciaglia. Measurements and Main Results: Percutaneous dilational tracheostomy was performed using the single-dilator technique in 6:01 +/- 3:03 mins and by themultiple-dilator technique in 10:01 +/- 4:26 mins (p < .0006). There were no statistically significant differences in complication rates between the two techniques. No major complications occurred with either technique. Conclusion: The single-dilator percutaneous tracheostomy technique is a safe, cost-effective, and more rapidly performed method for bedside tracheostomy in the intensive care unit.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 05:41:57