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bleeding AND percutaneous tracheostomy

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https://www.readbyqxmd.com/read/28507748/comparison-of-the-pull-and-introducer-percutaneous-endoscopic-gastrostomy-techniques-in-patients-with-head-and-neck-cancer
#1
Felipe A Retes, Fabio S Kawaguti, Marcelo S de Lima, Bruno da Costa Martins, Ricardo S Uemura, Gustavo A de Paulo, Caterina Mp Pennacchi, Carla Gusmon, Adriana Vs Ribeiro, Elisa R Baba, Sebastian N Geiger, Mauricio P Sorbello, Marco A Kulcsar, Ulysses Ribeiro, Fauze Maluf-Filho
BACKGROUND AND STUDY AIMS: Percutaneous endoscopic gastrostomy (PEG) in head and neck cancer (HNC) patients is associated with higher complication and mortality rates when compared to a general patient population. The pull technique is still the preferred technique worldwide but it has some limitations. The aim of this study is to compare the pull and introducer PEG techniques in patients with HNC. PATIENTS AND METHODS: This study is based on a retrospective analysis of a prospectively collected database of 309 patients with HNC who underwent PEG in the Cancer Institute of São Paulo...
April 2017: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/28459406/-application-of-modified-percutaneous-rotating-dilative-tracheostomy-with-fiberoptic-bronchoscope-in-critical-patients-of-icu-a-control-study-for-four-kinds-of-tracheostomy
#2
Hong Zhang, Yanmin Xu, Haihong Li, Yao Zhang, Lunmeng Cui, Linlin Zhao, Qinghuan Yao, Fengjie Xie
OBJECTIVE: To investigate the clinical application of modified percutaneous rotating dilative tracheostomy with fiberoptic bronchoscope (MPRDT-FOB) in critical patients of intensive care unit (ICU) by comparing it with percutaneous dilative tracheostomy (PDT), modified percutaneous dilative tracheostomy (MPDT), and percutaneous dilative tracheostomy with fiberoptic bronchoscope (PDT-FOB). METHODS: A prospective control study was conducted. 240 critical patients underwent tracheotomy admitted to ICU of Mudanjiang Medical University Hongqi Hospital from February 2011 to November 2016 were enrolled, and they were randomly divided into four groups with 60 patients in each group...
January 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/28112532/percutaneous-dilatational-tracheostomy-via-griggs-technique
#3
Hasan Ali Karimpour, Kamran Vafaii, Maryam Chalechale, Saeed Mohammadi, Rasool Kaviannezhad
BACKGROUND: Tracheostomy is considered the airway management of choice for patients who need prolonged mechanical ventilation support. Percutaneous Dilatational Tracheotomy (PDT) is a technique that can be performed easily and rapidly at bedside and is particularly useful in the intensive care setting. The Griggs percutaneous tracheotomy is unique in its utilization of a guide wire dilator forceps. OBJECTIVE: We aimed to describe the early perioperative and late postoperative complications of PDT using the Griggs technique in patients in the intensive care unit (ICU)...
January 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/27999783/percutaneous-tracheostomy-beware-of-the-thyroidea-ima-artery
#4
Pagona Kamparoudi, Dimitrios Paliouras, Apostolos S Gogakos, Thomas Rallis, Nikolaos C Schizas, Achilleas Lazopoulos, Fotios Chatzinikolaou, Pavlos Sarafis, Paschalitsa Serchan, Nikolaos Katsikogiannis, Eirini Sarika, Paul Zarogoulidis, Ilias Karapantzos, Nikolaos Barbetakis
Percutaneous tracheostomy is a minimally invasive operation performed in patients, in order to provide an air passage through the windpipe. A rare cause of severe bleeding during such operation is the injury of the thyroidea-ima artery. This case report presents a patient with hemorrhage after thyroidea-ima injury during percutaneous dilatational tracheostomy. Surgeons should always be aware of such anatomic variation, in order to prevent urgent sternotomy.
