143 results match your criteria Tracheostomy Tube Change


A descriptive qualitative study of home care experiences in parents of children with tracheostomies.

J Pediatr Nurs 2018 Dec 19;45:7-12. Epub 2018 Dec 19.

Department of Nursing, Xin Hua Hospital Affiliated to Shang Hai Jiao Tong University School of Medicine, Shanghai, China.

Purpose: The number of pediatric patients who require a long-term tracheal tube at home is gradually increasing. Studies have demonstrated that the parents of these children report high levels of stress, anxiety and other negative emotions as early as shortly after discharge from the hospital. The purpose of this study is to describe the home care experiences of parents of children with tracheostomies during the transition from hospital to home in China to more effectively address their needs. Read More

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http://dx.doi.org/10.1016/j.pedn.2018.12.005DOI Listing
December 2018

Airway Management During Anesthetic Induction of Secondary Laryngectomy for Recurrent Laryngeal Cancer: Three Cases of Report and Analysis.

Front Med (Lausanne) 2018 19;5:264. Epub 2018 Sep 19.

Department of Anesthesiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Surgery for laryngeal cancer and the following recurrent tumor growth may further change the anatomy of the airway. Airway management during anesthesia induction is challenging for the patients undergoing secondary surgery due to recurrence of laryngeal cancer or its postoperative complication, but it has never been reported. In this report, we described three cases of anesthetic induction which had different process of airway events. Read More

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https://www.frontiersin.org/article/10.3389/fmed.2018.00264/
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http://dx.doi.org/10.3389/fmed.2018.00264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157329PMC
September 2018
3 Reads

Caregiver Perceptions about their Decision to Pursue Tracheostomy for Children with Medical Complexity.

J Pediatr 2018 Dec 17;203:354-360.e1. Epub 2018 Sep 17.

Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC.

Objective: To describe the perceptions of caregivers of children with medical complexity (CMC) about their decision to pursue tracheostomy for their children, in particular the satisfaction with their decision.

Study Design: In this qualitative study conducted in western North Carolina between 2013 and 2014, we interviewed 56 caregivers of 41 CMC who had received tracheostomies in the past 5 years. Three of the CMC were deceased at the time of the interview; 8 were decannulated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223476183095
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http://dx.doi.org/10.1016/j.jpeds.2018.07.045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252133PMC
December 2018
11 Reads

A Study of Practice Behavior for Endotracheal Intubation Site for Children With Congenital Heart Disease Undergoing Surgery: Impact of Endotracheal Intubation Site on Perioperative Outcomes-An Analysis of the Society of Thoracic Surgeons Congenital Cardiac Anesthesia Society Database.

Anesth Analg 2018 Sep 5. Epub 2018 Sep 5.

Department of Anesthesiology and Pediatrics, Duke University School of Medicine, Durham, North Carolina.

Background: In adults undergoing cardiopulmonary bypass surgery, oral intubation is typically preferred over nasal intubation due to reduced risk of sinusitis and infection. In children, nasal intubation is more common and sometimes preferred due to perceived benefits of less postoperative sedation and a lower risk for accidental extubation. This study sought to describe the practice of nasal intubation in the pediatric population undergoing cardiopulmonary bypass surgery and assess the risks/benefits of a nasal route against an oral one. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003594DOI Listing
September 2018
3 Reads

Preventing ventilator-associated pneumonia-a mixed-method study to find behavioral leverage for better protocol adherence.

Infect Control Hosp Epidemiol 2018 Oct 31;39(10):1222-1229. Epub 2018 Aug 31.

Division of Infectious Diseases and Hospital Epidemiology,University Hospital Zürich,University of Zurich,Zurich,Switzerland.

Objective: Preventing ventilator-associated pneumonia (VAP) is an important goal for intensive care units (ICUs). We aimed to identify the optimal behavior leverage to improve VAP prevention protocol adherence.

Design: Mixed-method study using adherence measurements to assess 4 VAP prevention measures and qualitative analysis of semi-structured focus group interviews with frontline healthcare practitioners (HCPs). Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2018.195DOI Listing
October 2018
11 Reads

Improved growth and developmental activity post tracheostomy in preterm infants with severe BPD.

Pediatr Pulmonol 2018 Sep 3;53(9):1237-1244. Epub 2018 Jul 3.

Division of Neonatology and Department of Pediatrics, The Children's Hospital of Philadelphia and The University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Objectives: To examine growth, sedation needs, and participation in developmental activities before and after tracheostomy among infants with severe bronchopulmonary dysplasia.

Methods: Retrospective analysis of infants born at <32 weeks' gestation or birth weights <1500 g with severe BPD who underwent tracheostomy placement between January 1, 2010 and December 31, 2016 in a quaternary referral newborn and infant intensive care unit. Changes in growth parameters and frequency/type of participation in physical therapy sessions performed during the 4-weeks before tracheostomy and 4-weeks after the first tracheostomy tube change were compared. Read More

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http://dx.doi.org/10.1002/ppul.24087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335026PMC
September 2018
3 Reads

Changes in Swallowing and Cough Functions Among Stroke Patients Before and After Tracheostomy Decannulation.

