Relevant bibliographies by topics / Tracheostomy

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Tracheostomy'

Author: Grafiati
Published: 4 June 2021
Last updated: 11 January 2025

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Journal articles on the topic "Tracheostomy"

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Wittschieber, Daniel, Ronald Schulz, and Peter F. Schmidt. "A safe procedure? The unusual case of a fatal airway obstruction by silicone during the production process of a tracheostomal epithesis in a 13-year-old boy." International Journal of Legal Medicine 136, no. 1 (October 7, 2021): 373–80. http://dx.doi.org/10.1007/s00414-021-02720-x.

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AbstractA tracheostomal epithesis is a plastic prosthesis that serves for sealing a tracheostoma and ensuring the position of the tracheostomy tube. The production of a tracheostomal epithesis requires an impression of the tracheostoma. To this end, silicone impression material is applied by an anaplastologist in and around the tracheostomal region, including the trachea. The blocked cuff of the tracheostomy tube serves to prevent aspiration of the material. We report on a 13-year-old boy who died during this procedure because the lower airways were obstructed with cured silicone. Forensic autopsy confirmed asphyctic suffocation as cause of death. Forensic physical investigation of the tracheostomy tube and its cuff revealed no structural or functional defects. Yet, the investigation results prove that the viscous silicone must have passed the cuff. To conclude, this case report demonstrates that the production of an impression of a tracheostoma is a procedure with a potentially lethal outcome. Hence, professional guidelines, including clear safety precautions, are urgently needed.
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Mitra, Sandipta, Anup Singh, Saurabh Vig, and Sanjay Kumar Meena. "Ventilation failure with elective tracheostomy during oral cancer surgery: a case of tracheal diverticulum." BMJ Case Reports 16, no. 4 (April 2023): e254134. http://dx.doi.org/10.1136/bcr-2022-254134.

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Tracheal diverticulum is usually detected incidentally. Rarely, it may lead to difficulty in securing the airway intraoperatively. Our patient underwent oncological resection under general anaesthesia for advanced oral cancer. Elective tracheostomy was performed at the end of the surgery, and a cuffed tracheostomy tube (T-tube) of 7.5 mm size was inserted through the tracheostoma. Despite repeated attempts at T-tube insertion, ventilation could not be established. However, on advancing the endotracheal tube beyond tracheostoma, ventilation was restored. The T-tube was inserted into the trachea under fibreoptic guidance achieving successful ventilation. A fibreoptic bronchoscopy through the tracheostoma performed after decannulation revealed a mucosalised diverticulum extending behind the posterior wall of the trachea. The bottom of the diverticulum showed mucosa-lined cartilaginous ridge with differentiation into smaller bronchiole-like structures. Tracheal diverticulum should be considered as a possible differential in case of failed ventilation following an otherwise uneventful tracheostomy.
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Hartert, Marc, Wolf Jürgen Mann, and Ömer Senbaklavaci. "Relocation of an infected tracheostoma: anterior mediastinal tracheostomy as Mission:Impossible." Interactive CardioVascular and Thoracic Surgery 33, no. 2 (April 1, 2021): 319–21. http://dx.doi.org/10.1093/icvts/ivab071.

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Abstract Infected tracheostomas are frequently associated with high morbidity and mortality rates—especially in patients after neck-oncological surgery with subsequent radiochemotherapy. A 59-year-old male patient with a history of hypopharynx carcinoma, successive laryngectomy and adjuvant radiochemotherapy developed an oesophagotracheal fistula with massive inflammation and periodical bleedings, uncontrollable by regular stent alternations. In a multidisciplinary setting, the decision was made to treat the patient with an anterior mediastinal tracheostomy. Extending usual anterior mediastinal tracheostomy indications, we present an ultimate treatment option for infected tracheostomas and highly advocate this interdisciplinary venture, as it significantly improves quality of life.
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Rethinasamy, Ramkumar. "A SHEARED METALLIC TRACHEOSTOMY TUBE IN THE RIGHT MAIN BRONCHUS: AN UNFORESEEN CASE REPORT." UP STATE JOURNAL OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY VOLUME 12, ISSUE 1 (June 30, 2024): 51–54. http://dx.doi.org/10.36611/htttp://doi.org/10.36611/upjohns/volume12/issue1/9.