November 2016: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27842753/the-changing-role-for-tracheostomy-in-patients-requiring-mechanical-ventilation
#5
REVIEW
Kamran Mahmood, Momen M Wahidi
Tracheostomy is performed in patients who require prolonged mechanical ventilation or have upper airway instability. Percutaneous tracheostomy with Ciaglia technique is commonly used and rivals the surgical approach. Percutaneous technique is associated with decreased risk of stomal inflammation, infection, and bleeding along with reduction in health resource utilization when performed at bedside. Bronchoscopy and ultrasound guidance improve the safety of percutaneous tracheostomy. Early tracheostomy decreases the need for sedation and intensive care unit stay but may be unnecessary in some patients who can be extubated later successfully...
December 2016: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/27756050/predicting-the-need-for-nonstandard-tracheostomy-tubes-in-critically-ill-patients
#6
Vinciya Pandian, Christoph T Hutchinson, Adam J Schiavi, David J Feller-Kopman, Elliott R Haut, Nicole A Parsons, Jessica S Lin, Chad Gorbatkin, Priya G Angamuthu, Christina R Miller, Marek A Mirski, Nasir I Bhatti, Lonny B Yarmus
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. We sought to identify predictors of nonstandard tracheostomy tubes. MATERIALS AND METHODS: In this matched case-control study at an urban, academic, tertiary care medical center, we reviewed 1220 records of patients who received a tracheostomy...
February 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/27556147/percutaneous-dilatation-tracheostomy-in-patients-with-left-ventricular-assist-device-and-established-phenprocoumon-therapy
#7
Andreas Schaefer, Yvonne Schneeberger, Daniel Reichart, Alexander M Bernhardt, Mathias Kubik, Markus J Barten, Florian M Wagner, Stefan Kluge, Hermann Reichenspurner, Sebastian A Philipp
Over the last decade, the number of heart transplantations declined, and the number of implanted left ventricular assist devices (LVADs) markedly increased. Accordingly, common intensive care interventions rise and present their own challenges, especially because of the necessary anticoagulation regimen. One of these procedures is percutaneous dilatation tracheostomy (PDT). We herein report our experience with 34 patients with LVAD and established phenprocoumon therapy (International normalized ratio 2.1 ± 0...
November 2016: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/27437615/percutaneous-techniques-versus-surgical-techniques-for-tracheostomy
#8
REVIEW
Patrick Brass, Martin Hellmich, Angelika Ladra, Jürgen Ladra, Anna Wrzosek
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...
July 20, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27274380/simply-modified-percutaneous-tracheostomy-using-the-cook%C3%A2-ciaglia-blue-rhino%C3%A2-a-case-series
#9
Woosuk Chung, Byung Muk Kim, Sang-Il Park
When first introduced, percutaneous dilatational tracheostomy (PDT) was performed using a bronchoscope. The bronchoscope itself, however, has several disadvantages, including interruption of ventilation. Modifications of the standard PDT technique have suggested that PDT can be safely performed without a bronchoscope. However, the safety of these modifications is unclear and many modifications have yet to be widely adopted. This study retrospectively evaluated the safety of a simplified PDT technique using the Cook® Ciaglia Blue Rhino™ in 186 patients...
June 2016: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/27138007/minimally-traumatic-submental-intubation-a-novel-dilational-technique
#10
A Ujam, M Perry
PURPOSE: Submental intubation is widely accepted as a safe and effective alternative to nasal intubation or tracheostomy in head and neck surgery patients. Forceful or careless technique can cause significant bleeding and trauma to the soft tissues at this point, increasing the likelihood of troublesome sublingual haematoma. METHODS: We describe the use of a percutaneous tracheostomy horn (Cook Medical Blue Rhino(®)) to allow minimally traumatic submental intubation without the need for serial dilations...