Dysphagia 2018 Jun 18. Epub 2018 Jun 18.

Department of Physical Medicine and Rehabilitation, Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, 34943, Republic of Korea.

We investigated the functional changes in swallowing and voluntary coughing before and after tracheostomy decannulation among stroke patients who had undergone a tracheostomy. We also compared these functions between stroke patients who underwent tracheostomy tube removal and those who did not within 6 months of their stroke. Seventy-seven stroke patients who had undergone a tracheostomy were enrolled. Read More

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http://dx.doi.org/10.1007/s00455-018-9920-9DOI Listing
June 2018
20 Reads

Nasogastric Tube Syndrome: A Diagnostic Dilemma.

J Bronchology Interv Pulmonol 2018 Oct;25(4):343-345

Pediatric Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Nasogastric tubes have been used in the pediatric age group to supplement nutrition in cases of malignancy and failure to thrive due to a variety of causes. Breathing difficulty may occur after the insertion of a nasogastric tube and it can have multiple causes. Here we discuss 2 patients of acute lymphoblastic leukemia (ALL) who developed a rare condition called the Sofferman syndrome (nasogastric tube syndrome). Read More

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http://dx.doi.org/10.1097/LBR.0000000000000507DOI Listing
October 2018
1 Read

Quality of life improves for tracheostomy patients with return of voice: A mixed methods evaluation of the patient experience across the care continuum.

Intensive Crit Care Nurs 2018 Jun 16;46:10-16. Epub 2018 Mar 16.

Faculty of Health Sciences University of Sydney, Australia.

Objectives: A tracheostomy tube can profoundly impact ability to communicate. The impact of this on patients' self-esteem and quality of life in the care continuum from the intensive care unit to after decannulation has not been reported. Therefore, the aim was to investigate the patient-reported experience regarding change in communication function, communication-related self-esteem and quality of life. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.02.004DOI Listing
June 2018
1 Read

A selective placement strategy for surgical feeding tubes benefits trauma patients.

J Trauma Acute Care Surg 2018 Jul;85(1):135-139

From the Department of Surgery (J.M., J.P.H., J.G., J.P., N.F.), Cooper University Hospital, Camden, New Jersey; Rowan University (C.A.), Glassboro, New Jersey; Department of Surgery (M.D.), St. Barnabas Medical Center, Livingston, NJ; Department of Surgery (A.P), Lancaster General Hospital, Lancaster, Pennsylvania; Jefferson Medical School (L.N.), Philadelphia.

Background: The indications for surgical feeding tube (SFT) placement in trauma patients are poorly defined. Patient selection is critical as complications from SFTs have been reported in up to 70% of patients. A previous analysis by our group determined that 25% of the SFTs we placed were unnecessary and that older patients, patients with head and spinal cord injuries, and patients who needed a tracheostomy were more likely to require long-term SFTs. Read More

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http://dx.doi.org/10.1097/TA.0000000000001867DOI Listing

To Compare the Effect of Two Different Doses of Dexmedetomidine on the Attenuation of Airway and Pressor Response during Tracheostomy Tube Change in Traumatic Brain Injury Patients.

Anesth Essays Res 2017 Oct-Dec;11(4):964-968

Department of Anaesthesiology, Institute of Medical Sciences, BHU, Varanasi, Uttar Pradesh, India.

Background: Tracheostomy tube (TT) change is the common procedure in trauma Intensive Care Unit (ICU) and almost always associated with cough reflex, increase in blood pressure, and heart rate. Dexmedetomidine (DEX) is a selective α-adrenergic receptor agonist well studied for the prevention of pressor response during laryngoscopy and extubation, but literature on prevention of pressor response during TT change is lacking.

Aims: The aim of this study is to compare two doses (0. Read More

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http://dx.doi.org/10.4103/aer.AER_103_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735496PMC
December 2017
14 Reads

Tracheostomy Exchange Resulting in Rare Combination of Pneumomediastinum, Pneumothorax, Massive Pneumoperitoneum, and Subcutaneous Emphysema.

Cureus 2017 Jul 18;9(7):e1489. Epub 2017 Jul 18.

Surgery, Harlem Hospital Center.

Tracheostomy tube change is a relatively common and simple procedure once a tract is formed between the skin and the trachea. Regular tracheostomy tube changes decrease the risk of postoperative pulmonary infection and granulation tissue formation. However, serious complications, such as loss of airway, subcutaneous emphysema, and mediastinitis, can occur if the tube exchange is performed inappropriately. Read More

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http://dx.doi.org/10.7759/cureus.1489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602445PMC
July 2017
3 Reads

A quality study of family-centered care coordination to improve care for children undergoing tracheostomy and the quality of life for their caregivers.

Int J Pediatr Otorhinolaryngol 2017 Aug 6;99:107-110. Epub 2017 Jun 6.

