Zusammenfassung
In Deutschland werden derzeit auf ca. 90 % der Intensivstationen Tracheotomien innerhalb der ersten 14 Beatmungstage durchgeführt. Auf 86 % der Intensivstationen kommt die perkutane Dilatationstracheotomie routinemäßig zum Einsatz, wobei die modifizierte Dilatationstechnik nach Ciaglia (Einschrittdilatation) am häufigsten angewendet wird (69 %). 98 % dieser Prozeduren werden unter bronchoskopischer Kontrolle durchgeführt.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Abdelaziz M, Naidu B, Agostini P (2011) Is prophylactic minitracheostomy beneficial in high-risk patients undergoing thoracotomy and lung resection? Interact Cardiovasc Thorac Surg 12:615–618
Bonten MJ et al (1997) Implementation of bronchoscopic techniques in the diagnosis of ventilator-associated pneumonia to reduce antibiotic use. Am J Respir Crit Care Med 156:1820–1824
Braune S, Kluge S (2012) Update Tracheotomie. Med Klin Intensivmed Notfallmed 107:543–547
British TS (2001) Guidelines on diagnostic flexible bronchoscopy. Thorax 56:1–21
Cheng E, Fee WE (2000) Dilatational versus standard tracheostomy: a meta-analysis. Ann Otol Rhinol Laryngol 109:803–807
Cabrini L et al (2012) Percutaneous tracheostomy, a systematic review. Acta Anaesthesiol Scand 56:270–281
de Castro FR, Violan JS (1996) Flexible bronchoscopy in mechanically ventilated patients. J Bronchol 3:64–68
Dobbertin I, Dierkesmann R (2004) Bronchoskopie. Lehrbuch und Atlas. Geschichte, Techniken, Krankheitsbilder, 1. Aufl. Huber, Bern
Fantoni A, Ripamonti D (1997) A non-derivative, non-surgical tracheostomy: the translaryngeal method. Intensive Care Med 23:386–392
Gromann TW, Birkelbach O, Hetzer R (2009) Tracheotomie mittels Ballondilatation. Chirurg 80:622–627
Gründling M, Quintel M (2005) Perkutane Dilationstracheotomie – Indikationen, Techniken, Komplikationen. Anaesthesist 54:929–944
Hata JS, Schenk DA, Dellinger RP (1997) Fiberoptic bronchoscopy. In: Civetta JM, Taylor RW, Kirby RR (eds) Critical Care, 3rd edn. Lippincott-Raven, Philadelphia, pp 683–702
Higgins KM, Punthakee X (2007) Meta-analysis comparison of open versus percutaneous tracheostomy. Laryngoscope 117:447–454
Klemm E, Nowak A (2012) Kompendium der Tracheotomie, 1. Aufl. Springer, Berlin Heidelberg
Kluge S et al (2008) Tracheostomy in the intensive care unit: a nationwide survey. Anesth Analg 107:1639–1643
Krier C, Georgi R (2001) Airway-Management, 1. Aufl. Thieme, Stuttgart New York
Phua GC, Wahidi MM (2009) ICU procedures of the critically ill. Respirology 14:1092–1097
Randell T, Hakala P (1995) Fibreoptic intubation and bronchofibrescopy in anaesthesia and intensive care. Acta Anaesthesiol Scand 39:3–16
Rumbak MJ et al (2004) A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Crit Care Med 32:1689–1694
Susarla SM, Peacock ZS, Alam HB (2012) Percutaneous dilatational tracheostomy: review of technique and evidence for its use. J Oral Maxillofac Surg 70:74–82
Young D et al (2013) Effect of Early vs Late Tracheostomy Placement on Survival in Patients Receiving Mechanical Ventilation. The TracMan Randomized Trial. JAMA 309:2121–2129
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Zink, W. (2014). Tracheotomie und Bronchoskopie. In: Repetitorium Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44933-8_1
Download citation
DOI: https://doi.org/10.1007/978-3-642-44933-8_1
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-44932-1
Online ISBN: 978-3-642-44933-8
eBook Packages: Medicine (German Language)