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9 results

  • Chapter 8 - Timing of tracheotomy for intubated patients
  • Edited by Peggy A. Seidman, Stony Brook University, State University of New York, Elizabeth H. Sinz, Pennsylvania State University, David Goldenberg, Pennsylvania State University
  • Book: Tracheotomy Management
  • Published online: 25 October 2011
  • Print publication: 20 October 2011, pp 99-116
  • View extract

    Summary

    Tracheotomy is one of the oldest known surgical procedures, and one of the most common procedures for patients in the intensive care unit (ICU). The development of endotracheal tubes with low-pressure/high-volume cuffs pushed back the timing of tracheotomy due to concerns that the risk of injury from the procedure had become greater than the risk of prolonged orotracheal intubation. Spinal cord lesions are associated with a high incidence of severe respiratory failure and pneumonia, with increased risk generally corresponding to a higher level of injury. The number of tracheotomies performed on elderly and chronically ill patients due to ongoing respiratory failure has increased considerably in recent years, possibly due to the success of critical care treatment. Retrospective studies that examine the timing of tracheotomy describe three groups of patients undergoing tracheotomy in a mixed medical-surgical pediatric ICU: prolonged mechanical ventilation; elective tracheotomy; and emergent tracheotomy.
Tracheotomy Management
  • Tracheotomy Management
  • A Multidisciplinary Approach
  • Edited by Peggy A. Seidman, Elizabeth H. Sinz, David Goldenberg
  • Published online: 25 October 2011
  • Print publication: 20 October 2011
  • View description
    Patients with tracheotomies are managed by a wide variety of healthcare professionals. As a result, information regarding best practice is scattered throughout the medical literature and can be difficult to identify and implement in the clinical setting. Tracheotomy Management: A Multidisciplinary Approach is a practical review of all tracheotomy procedures and acute and chronic tracheotomy care. It combines evidence-based practice and expert opinion to create an invaluable hands-on guide for any healthcare provider managing patients with tracheotomies. Each chapter is authored by at least two different subspecialists, contains case studies with real-life examples of problematic clinical scenarios, and is enhanced by high quality images. The rationale for different approaches is discussed to guide the decision-making process. Written and edited by tracheotomy experts from a wide variety of disciplines, Tracheotomy Management: A Multidisciplinary Approach is essential reading for anesthesiologists, nurse anesthetists and critical care and emergency physicians.