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Fundamentals and Timing of Tracheostomy: ICU Team and Patient Perspectives

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Annual Update in Intensive Care and Emergency Medicine 2015

Part of the book series: Annual Update in Intensive Care and Emergency Medicine 2015 ((AUICEM,volume 2015))

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Abstract

Tracheostomy is a surgical procedure performed by creating an artificial opening in the anterior aspect of the neck, into the trachea. Tracheostomy is usually performed in patients who require prolonged mechanical ventilation or who have upper airway obstruction caused either by obstructive sleep apnea, bilateral vocal cord paralysis, tumor or glottic stenosis. Often the procedure is also necessary and beneficial in head and neck or maxillofacial trauma with airway compromise, in patients requiring definitive pulmonary toileting, or as an adjunct to head and neck or thoracic surgery where ventilation problems or prolonged intubation is anticipated.

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References

  1. Durbin CG Jr (2005) Techniques for performing tracheostomy. Respir Care 50:488–496

    PubMed  Google Scholar 

  2. Choby G, Goldenberg D (2011) The history of tracheotomy. Pharos Alpha Omega Alpha Honor Med Soc 74:34–38

    PubMed  Google Scholar 

  3. Jackson C (1909) Tracheostomy. Laryngscope 19:285–290

    Google Scholar 

  4. Seldinger DI (1953) Catheter replacement of the needle in percutaneous arteriography. Acta Radiol 39:368–376

    Article  CAS  PubMed  Google Scholar 

  5. Sheldon CH, Pudenz RH, Freshwater DB, Crue BL (1957) A new method for tracheotomy. J Neurosurg 12:428–431

    Article  Google Scholar 

  6. Toye FJ, Weinstein JD (1969) A percutaneous tracheostomy device. Surgery 65:384–389

    Google Scholar 

  7. Ciaglia P, Firsching R, Syniec C (1985) Elective percutaneous dilatational tracheostomy. A new simple bedside procedure; preliminary report. Chest 87:715–719

    Article  CAS  PubMed  Google Scholar 

  8. Byhahn C, Lischke V, Halbig S, Scheifler G, Westphal K (2000) Ciaglia blue rhino: a modified technique for percutaneous dilatation tracheostomy. Technique and early clinical results. Anaesthesist 49:202–206

    Article  CAS  PubMed  Google Scholar 

  9. Griggs WM, Worthley LI, Gilligan JE, Thomas, Myburg JA (1990) A simple percutaneous tracheostomy technique. Surg Gynecol Obstet 170:543–545

    CAS  PubMed  Google Scholar 

  10. Fantoni A, Ripamonti D (1997) A non-derivative, non-surgical tracheostomy: the translaryngeal method. Intensive Care Med 23:386–392

    Article  CAS  PubMed  Google Scholar 

  11. Yurtseven N, Aydemir B, Karaca P et al (2007) PercuTwist: a new alternative to Griggs and Ciaglia’s techniques. Eur J Anaesthesiol 24:492–497

    Article  CAS  PubMed  Google Scholar 

  12. Gromann TW, Birkelbach O, Hetzer R (2009) Ballon dilatational tracheostomy. Technique and first clinical experience with the Ciaglia Blue Dolphin method. Chirurg 80:622–627

    Article  CAS  PubMed  Google Scholar 

  13. Caparros AC (2014) Mechanical ventilation and the role of saline instillation in suctioning adult intensive care unit patients: an evidence-based practice review. Dimens Crit Care Nurs 33:246–253

    Article  PubMed  Google Scholar 

  14. Mitchell RB, Hussey HM, Setzen G et al (2013) Clinical consensus statement: tracheostomy care. Otolaryngol Head Neck Surg 248:6–20

    Article  Google Scholar 

  15. Pandian V, Miller CR, Schiavi AJ et al (2014) Utilization of a standardized tracheostomy capping and decannulation protocol to improve patient safety. Laryngoscope 124:1794–1800

    Article  PubMed  Google Scholar 

  16. Mirski MA, Pandian V, Bhatti N et al (2012) Safety, efficiency, and cost-effectiveness of a multidisciplinary percutaneous tracheostomy program. Crit Care Med 40:1827–1834

    Article  PubMed  Google Scholar 

  17. Pandian V, Miller CR, Mirski MA et al (2012) Multidisciplinary team approach in the management of tracheostomy patients. Otolaryngol Head Neck Surg 147:684–691

    Article  PubMed  Google Scholar 

  18. Cameron TS, McKinstry A, Burt SK et al (2009) Outcomes of patients with spinal cord injury before and after introduction of an interdisciplinary tracheostomy team. Crit Care Resusc 11:14–19

    PubMed  Google Scholar 

  19. McGrath BA, Bates L, Atkinson D, Moore JA (2012) Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies. Anaesthesia 67:1025–1041

    Article  CAS  PubMed  Google Scholar 

  20. McGrath BA, Wallace S (2014) The UK National Tracheostomy Safety Project and the role of speech and language therapists. Curr Opin Otolaryngol Head Neck Surg 22:181–187

