Early versus Late Tracheostomy

Liu, C. Carrie; Livingstone, Devon; Dixon, Elijah; Dort, Joseph C.

doi:10.1177/0194599814561606

Cited by 77 publications

(11 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tracheostomy is recommended in critical ill patients when prolonged mechanical ventilation is presumed [ 1 ]. Optimal timing of tracheostomy is still under debate [ 1 , 2 ]. However, a recently published meta-analysis suggests that performing tracheostomy within 7 days after intubation may reduce intensive care unit stay [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Optimal timing of tracheostomy is still under debate [ 1 , 2 ]. However, a recently published meta-analysis suggests that performing tracheostomy within 7 days after intubation may reduce intensive care unit stay [ 2 ]. Most studies comparing early to late tracheostomy defined late tracheostomy as performed in week two after intubation [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, a recently published meta-analysis suggests that performing tracheostomy within 7 days after intubation may reduce intensive care unit stay [ 2 ]. Most studies comparing early to late tracheostomy defined late tracheostomy as performed in week two after intubation [ 1 , 2 ]. Venovenous extracorporeal membrane oxygenation (vv-ECMO) is a treatment option for severe adult respiratory failure [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports

Lother

Wengenmayer

Benk

et al. 2016

J Cardiothorac Surg

View full text Add to dashboard Cite

BackgroundTracheostomy is recommended in case of prolonged mechanical ventilation. Therefore, most patients with an indication for venovenous extracorporeal membrane oxygenation (ECMO) will also have an indication for tracheostomy.Case presentationWe report 2 cases of fatal air embolism into the ECMO system as complication of percutaneous dilatational tracheostomy. Both patients had an AVALON ELITE® bi-caval cannula implanted draining blood from the vena cava superior and inferior.ConclusionSince there is limited safety data on this specific group of patients, a routine early dilatational tracheostomy might be associated with a significant risk.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports

Lother

Wengenmayer

Benk

et al. 2016

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…Our data signify a higher morbidity with subsequent longer hospitalization during the drug shortage. Owing to a prolonged weaning and potential benefits [ 17 ], patients were more likely to undergo a secondary tracheostomy in the ICU, which is an invasive procedure that may cause laryngotracheal injury [ 18 ]. Moreover, the procedure was a significant confounder of all secondary outcome parameters (Additional file 1 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of a remifentanil supply shortage on mechanical ventilation in a tertiary care hospital: a retrospective comparison

et al. 2018

View full text Add to dashboard Cite

BackgroundThe continuous administration of opioids in critical care patients is a common therapy for the tolerance of mechanical ventilation. Opioid choice has a crucial impact on the length of mechanical ventilation. Owing to its very short context-sensitive half-life, remifentanil widens the available options for sedoanalgetic strategies. Supply disruption of such established intensive care medication has been reported to worsen clinical outcomes.MethodsThis retrospective study investigated the influence of a nationwide supply shortage of remifentanil on mechanical ventilation and ventilation-associated outcomes at three perioperative intensive care units (ICUs) in a tertiary care hospital in Vienna. Two groups were followed: patients admitted to the ICU during the remifentanil shortage (July 1, 2016 to September 30, 2016) and a control group one year after the remifentanil shortage (July 1, 2017 to September 30, 2017). Included patients were adults, received mechanical ventilation for at least 6 h, were admitted less than 90 days in the respective ICU, and survived their admission.ResultsFor comparison, Poisson count regression models and logistic regression models were computed. To compensate for multiple testing, the significance level was split (0.02 for the primary and 0.006 for secondary outcome parameters). Patients in the remifentanil shortage group received significantly longer mechanical ventilation (risk ratio 2.19, 95% confidence interval 2.14–2.24, P <0.001) with significantly prolonged ICU stay (P <0.001), days with non-invasive ventilation (P <0.001), and length of hospital stay (P <0.001). No significant difference was found in the occurrence of pneumonia (P = 0.040) and sepsis (P = 0.061). A greater proportion of patients in the shortage group underwent secondary tracheostomy (P <0.001).ConclusionsThe remifentanil shortage caused a significant impairment of essential outcome parameters in the ICU.Electronic supplementary materialThe online version of this article (10.1186/s13054-018-2198-3) contains supplementary material, which is available to authorized users.

show abstract

“…Although some patients do not tolerate the orotracheal intubation (OTI) very well after general anesthesia and in the first 1 or 2 days after operation, the removal of OTI after operation might lead to lethal airway obstruction that requires emergency reintubation. Compared with endotracheal intubation, the advantages of tracheotomy are that it prevents airway obstruction, facilitates weaning from mechanical ventilation, allows for quicker restoration of speech and oral intake, shorten ICU stay, and is more tolerable for the patient [30,44,60]. Before 2008, because of lack of neurointensive care unit (NICU) managements, we performed prophylactic tracheotomy for patients with JF tumors who presented with weak cough reflex just in case of emergency airway obstruction, like Samii did [49].…”

Section: Surgical Approachesmentioning

confidence: 99%

Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature

Tang

Zhang

et al. 2016

Neurosurg Rev

View full text Add to dashboard Cite

This study summarized clinical manifestations, surgical management, histological grading, and long-term outcome of jugular foramen meningiomas (JFMs). Retrospective study was performed in 22 consecutive patients with primary JFMs from January 2004 to October 2010, enrolling 10 men and 12 women with average age of 39.4 (14-57 years). The most common initial symptom is hearing disorder, followed by lower cranial nerve dysfunctions. The tumor was classified into type I (intracranial) in 1, type II (intracranial) in 15, type IV (intracranial-extracranial) in 6, and none type III (extracranial). Surgical approaches mainly included retrosigmoid in 7, far lateral in 10, and juxtacondylar in 5, with some variations. The gross total resection was achieved in 15 cases and subtotal resection in 7. Fourteen patients (63.6 %) developed new or worse neurological deficits immediately after operation, of whom 11 (78.6 %) got alleviation. Postoperatively, keeping airway patency and prevention from aspiration pneumonia is very important. Nasotracheal intubation is much more tolerated than orotracheal intubation for postoperative patient management. WHO grade 2 was found in four cases (18.2 %) and grade 3 in one. During the average time of follow-up in 83.2 months, only one (grade 3) died of tumor regrowth 20 months after surgery and radiosurgery. Five of 17 patients of grade 1 developed tumor regrowth. Radiosurgery provides a good tumor control for tumor regrowth in grade 1, or postoperative grade 2 tumor. In conclusion, JFMs has a favorable long-term overall survival; however, neurological preservation is still challenging, especially low cranial nerves.

show abstract

Early versus Late Tracheostomy

Cited by 77 publications

References 23 publications

Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports

Fatal air embolism as complication of percutaneous dilatational tracheostomy on venovenous extracorporeal membrane oxygenation, two case reports

Impact of a remifentanil supply shortage on mechanical ventilation in a tertiary care hospital: a retrospective comparison

Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature

Contact Info

Product

Resources

About