Tracheostomy in patients with long-term mechanical ventilation: a survey

Respiratory Medicine
Santino MarcheseIntensive Care Study Group, Italian Association of Hospital Pulmonologists (AIPO)

Abstract

Tracheostomy is increasingly performed in intensive care units (ICU), with many patients transferred to respiratory ICU (RICU). Indications/timing for closing tracheostomy are discussed. We report results of a one-year survey evaluating: 1) clinical characteristics, types of tracheostomy, complications in patients admitted to Italian RICU in 2006; 2) clinical criteria and systems for performing decannulation, and outcome of patients undergoing tracheostomy (number decannulated; number non-decannulated/non-ventilated; number non-decannulated/ventilated; dead/lost patients). 22/32 RICUs replied. There were 846 admissions of 719 patients (Mean age 64,3 (+/-14.2) years, 489 (68%) males). Causes of admission were: acute respiratory failure with underlying chronic co-morbidities 176 (24.4%); exacerbation of Chronic Obstructive Pulmonary Disease 222 (34.4%); neuromuscular diseases 200 (27.8%); surgical patients 77 (10.7%); thoracic dysmorphism 28 (3.8%); obstructive sleep apnea syndrome 16 (2.2%). Percutaneous tracheostomies were 65.9%. Major complications after tracheostomy were 2%. 427 tracheostomies were evaluated for decannulation: 96 (22.5%) were closed; 175 patients (41%) were discharged with home mechanical ventilation; 114 pat...Continue Reading

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Citations

Mar 19, 2014·Annales Françaises D'anesthèsie Et De Rèanimation·R BlondonnetS Perbet
May 9, 2012·European Journal of Internal Medicine·Raffaele Scala
Dec 3, 2015·Multidisciplinary Respiratory Medicine·Franco PasquaUNKNOWN Lazio Regional Section, Italian Association of Hospital Pulmonologists (AIPO)
Jun 27, 2012·Anaesthesia·B A McGrathUNKNOWN National Tracheostomy Safety Project
Jun 15, 2010·Respiratory Medicine·Nicoletta CarpenèNicolino Ambrosino
Mar 7, 2018·Multidisciplinary Respiratory Medicine·Nicolino Ambrosino, Michele Vitacca
Feb 23, 2012·Respiration; International Review of Thoracic Diseases·Stephan BudweiserFrank Heinemann
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Oct 7, 2010·Expert Review of Respiratory Medicine·Nicolino Ambrosino, Luciano Gabbrielli
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Jul 30, 2020·BMJ Open Respiratory Research·Kirsty A WhitmoreKevin B Laupland
Aug 25, 2020·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Tapasya BishnoiA P Arjun
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