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Foreign objects getting stuck in the aerodigestive tract have been known for a long time. However, it's rare for a tracheostomy tube to break and move into the air passages, but it can be dangerous. Tracheostomy is a lifesaving procedure commonly done on an elective or emergency basis to help people who need ongoing support for breathing. It's generally safe, but complications can happen early or later, such as bleeding, pneumomediastinum, tube blockage displacement, and infections. Later issues may include granulations, erosion of blood vessels, tracheostoma, and the development of a tracheoesophageal fistula. Metal tubes were used for patients requiring chronic airway support as it is relatively easier to give tracheostomy care at home, but they could break or dislodge because of rust. PVC tubes are less likely to break but can wear out with extended use, causing them to break2,3. We share our experience with a case where a broken tracheostomy tube went undetected.
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Walz, M. K. "Die Tracheostomie: Tracheostomy. Indications and operative techniques." Der Chirurg 72, no. 10 (October 2001): 1101–10. http://dx.doi.org/10.1007/s001040170047.

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Dias, F. L., D. Herchenhorn, I. A. Small, C. M. Araújo, C. G. Ferreira, and J. Kligerman. "The impact of previous tracheostomy in patients with locally advanced squamous cell carcinoma of the larynx submitted to concurrent chemotherapy and radiation." Journal of Clinical Oncology 25, no. 18_suppl (June 20, 2007): 6004. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.6004.

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6004 Background: The combination of chemotherapy and radiotherapy is a standard treatment for locally advanced larynx cancer. Patients presenting with previous tracheostomy due to aiway obstruction have a worse clinical outcome when submitted to a total laryngectomy or radiotherapy; the impact of previous tracheostomy is not clear in patients submitted to chemotherapy combined with radiation. Methods: A single-institutional study, patients with stage III and IV laryngeal carcinoma were prospectively selected from 2000 to 2003. Treatment consisted of Cisplatin 100 mg/m2 every three weeks for 3 cycles concurrent with radiotherapy to a total dose of 70.2 Gy. Prognostic factors like stage, age, performance status, chemotherapy completion, treatment response and previous tracheostomy were correlated on univariate and multivariate analysis with treatment response, progression-free and overall survival. Results: Forty-nine patients were selected, previous tracheostomy was performed in 12 (24,5%) before chemo/radiation therapy. Patients with tracheostomy had an inferior median overall cancer-specific survival (12 months versus 56 months), HR 2.37 (CI 95% 1.43–3.93) p=0.001, progression free-survival HR 2.8 (CI 95% 1.61–4.89) p<0.001 and lower rates of complete responses (40 versus 75%). The impact of previous tracheostomy was not altered when adjusted by number of chemotherapy cycles, tumor stage, performance status, age or treatment response. On a cox regression analysis for overall cancer-specific survival it was the strongest prognostic factor HR 7.75 (CI 95% 2.75–21.84) p<0.001. Conclusions: Previous tracheostomy is an independent negative prognostic factor for patients submitted to chemotherapy combined with radiation. Tracheostomty should be considered in the design of future studies and to select patients to different treatment strategies. No significant financial relationships to disclose.
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Bass, S., and H. Stuart. "Percutaneous tracheostomy after surgical tracheostomy." Anaesthesia 51, no. 11 (November 1996): 1077. http://dx.doi.org/10.1111/j.1365-2044.1996.tb15018.x.

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Chikaishi, Yasuhiro, Kenichi Kobayashi, Shuichi Shinohara, Akihiro Taira, Yusuke Nabe, Shinji Shinohara, Taiji Kuwata, et al. "Mediastinal Tracheostoma for Treatment of Tracheostenosis after Tracheostomy in a Patient with Mucopolysaccharidosis-Induced Tracheomalacia." Case Reports in Surgery 2017 (2017): 1–4. http://dx.doi.org/10.1155/2017/2312415.

