Percutaneous Tracheostomy – Advantages and Complications
Journal Title: Nursing and Health Care - Year 2016, Vol 1, Issue 1
Abstract
Percutaneous tracheostomies, of any technique, have become an essential procedure in the ICU setting, especially in patients for which we expect a need for prolonged invasive ventilatory support. Percutaneous tracheostomies are very efficient, relatively easily performed and thus need to be an essential skill for every intensivist. Experience in setting an indication and timing is as equally important as the manual skill required for the procedure. Based on our experience of over 300 performed percutaneous tracheostomies, we recommend performing the procedure at an earlier phase, up to seven days from intubation, in order to reduce the risks associated with prolonged intubation such as tracheal stenosis, tracheo-oesophageal fistula formation and ventilator associated pneumonia. As with every invasive procedure, there are advantages and complications. Implementing a standardized protocol for this procedure increases the rate of success and safety of the patient. Based on available data, percutaneous tracheostomies have certain definite advantage points in comparison to a classical surgical tracheostomy and should therefore be recommended as a safe method of treatment, having in mind that a classical surgical tracheotomy has its indications which must not be overlooked.
Authors and Affiliations
Anđelko Korušić
Keywords
Related Articles
- EP ID EP398912
- DOI -
- Views 147
- Downloads 0
Pattern of Admissions in the Department of Pediatrics at Benha Teaching Hospital, Egypt
Objectives: To determine pattern of admissions and to study the types of illness and their outcomes in relation to disease at General Pediatric Ward at Benha Teaching Hospital (BTH). Subjects and Methods: This study...
Lipoid Pneumonia Due to Aspiration of Oil Products: Two Case Reports
Lipoid pneumonia which is a rare disorder, results from accumulation of lipids in the alveoli. Lipoid pneumonia has two types; exogenous pneumonia which results from deposition of inhaled oil in the lung and endogenous p...
Experiences of Foundation Year Students at Oman College of Health Sciences
Joining college for the first time might be a difficult experience for most students as the transitional stage from being a student of secondary school to one in a college can lead to problems in terms of adjusting to co...
Nursing Education and its Cultural Congruency in the Sultanate of Oman: Case Study
Background: The purpose of this study is to explore whether the cultural aspects of client care as included in the nursing curriculum in the Sultanate of Oman are satisfactory. This concept will be examined by reviewing...
Factors Associated With Domestic Violence among the 50 Years and above Living with Hiv/Aids - A Case Study of Mukono Hospital Patients
Domestic violence cuts cross all age groups and globally, between 10% and 69% of women report of having been physically assaulted by their sexual partner at least once in their life. Furthermore, between 6% and 47% of ad...