COVID-19 is a global pandemic with many patients requiring prolonged mechanical ventilation. associated laryngeal oedema and high rate of reintubation difficult airway. Tracheostomy insertion an aerosol generating procedure, so we strived to make our novel technique safe for operator patient. To share experience percutaneous tracheostomy technique, based on case series 18 pneumonitis. Our landm...

PURPOSE OF REVIEW Tracheostomy is one of the most common procedures performed in the intensive care unit. Indications, risks, benefits, timing and technique of the procedure, however, remain controversial. The decision of when and how to perform a tracheostomy is often subjective, but must be individualized to the patient. The following review gives an update on recent literature related to tra...

Tracheostomy is one of the most frequent procedures performed on critically ill patients. It has advantages compared with translaryngeal endotracheal intubation, such as reduced laryngeal anatomical alterations, reduced inspiratory load, better tolerance by the patient and better nursing. Thus, tracheostomy can ease a patient's care in the event of prolonged respiratory support and difficult we...

Patients with cervical spinal cord injury frequently need prolonged mechanical ventilation as a result of worsening pulmonary vital capacity due to paralysis of respiratory muscles, severe impairment of tracheobronchial secretions clearance and high incidence of respiratory complications like pneumonia or atelectasis. Patients with thoracic spinal cord injury may need mechanical ventilation due...

BACKGROUND Tracheostomy is a life saving procedure when it is performed for an appropriate indication and surgical technique. The aim of this study was to compare the early complications of elective and emergency tracheostomy in our setup. METHODS This comparative study was conducted at the ENT Department. Hayatabad Medical (Complex (HMC) from March 2009 to March 2010. A total of 100 patients...

Quite a lot of manuals have been published recently, both in paper and electronic form, on the relatively new technique puncturedilated tracheostomy. However, it is almost impossible to find information about features this elderly old patients. And they are there attract attention. For first time article, we drew attention peculiarity anatomical structure neck adjacent structures A comparative ...

BACKGROUND Nebulized therapy is commonly used in spontaneously breathing tracheostomized patients, despite a lack of recommended devices and techniques. I compared albuterol dose delivered to a model of spontaneously breathing children with tracheostomy, using different nebulizers, tracheostomy tube sizes, inhalation techniques, and breathing patterns. METHODS A tracheostomy model was connect...

An increasing number of technology-dependent patients are sent home for long-term home-management of stable chronic illness. With a patient who is going to undergo tracheotomy, patient-education (for the patient and his/her caregivers) should begin early (before the tracheostomy, if possible), should be individualized to the patient, and should include basic airway anatomy, medical justificatio...

are discussed and possible reasons for the high incidence of tracheostomy are considered. The complications have been carefully assessed. The results indicate that, although there is room for improvement, a reduction in the number and severity of complications has been achieved. In particular there have been few late sequelae, which is attributed to good surgical technique and the adoption of t...