the home than in the hospital. Each patient care practice and procedure must be evaluated on its own merit. For example, tracheostomy care may be different in the home than the hospital because most tracheostomies in hospitals are new wounds. A new wound needs to be treated with sterile aseptic technique, whereas a longterm patient with a tracheostomy probably could have clean technique used wi...

INTRODUCTION Following advances of Intensive Care medicine and widespread administration of mechanical ventilation, tracheostomy has become one of the indispensable surgical procedures. During this research we tried to assess and compare two main strategies for doing tracheostomy: Surgically Created Tracheostomy (SCT) and Percutaneous Dilatational Tracheostomy (PDT). METHODS In a randomized c...

The mortality risk associated with surgical tracheostomy has declined from 3–4% quoted in studies before 1985 to < 1%. The total complication rate has also declined over the same period from up to 90% to < 40%. The complication rate is doubled in ICU versus non-ICU patients and in tracheostomies performed in emergency situations. This is mainly due to an 8-fold increase in the intra-operative (...

BACKGROUND The study aims to highlight common indications as well as outcome of treatment among patients with tracheostomy in Ilorin, North-Central Nigeria. METHODS A review of clinical records of all patients with tracheostomy over a period of ten years (2002-2011), using the Theatre, Ward, ICU and the emergency register after approval from the ethical review committee. Data retrieved includ...

Tracheostomy is a commonly performed intervention with several benefits in the treatment of patients with chronic respiratory failure. Refinement of the tracheotomy technique, using percutaneous approaches have allowed bedside tracheostomy placement in the modern intensive care unit. Both percutaneous and surgical tracheostomies are associated with several early and late complications [1,2]. Th...

OBJECTIVE Tracheostomy is one of the most frequent interventions for ICU patients. The current trend in performing a tracheostomy is a percutaneous approach because of its popularity and significant advantages. In this study, certain indications of surgical tracheostomy (ST) are suggested and furthermore, ST is compared with percutaneous tracheostomy (PT). PATIENT AND METHODS We performed a U...

OBJECTIVE To review the techniques and long term complications of the various techniques of percutaneous tracheostomy in the critically ill patient. DATA SOURCES A review of studies reported on the various percutaneous tracheostomy techniques. SUMMARY OF REVIEW A tracheostomy is frequently performed in the critically ill patient when prolonged mechanical ventilation, airway protection and p...

Adverse outcomes related to tracheal occlusion and peritracheal skin breakdown stimulated a review of tracheostomy care. An evidence-based practice approach was taken to evaluate the problem. Organizational tracheostomy care policies were reviewed. Subcategories related to tracheostomy care were queried including securing devices, sutures and their removal, type and choice of dressings, prevent...

Complications from surgical procedures are common and must be taken into account when assessing the risks and benefits of a particular treatment approach. Common acute risks of tracheostomy include bleeding, airway loss, damage to adjacent structures, and failure of the chosen technique to achieve successful airway placement. The frequency and severity of these occurrences depends on several fa...