OUTCOMES OF CRITICAL PATIENTS WITH TRACHEOSTOMY: PROPOSAL OF A DECANNULATION PROTOCOL
نویسندگان
چکیده
منابع مشابه
Outcomes of critical patients with tracheostomy: proposal of a decannulation protocol
Introduction Tracheostomy (TCT) places an high social and economical burden not only for patients and their families, but also for institutions and the management of their beds. Longitudinal studies are contradictory, due to different non-standard practices, different circuits of these patients in the hospitals and the differentiation of human resources. Therefore, the creation of decannulation...
متن کاملTracheostomy Decannulation Kent L Christopher MD RRT Introduction Decannulation Decision Making Deflated-Cuff Tracheostomy Occlusion Procedure Benefits of Decannulation Protocol-Guided Decannulation Physiologic Effects of Decannulation
The respiratory therapist plays an integral role in tracheostomy tube decannulation. Removal of the tracheostomy tube should be considered only if the original upper-airway obstruction is resolved, if airway secretions are controlled, and if mechanical ventilation is no longer needed. Predictors of success include ability to produce a vigorous cough and the absence of aspiration. Tracheostomy d...
متن کاملFeasibility of a single-stage tracheostomy decannulation protocol with endoscopy in adult patients.
OBJECTIVES/HYPOTHESIS Gradual decrease in tube size and tube capping are considered the standard of care for tracheostomy decannulation. Both of these actions result in increased airway resistance. Immediate decannulation may offer a more tolerable approach. OBJECTIVE To assess the feasibility of immediate tracheostomy decannulation compared with the traditional decannulation methods. METHO...
متن کاملTracheostomy decannulation.
Tracheostomy tubes are placed for a variety of reasons, including failure to wean from mechanical ventilation, inability to protect the airway due to impaired mental status, inability to manage excessive secretions, and upper-airway obstruction. A tracheostomy tube is required in approximately 10% of patients receiving mechanical ventilation and allows the patient to move to a step-down unit or...
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ژورنال
عنوان ژورنال: Intensive Care Medicine Experimental
سال: 2015
ISSN: 2197-425X
DOI: 10.1186/2197-425x-3-s1-a933