Percutaneous dilatational cricothyroidotomy: outcome with 44 consecutive patients.
Intensive Care Med
; 22(9): 937-40, 1996 Sep.
Article
em En
| MEDLINE
| ID: mdl-8905429
ABSTRACT
OBJECTIVE:
To assess the value of the percutaneous dilatational technique in elective cricothyroidotomy.DESIGN:
Forty-four consecutive patients requiring prolonged mechanical ventilation.SETTING:
The general 14-bed intensive care unit of a university hospital.INTERVENTIONS:
Fourty-four percutaneous dilatational cricothyroidotomies using a multiple-dilator wire-guided procedure. MEASUREMENTS ANDRESULTS:
The average duration for the procedure was 11 min in 37 patients. No significant complications occurred intraoperatively except for one paratracheal cannula insertion. Postoperative complications were one case of stoma infection, three cases of transient phonatory changes, two cases of a small peristomal granuloma, and one case of persistent stoma. Of 21 decannulated patients, 16 survived to discharge. Long-term follow-up was possible in 14 surviving patients. All were asymptomatic several months after decannulation.CONCLUSIONS:
Percutaneous dilatational cricothyroidotomy can be a quick, safe technique, as good as the percutaneous subcricoidal approach in ventilated, critically ill patients.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Respiração Artificial
/
Insuficiência Respiratória
/
Cartilagem Tireóidea
/
Cartilagem Cricoide
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Intensive Care Med
Ano de publicação:
1996
Tipo de documento:
Article
País de afiliação:
Espanha