    Article  PubMed  Google Scholar 

  21. Sung JH, Kim IS, Yang SH, Hong JT, Son BC, Lee SW (2011) Is computerized tomography angiographic surveillance valuable for prevention of tracheoinnominate artery fistula, a life-threatening complication after tracheostomy? J Korean Neurosurg Soc 49:107–111

    Article  PubMed Central  PubMed  Google Scholar 

  22. American Thoracic Society (2005) Guidelines for the management of adults with hospital-acquired, ventilator associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 171:388–416

    Article  Google Scholar 

  23. Moller MG, Slaikeu JD, Bonelli P, Davis AT, Hoogeboom JE, Bonnell BW (2005) Early tracheostomy versus late tracheostomy in the surgical intensive care unit. Am J Surg 189:293–296

    Article  PubMed  Google Scholar 

  24. Schauer JM, Engle LL, Maugher DT, Cherry RA (2009) Does acuity matter? – Optimal timing of tracheostomy stratified by injury severity. J Trauma 66:220–225

    Article  PubMed  Google Scholar 

  25. Schneider GT, Christensen N, Doerr TD (2009) Early tracheotomy in elderly patients results in less ventilator-associated pneumonia. Otolaryngol Head Neck Surg 140:250–255

    Article  PubMed  Google Scholar 

  26. Barquist ES, Amortegui J, Hallal A et al (2006) Tracheostomy in ventilator dependent trauma patients: a prospective, randomized intention-to-treat study. J Trauma 60:91–97

    Article  PubMed  Google Scholar 

  27. Kocaeli H, Korfali E, Taskapilioglu O, Ozcan T (2008) Analysis of intracranial pressure changes during early versus late percutaneous tracheostomy in a neuro-intensive care unit. Acta Neurochir (Wien) 150:1263–1267

    Article  Google Scholar 

  28. Pinheiro BV, Tostes RO, Brum CI, Carvalho EV, Pinto SP, Oliveira JC (2010) Early versus late tracheostomy in patients with acute severe brain injury. J Bras Pneumol 36:84–91

    Article  PubMed  Google Scholar 

  29. Terragni PP, Antonelli M, Fumagalli R et al (2010) Early vs late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients: a randomized controlled trial. JAMA 303:1483–1489

    Article  CAS  PubMed  Google Scholar 

  30. Zagli G, Linden M, Spina R et al (2010) Early tracheostomy in intensive care unit: a retrospective study of 506 cases of video-guided Ciaglia Blue Rhino tracheostomies. J Trauma 68:367–372

    Article  PubMed  Google Scholar 

  31. Scales DC, Thiruchelvam D, Kiss A, Redelmeier DA (2008) The effect of tracheostomy timing during critical illness on long-term survival. Crit Care Med 36:2547–2557

    Article  PubMed  Google Scholar 

  32. Combes A, Luyt CE, Nieszkowska A, Trouillet JL, Gibert C, Chastre J (2007) Is tracheostomy associated with better outcomes for patients requiring long-term mechanical ventilation? Crit Care Med 35:802–807

    Article  PubMed  Google Scholar 

  33. Pandian V, Gilstrap DL, Mirski MA et al (2012) Predictors of short-term mortality in patients undergoing percutaneous dilatational tracheostomy. J Crit Care 27:420–415

    Article  PubMed Central  PubMed  Google Scholar 

  34. Bouderka MA, Fakhir B, Bouaggad A, Hmamouchi B, Hamoudi D, Harti A (2004) Early tracheostomy versus prolonged endotracheal intubation in severe head injury. J Trauma 57:251–254

    Article  PubMed  Google Scholar 

  35. Trouillet JL, Luyt CE, Guiguet M et al (2011) Early percutaneous tracheotomy versus prolonged intubation of mechanically ventilated patients after cardiac surgery: a randomized trial. Ann Intern Med 154:373–383

    Article  PubMed  Google Scholar 

  36. Freeman BD, Isabella K, Lin N, Buchman TG (2000) A meta-analysis of prospective trials comparing percutaneous and surgical tracheostomy in critically ill patients. Chest 118:1412–1418

    Article  CAS  PubMed  Google Scholar 

  37. Pandian V, Thompson CB, Feller-Kopman DJ, Mirski MA (2015) Development and validation of a quality-of-life questionnaire for mechanically ventilated ICU patients. Crit Care Med 43:142–148

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesiology & Critical Care Medicine, Johns Hopkins Medicine, Baltimore, USA

    V. Pandian & M. Mirski

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  1. V. Pandian
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  2. M. Mirski
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Correspondence to M. Mirski .

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Editors and Affiliations

  1. Université libre de Bruxelles, Dept. of Intensive Care, Erasme Hospital, Brussels, Belgium

    Jean-Louis Vincent Prof.

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Pandian, V., Mirski, M. (2015). Fundamentals and Timing of Tracheostomy: ICU Team and Patient Perspectives. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2015. Annual Update in Intensive Care and Emergency Medicine 2015, vol 2015. Springer, Cham. https://doi.org/10.1007/978-3-319-13761-2_16

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  • DOI: https://doi.org/10.1007/978-3-319-13761-2_16

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13760-5

  • Online ISBN: 978-3-319-13761-2

  • eBook Packages: MedicineMedicine (R0)

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