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Titolo:
Tracheostomy. Indications and operative techniques
Autore:
Walz, MK;
Indirizzi:
Kliniken Essen Mitte Evangel Huyssens Stiftung, Chirurg Klin, D-45136 Essen, Germany Kliniken Essen Mitte Evangel Huyssens Stiftung Essen Germany D-45136 any Kliniken Essen Mitte Evangel Huyssens Stiftung, Zentrum Minimal Invas Chirurg, D-45136 Essen, Germany Kliniken Essen Mitte Evangel Huyssens StiftungEssen Germany D-45136 any
Titolo Testata:
CHIRURG
fascicolo: 10, volume: 72, anno: 2001,
pagine: 1101 -
SICI:
0009-4722(200110)72:10<1101:TIAOT>2.0.ZU;2-1
Fonte:
ISI
Lingua:
GER
Soggetto:
PERCUTANEOUS DILATATIONAL TRACHEOSTOMY; CRITICALLY ILL PATIENTS; INTENSIVE-CARE PATIENTS; CONVENTIONAL SURGICAL TRACHEOSTOMY; CIAGLIA-BLUE-RHINO; DILATIONAL TRACHEOSTOMY; NASOTRACHEAL INTUBATION; PROLONGED INTUBATION; TRANSLARYNGEAL TRACHEOSTOMY; LATE COMPLICATIONS;
Keywords:
tracheostomy; indications; operative technique; contraindications; complications;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
81
Recensione:
Indirizzi per estratti:
Indirizzo: Walz, MK Kliniken Essen Mitte Evangel Huyssens Stiftung, Chirurg Klin, Henricistr 92, D-45136 Essen, Germany Kliniken Essen Mitte Evangel Huyssens Stiftung Henricistr 92 Essen Germany D-45136
Citazione:
M.K. Walz, "Tracheostomy. Indications and operative techniques", CHIRURG, 72(10), 2001, pp. 1101

Abstract

Tracheostomy is one of the most ancient procedures in surgery. Although itwas traditionally used for treatment of upper airway stenosis, its primarysurgical indication is now in the long-term intensive care unit patient. Here, the aims are avoidance of damage to the larynx, earlier weaning from artificial respiration, and improved nursing care. Apart from the conventional operating method, minimally invasive procedures have been increasingly employed. More than 20,000 ICU patients per annum are now treated in Germanyby these modern methods. Common features of these procedures are the initial puncture of the trachea with subsequent dilatation of the puncture channel. Current meta-analyses of prospectively randomised studies show a lower complication rate than with conventional methods. Furthermore, serious sequelae such as tracheal stenosis are rare in the long-term course. However, conventional operative tracheostomy still has its place, particularly in circumstances where the new methods are contraindicated.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 05:31:33