Percutaneous Tracheostomy: A Bedside Procedure.
Autor: | Khaja M; Internal Medicine/Pulmonary and Critical Care, Icahn School of Medicine at Mount Sinai/Bronx Care Health System, New York City, USA., Haider A; Internal Medicine, Icahn School of Medicine at Mount Sinai/Bronx Care Health System, New York City, USA., Alapati A; Pulmonary and Critical Care, Icahn School of Medicine at Mount Sinai/Bronx Care Health System, New York City, USA., Qureshi ZA; Internal Medicine, Icahn School of Medicine at Mount Sinai/Bronx Care Health System, New York City, USA., Yapor L; Pulmonary and Critical Care, Icahn School of Medicine at Mount Sinai/Bronx Care Health System, New York City, USA. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2022 Apr 12; Vol. 14 (4), pp. e24083. Date of Electronic Publication: 2022 Apr 12 (Print Publication: 2022). |
DOI: | 10.7759/cureus.24083 |
Abstrakt: | Percutaneous tracheostomy is a bedside surgical procedure that creates an opening in the anterior tracheal wall. Tracheostomy is performed in patients expected to require mechanical ventilation for longer than seven to 10 days. This bedside percutaneous tracheostomy has been used since the late 1990s. Tracheotomy tubes are of various kinds like cuffed vs. uncuffed, fenestrated vs. unfenestrated, single lumen vs. double lumen, and metal vs. plastic. Its indications are categorized into emergency vs. elective. The most common emergency indication is acute airway obstruction, and the elective indication is prolonged intubation. There is no absolute contraindication, but a physician should consider severe hypoxia requiring high oxygen and coagulopathy. Percutaneous tracheostomy is a new technique requiring different skills. Advantages of percutaneous tracheostomy are as follows - it is performed at the bedside, procedural time is less, the cost is less, does not need operating schedule time. Percutaneous tracheostomy is generally performed by otolaryngologists, general surgeons, interventional pulmonologists, thoracic surgeons, or intensivists. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Khaja et al.) |
Databáze: | MEDLINE |
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