Assessment of ventilation during the performance of elective endoscopic-guided percutaneous tracheostomy: clinical evaluation of a new method

Chest
Fausto FerraroClara Belluomo Anello

Abstract

To evaluate the feasibility of uninterrupted translaryngeal open ventilation delivered through a pediatric, uncuffed endotracheal tube during percutaneous endoscopic tracheostomy (PET). Prospective, observational clinical study in a six-bed ICU of a university hospital. Forty consecutive adult patients requiring an elective tracheostomy. We employed the basic Ciaglia technique with multiple dilators (n = 10), a single dilator (n = 15), and the Fantoni method (n = 15). During PET, pressure-controlled ventilation was maintained through an uncuffed, 4-mm inner-diameter pediatric tube. The fraction of inspired oxygen was 1.0. Ventilator settings were as follows: pressure-controlled ventilation, 40 cm H(2)O; respiratory rate, 25/min; inspiratory time, 1.2 s of inspiratory time (inspiratory/expiratory ratio, 1:1); and positive end-expiratory pressure, 0 cm H(2)O. Measurements of arterial blood gas (ABG) tensions were obtained before the start of each tracheostomy and every 3 min during the procedure. An average of 8.28 +/- 2.28 ABG measurements were obtained from each patient (+/- SD). All patients were successfully assisted during performance of the tracheostomy, and no patient required ventilation through a cuffed endotracheal tube...Continue Reading

References

Apr 1, 1990·The Journal of Trauma·D MarelliD S Mulder
Apr 1, 1997·Intensive Care Medicine·A Fantoni, D Ripamonti
Jun 1, 1997·Intensive Care Medicine·S Petros, L Engelmann
Dec 18, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Y Skrobik, C Gregoretti
Jan 31, 2002·Intensive Care Medicine·Martin BeiderlindenJürgen Peters

❮ Previous
Next ❯

Citations

Sep 19, 2012·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Yiu Ming HoHayden White
Jun 26, 2014·Indian Journal of Anaesthesia·Fausto FerraroGiuseppe Izzo
Jun 20, 2014·British Journal of Anaesthesia·F FerraroB Lettieri
Jul 8, 2015·Chest·Maria VargasGiuseppe Servillo
Oct 31, 2015·Journal of Critical Care·Yashvir Singh Sangwan, Robert Chasse
Feb 5, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Fausto FerraroAlfonso Fiorelli
Jun 28, 2016·Journal of Clinical Monitoring and Computing·Benoit Voisin, Saad Nseir
Oct 21, 2005·Chest·Antoine CuvelierJean-François Muir
May 12, 2017·Acta Anaesthesiologica Scandinavica·J GrensemannS Kluge
Aug 21, 2008·Anesthesia and Analgesia·Denise P VeeloMarcus J Schultz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.