Percutaneous dilatational tracheostomy. A safe, cost-effective bedside procedure

Archives of Surgery
R CobeanC E Bredenberg

Abstract

To evaluate the safety and cost-effectiveness of percutaneous dilatational tracheostomy performed in the intensive care unit. Retrospective review of 65 patients with cost-effectiveness analysis. University-affiliated tertiary care teaching hospital with a 34-bed combined medical-surgical intensive care unit. All patients who underwent percutaneous dilatational tracheostomy under the supervision of a single general surgeon during a 19-month period. Cost analysis was based on comparison with standard operative tracheostomies performed during the same period. Percutaneous dilatational tracheostomy was completed in all patients in whom it was attempted, regardless of airway anatomy, body habitus, and ventilator settings. The mean duration of the procedure performed in the intensive care unit was 13.6 minutes (95% confidence interval, 11.7 to 15.5 minutes). Intraoperative complications occurred in 14 patients (22%), most of which were minor technical difficulties, and none resulted in serious morbidity. Postoperative complications occurred in six patients (9%), including one death secondary to premature decannulation, three bleeding complications, one episode of subcutaneous emphysema, and one air leak. Two long-term airway complic...Continue Reading

Citations

Mar 28, 2008·Southern Medical Journal·Babak SaraniPatrick Reilly
Nov 24, 1999·Annals of Surgery·C GysinJ C Chevrolet
Apr 18, 2000·Annals of Surgery·P A KearneyR M Mentzer
Nov 1, 2000·Critical Care : the Official Journal of the Critical Care Forum·J M AñónL Navarro
Feb 5, 2000·BMJ : British Medical Journal·S Stott
Jan 29, 2013·The Journal of Trauma and Acute Care Surgery·Laura H RosenbergerRobert G Sawyer
Apr 11, 2013·World Journal of Surgery·Jonathan Cools-LartigueLorenzo Ferri
Jun 22, 1999·Medizinische Klinik·T WelteH Klein
Jan 29, 2000·Anaesthesia·J EscarmentJ F Quinot
May 18, 1999·American Journal of Surgery·N van HeerbeekH A Marres
Jan 9, 2007·European Journal of Anaesthesiology·N YurtsevenS Canik
Jan 15, 2009·European Journal of Anaesthesiology·David HigginsJohn Kinnear
Apr 20, 1999·Chest·R C LeonardP V van Heerden
Feb 19, 2000·The Laryngoscope·D D MassickD C Young
Oct 31, 2013·Critical Care : the Official Journal of the Critical Care Forum·Marcel SimonStefan Kluge
May 30, 1998·Acta Anaesthesiologica Scandinavica·H O HoldgaardP B Paaske
Jul 18, 2000·The Surgical Clinics of North America·C A Barba
Oct 11, 2003·Clinics in Chest Medicine·John E Heffner
Oct 11, 2003·Clinics in Chest Medicine·Luis F Angel, Charles B Simpson
Oct 11, 2003·Clinics in Chest Medicine·Shawn E Wright, Kelly VanDahm
Jan 29, 2000·Critical Care Clinics·R K Goldman
Nov 12, 2005·Chronic Respiratory Disease·J E Heffner
Mar 5, 2003·The Laryngoscope·Michael D SharpeChris Harris
Oct 21, 1999·The Journal of Trauma·C M CalkinsJ B Haenel
Nov 9, 2010·The Laryngoscope·Hilliary N WhitePaul F Castellanos
Oct 5, 2018·The Laryngoscope·Anthony YangAlfred Iloreta
Jan 9, 2009·Neurocritical Care·David B SederNeeraj Badjatia
Oct 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A ParchaniR Latifi
Sep 2, 1999·Critical Care Medicine·P DulguerovJ C Chevrolet
Feb 1, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sande BartelsMark K Wax

❮ 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.