Massachusetts Eye and Ear, Boston, MA, United States; Massachusetts General Hospital for Children, Boston, MA, United States.

Importance: Approximately 4000 U.S. children undergo tracheostomy yearly [1], and these surgeries often result in hospital re-admissions that have definite cost and caregiver burdens due to complications that are avoidable with proper training and support. Read More

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http://dx.doi.org/10.1016/j.ijporl.2017.05.025DOI Listing
August 2017
24 Reads

Prevention of post-operative pediatric tracheotomy wounds: A multidisciplinary team approach.

Int J Pediatr Otorhinolaryngol 2017 Jun 31;97:235-239. Epub 2017 Mar 31.

Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, 915 Olentangy River Road #4000, Columbus, OH 43212, USA; Department of Pediatric Otolaryngology-Head and Neck Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA. Electronic address:

Objective: Tracheotomy-related pressure wounds have been reported as high as 29%. All advanced stage (stage 3 or 4) wounds are reported by hospitals, and CMS will no longer reimburse healthcare costs to manage them. We present the results of an intensive, multidisciplinary wound prevention strategy starting in the operating room at the time of tracheotomy placement. Read More

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http://dx.doi.org/10.1016/j.ijporl.2017.03.037DOI Listing
June 2017
34 Reads

Airway and Feeding Outcomes of Mandibular Distraction, Tongue-Lip Adhesion, and Conservative Management in Pierre Robin Sequence: A Prospective Study.

Plast Reconstr Surg 2017 Apr;139(4):975e-983e

Columbus, Ohio From the Department of Plastic Surgery, The Ohio State University College of Medicine; and the Department of Plastic and Reconstructive Surgery, the Department of Speech Pathology, and the Sleep Disorder Center, Division of Pulmonary Medicine, Nationwide Children's Hospital.

Background: Pierre Robin sequence is characterized by mandibular retrognathia and glossoptosis resulting in airway obstruction and feeding difficulties. When conservative management fails, mandibular distraction osteogenesis or tongue-lip adhesion may be required to avoid tracheostomy. The authors' goal was to prospectively evaluate the airway and feeding outcomes of their comprehensive approach to Pierre Robin sequence, which includes conservative management, mandibular distraction osteogenesis, and tongue-lip adhesion. Read More

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http://dx.doi.org/10.1097/PRS.0000000000003167DOI Listing
April 2017
32 Reads

Unsuspected subglottic web in a child managed for severe respiratory obstruction.

Saudi J Anaesth 2017 Jan-Mar;11(1):99-101

Department of Anaesthesiology, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.

Subglottic stenosis is a known complication of a traumatic and prolonged intubation. In a child, subglottic area is narrower and more prone to damage by an oversized or overinflated endotracheal tube. The stenosis can present with complaints of change in voice, croup, or respiratory obstruction. Read More

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http://dx.doi.org/10.4103/1658-354X.197336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292865PMC
February 2017
3 Reads

Symptomatic treatments for amyotrophic lateral sclerosis/motor neuron disease.

Cochrane Database Syst Rev 2017 01 10;1:CD011776. Epub 2017 Jan 10.

Department of Rehabilitation Medicine, Royal Melbourne Hospital, Royal Park Campus, Poplar Road, Parkville, Melbourne, Victoria, Australia, 3052.

Background: Motor neuron disease (MND), which is also known as amyotrophic lateral sclerosis (ALS), causes a wide range of symptoms but the evidence base for the effectiveness of the symptomatic treatment therapies is limited.

Objectives: To summarise the evidence from Cochrane Systematic Reviews of all symptomatic treatments for MND.

Methods: We searched the Cochrane Database of Systematic Reviews (CDSR) on 15 November 2016 for systematic reviews of symptomatic treatments for MND. Read More

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http://dx.doi.org/10.1002/14651858.CD011776.pub2DOI Listing
January 2017
31 Reads

The Use of Life-Sustaining Procedures in the Last Month of Life Is Associated With More Depressive Symptoms in Surviving Spouses.

J Pain Symptom Manage 2017 02 15;53(2):178-187.e1. Epub 2016 Nov 15.

Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York; James J. Peters Veterans Affairs Medical Center, Bronx, New York.

Context: Family caregivers of individuals with serious illness who undergo intensive life-sustaining medical procedures at the end of life may be at risk of negative consequences including depression.

Objectives: The objective of this study was to determine the association between patients' use of life-sustaining procedures at the end of life and depressive symptoms in their surviving spouses.

Methods: We used data from the Health and Retirement Study, a longitudinal survey of U. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2016.08.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5253251PMC
February 2017
15 Reads

Percutaneous Dilatational Tracheostomy in Ankylosing Spondylitis (Bechterew Disease) Is Feasible and Not Associated With Higher Complication Rates.

J Intensive Care Med 2018 Jul 16;33(7):420-423. Epub 2016 Nov 16.

1 Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.

