Customizing tracheotomy tubes

Eavey, Roland D.; Shannon, Daniel C.; Montgomery, S. K.

doi:10.1288/00005537-198511000-00022

Cited by 3 publications

(5 citation statements)

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“…Male -female ratio was 4.55:1. Here Male was predominant both in elective (M:F=6.5:1) and emergency tracheostomy (9:1) 10 . Present study show that socioeconomically majority patients were poor class (52%), highest percentage of patient comprised of worker (30%).…”

Section: Discussionmentioning

confidence: 96%

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Tracheostomy in Non-malignant Disorders

Liton

Islam²,

Rifat

et al. 2023

Bangladesh J of Otorhinolaryngology

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Background: Tracheostomy is a surgical procedure, often a life saving measure in a variety of clinical conditions. It is one of the commonest procedures carried out on the critically ill patient. The most common causes of non-malignant airway obstruction are head and severe facial trauma, cerebrovascular accident, coma, respiratory burn and presence of foreign bodies in airway etc. Tracheostomy is an increasingly utilised adjunct in the ICU management of patients. Effective tracheostomy management involved the multi-professional team in a coordinated approach. Objectives: To study the indications of tracheostomy in non-malignant disorders. Study design: Cross-sectional study. Study setting and period: Department of Otolaryngorhinology and Head- Neck surgery (Unit- 1,2,3), General Surgery, ICU, Casualty, Neurosurgery, Thoracic surgery, Burn & Plastic Surgery and relevant OPD in Dhaka Medical College Hospitalfrom6th September 2015 to 5th March 2016. Methods: A hospital based cross-sectional study. Fifty patients admitted to hospital, underwent tracheostomy for non-malignant factors. Purposive samplings technique was used. Detail demographic data were collected from the informant and recorded in structured case record form. Clinical examination and relevant investigation were done meticulously. All collected questionnaire checked very carefully to identify the error in the data. Data processing work consist of registration schedules, editing computerization, preparation of dummy table, analyzing and matching of data. Result: A total of 50 patients of non-malignant pathology causing airway patency loss in different ward unit of DMCH were selected. In this study, maximum numbers of patients (36%) were between 51-70 years age groups with mean age was 47.23±11.57 years. It was observed that, frequency of non-malignant aetiology for tracheostomy gradually increases with age. Study show that, 51-70 years was most frequent age group (36%). Out of 50 cases 82% were male. Present study show that socioeconomically majority patients were poor class (52%), highest percentage of patient comprised of day labourer (30%). Head trauma (12%) and cerebrovascular accidents (9%) were the most common etiological factor trauma was the major aetilogical group (50%),followed by, central drive problems or neurological disease (38%) and elective tracheostomy was done. Conclusion: Head and facial trauma, cerebrovascular accident, coma, respiratory burn and presence of foreign bodies etc. are common aetilogical factors. It was found that tracheostomy is safer alternative to intubation when a prolonged artificial airway is required. Bangladesh J Otorhinolaryngol 2022; 28(2): 157-164

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Section: Discussionmentioning

confidence: 96%

“…Present study gives impression that head trauma (12%) and cerebrovascular accidents (9%) was the most common etiology for tracheostomy. Choudhury 10 .…”

Section: Discussionmentioning

confidence: 99%

Tracheostomy in Non-malignant Disorders

Liton

Islam²,

Rifat

et al. 2023

Bangladesh J of Otorhinolaryngology

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“…In cases of subglottic stenosis, the application of Montgomery-Safe-T-tubes is possible [46], [47], [48], [49], [50] (Figure 10 (Fig. 10)).…”

Section: Tracheostomy Cannulasmentioning

confidence: 99%

Tracheostomy cannulas and voice prosthesis

Kramp

Dommerich²

2009

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 8:Doc05; ISSN 1865-1011

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“…The earliest known references to tracheostomy are made in the Rigveda, a sacred Hindu book, published around 2000 BC [2].…”

Section: Introductionmentioning

confidence: 99%

“…Other names for the trachea included "Arteria aspera". The early history of tracheostomy starts with Galen and Aretaeus, both of whom referred to either cutting the larynx or making an incision in the arteria aspera are of the terms then used for the windpipe or trachea [2].…”

Section: Introductionmentioning

confidence: 99%

Indications and Complications of Tracheostomy at a Tertiary Care Institute: A Prospective and Observational Study

Sharma

2023

Asian J Pharm Clin Res

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Objective: The aim of the present study was to present an analysis of indications and complications of tracheostomy in tracheostomized patients. Methods: This was a single center, hospital-based prospective, non-randomized, and non-comparative study involving 60 tracheostomized patients carried out from February 2021 to March 2022 at Geetanjali Medical College and Hospital, Udaipur, India. Results: Out of 60 tracheostomies performed most common indications were Laryngo-tracheal trauma (26.7%), organophosphorus poisoning (25%), malignancy of Larynx (11.67%), post-intubation stenosis (6.7%), bilateral abductor paralysis (6.7%), head injury (6.7%), meningitis (5%), acute laryngo-traheo-bronchitis (3.33%), hypoxic-ischemic-encephalopathy (3.33%), cerebrovascular accidents (1.67%), faucial diptheria (1.67%), and GB syndrome (1.67%). Out of 60 tracheostomies performed, 18 complications were encountered. The most common complication was granulations of tracheostoma which occurred in 5 cases (8.3%), three cases of tube occlusion (5%), three cases had difficult decannulation (5%), three cases developed infection of stoma (5%), two cases developed surgical emphysema (3.3%), one case of tracheostomy scar hypertrophy (1.6%), and one case developed tracheal stenosis (1.6%). Conclusion: Tracheostomy is the procedure of choice especially in cases. Where it is needed to provide prolonged positive pressure ventilation and tracheobronchial toilet. Thorough anatomical knowledge of trachea and adjacent structures, skill of surgeon, sterile technique, meticulous surgery, use of high-volume low pressure cuffed Portex tracheostomy tubes, and good bedside tracheostomy care results in minimal complications. Complications of tracheostomy are largely preventable.

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Customizing tracheotomy tubes

Cited by 3 publications

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Tracheostomy in Non-malignant Disorders

Tracheostomy in Non-malignant Disorders

Tracheostomy cannulas and voice prosthesis

Indications and Complications of Tracheostomy at a Tertiary Care Institute: A Prospective and Observational Study

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