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Background. Treatment of tracheostenosis after tracheostomy in pediatric patients is often difficult. Mucopolysaccharidosis is a lysosomal storage disease that may induce obstruction of the airways. Case Presentation. A 16-year-old male patient underwent long-term follow-up after postnatal diagnosis of type II mucopolysaccharidosis. At 11 years of age, tracheostomy was performed for mucopolysaccharidosis-induced laryngeal stenosis. One week prior to presentation, he was admitted to another hospital on an emergency basis for major dyspnea. He was diagnosed with tracheostenosis caused by granulation. The patient was then referred to our institution. The peripheral view of his airway was difficult because of mucopolysaccharidosis-induced tracheomalacia. For airway management, a mediastinal tracheostoma was created with extracorporeal membrane oxygenation. To maintain the blood flow, the skin incision for the mediastinal tracheal hole was sharply cut without an electrotome. The postoperative course was uneventful, and the patient was weaned from the ventilator on postoperative day 19. He was discharged 1.5 months postoperatively. Although he was referred to another institution because of respiratory failure caused by his primary disease 6 months postoperatively, his airway management remained successful for 1.5 years postoperatively. Conclusion. Mediastinal tracheostomy was useful for treatment of tracheostenosis caused by granulation tissue formation after a tracheostomy.
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Eliachar, Isaac, and Harvey M. Tucker. "Concepts in Laryngotracheal Reconstruction." Otolaryngology–Head and Neck Surgery 112, no. 5 (May 1995): P33. http://dx.doi.org/10.1016/s0194-5998(05)80042-7.

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Educational objectives: To review surgical techniques applied for laryngotracheal reconstruction, focusing on application of myocutaneous flaps and incorporating management of the tracheostomy in LTR, and judicious use and application of newly designed laryngeal and tracheostomal stents.
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Eliçora, Aykut, Hüseyin Fatih Sezer, Galbinur Abdullayev, Adil Avcı, and Salih Topçu. "Accidental Foreign Body Aspiration Through Tracheostomy Inlet; 26 cases." Archives of Iranian Medicine 25, no. 5 (May 1, 2022): 308–13. http://dx.doi.org/10.34172/aim.2022.50.

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Background: Foreign body aspiration from tracheostomy is very rare, and materials related to tracheostomy are usually aspirated. This condition, which can lead to serious complications, can be treated using bronchoscopic procedures. In this study, we aimed to present our clinical experience in foreign body aspiration via tracheostomy. Methods: Data from 26 patients who presented to our hospital for foreign body aspiration via tracheostomy from 2006 to 2020 were analyzed retrospectively. Results: Foreign bodies were removed by fiber optic bronchoscopy in 15 (57.7%) cases, by rigid bronchoscopy in 9 (34.6%) cases and both methods were used in 2 (7.7%) cases. During bronchoscopy, local anesthetic procedures were used in 13 (50%) cases and general anesthesia was used in 11 (42.3%) cases. No anesthesia was used in two (7.7%) patients who underwent bronchoscopy under intensive care conditions. While the mean operative time for flexible bronchoscopy was 8.77±0.83 (CI: 26.03–29.43) minutes, the mean operative time for rigid bronchoscopy was 27.73±2.53 (CI: 26.03–29.43) minutes. Conclusion: Both rigid bronchoscopy and fiberoptic bronchoscopy (FOB) have advantages and disadvantages in foreign body removal. In our opinion, it is more reasonable to perform fiber optic bronchoscopy first in patients with a tracheostoma. In the light of our experiences, fiber optic bronchoscopy does not require general anesthesia and the operation time is shorter than rigid bronchoscopy. This feature makes fiber optic bronchoscopy advantageous.
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Dissertations / Theses on the topic "Tracheostomy"

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Onuoha, Joy. "Developing an Educational Program for Tracheostomy Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6934.

