Surgical technique affects the risk for tracheostoma-related complications in post-ICU patients.

Détails

ID Serval
serval:BIB_CB24995AEDD7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Surgical technique affects the risk for tracheostoma-related complications in post-ICU patients.
Périodique
Acta Oto-laryngologica
Auteur(s)
Koitschev A., Simon C., Blumenstock G., Mach H., Graumueller S.
ISSN
0001-6489 (Print)
ISSN-L
0001-6489
Statut éditorial
Publié
Date de publication
2006
Volume
126
Numéro
12
Pages
1303-1308
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Résumé
CONCLUSIONS: This study provides evidence that the surgical technique used for tracheotomy influences the risk of tracheostomy-related complications. techniques resulting in an epithelialized tracheostoma seem to minimize the risk.
OBJECTIVE: Tracheotomies are frequently performed procedures in critically ill patients requiring long-term ventilation. Hence, we undertook a study to evaluate factors for tracheostomy-related complications among patients with a persisting stoma after critical care.
PATIENTS AND METHODS: The patients underwent endoscopic examination of the tracheostoma, larynx, and trachea. The intensive care units (ICUs) were contacted with a questionnaire about the patient's diagnosis, the indication for the tracheotomy, the date of the tracheotomy, and the method of the tracheotomy procedure.
RESULTS: A total of 170 patients were included in this study. In all, 57.6% of the patients had unstable tracheostomas, a stenosis of the tracheal lumen above the stoma was encountered in 48.2% (G I, <50% of the lumen = 27.6% and G II, >50% of the lumen = 20.6%), and below the stoma in 3.5% of the patients. A significant association was found between severe suprastomal stenosis, tracheostoma instability and the use of dilatational tracheotomy (DT) (p<0.001). A malacia of the trachea was significantly more common among female patients (p < 0.010).
Mots-clé
Adult, Aged, Aged, 80 and over, Critical Care, Female, Humans, Intensive Care Units, Male, Middle Aged, Specialties, Surgical, Tracheostomy/adverse effects, Tracheostomy/methods
Pubmed
Web of science
Création de la notice
21/01/2013 14:47
Dernière modification de la notice
20/08/2019 15:45
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