Background: Ankylosing spondylitis (AS) is a common disease with an incidence of approximately 0.5% in Europe, causing severe limitations of axial spine mobility and cervical kyphosis. Deformities of the cervical spine and the temporomandibular joints could increase the risk of complications while performing an intubation or tracheostomy. Read More

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http://dx.doi.org/10.1177/0885066616677959DOI Listing
July 2018
19 Reads

Predicting the need for nonstandard tracheostomy tubes in critically ill patients.

J Crit Care 2017 02 4;37:173-178. Epub 2016 Jun 4.

Department of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD.

Purpose: Few guidelines exist regarding the selection of a particular type or size of tracheostomy tube. Although nonstandard tubes can be placed over the percutaneous kit dilator, clinicians often place standard tracheostomy tubes and change to nonstandard tubes only after problems arise. This practice risks early tracheostomy tube change, possible bleeding, or loss of the airway. Read More

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http://dx.doi.org/10.1016/j.jcrc.2016.05.025DOI Listing
February 2017
23 Reads

Successful conservative management of a rare complication of tracheostomy; extensive posterior tracheal false pouch.

Int J Pediatr Otorhinolaryngol 2016 Nov 27;90:54-57. Epub 2016 Aug 27.

University of Michigan Health System, Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI, United States.

Introduction: With the advent of improved neonatal and pediatric intensive care management, tracheostomy is increasingly performed in children requiring prolonged ventilation. Even though tracheostomy is generally a safe procedure, there remains mortality and morbidity associated with it.

Objective: We report a rare complication of a tracheostomy tube resulting in extensive erosion and posterior tracheal false pouch secondary to a large tracheostomy tube and high positive end expiratory pressure in a 12-month-old infant. Read More

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http://dx.doi.org/10.1016/j.ijporl.2016.08.023DOI Listing
November 2016
11 Reads

Complications and benefits of intrahospital transport of adult Intensive Care Unit patients.

Indian J Crit Care Med 2016 Aug;20(8):448-52

Department of Anesthesia Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.

Background: The transport of critically ill patients for procedures or tests outside the Intensive Care Unit (ICU) is potentially hazardous; hence, the transport process must be organized and efficient. Plenty of data is available on pre- and inter-hospital transport of patients; the data on intrahospital transport of patients are limited. We audited the complications and benefits of intrahospital transport of critically ill patients in our tertiary care center over 6 months. Read More

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http://dx.doi.org/10.4103/0972-5229.188190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994123PMC
August 2016
16 Reads
1 Citation

Occlusion of Tracheostomy Tubes Does Not Alter Pharyngeal Phase Kinematics But Reduces Penetration by Enhancing Pharyngeal Clearance: A Prospective Study in Patients With Neurogenic Dysphagia.

Am J Phys Med Rehabil 2017 Apr;96(4):268-272

From the Schoen Klinik Bad Aibling, Bad Aibling, Germany.

Objective: Tracheostomy tubes (TT) are often needed in patients with severe neurologic injuries to protect the respiratory system from aspiration. However, TTs alter physiological oral-nasal airflow and are suspected to influence the pattern of pharyngeal swallowing. The aim of this work was to evaluate the effect of TT occlusion on pharyngeal swallowing physiology and to determine penetration-aspiration (PA) values of open versus closed TTs in neurogenic dysphagia. Read More

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http://dx.doi.org/10.1097/PHM.0000000000000602DOI Listing
April 2017
8 Reads

Percutaneous techniques versus surgical techniques for tracheostomy.

Cochrane Database Syst Rev 2016 Jul 20;7:CD008045. Epub 2016 Jul 20.

Department of Anaesthesiology, Intensive Care Medicine, and Pain Therapy, HELIOS Klinikum Krefeld, Lutherplatz 40, Krefeld, Germany, 47805.

Background: Tracheostomy formation is one of the most commonly performed surgical procedures in critically ill intensive care participants requiring long-term mechanical ventilation. Both surgical tracheostomies (STs) and percutaneous tracheostomies (PTs) are used in current surgical practice; but until now, the optimal method of performing tracheostomies in critically ill participants remains unclear.

Objectives: We evaluated the effectiveness and safety of percutaneous techniques compared to surgical techniques commonly used for elective tracheostomy in critically ill participants (adults and children) to assess whether there was a difference in complication rates between the procedures. Read More

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http://dx.doi.org/10.1002/14651858.CD008045.pub2DOI Listing
July 2016
12 Reads

Implementation of a respiratory rehabilitation protocol: weaning from the ventilator and tracheostomy in difficult-to-wean patients with spinal cord injury.

Disabil Rehabil 2017 06 23;39(12):1162-1170. Epub 2016 Jun 23.

a Physical Therapy and Rehabilitation Clinic, Ministry of Health Ankara Diskapi Yildirim Beyazit Education and Research Hospital , Ankara , Turkey.