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Medical-surgical nurses at the project site demonstrated a knowledge deficit regarding the care of adult patients with a tracheostomy. Such knowledge deficits could expose patients to higher risks for infection, bedsores, prolonged hospital stays, increased costs, increased caregiver burden, and death. The purpose of this project was to develop an educational program to improve nurses'€™ knowledge and confidence in the provision of evidence-based tracheostomy care to answer the question if the content of an evidence-based educational program developed to improve nurses'€™ knowledge and confidence in managing adult patients with tracheostomy on a medical-surgical floor would meet the expectations of a panel of content experts. Bandura'€™s self-efficacy and social learning theories provided theoretical guidance for the project. Five local nurse practitioners served as content experts and made recommendations about how the program could be improved, as well as suggestions relating to the wording of and the time allowed for the simulation aspect of the program. Content experts used a 5-point Likert-scale survey to evaluate the education at the completion of the program. Results showed that all reviewers strongly agreed that the content of the program was relevant, was based on the best available evidence, and was well organized and easy to follow. This project may promote positive change on the medical-surgical floor by improving providers'€™ knowledge, skills, and confidence in the provision of care based on the best available evidence, which may lead to improvements in the quality of care provided to tracheostomized patients.
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Kostyliovienė, Silva. "Slaugytojų žinios ir įgūdžiai atliekant tracheostomos priežiūrą." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140711_084834-26889.

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Tracheostomos priežiūros veiksmai bei sekreto išsiurbimo iš tracheostominio vamzdelio technika gali įtakoti komplikacijų dažnumą ir lemti paciento saugumą, pasveikimo galimybę, gydymo trukmę bei gydymo kainą. Svarbu, kad slaugytojai žinotų mokslo tyrimais pagrįstas rekomendacijas apie tracheostomos priežiūrą ir jas pritaikytų klinikinėje praktikoje. Tyrimo tikslas – Išanalizuoti slaugytojų žinias ir įgūdžius atliekant tracheostomos priežiūrą. Tyrimo uždaviniai. 1.Ištirti slaugytojų žinias apie tracheostomos priežiūrą prieš ir po mokymų. 2. Nustatyti slaugytojų įgūdžius atliekant tracheostomos priežiūros veiksmus. 3. Palyginti slaugytojų žinias apie tracheostomos priežiūrą ir jų taikymą praktikoje. Tyrimo metodai: Tyrimas buvo vykdomas 2013.04.20–12.20 LSMUL Kauno Klinikų keturiuose skyriuose bei vienoje iš Slaugos ir palaikomojo gydymo ligoninių. Tyrimo duomenims rinkti buvo naudojamas tyrimo autorių sukurta anketa ir slaugytojų praktikinių veiksmų stebėjimo protokolas. Slaugytojų anketinė apklausa buvo vykdoma du kartus: prieš (n=90, atsako dažnis–96,77 proc.) ir po (n=86, atsako dažnis–92,47 proc.) mokymo. Stebėtos 99 sekreto išsiurbimo iš tracheostomos vamzdelio procedūros. Tyrimui atlikti buvo gautas LSMU Bioetikos centro pritarimas BEC-KS(M)-198. Išvados. 1. Prieš mokymus didžioji dalis slaugytojų teisingai žinojo požymius, rodančius siurbimo poreikį, sekreto išsiurbimo trukmę, kiek giliai įvesti atsiurbimo kateterį, galimas sekreto siurbimo komplikacijas. Po mokymo... [toliau žr. visą tekstą]
Actions of tracheostomy care as well as the technique of secretion suctioning from tracheostomy tube can influence the incidence of complications and determine patient‘s safety, possibility of recovery, the duration of treatment and the cost of treatment. It is critical for nurses to be aware of tracheostomy care recommendations based on scientific research and to apply them in clinical practice. The aim – to analyze nurses’ knowledge and skills in tracheostomy care. Objectives:1.To examine nurses’ knowledge on tracheostomy care prior to training and after the training. 2. To identify nurses’ skills while performing actions of tracheostomy care. 3. To compare nurses’ knowledge on tracheostomy care and their application in practice. Research methods: The research was conducted on 20-04-2013 - 20-12-2013 at the hospital of Lithuanian University of Health Sciences Kauno Klinikos in four departments and in one of the Nursing and supportive care hospital. A questionnaire created by the authors of the research and an observation protocol of nurses’ actions in practice was used to collect the data of the research. A survey on nurses’ was conducted twice: prior to training (n=90, response rate – 96.77%) and after the training (n=86, response rate – 92.47%). We observed 99 procedures of secretion suctioning from tracheostomy tube. The research was conducted with the approval BEC-KS (M)-198 from the center of Bioethics of Lithuanian University of Health Sciences. Conclusions. 1... [to full text]
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Ling, Cheuk-ki Cora, and 凌卓錡. "Predictors of swallowing outcome in patients with tracheostomy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206607.