June 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27132456/-the-application-of-a-small-incision-combined-with-improved-percutaneous-tracheostomy-in-difficult-tracheostomy
#11
RANDOMIZED CONTROLLED TRIAL
Fei Zhao, Qi Zou, Xiandi He, Huaxue Wang
OBJECTIVE: To describe an improved percutaneous tracheostomy combined with conventional tracheostomy technique with result of less trauma and fewer complications, and to explore its application in the patients for whom conventional tracheostomy is difficult to perform. METHODS: A prospective study was conducted. Fifty-seven hospitalized patients, in whom ordinal tracheostomy was difficult to perform, and admitted to Department of Critical Care Medicine of the First Affiliated Hospital of Bengbu Medical College from January 2013 to December 2014 were enrolled...
November 2015: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/27075530/complication-rates-of-open-surgical-versus-percutaneous-tracheostomy-in-critically-ill-patients
#12
Stephanie Johnson-Obaseki, Andrea Veljkovic, Hedyeh Javidnia
BACKGROUND: In the setting of critical care, the most common indications for tracheostomy include: prolonged intubation, to facilitate weaning from mechanical ventilation, and for pulmonary toileting. In this setting, tracheostomy can be performed either via open surgical or percutaneous technique. Advantages for percutaneous dilatational tracheostomy (PDT) include: simplicity, smaller incision, less tissue trauma, lower incidence of wound infection, lower incidence of peristomal bleeding, decreased morbidity from patient transfer, and cost-effectiveness...
November 2016: Laryngoscope
https://www.readbyqxmd.com/read/27033293/an-anterior-jugular-vein-variant-in-a-patient-requiring-tracheostomy-demonstrating-the-importance-of-preoperative-procedural-ultrasound
#13
Paul Sooby, Laura Pocock, Trevor King, George Manjaly
A 50-year-old woman was admitted to the intensive care unit (ICU) for a life-threatening exacerbation of asthma requiring intubation and ventilation for 7 days. On day 8, she was stepped down from the ventilator via the insertion of a tracheostomy to aid weaning. It was initially decided that a percutaneous tracheostomy would be attempted on ICU, however, following further consideration, it was decided that due to anatomical factors (short neck) a surgical tracheostomy would be performed by the ear, nose and throat (ENT) team...
March 31, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27029655/risk-factors-for-bleeding-complications-after-percutaneous-dilatational-tracheostomy-a-ten-year-institutional-analysis
#14
K Pilarczyk, N Haake, M Dudasova, B Huschens, D Wendt, E Demircioglu, H Jakob, F Dusse
Bleeding complications after percutaneous dilatational tracheostomy (PDT) are infrequent but may have a tremendous impact on a patient's further clinical course. Therefore, it seems necessary to perform risk stratification for patients scheduled for PDT. We retrospectively reviewed the records of 1001 patients (46% male, mean age 68.1 years) undergoing PDT (using the Ciaglia Blue Rhino® technique with direct bronchoscopic guidance) in our cardiothoracic ICU between January 2003 and February 2013. Patients were stratified into two groups: patients suffering acute moderate, severe, or major bleeding (Group A) and patients who had no or only mild bleeding (Group B)...
March 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/26891530/clinical-outcomes-of-transoral-robotic-surgery-for-supraglottic-squamous-cell-carcinoma-experience-of-a-french-evaluation-cooperative-subgroup-of-gettec
#15
MULTICENTER STUDY
V Razafindranaly, B Lallemant, K Aubry, S Moriniere, S Vergez, E De Mones, O Malard, Ph Ceruse
BACKGROUND: Transoral, minimally invasive, organ preservation surgeries are increasingly used to treat laryngopharyngeal carcinomas to avoid the toxicity associated with combined chemoradiotherapy regimens. This study investigated the efficiency, safety, and functional outcomes of using transoral robotic surgery (TORS) to perform supraglottic laryngectomy (SGL). METHODS: This was a multicenter study using a case series with planned data collection from 2009 to 2012 for patients with supraglottic squamous cell carcinomas (SCC) who underwent SGL using TORS...
