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العنوان
Recent updates of Insertion and Management of Tracheostomy in Adult Critically Ill Patients/
المؤلف
ElHamamsy,Haytham Magdy Abd El Fattah
هيئة الاعداد
باحث / هيثم مجدي عبد الفتاح الحمامصي
مشرف / ميرفت محمد مرزوق رضوان
مشرف / وائل رضا حسين ثابت
مشرف / منى أحمد محمد عبدالمطلب عمار
تاريخ النشر
2017
عدد الصفحات
108.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
العناية المركزة والطب العناية المركزة
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية التمريض - Intensive Care
الفهرس
Only 14 pages are availabe for public view

from 108

from 108

Abstract

Tracheostomy is one of the most frequent procedures performed in critically ill patients. It has been advocated for those requiring prolonged mechanical ventilation because it facilitates weaning by decreasing the work of breathing in patients with limited reserve, decreases the requirement for sedation, and may allow for earlier patient mobilization, feeding, and physical and occupational therapy. Despite the existence of various techniques, the key to successful performance of a tracheostomy and management of patients with a tracheostomy is standardization. It is vital to select one technique and become expert in its use.
So we can classify percutaneous tracheostomy techniques into:
I. Blind technique.
II. Bronchoscopic guided technique.
III. Ultrasound guided technique.
Both the surgical and the percutaneous dilatational strategies provide advantages and disadvantages. Some complications which can compromise the airway, such as technical difficulties, paratracheal insertion, tracheal laceration, pneumothorax, loss of airway, and hemorrhage, tend to be unusual for the surgical procedure but more likely in the percutaneous procedure. Accordingly, the surgical strategy appears to be beneficial with regard to the airway safety. In contrary, stoma inflammation and infection might be more rare when PDT is performed.
Keywords: Recent updates, Insertion and Management of Tracheostomy, Adult Critically Ill Patients
References
Freeman B and Morris P. Tracheostomy practice in adults with acute respiratory failure, Critical Care Medicine, 2012; 40 (10): 2890-2896.
Pandian V and Mirski M. Fundamentals and Timing of TracheostomyICU Team and Patient Perspectives. Annual update in Intensive Care and Emergency Medicine 2015. Springer International Publishing, 2015; 219-231.
Klotz R, Klaiber U, Grummich K, et al. Percutaneous versus surgical strategy for tracheostomy: protocol for a systematic review and meta-analysis of perioperative and postoperative complications. Systematic Reviews, 2015; 4(1):105.‏