Purpose: Following repeated weaning failures in acute care services, spinal cord injury (SCI) patients who require prolonged mechanical ventilation and tracheostomy are discharged to their homes or skilled nursing facilities, with a portable mechanical ventilator (MV) and/or tracheostomy tube (TT) with excess risk of complications, high cost and low quality of life. We hypothesized that many difficult-to-wean patients with cervical SCI can be successfully managed in a rehabilitation clinic. The aim of our study was to develop a respiratory rehabilitation, MV weaning and TT decannulation protocol and to evaluate the effectiveness of this protocol in tetraplegic patients. Read More

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http://dx.doi.org/10.1080/09638288.2016.1189607DOI Listing
June 2017
38 Reads

How to perform a tracheostomy dressing and inner cannula change.

Authors:
Nicola Credland

Nurs Stand 2016 Mar;30(30):34-6

University of Hull, Hull, England.

RATIONALE AND KEY POINTS: Proactive tracheostomy management increases patient safety and reduces adverse events. ▶ A cleaning regimen performed every four hours reduces the risk of a blocked tracheostomy cannula, complete tube occlusion and respiratory arrest. ▶ Sterile tracheostomy dressings allow secretions from the stoma to be absorbed and prevent pressure damage from the tracheostomy tube. Read More

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http://dx.doi.org/10.7748/ns.30.30.34.s44DOI Listing
March 2016
46 Reads

Can an interprofessional tracheostomy team improve weaning to decannulation times? A quality improvement evaluation.

Can J Respir Ther 2016 ;52(1):7-11

Quality Department, Trillium Health Partners, Mississauga, Ontario.

Background: Percutaneous tracheostomy is a common procedure in the intensive care unit and, on patient transfer to the wards, there is a gap in ongoing tracheostomy management. There is some evidence that tracheostomy teams can shorten weaning to decannulation times. In response to lengthy weaning to decannulation times at Trillium Health Partners - Credit Valley Hospital site (Mississauga, Ontario), an interprofessional tracheostomy team, led by respiratory therapists and consisting of speech-language pathologists and intensive care physicians, was implemented. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4751971PMC
February 2016
37 Reads

Tracheostomy Tube Type and Inner Cannula Selection Impact Pressure and Resistance to Air Flow.

Respir Care 2016 May 9;61(5):607-14. Epub 2016 Feb 9.

School of Medicine, Flinders University, Adelaide, South Australia, Australia and the Intensive Care Unit, Flinders Medical Centre, Adelaide, South Australia, Australia.

Background: Advancements in tracheostomy tube design now provide clinicians with a range of options to facilitate communication for individuals receiving ventilator assistance through a cuffed tube. Little is known about the impact of these modern design features on resistance to air flow.

Methods: We undertook a bench model test to measure pressure-flow characteristics and resistance of a range of tubes of similar outer diameter, including those enabling subglottic suction and speech. Read More

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http://dx.doi.org/10.4187/respcare.04396DOI Listing
May 2016
33 Reads

Return of Voice for Ventilated Tracheostomy Patients in ICU: A Randomized Controlled Trial of Early-Targeted Intervention.

Crit Care Med 2016 Jun;44(6):1075-81

1Department of Speech Pathology, Royal Prince Alfred Hospital, Sydney, NSW, Australia. 2Department of Speech Pathology, Faculty of Health Sciences, University of Sydney, Sydney, Australia. 3National Health and Medical Research Council Centre of Research Excellence in Brain Recovery, Sydney, NSW, Australia. 4Sydney Medical School, Faculty of Medicine, University of Sydney, Sydney, Australia. 5Department of Intensive Care, Royal Prince Alfred Hospital, Sydney, NSW, Australia.

Objectives: A cuffed tracheostomy tube facilitates prolonged mechanical ventilation and weaning but usually leads to prolonged voicelessness, which can be one of the most negative experiences of hospitalization. No randomized trials have examined the effects of targeted early communication intervention for the restoration of voice in ventilated tracheostomy patients in the ICU.

Design: A prospective randomized clinical trial. Read More

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http://dx.doi.org/10.1097/CCM.0000000000001610DOI Listing
June 2016
15 Reads

Cardiopulmonary exercise testing after laryngectomy: A connection conundrum.

Respir Med Case Rep 2015 12;16:11-4. Epub 2015 Jun 12.

Department of Internal Medicine, Division of Pulmonary & Critical Care, Carver College of Medicine, University of Iowa Health Care, USA.

A patient presents with a new bronchogenic carcinoma 5 years after laryngectomy for recurrent laryngeal tumor and 13 years after chemoradiation for concurrent lung cancer with synchronous base-of-tongue tumor. Due to his complex history and perceived limited respiratory reserve, he was felt high risk for the completion pneumonectomy needed for resection of this new tumor. The attending surgeon requested a full cardiopulmonary exercise test for risk assessment prior to surgery. Read More

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http://dx.doi.org/10.1016/j.rmcr.2015.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681887PMC
January 2016
4 Reads

Single cannula versus double cannula tracheostomy tubes in major oral and oropharyngeal resections.