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It is known that the incidence of aspiration is high in patients with tracheostomy. However, it is unclear which patient population with tracheostomy has a higher chance to aspirate. This study aims to determine the predictors of swallowing outcome of patients with tracheostomy. Eighty- three patients with tracheostomies who underwent videofloroscopy for swallowing were recruited in the study. Analysis was done on the presence of aspiration as well as the feeding status with respect to medical conditions and duration of tracheostomy. The prevalence of aspiration and silent aspiration were found to be high in patients with tracheostomy. The incidence of tube feeding was also found to be high in this patient population. Vocal cord paralysis was found to be a significant predictor of aspiration and silent aspiration in patients with tracheostomy. Head and neck cancer and vocal cord paralysis were found to be associated with tube feeding in patients with tracheostomy.
published_or_final_version
Surgery
Master
Master of Medical Sciences
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Björling, Gunilla. "Long-term tracheostomy : outcome, cannula care and material wear /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-261-3/.

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Potoshna, Lisa. "Design and Development of a Tracheostomy Tube Test Device." Thesis, KTH, Skolan för teknik och hälsa (STH), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-190478.

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In the NRC (National Respiratory Centre) department at Danderyds Hospital different standard tracheostomy tubes are customized in order to create a more appropriate fit for the individual patient. This master thesis aims to design a theoretical model and build a first prototype of a tracheostomy tube test device that can be used to analyse and compare the physiological performance of different for tracheostomy tubes.   The theoretical model of the device consisted of an artificial lung, artificial trachea and a ventilator, pressure and flow sensors and a data acquisition device. The first prototype was built using equipment available at the NRC department and three experimental set-ups were assembled: one simulating normal breathing and two set-ups simulating coughing. Two artificial tracheas, a small and a large one together with different tracheostomy tubes were used to evaluate the first prototype.   Results showed that the first prototype could be used to compare cuffed fenestrated and non-fenestrated tracheostomy tubes. However, the first prototype was less effective when comparing uncuffed fenestrated and non-fenestrated tracheostomy tubes, which is due to the lack of airway resistance in uncuffed tubes. Results strongly motivate a further development of the device with equipment described in the theoretical model and the future studies should be focused on improving the device.
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Dempsey, Ged. "Long term outcomes following percutaneous dilatational tracheostomy in the critically ill." Thesis, University of Liverpool, 2015. http://livrepository.liverpool.ac.uk/2052442/.

