Objective. The purpose of this study was to review inpatients undergoing tracheostomies at a tertiary care pediatric hospital in a 24-month period and to identify the indications, comorbidities, hospital course, patient complexity, and predischarge planning for tracheostomy care. The goal was to analyze these factors to highlight potential areas for improvement. Study Design. Case series with c...

Tracheostomy is a common surgical procedure, and is increasingly performed in the intensive care unit (ICU) as opposed to the operating room. Procedural knowledge is essential and is therefore outlined in this review. We also review several high-quality studies comparing percutaneous dilational tracheostomy and open surgical tracheostomy. The percutaneous method has a comparable, if not superio...

A tracheostomy tube decreases the ability of the patient to communicate effectively. The ability to speak provides an important improvement in the quality of life for a patient with a tracheostomy. In mechanically ventilated patients, speech can be provided by the use of a talking tracheostomy tube, using a cuff-down technique with a speaking valve, and using a cuff-down technique without a spe...

OBJECTIVES/HYPOTHESIS To describe the reasons for hospitalization and characteristics of children with preexisting tracheostomy and to compare hospital utilization between children with and without tracheostomy. STUDY DESIGN Retrospective cohort study. METHODS Children with tracheostomy were selected in the Healthcare Cost and Utilization Project Kids' Inpatient Database 2009 using Internat...

OBJECTIVE Tracheostomy remains one of the most commonly performed surgical procedures in adults with acute respiratory failure and identifies a patient cohort which is among the most resource-intensive to provide care. The objective of this concise definitive review is the synthesis of current knowledge regarding tracheostomy practice in this context. DATA SOURCE Peer-reviewed, English langua...

Tracheostomy can lead to various complications, one of which is ectopic air in different compartments the body. Here, we present a rare case tracheostomy-induced air: combination subcutaneous emphysema, pneumomediastinum, and pneumoperitoneum. This also presents literature review on some common mechanisms responsible for pneumomediastinum following tracheostomy mechanism pneumoperitoneum pneumo...

OBJECTIVE To compare the safety, availability, and long-term sequelae of percutaneous vs. surgical tracheostomy. DESIGN Prospective, randomized, controlled study. SETTING Combined medical/surgical intensive care unit in a tertiary referral hospital. PATIENTS Two hundred critically ill mechanically ventilated patients who required tracheostomy. INTERVENTIONS Tracheostomy by either percut...

Background: Tracheostomy is an alternative that widely used as airway access after the use of a ventilator in care critically ill patients. Several factors are known to influence outcome patients undergoing tracheostomy. This study aimed compare outcomes installed with mechanical ventilation performed early and late tracheostomy Dr. M Djamil General Hospital, Padang, Indonesia.
 Methods: w...

A number of complications can occur following both surgical tracheostomy (ST) and percutaneous tracheostomy (PT). A flexible new tracheostomy insertion technique with the advantages of both ST and PT is proposed to reduce these complications. Our blunt puncture and dilation technique (BPAD tracheostomy) appears to be technically safe and feasible to perform.

Tracheostomy is a common procedure used by a wide variety of surgeons. Complications after tracheostomy have been used as a rationale for prolonging a translaryngeal intubation. Understanding the pathogenesis of tracheostomy complications combined with meticulous surgical and perioperative management avoids the majority of complications. The remaining complications are readily managed and shoul...