J Laryngol Otol 2016 Apr 28;130(4):388-92. Epub 2015 Dec 28.

Department of Intensive Care,Kovai Medical Center and Hospital,Coimbatore,India.

Objective: To compare the outcomes of two types of tracheostomy tubes used in major head and neck surgery.

Methods: A retrospective study was conducted of prospectively collected data. The post-operative safety and adequacy of a single cannula tracheostomy tube was compared to a double cannula tracheostomy tube in patients undergoing tracheostomy during major oral and oropharyngeal resections. Read More

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http://dx.doi.org/10.1017/S0022215115003412DOI Listing
April 2016
4 Reads

Improving knowledge, technical skills, and confidence among pediatric health care providers in the management of chronic tracheostomy using a simulation model.

Pediatr Pulmonol 2016 07 17;51(7):696-704. Epub 2015 Dec 17.

Division of Pediatric Pulmonary and Sleep Medicine, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Objective: The results from a recent national survey about catastrophic complications following tracheostomy revealed that the majority of events involved a loss of airway. Most of the events due to airway loss involved potentially correctable deficits in caregiver education. Training in a simulated environment allows skill acquisition without compromising patient safety. Read More

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http://dx.doi.org/10.1002/ppul.23355DOI Listing
July 2016
38 Reads

Tracheoinnominate Fistula: Endovascular Treatment with a Stent Graft in a 4-Year-Old Child.

Ann Vasc Surg 2016 Feb 17;31:206.e9-206.e12. Epub 2015 Nov 17.

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Radiology Institute, Interventional Radiology Department, São Paulo, Brazil.

A 4-year-old boy presented with acute and profuse bleeding at the tracheostomy site. An emergency angiography was performed and identified a pseudoaneurysm at the innominate artery. A selective catheterization of the artery was executed and 2 Advanta V12 balloon-expandable covered stents were implanted in an overlapping manner to occlude the pseudoaneurysm. Read More

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http://dx.doi.org/10.1016/j.avsg.2015.08.004DOI Listing
February 2016
11 Reads

Effect of Tracheostomy on Weaning Parameters in Difficult-to-Wean Mechanically Ventilated Patients: A Prospective Observational Study.

PLoS One 2015 17;10(9):e0138294. Epub 2015 Sep 17.

Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, National Taiwan University Hospital, Taipei, Taiwan (R.O.C).

Background And Objective: Weaning parameters are commonly measured through an endotracheal tube in mechanically ventilated patients recovering from acute respiratory failure, however this practice has rarely been evaluated in tracheostomized patients. This study aimed to investigate changes in weaning parameters measured before and after tracheostomy, and to explore whether the data measured after tracheostomy were associated with weaning outcomes in difficult-to-wean patients.

Methods: In a two-year study period, we enrolled orotracheally intubated patients who were prepared for tracheostomy due to difficult weaning. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0138294PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4574918PMC
May 2016
10 Reads

Albuterol Delivery via Facial and Tracheostomy Route in a Model of a Spontaneously Breathing Child.

Respir Care 2015 Dec 18;60(12):1749-58. Epub 2015 Aug 18.

Pulmonology Section, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas and the Pediatric Aerosol Research Laboratory, Arkansas Children's Hospital Research Institute, Little Rock, Arkansas.

Background: Some pediatric patients receiving therapeutic aerosols undergo tracheostomy, and others who are tracheostomized continue requiring inhaled therapies upon decannulation. It is unknown whether a dose adjustment is required. Different devices are available for facial and tracheostomy delivery, and in some instances, the assisted technique is used. Read More

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http://dx.doi.org/10.4187/respcare.04142DOI Listing
December 2015
25 Reads

Intensive care unit patients' experience of being conscious during endotracheal intubation and mechanical ventilation.

Nurs Crit Care 2017 Mar 15;22(2):81-88. Epub 2015 Jul 15.

Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.

Background: There is a change in paradigm in intensive care units with trends towards lighter sedation. Light or no sedation protocols are, however, a radical change for clinical practice and can cause challenges for the patients. Undergoing mechanical ventilation when conscious can be a distressing experience for the patients. Read More

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https://www.researchgate.net/profile/Anna_Holm3/publication/
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http://dx.doi.org/10.1111/nicc.12200DOI Listing
March 2017
6 Reads

Chest radiography does not alter the treatment course for children after rigid bronchoscopy.

Am Surg 2015 Apr;81(4):345-8

Department of Surgery, The University of Virginia Health System, Charlottesville, Virginia, USA.

The purpose of this study was to evaluate the usefulness of chest radiography in the direction of postbronchoscopy clinical therapy. From 2001 to 2011, 368 rigid bronchoscopies were performed at a single institution in 221 children. Indications for bronchoscopy, concomitant bronchoscopic procedures, and results of postoperative chest radiography were evaluated. Read More

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April 2015
4 Reads

Use of two Endotracheal Tubes to Perform Lung Isolation and One-Lung Ventilation in a Patient With Tracheostomy Stenosis: A Case Report.

