Introduction Tracheostomy is the commonest surgical procedure in intensive care units (ICUs). It not only provides stable airway and facilitates pulmonary toilet and ventilator weaning, but also decreases the direct laryngeal injury of endotracheal intubation, and improves patient comfort and daily living activity. Objective The objective of this study is to assess the incidence, indications, t...

OBJECTIVE To examine the association between the performance of a tracheostomy and intensive care unit and postintensive care unit mortality, controlling for treatment selection bias and confounding variables. DESIGN Prospective, observational, cohort study. SETTING Twelve French medical or surgical intensive care units. PATIENTS Unselected patients requiring mechanical ventilation for > ...

OBJECTIVE This study aimed to determine the optimal time for tracheostomy by evaluating the benefits and safety of early versus late tracheostomy in spinal cord injury (SCI) patients. METHODS We retrospectively reviewed a total of 254 patients with spinal cord injury. Of them, we selected 21 spinal cord injury patients who required tracheostomy due to long-term mechanical ventilation and anal...

Abstract Laryngotracheal stenosis (LTS) is a severe condition with high morbidity rate, described as the narrowing of upper airway diameter. The etiology acquired LTS dominated by prolonged tracheal intubation. diagnosis based on endoscopic examination and computed tomography scan imaging providing an exact analysis lesion, precise measurements. We report descriptive retrospective review medica...

Intraluminal oesophageal pressures were measured in dogs after tracheostomy and intubation with either uncuffed or cuffed tracheostomy tubes. Possible explanations for disordered swallowing following tracheostomy were found in those animals intubated with cuffed tracheostomy tubes: (a) Increased intraluminal pressures were measured in the oesophagus at the level of the cuffs. (b) Significantly ...

BACKGROUND Percutaneous tracheostomy is a common procedure in the intensive care unit and, on patient transfer to the wards, there is a gap in ongoing tracheostomy management. There is some evidence that tracheostomy teams can shorten weaning to decannulation times. In response to lengthy weaning to decannulation times at Trillium Health Partners - Credit Valley Hospital site (Mississauga, Onta...

BACKGROUND Tracheostomy was first observed in Egyptian drawings in 3600 BC and performed frequently during the 1800's diphtheria epidemic. OBJECTIVES The aim of this study was to elucidate the indications, complications, mortality rate, and the effect of pediatric tracheostomy on length of PICU or hospital stay. MATERIALS AND METHODS Demographic characteristics, diagnosis at admission, dura...

The value of tracheostomy was assessed for each patient in relation to the subsequent progress of the underlying disease, to complications of the tracheostomy, and to mortality. Three grades of value were distinguished: (1) the patient would have died had tracheostomy not been performed-211 (54%); (2) the tracheostomy was of definite value to the patient and contributed materially to recovery, ...

Acquired tracheo-oesophageal fistula (TEF) after tracheostomy is a life threatening complication and can occur in about 1% of cases of tracheostomy. Percutaneous tracheostomy was performed in intensive care unit on a 40 years male patient for long-term mechanical ventilation. Subsequently patient developed TEF as the complication of tracheostomy. He was initially managed with endoscopically ins...