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Background: Percutaneous procedures are now the predominant tracheostomy technique within the critical care setting. Complication rates for various techniques appear to be equivalent to those achieved with surgical tracheostomy. There is a paucity of data when comparing percutaneous procedures, particularly when considering late complications (tracheo-innominate artery fistulae (TIF)), tracheooesophageal fistulae (TOF) and tracheal stenosis (TS). Given the severity of illness and associated mortality in many of these patients the incidence of these complications remains difficult to define. Confounding factors present in survivors of critical illness may present difficulties in diagnosis such that underlying tracheal pathology may go undiagnosed. Aims: To determine: The incidence of common early and late complications of percutaneous dilatational tracheostomy (PDT) in relation to surgical tracheostomy (ST). The role of peri-operative events that may contribute to the aetiology of late complications of TS, TIF and TOF. The incidence of early and late complications in relation to percutaneous tracheostomy to define the safest percutaneous technique. The utility of adjunctive techniques (bronchoscopy & ultrasound scanning) in reducing complications of PDT. The prevalence of sub-clinical TS following PDT using the single tapered dilator technique (STD). Aetiological factors for sub-clinical TS. Whether sub-clinical TS may present atypically in critical illness survivors. Methods: We have conducted a systematic review of all prospective studies reporting late complications after tracheostomy performed in the critically ill. We have also extracted data to assess the role of peri-operative events and monitoring in causing or preventing late complications. We have undertaken an eleven-year review of all PDTs performed within our unit to define the incidence of complications arising within our own population. Finally, a prospective study to identify the prevalence of sub-clinical TS and identify atypical presenting features in survivors of critical illness has been performed. Results: All surgical and percutaneous techniques are broadly similar in terms of early and late complications. There is a higher incidence of wound infection when comparing ST to the multiple dilator PDT. There are few studies assessing late complications between percutaneous techniques. The TS rate varies from 2.8 to 0.6% for ST and the STD technique respectively. Due to limited data we were unable to identify peri-operative events that may lead to late complications. There is a very low rate of complications attributed to the STD technique with only 9 significant late adverse events. The rate of sub-clinical TS is low with doubtful clinical significance. Conclusions: We have not found a significant difference in the incidence of TS between PDT and ST. Our pooled proportions meta-analysis may indicate a tendency toward a higher rate of stenosis for ST. The reported complication rates presented within our cohort study may indicate that the STD PDT is one of the safer techniques available. The rate of sub-clinical stenoses following STD PDT is low and of doubtful clinical significance. Further work is required to define the role for percutaneous tracheostomy outside the critical care setting and to gather qualitative data to assess the patient’s perception of tracheostomy in the critical care setting.
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Ruscher, Thomas Hall. "A Compact Ultrasonic Airflow Sensor for Clinical Monitoring of Pediatric Tracheostomy Patients." Thesis, Virginia Tech, 2013. http://hdl.handle.net/10919/50143.

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Infants and young children with tracheostomies need better respiratory monitors. Mucus in the tracheostomy tube presents a serious choking hazard.  Current devices indirectly detect respiration, often yielding false or delayed alarms.  A compact ultrasonic time-of-flight (TOF) airflow sensor capable of attaching directly to the tracheostomy tube has been developed to address this need.  The ultrasonic flow sensing principle, also known as transit time ultrasound, is a robust method that correlates the timing of acoustic signals to velocity measurement.  The compact prototype developed here can non-invasively measure all airflow into and out of a patient, so that breath interruption can easily be detected.

    This paper concerns technical design of the sensor, including the transducers, analog/digital electronics, and embedded systems hardware/software integration.   Inside the sensor\'s flow chamber, two piezoelectric transducers sequentially transmit and receive ping-like acoustic pulses propagating upstream and downstream of flow.  A microcontroller orchestrates measurement cycles, which consist of the transmission, reception, and signal processing of each acoustic pulse.  The velocity and direction of airflow influence transit time of the acoustic signals.  Combining TOF measurements with the known geometry of the flow chamber, average air velocity and volumetric flow rate can be calculated.  These principles have all been demonstrated successfully by the prototype sensor developed in this research.

Master of Science
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Freeman-Sanderson, Amy Louise. "Healthcare of voiceless patients: speech pathology intervention for tracheostomy patients in intensive care." Thesis, The University of Sydney, 2015. http://hdl.handle.net/2123/14371.

