Neither Skin Sutures nor Foam Dressing Use Affect Tracheostomy Complication Rates

Eddine, Savo Bou Zein; Carver, Thomas; Karam, Basil S.; Pooni, Inderjit; Ericksen, Forrest; Milia, David

doi:10.1016/j.jss.2020.11.066

Cited by 4 publications

(4 citation statements)

References 18 publications

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“…Xu Ting observes and analyzes approximately 10,000 patients and conducts controlled experiments on thousands of patients to observe the causes of pressure ulcers in hospitals and the differences between the two patient groups. Patients with pressure ulcers are treated according to preventive guidelines, observed for changes in pressure ulcer status after relevant precautions and relevant through experiments that standardize the relevant behavior of nurses in patient care [ 7 , 8 ]. To investigate the causes of pressure ulcers, Yu Hui built a pressure ulcer prevention research model.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality-Based Analysis of Pressure Ulcer Care Information Related to Medical Equipment for the Prevention of Pressure Ulcer Skin Foam Dressings in the Elderly

Zhao

Tian

et al. 2021

Journal of Healthcare Engineering

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As the standard of life has increased with the advancement of the time, there has been an increasing stress on healthcare with the aging diet, and pressure sores occur in elderly hospitalized subjects. Of course, the emergence of related medical devices, especially auxiliary foam dressings, is constantly improving. Pressure ulcers are extremely harmful to the elderly. The use of virtual reality technology to simulate the treatment of foam excipients is to test the role of medical devices in virtual reality. In particular, the use of foam dressings in the management of pressure deposits is the most relevant study for this paper, which reviews the relevant literature and conducts a thematic study on patients in a specific urban hospital. The relevant materials were designed, the experiments were designed, and the relevant research data were obtained. Studies show that virtual reality-based preventive medical devices can improve the efficiency of pressure ulcer treatment in hospitals by about 12%. Pressure ulcers have different incidences among people of different ages. The probability is much higher than that of adolescents. Foam dressing is very effective in preventing pressure ulcers. The probability of pressure ulcers after using foam dressing is about 35% lower than that when it is not used.

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Section: Introductionmentioning

confidence: 99%

Virtual Reality-Based Analysis of Pressure Ulcer Care Information Related to Medical Equipment for the Prevention of Pressure Ulcer Skin Foam Dressings in the Elderly

Zhao

Tian

et al. 2021

Journal of Healthcare Engineering

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“…When considering overall complication incidence, several studies show that age, gender, smoking status, anatomical variants, tracheostomy size, tracheostomy type, and suture stabilisation are not highly predictive of acute complications. 11,12 In contrast, obesity is a strong predictor of tracheostomy complications. 13 Obesity was found to be independently associated with an increased risk of all complications, acute kidney injury, and unplanned readmission within the first 30 days of tracheal tube placement.…”

Section: Introductionmentioning

confidence: 99%

“…Other predictors of complication incidence have been thoroughly studied. When considering overall complication incidence, several studies show that age, gender, smoking status, anatomical variants, tracheostomy size, tracheostomy type, and suture stabilisation are not highly predictive of acute complications 11,12 . In contrast, obesity is a strong predictor of tracheostomy complications 13 .…”

Section: Introductionmentioning

confidence: 99%

Retrospective review of acute post‐tracheostomy complications and contributing risk factors

