Abstract
Tracheostomy is a common procedure in critically ill patients and after ENT surgery. It is essential for both physician and nurses: (1) to have good knowledge and understating of tracheostomy management and (2) to be able provide routine care to these patients and deal with complications and emergencies.
When approaching a patient with tracheostomy, the type of cannula, the indication, the time since tracheostomy and, if the procedure is recent, the technique for tracheostomy should be ascertained. The purpose of this chapter is to report the medical and nursing management of tracheostomy in intensive care unit, in hospital ward and at home.
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References
Mehta AB, Syeda SN, Bajpayee L, Cooke CR, Walkey AJ, Wiener RS. Trends in tracheostomy for mechanically ventilated patients in the United States, 1993–2012. Am J Respir Crit Care Med. 2015;192(4):446–54.
Ciaglia P, Firsching R, Syniec C. Elective percutaneous dilatational tracheostomy. A new simple bedside procedure; preliminary report. Chest. 1985;87(6):715–9.
Byhahn C, Lischke V, Halbig S, Scheifler G, Westphal K. Ciaglia blue rhino: a modified technique for percutaneous dilatation tracheostomy. Technique and early clinical results. Anaesthesist. 2000;49(3):202–6.
Griggs WM, Worthley LI, Gilligan JE, Thomas PD, Myburg JA. A simple percutaneous tracheostomy technique. Surg Gynecol Obstet. 1990;170(6):543–5.
Zgoda MA, Berger R. Balloon-facilitated percutaneous dilational tracheostomy tube placement: preliminary report of a novel technique. Chest. 2005;128(5):3688–90.
Halum SL, Ting JY, Plowman EK, et al. A multi-institutional analysis of tracheotomy complications. Laryngoscope. 2012;122(1):38–45.
Yeo WX, Phua CQ, Lo S. Is routine chest X-ray after surgical and percutaneous tracheostomy necessary in adults: a systemic review of the current literature. Clin Otolaryngol. 2014;39(2):79–88.
American Association for Respiratory Care. AARC Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Respir Care. 2010;55(6):758–64.
Morris LL, Whitmer A, McIntosh E. Tracheostomy care and complications in the intensive care unit. Crit Care Nurse. 2013;33(5):18–30.
Rello J, Soñora R, Jubert P, Artigas A, Rué M, Vallés J. Pneumonia in intubated patients: role of respiratory airway care. Am J Respir Crit Care Med. 1996;154(1):111–5.
Heffner JE, Hess D. Tracheostomy management in the chronically ventilated patient. Clin Chest Med. 2001;22(1):55–69.
Tablan OC, Anderson LJ, Besser R, et al. Guidelines for preventing health-care – associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep. 2004;53(RR-3):1–36.
Tracheostomy guidelines. St Georges Healthcare NHS Trust. https://www.stgeorges.nhs.uk/gps-and-clinicians/clinical-resources/tracheostomy-guidelines/. Accessed Jul 2015.
Serra A. Tracheostomy care. Nurs Stand R Coll Nurs G B 1987.2000;14(42):45–52; quiz 54–5.
Norton J et al. Tracheostomy Care Working Group. Tracheostomy Care Guidelines, St. James’s Hospital Nursing, version 4, December 2013, available at http://www.stjames.ie/GPsHealthcareProfessionals/ConferencesCourses/TracheostomyTalks/Tracheostomy%20Guidelines%20(2013).pdf, accessed on October 1st, 2015.
Bodenham A, Bell D, Bonner S, Branch F, Dawson D, Morgan P, McGrath B, Mackenzie S. Standards for the care of adult patients with a temporary Tracheostomy; Standards and Guidelines. Intensive Care Society Standards; 2014. Available on ICS website at http://www.ics.ac.uk/EasySiteWeb/GatewayLink.aspx?alId=2212, accessed on October 1st, 2015
Xavier G. The importance of mouth care in preventing infection. Nurs Stand R Coll Nurs G B 1987. 2000;14(18):47–51.
Meyers AD. The modified Evan’s blue dye procedure in the tracheostomized patient. Dysphagia. 1995;10(3):175–6.
Dikeman KJ, Kazandjian MS. Communication and swallowing management of tracheostomized and ventilator-dependent adults. London: Singular Pub. Group; 1995, pp. 241–49.
Cox CE, Carson SS, Holmes GM, Howard A, Carey TS. Increase in tracheostomy for prolonged mechanical ventilation in North Carolina, 1993–2002. Crit Care Med. 2004;32(11):2219–26.
Smith-Miller C. Graduate nurses’ comfort and knowledge level regarding tracheostomy care. J Nurses Staff Dev. 2006;22(5):222–9; quiz 230–1.
Lewis T, Oliver G. Improving tracheostomy care for ward patients. Nurs Stand R Coll Nurs G B 1987. 2005;19(19):33–7.
Tobin AE, Santamaria JD. An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study. Crit Care Lond Engl. 2008;12(2):R48.
Pandian V, Miller CR, Mirski MA, et al. Multidisciplinary team approach in the management of tracheostomy patients. Otolaryngol Head Neck Surg. 2012;147(4):684–91.
Mitchell RB, Hussey HM, Setzen G, et al. Clinical consensus statement: tracheostomy care. Otolaryngol Head Neck Surg. 2013;148(1):6–20.
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Negro, A., Greco, M., Cabrini, L. (2016). Medical and Nursing Management of Tracheostomy. In: Servillo, G., Pelosi, P. (eds) Percutaneous Tracheostomy in Critically Ill Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-22300-1_14
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DOI: https://doi.org/10.1007/978-3-319-22300-1_14
Publisher Name: Springer, Cham
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