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Voicelessness, which is an absence of voice or sound, is a sequela of tracheostomy tube insertion and inflation of the tracheostomy cuff. Air is diverted from the larynx and prevents the generation of voice. Voicel Voicelessness, which is an absence of voice or sound, is a sequela of tracheostomy tube insertion and inflation of the tracheostomy cuff. Air is diverted from the larynx and prevents the generation of voice. Voicelessness in such circumstances is not identified within a patient’s medical record as a specific medical diagnostic code in Australia and therefore its incidence, and any episodes of treatment are not accurately measured, costed or reported. Patients admitted to the intensive care unit experience loss of voice from placement of a tracheostomy tube every day. Over 160,000 patient admissions per year are recorded in Australian and New Zealand Intensive care units (ICU) with 39.1% of these admissions requiring invasive mechanical ventilation (ANZICS, 2014). Approximately 24 % of ventilated patients will require mechanical ventilation via a tracheostomy (Esteban et al., 2000) and many patients are likely to experience a long period of voicelessness as a result. Absence of voice to communicate has been described by patients as stressful, frustrating, isolating and one of the worst parts of their hospital admission. Without a voice, patients can experience reduced level of participation, lack of choice and decision making in their own healthcare. Restoration of voice is one of the primary aims of speech pathologists treating tracheostomy patients. Speech Pathology intervention is aimed at assisting the patient to progress along the tracheostomy weaning pathway; a process that includes cuff deflation and facilitation of phonation through use of speaking valves. There is a paucity of evidence-based literature describing the timing of intervention for phonation, with the majority of papers consisting of case studies. There have been no randomised control trials published on the type or timing of speech pathology intervention. Currently, access to early speech pathology intervention for phonation during mechanical ventilation is not standard practice in Australia. Knowledge of the effectiveness of early versus standard timing of speech pathology intervention to restore phonation, improve clinical outcomes and improve patient reported health quality of life is unknown and not documented in the published literature. This thesis details the definition of standard care via a retrospective file audit of tracheostomy patients admitted to the intensive care unit of a tertiary Australian hospital over a 12 month period, which is presented as a published paper (Chapter 2). Results showed that the median period of time patients were without voice during tracheostomy placement was 12 days with a range of 1-103 days. This finding contributed to the development of the remaining studies in this thesis, which aimed to evaluate the effectiveness of early Speech Pathology intervention for restoration of phonation during mechanical ventilation. This was investigated within a randomised control trial of standard versus Early Speech Pathology Review and Intervention for Tracheostomy patients in intensive care early versus standard Speech Pathology Intervention (ESPRIT). The specific research questions investigated were: 1. Does targeted early communication intervention for the restoration of voice in ventilated tracheostomy patients in the ICU improve time to phonation and verbal communication compared with standard care? 2. Does this early intervention decrease the duration of tracheostomy cannulation, duration of mechanical ventilation, length of ICU or hospital stay, and time to oral intake? 3. Is this early intervention safe? 4. Does this early intervention change patient reported quality of life scores? Thirty participants were enrolled and completed the trial. The primary outcome – return to voice – was significantly hastened in the early intervention group. Secondary outcomes reported include patient safety (including adverse events), mechanical ventilation and tracheostomy cannulation time, length of stay, time to oral intake, patient reported self-esteem of communication and general quality of life. The results of this trial led to two submitted publications with report of the quantitative findings from the RCT reported in Chapter 4 and the report of self-esteem related to communication and general quality of life provided in Chapter 5. Finally, the lived experience of voicelessness was further investigated in a multiple methods study conducted 6-months after tracheostomy tube decannulation (Chapter 6). This was investigated by thematic analysis of semi-structured in-depth interviews and use of validated self-esteem and quality of life outcome measures. There were four major themes identified by patients during the experience of voicelessness, which centre on patient awareness of their clinical situation; communication without voice; emotions experienced with voice loss; and level of participation and recovery. These are presented in a publication intended for submission. The publications arising from this thesis inform standard care for tracheostomy patients, compare timing and type of intervention for return of voice and examine the impact on patients, their experiences and participation within the ICU setting when voiceless. This thesis reports on the initial randomised controlled trial for return of voice for tracheostomy patients, and advocates the role of early Speech Pathology intervention within the ICU. Restoration of voice and effective communication is important in facilitating timely care and allows increased patient participation within the healthcare system. Ongoing research and enhancement of communication function for tracheostomy patients would only further a positive patient experience and ensure ongoing monitoring of safety parameters.
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Ramakrishnan, Vijaya. "Use of Simulation for Tracheostomy Care, a Low Volume, High Risk Nursing Procedure." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4981.