Anesth Pain Med 2014 Oct 10;4(4):e18280. Epub 2014 Sep 10.

Cardiac Anesthesia Research Center, Imam-Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Introduction: Lung isolation is a common technique used in thoracic surgery to prevent spillage to unaffected lung and to provide a better view for the surgeon.

Case Presentation: A 41-year-old woman with a history of pharyngo-laryngo-oesophagectomy (PLO) and tracheostomy was a candidate for thoracic duct ligation because of chylothorax. Since the patient had tracheostmy stomal stenosis, two cuffed tracheal tubes (internal diameter = 4. Read More

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http://anesthpain.com/34799.pdf
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http://dx.doi.org/10.5812/aap.18280DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4286801PMC
October 2014
3 Reads

Elective use of surgical cricothyroidotomy for maxillofacial fracture fixation with contraindication of nasotracheal intubation: a case report.

JA Clin Rep 2015 16;1(1):16. Epub 2015 Oct 16.

Department of Anesthesiology, Kitasato University, School of Medicine, 1-15-1, Kitasato, Minamiku, Sagamihara, Kanagawa Japan 2520374.

We report three cases of airway management with elective surgical cricothyroidotomy (SCT) for anesthetic management during surgical repair of maxillofacial injury involving basal skull fracture or nasal-bone fracture. In all patients, general anesthesia was induced, a supraglottic airway (SGA) device inserted, and SCT performed. Tracheal intubation was performed through SCT site, and the SGA device was removed. Read More

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http://dx.doi.org/10.1186/s40981-015-0021-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818707PMC
October 2015

Care of pediatric tracheostomy in the immediate postoperative period and timing of first tube change.

Int J Pediatr Otorhinolaryngol 2014 Dec 3;78(12):2281-5. Epub 2014 Nov 3.

University of Wisconsin School of Medicine and Public Health, Division of Otolaryngology-Head and Neck Surgery, 600 Highland Ave, K4/720 Clinical Science Center, Madison, WI 53792, United States. Electronic address:

Objective: To analyze the safety of a standardized pediatric tracheostomy care protocol in the immediate postoperative period and its impact on tracheostomy related complications.

Study Design: Retrospective case series.

Subjects: Pediatric patients undergoing tracheotomy from February 2010-February 2014. Read More

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http://dx.doi.org/10.1016/j.ijporl.2014.10.034DOI Listing
December 2014
7 Reads

Pediatric tracheostomy: timing of the first tube change.

Ann Otol Rhinol Laryngol 2015 May 27;124(5):374-7. Epub 2014 Nov 27.

Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA

Objectives: No consensus exists on appropriate timing for the first tracheostomy tube change. The purpose of this study is to evaluate the safety of early tracheostomy change in the pediatric population.

Methods: A case series of all children undergoing tracheostomy at a tertiary children's hospital between 2008-2013 was retrospectively reviewed. Read More

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http://dx.doi.org/10.1177/0003489414560430DOI Listing
May 2015
30 Reads

Medical and surgical management of congenital laryngomalacia: a case-control study.

Otolaryngol Head Neck Surg 2014 Nov 27;151(5):845-51. Epub 2014 Jun 27.

Department of Otolaryngology, University at Buffalo, Buffalo, New York, USA

Objective: To compare the growth of infants with moderate to severe laryngomalacia who underwent supraglottoplasty to the growth of those treated with medical therapy alone.

Study Design: Case-control study of patients treated between 2008 and 2013.

Setting: Tertiary care pediatric otolaryngology practice. Read More

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http://dx.doi.org/10.1177/0194599814541921DOI Listing
November 2014
7 Reads

Evaluation of the Clinical Utility of Routine Daily Chest Radiography in Intensive Care Unit Patients With Tracheostomy Tubes: A Retrospective Review.

J Intensive Care Med 2016 Jun 10;31(5):333-7. Epub 2014 Jun 10.

Department of Medicine, Drexel University College of Medicine, Philadelphia, PA, USA Department of Radiologic Sciences, Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA, USA.

Background: The utilization of imaging procedures is under scrutiny due to high costs and radiation exposure to patients and staff associated with some radiologic procedures. Within our institution's intensive care unit (ICU), it is common for patients to undergo chest radiography (CR) not only immediately following tracheostomy tube placement but also on a daily basis, irrespective of the patient's clinical status. We hypothesize that the clinical utility of performing routine daily CR on patients with tracheostomy tubes is low and leads to unnecessary financial cost. Read More

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http://dx.doi.org/10.1177/0885066614538393DOI Listing
June 2016
3 Reads

Self-reported comfort with tracheostomy tube care. Cross-sectional survey of non-ear, nose and throat health care professionals.

Saudi Med J 2014 Jan;35(1):63-6

Department of Otolaryngology Head Neck Surgery, Dammam University, Dammam, Kingdom of Saudi Arabia.

