Improving airway management and tracheostomy care through interprofessional collaboration: aligning timing, technique, and teamwork

Pandian, Vinciya; Atkins, Joshua H.; Freeman‐Sanderson, Amy; Nicholas, Prush,; Feller‐Kopman, David; McGrath, Brendan A.; Brenner, Michael

doi:10.21037/jtd-23-205

Cited by 3 publications

(1 citation statement)

References 36 publications

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“…The indications for tracheostomy have progressed, over many years, in equivalent to the developments in medicine. Recently, and because of the availability, safety and simplicity of use of endotracheal intubation, the latter is considered to be the first line therapy for the short term airway protection and/or ventilation [10,11]. Therefore, tracheostomy is generally considered an elective procedure, with the exception of a fewer cases in which endotracheal intubation cannot be done initially [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

The Indications of Tracheostomy in Basrah (Iraq): A Retrospective Descriptive Study

Алансари,

Абдулла,

Аль-Канаан

2023

Хирургия. Восточная Европа

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Цель. Определить показания к трахеостомии и сравнить их с другими частями света. Материалы и методы. Ретроспективное описательное исследование включает пациентов, которым была проведена трахеостомия в крупных больницах Басры в течение одного года (с 1 июля 2015 г. по 30 июня 2016 г.). В исследование были включены 92 пациента, был изучен их анамнез, данные собраны в виде анкеты, а затем проанализированы статистически. Результаты. Из 92 пациентов 75 были мужчинами (82%) и 17 (18%) – женщинами, соотношение мужчин и женщин составляло 4,41 : 1. Возраст пациентов колебался от 6 мес. до 80 лет, средний возраст составил 36,58 года. Всем пациентам была выполнена классическая трахеостомия. 81 пациент получил общий наркоз (88%) и 11 были прооперированы под местной анестезией (12%). Только 3 пациента были прооперированы в экстренном порядке (3%), остальные оперированы планово. Основным показанием к трахеостомии является длительная интубация трахеи (91,3%), что обусловлено преимущественно травмой. Заключение. Трахеостомия в Басре в основном показана при длительной эндотрахеальной интубации. Purpose. To determine the indications of tracheostomy and compared them with other parts of the world. Materials and methods. A retrospective descriptive study, all the patients underwent tracheostomies in Basrah major hospitals during one year period (from July 1st, 2015 to June 30th, 2016). Nighty-two patients were enrolled in this study and their medical records were reviewed and data collected on a questionnaire forma and then analyzed statistically. Results. In this study, 92 patients were enrolled, 75 of them were male (82%) and 17 (18%) were female, with male to female ratio of 4.41:1. The ages of the patients ranged from 6 months to 80 years, with a mean age of 36.58 years. Classical tracheostomy was performed to all patients. Eighty one patients receive general anesthesia (88%) and eleven patients were operated under local anesthesia (12%). Only three patients were operated as an emergency (3%), while the rest were operated electively. The main indication for tracheostomy is prolonged endotracheal intubation (91.3%), which is mainly caused by trauma.

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Section: Introductionmentioning

confidence: 99%

The Indications of Tracheostomy in Basrah (Iraq): A Retrospective Descriptive Study

Алансари,

Абдулла,

Аль-Канаан

2023

Хирургия. Восточная Европа

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Evolving global responses to the pandemic: sustaining interprofessional education and collaborative practice

Langlois,

da Silva Souza,

Xyrichis

et al. 2024

Journal of Interprofessional Care

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Enhancing Communication in Critically Ill Patients with a Tracheostomy: A Systematic Review of Evidence-Based Interventions and Outcomes

Gentile,

Irvine,

King

et al. 2024

Tracheostomy: Official Journal of the Global Tracheostomy Collaborative

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Background Tracheostomy, a common procedure performed in intensive care units (ICU), is associated with communication impairment and affects patient well-being. While prior research has focused on physiological care, there is a need to address communication needs and quality of life (QOL). We aimed to evaluate how different types of communication devices affect QOL, speech intelligibility, voice quality, time to significant events, clinical response and tolerance, and healthcare utilization in patients undergoing tracheostomy. Methods Following PRISMA guidelines, a systematic review was conducted to assess studies from 2016 onwards. Eligible studies included adult ICU patients with a tracheostomy, comparing different types of communication devices. Data were extracted and synthesized to evaluate QOL, speech intelligibility, voice quality, time to significant events (initial communication device use, oral intake, decannulation), clinical response and tolerance, and healthcare utilization and facilitators/barriers to device implementation. Results Among 9,228 studies screened, 8 were included in the review. Various communication devices were employed, comprising both tracheostomy types and speaking valves, highlighting the multifaceted nature of interventions. Quality of life improvements were observed with voice restoration interventions, but challenges such as speech intelligibility impairments were noted. The median time for initial communication device usage post-intervention was 11.4 ± 5.56 days. The median duration of speech tolerance ranged between 30-60 minutes to 2-3 hours across different studies. Complications such as air trapping or breathing difficulties were reported in 15% of cases. Additionally, the median ICU length of stay post-intervention was 36.5 days. Key facilitators for device implementation included early intervention, while barriers ranged from service variability to physical intolerance issues. Conclusion Findings demonstrate that various types of communication devices can significantly enhance the quality of life, speech intelligibility, and voice quality for patients undergoing tracheostomy, aligning with the desired outcomes of improved clinical response and reduced healthcare utilization. The identification of facilitators and barriers to device implementation further informs clinical practice, suggesting a tailored, patient-centered approach is crucial for optimizing the benefits of communication devices in this population.

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Improving airway management and tracheostomy care through interprofessional collaboration: aligning timing, technique, and teamwork

Cited by 3 publications

References 36 publications

The Indications of Tracheostomy in Basrah (Iraq): A Retrospective Descriptive Study

The Indications of Tracheostomy in Basrah (Iraq): A Retrospective Descriptive Study

Evolving global responses to the pandemic: sustaining interprofessional education and collaborative practice

Enhancing Communication in Critically Ill Patients with a Tracheostomy: A Systematic Review of Evidence-Based Interventions and Outcomes

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