Tracheotomy

Jackson, Chevalier

doi:10.1288/00005537-190904000-00003

Cited by 218 publications

(68 citation statements)

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“…Earliest reports of this procedure come from a sacred Hindu book and date back to the second millennium before Christ [2]. The operation came to limelight in early twentieth century with the work of Chevalier Jackson who described the modern method and indications of this procedure [3,4]. Main indications of this procedure include prolonged mechanical ventilation, weaning failure, upper airway obstruction, and copious secretions [1].…”

Section: Introductionmentioning

confidence: 99%

Tracheotomy in Cancer Patients: Experience from a Cancer Hospital in Pakistan

et al. 2014

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Tracheotomy is commonly performed for the management of upper airway compromise. Trauma and head and neck cancers are the most frequent indications. The objective of this study was to share our experience with tracheotomy performed for a broad range of malignancies including but not limited to head and neck cancer. This study is a retrospective case series of patients who underwent tracheotomy from January 2004 to June 2012 at Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan. A total of 130 patients were included in the study. Patient demographics, indications for tracheotomy, underlying malignancy, and duration of follow-up were assessed. Main indications were elective (prolonged intubation and/or as a prerequisite for head and neck cancer surgery) and emergency (stridor). Outcome was assessed on a basis of successful decannulation and complications related to tracheotomy. Indications for tracheotomy were elective in 55 (44.7 %) and emergent in 75 (55.3 %) patients. Most common underlying malignancy was leukemia/lymphoma in 38 (29.2 %) patients. There were seven (5.3 %) complications in emergency tracheotomies including bleeding in three, emphysema in two, and dislodgement and infection in one patient each. In the elective setting, three (2.3 %) complications were observed with dislodgement in one and stomal stenosis in two patients. Decannulation was successfully carried out in 23 (18 %) patients. Median followup of patients was 1 month (range 0-86). No tracheotomyrelated mortality was observed. Tracheotomy was performed with relative safety in cancer patients, but low rate of successful decannulation predominantly due to persistent nature of disease.

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Section: Introductionmentioning

confidence: 99%

Tracheotomy in Cancer Patients: Experience from a Cancer Hospital in Pakistan

et al. 2014

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“…The technique has changed very little since its original description by Chevalier Jackson (Jackson, 1909). Briefly, a 4 cm to 5 cm vertical or horizontal skin incision is made 1 cm below the cricoid cartilage over the second to fourth tracheal rings and the pretracheal tissues are dissected; the endotracheal tube is slowly withdrawn to just above the tracheotomy incision, but not removed, in case difficulty in tracheotomy placement requires its urgent reinsertion.…”

Section: Open Surgical Tracheotomymentioning

confidence: 99%

Endoscopic Percutaneous Tracheotomy in Prolonged Intubation of Mechanical Ventilated Patients Admitted in Cardio-Thoracic Intensive Care Unit

Mastropierro¹,

Bettinzoli²,

Manzato³

2012

Global Perspectives on Bronchoscopy

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“…In 1909, Jackson described the standard surgical tracheostomy and in mid-1980s percutaneous tracheostomy (PCT) was introduced as a less invasive alternative for the standard surgical tracheostomy and over the last decade has gained worldwide acceptance [2,3].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous tracheostomy without bronchoscopy a safe procedure

Lima¹

2016

Pulm Crit Care Med

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Introduction: Tracheostomy is a common procedure in ICU, particularly as an approach for weaning from mechanical ventilation. In mid-1980s percutaneous tracheostomy (PCT) was introduced as a less invasive alternative for the standard surgical tracheostomy. A tracheostomy facilitates weaning from mechanical ventilation, in long-term ventilated patients, by improving airway cleaning, better patient comfort, and decreasing airway resistance. Prolonged mechanical ventilation has as main complication ventilator-associated pneumonia. In such case early tracheostomy may reduce that complication.

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Tracheotomy

Cited by 218 publications

References 0 publications

Tracheotomy in Cancer Patients: Experience from a Cancer Hospital in Pakistan

Tracheotomy in Cancer Patients: Experience from a Cancer Hospital in Pakistan

Endoscopic Percutaneous Tracheotomy in Prolonged Intubation of Mechanical Ventilated Patients Admitted in Cardio-Thoracic Intensive Care Unit

Percutaneous tracheostomy without bronchoscopy a safe procedure

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