Objective: To assess self-reported comfort of non-ear, nose and throat (ENT) health professionals in tracheostomy care and identify its associated factors.

Methods: This was a cross-sectional survey of non-ENT health care professionals, carried out from December 2011 to February 2013 at the Prince Sultan Military Medical City, and King Faisal Specialist Hospital & Research Centre, Riyadh, Kingdom of Saudi Arabia. A self-administered questionnaire was used to collect data on self-rated comfort levels in performing tracheostomy tube change and factors, such as speciality, duration of dedicated ENT rotation in medical school, and years of experience as a practicing consultant. Read More

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January 2014
19 Reads

[Treatments of oropharyngeal anterior wall cancer by transhyoid surgery radiotherapy].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2013 Jul;48(7):573-7

Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China.

Objective: To evaluate the transhyoid resection of oropharyngeal anterior wall cancer and oncological outcomes of the surgery combined with radiotherapy.

Methods: A total of 24 cases with carcinoma located in the anterior wall of oropharynx was reviewed. The TNM stages were as follows: T2 in 7 cases, T3 in 2 cases, T4 in 15 cases; NO in 7 cases, N1 in 4 cases, N2 in 12 cases and N3 in 1 case. Read More

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July 2013
4 Reads

[Experimental study of the effect of Shenmai injection on post-cardiac arrest syndrome in rabbit].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2013 Nov;25(11):664-8

Department of Critical Care Medicine, First Hospital of Jilin University, Changchun 130021, Jilin, China. Corresponding author: Liu Zhong-min, Email:

Objective: To observe the effects of Shenmai injection on post-cardiac arrest syndrome (PCAS) in rabbit and to discuss the underlying mechanism.

Methods: Seventy-three rabbits were divided into sham operation group (n=10), model group (n=21), high and low dosage Shenmai group (each n=21) by random number table method. The animal model of cardiac arrest was reproduced by clamping the endotracheal tube. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2013.11.007DOI Listing
November 2013
6 Reads

Prevention of pressure ulcers after pediatric tracheotomy using a Mepilex Ag dressing.

Laryngoscope 2013 Dec 29;123(12):3201-5. Epub 2013 Jul 29.

Department of Otolaryngology, University of Washington, Seattle, Washington, U.S.A.

Objectives/hypothesis: Skin irritation and ulceration beneath the tracheostomy tube or ties secondary to pressure and shearing forces on the skin frequently complicate pediatric tracheotomy in the immediate postoperative period. The aim of this study is to determine the effectiveness of Mepilex Ag dressings in reducing posttracheotomy wound complications.

Study Design: Retrospective study. Read More

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http://doi.wiley.com/10.1002/lary.24094
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http://dx.doi.org/10.1002/lary.24094DOI Listing
December 2013
33 Reads

Tracheostomy in the critically ill: the myth of dead space.

Anaesth Intensive Care 2013 Mar;41(2):216-21

Department of Surgery, Trauma/Critical Care, University of North Carolina, Chapel Hill, NC, USA.

Benefits and advantages of tracheostomy have been vigorously debated. There is a lack of consensus as to whether perceived clinical improvement is attributable to fundamental changes in respiratory dynamics. We compare the effect of tracheostomy versus endotracheal tube on dead space, airway resistance and other lung parameters in critically ill ventilated patients. Read More

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March 2013
14 Reads

T-piece improves arterial and central venous oxygenation in trachestomized patients as compared to continuous positive airway pressure/pressure support ventilation.

Authors:
A Lovas Z Molnár

Minerva Anestesiol 2013 May 19;79(5):492-7. Epub 2013 Mar 19.

Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, University of Szeged, Szeged 6722, Hungary.

Background: T-piece has been widely used as T-piece trial to identify patients who are ready for extubation but it is seldom used as a weaning tool. Our objective was to investigate the effects of breathing via T-piece on gas exchange as compared to continuous positive airway pressure with pressure support (CPAP+PS) and CPAP with automatic tube compensation (CPAP+ATC) as it has not been evaluated yet.

Methods: Tracheostomized, "ready to be weaned" critically ill patients were enrolled in this prospective, auto-control clinical trial. Read More

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May 2013
13 Reads

Permanent tracheostomy: its social impacts and their management in Ondo State, Southwest, Nigeria.

Niger J Clin Pract 2013 Jan-Mar;16(1):54-8

Departments of Ear, Nose and Throat-Head and Neck Surgery, State Specialist Hospital, Akure, Ondo State, Nigeria.

Background: Upper respiratory tract obstruction resulting from bilateral recurrent laryngeal nerve damage is commonly managed with permanent tracheostomy in our environment.

Objective: To evaluate the social impacts of permanent tracheostomy and its management in Ondo State, Southwest Nigeria.

Materials And Methods: Four patients were managed with permanent tracheostomy due to bilateral laryngeal nerve paralysis following thyroidectomy. Read More

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http://dx.doi.org/10.4103/1119-3077.106751DOI Listing
April 2013
3 Reads