Erickson,

Katta,

Sun

et al. 2023

Clinical Otolaryngology

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ObjectiveTracheostomy is performed for various indications ranging from prolonged ventilation to airway obstruction. Many factors may play a role in the incidence of complications in the immediate post‐operative period including patient‐related factors. Chronic obstructive pulmonary disease and asthma are some of the most common pulmonary pathologies in the United States. The relationship between obstructive pulmonary diseases and acute post‐tracheostomy complications has been incompletely studied.DesignA retrospective chart review was designed in order to answer these objectives. Medical records were reviewed for the technique used, complications, and contributing patient factors. Post‐operative complications were defined as any tracheostomy‐related adverse event occurring within 14 days.SettingThe study took place at an academic comprehensive cancer.ParticipantsInclusion criteria included patients from January 2017 through December 2018 who underwent a tracheostomy. Exclusion criteria included presence of stomaplasty, total laryngectomy, and tracheostomies performed at outside hospitals.Main outcome measuresPatient factors examined included demographics, comorbidities, and body mass index with the primary outcome measured being the rate of tracheostomy complications.ResultsThe most common indication for tracheostomy among the 321 patients that met inclusion criteria was airway obstruction or a head and neck cancer surgical procedure. Obstructive sleep apnea was associated with acute complications in bivariate analysis (29.4% complications, p = .003). Chronic obstructive pulmonary disease and asthma were not associated with acute complications in bivariate analysis (11.6% complications, p = .302). Among the secondary outcomes measured, radiation was associated with early complications occurring in post‐operative days 0–6 (1.1%, p = .029).ConclusionPatients with obstructive sleep apnea may have a higher risk of acute post‐tracheostomy complications that might be due to the patient population at risk for obstructive sleep apnea. Patients with obstructive pulmonary pathologies such as asthma or chronic obstructive pulmonary disorder did not have an elevated risk of complications which is clinically significant when considering the utility of ventilation and tracheostomy in the management of acute respiratory failure secondary to these conditions.

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“…When considering overall complication incidence, several studies show that age, gender, smoking status, anatomical variants, tracheostomy size, tracheostomy type, and suture stabilization are not highly predictive of acute complications. 11,12 In contrast, obesity is a highly described predictor of tracheostomy complications. 13 Obesity was found to be independently associated with an increased risk of all complications, acute kidney injury, and unplanned readmission within the first 30 days of tracheal tube placement.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Review of Acute Post-Tracheostomy Complications in Patients with Obstructive Pulmonary Diseases

Erickson

Katta

Sun

et al. 2022

Preprint

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Objective Tracheostomy is performed for various indications ranging from prolonged ventilation to airway obstruction. Many factors may play a role in the incidence of complications in the immediate post-operative period including patient-related factors. The relationship between obstructive pulmonary diseases and acute post-tracheostomy complications has been incompletely studied. Chronic obstructive pulmonary disease (COPD), obstructive sleep apnea (OSA), and asthma are some of the most common pulmonary pathologies in the United States and given the clinical utility of tracheostomies among these patients, it is important to characterize the risk of acute post-operative complications. Design A retrospective chart review identified tracheostomy patients from January 2017 through December 2018 at an academic cancer center. Medical records were reviewed for the technique used, complications, and contributing patient factors. Post-operative complications were defined as any tracheostomy-related adverse event occurring within 14 days. Patient factors examined included demographics, comorbidities, and body mass index (BMI). Results The most common indication for tracheostomy among the 321 patients that met inclusion criteria was airway obstruction or a head and neck cancer surgical procedure. Obstructive pulmonary pathology (COPD, OSA, asthma) was moderately associated with acute complications in bivariate analysis (13.4% complications, p = 0.039). Among the secondary outcomes measured, radiation was associated with early complications occurring in post-operative days 0-6 (1.1%, p = 0.029). Conclusion Obstructive pulmonary patients may have a higher risk of acute post-tracheostomy complications which is clinically significant when considering the utility of ventilation and tracheostomy in the management of acute respiratory failure secondary to these conditions.

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Neither Skin Sutures nor Foam Dressing Use Affect Tracheostomy Complication Rates

Cited by 4 publications

References 18 publications

Virtual Reality-Based Analysis of Pressure Ulcer Care Information Related to Medical Equipment for the Prevention of Pressure Ulcer Skin Foam Dressings in the Elderly

Virtual Reality-Based Analysis of Pressure Ulcer Care Information Related to Medical Equipment for the Prevention of Pressure Ulcer Skin Foam Dressings in the Elderly

Retrospective review of acute post‐tracheostomy complications and contributing risk factors

Retrospective Review of Acute Post-Tracheostomy Complications in Patients with Obstructive Pulmonary Diseases

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