The Role of Cricothyrotomy, Tracheostomy, and Percutaneous Tracheostomy in Airway Management

Akulian, Jason; Yarmus, Lonny; Feller‐Kopman, David

doi:10.1016/j.anclin.2015.02.009

Cited by 22 publications

(14 citation statements)

References 55 publications

(39 reference statements)

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“…There is a paucity of long-term follow-up studies regarding complications related to ST and PDT at present. [ 7 14 15 ] Proper patient selection remains the key component in preventing complications.…”

Section: Indications For Percutaneous Dilatational Tracheostomymentioning

confidence: 99%

Percutaneous tracheostomy

Mehta¹,

Mehta²

2017

Ann Card Anaesth

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Percutaneous dilatational tracheostomy (PDT) is a commonly performed procedure in critically sick patients. It can be safely performed bedside by intensivists. This has resulted in decline in the use of surgical tracheostomy in intensive care unit (ICU) except in few selected cases. Most common indication of tracheostomy in ICU is need for prolonged ventilation. About 10% of patients requiring at least 3 days of mechanical ventilator support get tracheostomised during ICU stay. The ideal timing of PDT remains undecided at present. Contraindications and complications become fewer with increase in experience. Various methods of performing PDT have been discovered in last two decades. Preoperative work up, patient selection and post tracheostomy care form key components of a successful PDT. Bronchoscopy and ultrasound have been found to be useful procedural adjuncts, especially in presence of unfavorable anatomy. This article gives a brief overview about the use of PDT in ICU.

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Section: Indications For Percutaneous Dilatational Tracheostomymentioning

confidence: 99%

Percutaneous tracheostomy

Mehta¹,

Mehta²

2017

Ann Card Anaesth

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“…Although a tracheostomy can always position the airway away from the operative field, many simple maneuvers can be instituted and may help to avoid the need for a tracheostomy and the associated risks and complications. 17,18…”

Section: Discussionmentioning

confidence: 99%

Securing the Airway in Maxillofacial Trauma Patients: A Systematic Review of Techniques

Patel

Saadi

Lighthall

2020

Craniomaxillofacial Trauma & Reconstruction

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Study Design: The present study is a systematic review of the literature. Objective: The goal of this study is to review our experience and the current literature on airway management techniques in maxillofacial trauma. Methods: Independent searches of the PubMed and MEDLINE databases were performed from January 1, 2019 to February 1, 2019. Articles from the period of 2008 to 2018 were collected. All studies which described both airway management and maxillofacial trauma using the Boolean method and relevant search term combinations, including “maxillofacial,” “trauma,” and “airway,” were considered. Results: A total of 452 relevant articles in total were identified. Articles meeting inclusion criteria by abstract review included 68 total articles, of which 16 articles were focused on airway management techniques for maxillofacial trauma in the general population and were deemed appropriate for inclusion in the literature review. Conclusions: Establishing an effective and stable airway in patients with maxillofacial trauma is of paramount concern. In both the acute setting and during delayed reconstruction, special considerations must be taken when securing a reliable airway in this patient population. The present article provides techniques for securing the airway and algorithms for utilization of these techniques, including both during the initial evaluation and the definitive operative management.

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“…3,33 PDT has gained wide acceptance, due to its great ease, for the advantages that have been observed in several studies, so it has become the predominant method of tracheotomy placement. 3,34,35…”

Section: Percutaneous Dilatational and Surgical Tracheostomymentioning

confidence: 99%

Current Status of Indications, Timing, Management, Complications, and Outcomes of Tracheostomy in Traumatic Brain Injury Patients

Quiñones-Ossa

Durango-Espinosa

Padilla-Zambrano

et al. 2020

JNRP

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Tracheostomy is the commonest bedside surgical procedure performed on patients needing mechanical ventilation with traumatic brain injury (TBI). The researchers made an effort to organize a narrative review of the indications, timing, management, complications, and outcomes of tracheostomy in relation to neuronal and brain-injured patients following TBI. The study observations were collated from the published literature, namely original articles, book chapters, case series, randomized studies, systematic reviews, and review articles. Information sorting was restricted to tracheostomy and its association with TBI. Care was taken to review the correlation of tracheostomy with clinical correlates including indications, scheduling, interventions, prognosis, and complications of the patients suffering from mild, moderate and severe TBIs using Glasgow Coma Scale, Glasgow Outcome Scale, intraclass correlation coefficient, and other internationally acclaimed outcome scales. Tracheostomy is needed to overcome airway obstruction, prolonged respiratory failure and as indispensable component of mechanical ventilation due to diverse reasons in intensive care unit. Researchers are divided over early tracheostomy or late tracheostomy from days to weeks. The conventional classic surgical technique of tracheostomy has been superseded by percutaneous techniques by being less invasive with lesser complications, classified into early and late complications that may be life threatening. Additional studies have to be conducted to validate and streamline varied observations to frame evidence-based practice for successful weaning and decannulation. Tracheostomy is a safer option in critically ill TBI patients for which a universally accepted protocol for tracheostomy is needed that can help to optimize indications and outcomes.

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The Role of Cricothyrotomy, Tracheostomy, and Percutaneous Tracheostomy in Airway Management

Cited by 22 publications

References 55 publications

Percutaneous tracheostomy

Percutaneous tracheostomy

Securing the Airway in Maxillofacial Trauma Patients: A Systematic Review of Techniques

Current Status of Indications, Timing, Management, Complications, and Outcomes of Tracheostomy in Traumatic Brain Injury Patients

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