[Early and long-term results of percutaneous dilatation tracheostomy (PDT Ciaglia) in 195 intensive care patients].
Identifieur interne : 000908 ( PubMed/Corpus ); précédent : 000907; suivant : 000909[Early and long-term results of percutaneous dilatation tracheostomy (PDT Ciaglia) in 195 intensive care patients].
Auteurs : B. Heuer ; A. DellerSource :
- Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS [ 0939-2661 ] ; 1998.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Tracheostomy.
- methods : Tracheostomy.
- Adolescent, Adult, Aged, Aged, 80 and over, Bronchoscopy, Critical Care, Dilatation, Female, Fiber Optic Technology, Humans, Male, Middle Aged.
Abstract
Tracheostomy is frequently required in the treatment of critically ill patients to prevent the complications associated with prolonged translaryngeal intubation. Tracheostomy may facilitate airway suctioning and improve patient comfort in the process of weaning. The purpose of the study was to assess our experience with PDT and to evaluate the complications in comparison with open surgical tracheostomy which is associated with complication rates ranging up to 50%.
DOI: 10.1055/s-2007-994254
PubMed: 9645290
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Early and long-term results of percutaneous dilatation tracheostomy (PDT Ciaglia) in 195 intensive care patients].</title><author><name sortKey="Heuer, B" sort="Heuer, B" uniqKey="Heuer B" first="B" last="Heuer">B. Heuer</name><affiliation><nlm:affiliation>Abteilung für Anästhesie und Intensivmedizin, Krankenhaus der Barmherzigen Brüder, Trier.</nlm:affiliation></affiliation></author><author><name sortKey="Deller, A" sort="Deller, A" uniqKey="Deller A" first="A" last="Deller">A. Deller</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9645290</idno><idno type="pmid">9645290</idno><idno type="doi">10.1055/s-2007-994254</idno><idno type="wicri:Area/PubMed/Corpus">000908</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000908</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Early and long-term results of percutaneous dilatation tracheostomy (PDT Ciaglia) in 195 intensive care patients].</title><author><name sortKey="Heuer, B" sort="Heuer, B" uniqKey="Heuer B" first="B" last="Heuer">B. Heuer</name><affiliation><nlm:affiliation>Abteilung für Anästhesie und Intensivmedizin, Krankenhaus der Barmherzigen Brüder, Trier.</nlm:affiliation></affiliation></author><author><name sortKey="Deller, A" sort="Deller, A" uniqKey="Deller A" first="A" last="Deller">A. Deller</name></author></analytic><series><title level="j">Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS</title><idno type="ISSN">0939-2661</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Bronchoscopy</term><term>Critical Care</term><term>Dilatation</term><term>Female</term><term>Fiber Optic Technology</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Tracheostomy (adverse effects)</term><term>Tracheostomy (methods)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Tracheostomy</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Tracheostomy</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Bronchoscopy</term><term>Critical Care</term><term>Dilatation</term><term>Female</term><term>Fiber Optic Technology</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Tracheostomy is frequently required in the treatment of critically ill patients to prevent the complications associated with prolonged translaryngeal intubation. Tracheostomy may facilitate airway suctioning and improve patient comfort in the process of weaning. The purpose of the study was to assess our experience with PDT and to evaluate the complications in comparison with open surgical tracheostomy which is associated with complication rates ranging up to 50%.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9645290</PMID><DateCreated><Year>1998</Year><Month>07</Month><Day>14</Day></DateCreated><DateCompleted><Year>1998</Year><Month>07</Month><Day>14</Day></DateCompleted><DateRevised><Year>2008</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0939-2661</ISSN><JournalIssue CitedMedium="Print"><Volume>33</Volume><Issue>5</Issue><PubDate><Year>1998</Year><Month>May</Month></PubDate></JournalIssue><Title>Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS</Title><ISOAbbreviation>Anasthesiol Intensivmed Notfallmed Schmerzther</ISOAbbreviation></Journal><ArticleTitle>[Early and long-term results of percutaneous dilatation tracheostomy (PDT Ciaglia) in 195 intensive care patients].</ArticleTitle><Pagination><MedlinePgn>306-12</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Tracheostomy is frequently required in the treatment of critically ill patients to prevent the complications associated with prolonged translaryngeal intubation. Tracheostomy may facilitate airway suctioning and improve patient comfort in the process of weaning. The purpose of the study was to assess our experience with PDT and to evaluate the complications in comparison with open surgical tracheostomy which is associated with complication rates ranging up to 50%.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">PDT was performed using the serial dilational technique described by Ciaglia (percutaneous tracheostomy introducer set, Cook Critical Care) by careful fibreoptic monitoring of the tracheal puncture and the tracheostomy tube insertion. Complications related to the procedure and late effects were recorded.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">195 PDT were performed in adult intensive-care patients on prolonged mechanical ventilation. In 182 cases (93.4%) placement of the tube was successful without complications. Intraoperative complications occurred in 13 patients (6.6%) including bleeding (5), superficial lesion of the tracheal mucosa (3), pneumothorax (1) and others (4). After decannulation in 132 patients the tracheostoma closed spontaneously and the cosmetic and functional results were good. In 131 cases there was no clinical, radiographic and endoscopic evidence of symptomatic tracheal stenosis. Only in one patient 6 weeks after decannulation a relevant stenosis was seen. In 72 patients after median sternotomy no stomal wound infection and no mediastinitis was observed.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">PDT is a safe and practicable alternative technique which can be performed in the intensive-care unit with a lower risk of complications than open surgical tracheostomy. Endoscopic guidance prevents serious complications and apparently increases the safety of this procedure.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Heuer</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Abteilung für Anästhesie und Intensivmedizin, Krankenhaus der Barmherzigen Brüder, Trier.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deller</LastName><ForeName>A</ForeName><Initials>A</Initials></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Früh- und Spätresultate der perkutanen Dilatationstracheostomie (PDT Ciaglia) bei 195 Intensivpatienten.</VernacularTitle></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Anasthesiol Intensivmed Notfallmed Schmerzther</MedlineTA><NlmUniqueID>9109478</NlmUniqueID><ISSNLinking>0939-2661</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001999" MajorTopicYN="N">Bronchoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003422" MajorTopicYN="Y">Critical Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004106" MajorTopicYN="N">Dilatation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005336" MajorTopicYN="N">Fiber Optic Technology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014139" MajorTopicYN="N">Tracheostomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>6</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>6</Month><Day>30</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>6</Month><Day>30</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9645290</ArticleId><ArticleId IdType="doi">10.1055/s-2007-994254</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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