2015: B-ENT
https://www.readbyqxmd.com/read/26815448/percutaneous-dilatational-tracheostomies-in-a-newly-established-trauma-center-a-report-from-qatar
#16
A Parchani, R Peralta, A El-Menyar, M Tuma, A Zarour, S Kumar, H Abdulrahman, Y AbdulRahman, H Al-Thani, R Latifi
BACKGROUND: Percutaneous dilatational tracheostomy (PDT) is a routine surgical procedure for critically ill patients who require prolonged ventilatory support. METHODS: We conducted a retrospective cohort study of all PDTs performed at the adult Trauma Intensive Care Unit (TICU) of Hamad Medical Corporation in Doha, Qatar, from January 2009 through September 2012. For all adult patients, we analyzed the demographic characteristics, mean ventilator time before the procedure, injury severity score (ISS), complications, and outcomes...
October 2013: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26792868/safety-and-efficiency-of-percutaneous-dilatational-tracheostomy-with-direct-bronchoscopic-guidance-for-thoracic-transplant-recipients
#17
Kevin Pilarczyk, Henning Carstens, Jens Heckmann, Juri Lubarski, Günter Marggraf, Heinz Jakob, Nikolaus Pizanis, Markus Kamler
BACKGROUND: Percutaneous dilatational tracheostomy (PDT) is the standard airway access in critically ill patients who require prolonged mechanical ventilation. However, the literature lacks reports about the effectiveness and safety of this procedure in thoracic organ transplant recipients, who have increased risks of bleeding and infection. METHODS: We retrospectively reviewed the records of subjects who underwent thoracic organ transplantation at our institution between January 2004 and March 2011 followed by PDT (using the Ciaglia Blue Rhino technique with direct bronchoscopic guidance)...
February 2016: Respiratory Care
https://www.readbyqxmd.com/read/26632698/a-prospective-randomized-study-comparing-mini-surgical-percutaneous-dilatational-tracheostomy-with-surgical-and-classical-percutaneous-tracheostomy-a-new-method-beyond-contraindications
#18
RANDOMIZED CONTROLLED TRIAL
Seyed Mohammad-Reza Hashemian, Hadi Digaleh
Although percutaneous dilatational tracheostomy (PDT) is more accessible and less time-demanding compared with surgical tracheostomy (ST), it has its own limitations. We introduced a modified PDT technique and brought some surgical knowledge to the bedside to overcome some standard percutaneous dilatational tracheostomy relative contraindications. PDT uses a blind route of tracheal access that usually requires perioperational imaging guidance to protect accidental injuries. Moreover, there are contraindications in certain cases, limiting widespread PDT application...
November 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26584197/long-term-outcome-following-tracheostomy-in-critical-care-a-systematic-review
#19
REVIEW
Ged A Dempsey, Ben Morton, Clare Hammell, Lisa T Williams, Catrin Tudur Smith, Terence Jones
OBJECTIVES: The prevalence and impact of longer-term outcomes following percutaneous tracheostomy, particularly tracheal stenosis, are unclear. Previous meta-analyses addressing this problem have been confounded by the low prevalence of tracheal stenosis and a limited number of studies. DESIGN: Embase, PubMed-Medline, and the Cochrane Central Register of Clinical Trials were searched to identify all prospective studies of tracheostomy insertion in the critically ill...
March 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/26515138/a-modified-technique-for-percutaneous-dilatational-tracheostomy-a-retrospective-review-of-60-cases
#20
Yashvir Singh Sangwan, Robert Chasse
BACKGROUND: We describe a modified technique for percutaneous dilatational tracheostomy (PDT) using intermittent bronchoscopy and ultrasound (US). This method requires 1 single physician operator and no special airway adjuncts. Our aim is to reduce the complications associated with the current popular PDT technique, that is, accidental intraprocedural airway loss, intraprocedural bleeding, and hypoventilation associated with use of continuous bronchoscopy. STUDY DESIGN: This is a retrospective review of all PDTs performed on intensive care unit patients at a single nonacademic hospital by a pulmonologist using the modified PDT technique...
February 2016: Journal of Critical Care
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