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MAI) Mosul for Anesthesia & ICU)

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    The role of tracheotomy in weaning

    المشرف العام

    عدد الرسائل : 200
    العمر : 50
    تاريخ التسجيل : 2008-07-26

    The role of tracheotomy in weaning Empty The role of tracheotomy in weaning

    Post by yagocom on Wed May 16, 2012 11:07 pm

    The role of tracheotomy in weaning.
    Heffner JE.
    SourceMedical University of South Carolina, Division of Pulmonary and Critical Care Medicine, Allergy, and Clinical Immunology, Charleston, SC, USA.

    Tracheotomy is commonly performed in ventilator-dependent patients. Disadvantages to the procedure are perioperative complications, long-term airway injury, and the cost of the procedure. Benefits ascribed to tracheotomy vs prolonged translaryngeal intubation include improved patient comfort, more effective airway suctioning, decreased airway resistance, enhanced patient mobility, increased potential for speech, ability to eat orally, a more secure airway, accelerated ventilator weaning, reduced ventilator-associated pneumonia, and the ability to transfer ventilator-dependent patients from the ICU. None of these benefits, however, have been demonstrated in large-scale, prospective, randomized studies. It is proposed that there should be an anticipatory approach wherein tracheotomy is considered after an initial period of stabilization with the patient receiving mechanical ventilation when it becomes apparent that the patient will require prolonged ventilator assistance. Tracheotomy then is performed when the patient appears likely to gain one or more of the benefits ascribed to the procedure.

      Current date/time is Fri Nov 15, 2019 11:44 am