A Prospective Study of Complications after Tracheostomy for Assisted Ventilation

Dane, T. E. B.; King, Elizabeth G.

doi:10.1378/chest.67.4.398

Cited by 98 publications

(36 citation statements)

References 18 publications

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“…In another prospective study, Dane and King [5] diagnosed signifi cant stenoses in 8% of 40 patients after tracheostomy and insignifi cant narrowing of the trachea was found in a further 8%. Similarly to us [6] , they recommend to carry out regular fi broscopic control in patients after the tracheotomy.…”

Section: Discussionmentioning

confidence: 96%

Management of Benign Stenoses of the Large Airways in the University Hospital in Prague, Czech Republic, in 1998–2003

et al. 2005

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Background: Clinically significant benign stenoses of the large airways develop in about 1% of patients after intubation. The management of benign stenoses is not unified around the world, nor are there any accepted methods for their screening. Objectives: The purpose of this study is to describe and compare results of interventional bronchoscopy and surgical therapy of benign stenoses as well as to propose an algorithm for the management of this airways disorder. Methods: Prospective study on 80 consecutive patients with benign stenoses of the large airways admitted to the Pulmonary Department of the University Hospital of Prague-Motol. Results: Sixty-two patients developed stenoses after endotracheal intubation or tracheostomy, in 18 patients the stenosis was caused by other diseases or pathological situations. Thirty-eight patients were sent for surgical resection of the stenotic part of the airways. 2 surgically treated patients developed recurrence of the stenosis and had to be reoperated on. Narrowing of the trachea at the site of end-to-end anastomosis developed in 6 other patients and was cured by interventional bronchoscopy. The remaining 42 patients were treated by interventional bronchoscopy (Nd-YAG laser, electrocautery, stent) which was curative in 35 patients. Sixty-five patients were alive at the time of evaluation, 15 patients died. Five of them died between 3 and 14 (median 4) months after surgery from a disease other than airway stenosis. Ten nonresected patients also died, with 1 exception, due to a disease other than airway stenosis; the median survival was 9 months. Conclusions: We recommend to assess the patient for surgery after the initial diagnosis and therapeutic bronchoscopy with dilatation of the stenosis. If the patient is not a suitable candidate for resection, interventional bronchoscopy is an appropriate alternative for the management of benign stenoses of the large airways.

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Section: Discussionmentioning

confidence: 96%

Management of Benign Stenoses of the Large Airways in the University Hospital in Prague, Czech Republic, in 1998–2003

et al. 2005

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“…With the development of improved endotracheal tube design, the indication and timing of tracheostomy gradually changed. In the late 1970s and early 1980s different authors [8,9,10] compared translaryngeal intubation with tracheostomy. They reported more serious complications [8], a higher bacterial invasion of the lungs [9] and a high rate of tracheal stenosis [8,10] and, therefore, were often cited to support prolonged translaryngeal intubation.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland

Fischler¹,

Erhart²,

Kleger³

et al. 2000

Intensive Care Med

123

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“…Long-term tracheostomies can cause physical injuries such as tracheostenosis, tracheomalacia, and/or granuloma [49][50][51][52]. However, whether tracheostomies actually cause dysphagia and aspiration remains controversial.…”

Section: Tracheostomymentioning

confidence: 99%

Management of Dysphagia Following Traumatic Brain Injury

Howle

Baguley

Brown

2014

Curr Phys Med Rehabil Rep

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Dysphagia is a common morbidity and cause of mortality following traumatic brain injury (TBI). Despite this, there is a paucity of evidence demonstrating the efficacy of dysphagia management strategies and treatments in this population. Typically, subjects with dysphagia following TBI are placed into non-specific 'neurogenic' dysphagia subject groups, which include subjects with degenerative neurological diseases, neurological cancers, and cerebrovascular accident. However, dysphagia following TBI has a multifactorial presentation, with causative and contributory factors including cognitivecommunication, behavioral, neurological, and mechanical issues. As such, the management for dysphagia post-TBI must be multifactorial, team-based and involve the patients' families and carers. Much of the research regarding the management and treatment of dysphagia in general is in its infancy: larger and more rigorous studies are required to demonstrate treatment efficacy. More studies specifically examining dysphagia and its management in the TBI population are required to ensure the future efficacy and accuracy of treatment.

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A Prospective Study of Complications after Tracheostomy for Assisted Ventilation

Cited by 98 publications

References 18 publications

Management of Benign Stenoses of the Large Airways in the University Hospital in Prague, Czech Republic, in 1998–2003

Management of Benign Stenoses of the Large Airways in the University Hospital in Prague, Czech Republic, in 1998–2003

Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland

Management of Dysphagia Following Traumatic Brain Injury

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