OBJECTIVE To determine possible indications for tracheotomy in the burned child based on bronchoscopic and laryngoscopic findings. DESIGN AND SETTING A retrospective case study of all patients admitted to a tertiary children's burn center. PARTICIPANTS All children admitted with burn inhalation injury between 1990 and 1995 (n = 211). INTERVENTION All patients underwent laryngoscopy and br...

INTRODUCTION Tracheotomy is one of the most frequent surgical procedures performed in critically ill patients hospitalized at intensive care units. The ideal timing for a tracheotomy is still controversial, despite decades of experience. OBJECTIVE To determine the impact of performing early tracheotomies in critically ill patients on duration of mechanical ventilation, intensive care unit sta...

The procedure of tracheotomy dates back to ancient times. Its use has been adapted in the neonatal and pediatric population over the past half-century. Despite being a life-saving measure, tracheotomy-related mortality rates range from 0.5 to 3.6%, and this procedure is not without significant and sometimes frequent complications. Techniques regarding pediatric tracheotomy vary from surgeon to ...

BACKGROUND AND PURPOSE Tracheotomy is a commonly performed procedure; however, in the obese, it can be associated with a high morbidity and mortality, partially due to accidental decannulation. We hypothesize that a simple and rapid measurement of the DPST on CT will accurately predict those patients in need of an extended-length tracheotomy tube. MATERIALS AND METHODS A retrospective review ...

UNLABELLED We report a case of a 59-year-old male who experienced tracheoesophageal fistula and grade IV subglottic stenosis after percutaneous dilation tracheotomy. Although percutaneous tracheotomy is considered a safe procedure that is often performed in the intensive care unit setting, it is not without complications. While subglottic stenosis and tracheoesophageal fistula are known complic...

OBJECTIVE To define the indications for tracheotomy in patients requiring prolonged intubation (>1 week) in the pediatric intensive care unit (PICU). DESIGN Retrospective chart review and follow-up telephone survey. SETTING A tertiary care center PICU. OUTCOME MEASURE Tracheotomy or extubation. PATIENTS All patients older than 30 days in the PICU intubated for longer than 1 week between...

Tracheomegaly has not been reported in amyotrophic lateral sclerosis (ALS). Herein, the authors report a case of tracheomegaly secondary to tracheotomy tube cuff in a patient with ALS. To our knowledge, this is the first report of an ALS patient with tracheomegaly and of tracheomegaly being associated with tracheotomy tube cuff and home tracheotomy mechanical ventilator.The clinician should con...

INTRODUCTION Translaryngeal intubated and ventilated patients often need sedation to treat anxiety, agitation and/or pain. Current opinion is that tracheotomy reduces sedation requirements. We determined sedation needs before and after tracheotomy of intubated and mechanically ventilated patients. METHODS We performed a retrospective analysis of the use of morphine, midazolam and propofol in ...

OBJECTIVE To compare conventional tracheotomy with endotracheal intubation to tracheotomy with noninvasive positive-pressure ventilation (NPPV) in advanced neuromuscular disease. METHODS This was a retrospective study of a historical cohort of patients tracheotomized while sedated and intubated versus patients tracheotomized under NPPV and local anesthesia. We recorded previous intubation dif...