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Often, education regarding low volume and high-risk procedures, like tracheostomy, are ignored. Lack of experience, skills, and human resources can lead to decreases in confidence levels, diminished quality of care, and potentially an adverse event. The purpose of this DNP project was to prepare simulation-based education on the tracheostomy procedure and provide hands-on education to bedside nurses. The project answered the question: To what extent will a simulation-based teaching method adequately prepare staff nurses in a post-acute surgical unit to perform this high risk low volume procedure? The Johns Hopkins evidence-based model method was used to assist in translation of the practice change process. The International Nursing Association for Clinical Simulation and Learning standards were used to design simulation scenarios. Surgical acute care nurses (n = 35) including day and night shift nurses, new graduates, and experienced nurses participated. Groups of five to eight nurses participated in a two-hour simulation session at hospital simulation center. Pre- and post-surveys on confidence level data, and National League of Nursing evaluation tool data on educational practices and simulation designs were collected from all participants. Paired t-test statistics showed a significant increase in confidence level from pre to post education (p < .001). Because of the significant impact on patient care due to preventing complications and by improving nursing staff's level of confidence, the project may contribute to positive social change.
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Seljegard, Yuka K. "The effect of long-term tracheostomy on language and social development of young children." Thesis, University of Oxford, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.543585.

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Books on the topic "Tracheostomy"

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de Farias, Terence Pires, ed. Tracheostomy. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-67867-2.

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Royal National Throat, Nose and Ear Hospital, London., ed. Tracheostomy care. [London]: E.N.T. Nursing Practice Committee, Royal National Throat, Nose and Ear Hospital, 1993.

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Howard, Levine. Tracheostomy care manual. 2nd ed. New York: Thieme Medical Publishers, 1988.

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Royal National Throat, Nose and Ear Hospital., ed. Living with your tracheostomy. London: Royal National Throat, Nose and Ear Hospital, 1986.

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Bissell, Cynthia M. Pediatric tracheostomy home care guide. Grafton, MA: Twin Enterprises, 2000.

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Morris, Linda L. Tracheostomies: The complete guide. New York: Springer Pub. Co., 2010.

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Servillo, Giuseppe, and Paolo Pelosi, eds. Percutaneous Tracheostomy in Critically Ill Patients. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-22300-1.

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St. Elizabeth Hospital Medical Center. Tracheostomy Teaching Committee., ed. Care of your tracheostomy: A patient guide. St. Louis, MO: Catholic Health Association of the U.S., 1987.

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Morris, Linda. Tracheostomies: The complete guide. New York: Springer Pub. Co., 2009.

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C, Tippett Donna, ed. Tracheostomy and ventilator dependency: Management of breathing, speaking, and swallowing. New York: Thieme, 2000.

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Book chapters on the topic "Tracheostomy"

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Monteiro, Sissi, Terence Pires de Farias, Marcelo de Camargo Millen, and Rafael Vianna Locio. "The History of Tracheostomy." In Tracheostomy, 1–9. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67867-2_1.

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Barreira, Carlos Eduardo Santa Ritta, Marina Azzi Quintanilha, Terence Pires de Farias, Jose Gabriel Miranda da Paixão, Juliana Fernandes de Oliveira, Fernando Luiz Dias, and Paulo Jose de Cavalcanti Siebra. "Oncological Tracheostomy." In Tracheostomy, 169–85. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67867-2_10.

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de Cavalcanti Siebra, Paulo José, Ruiter Diego de Moraes Botinelly, Terence Pires de Farias, Alexandre Ferreira Oliveira, and Fernando Luiz Dias. "Mediastinal Tracheostomy." In Tracheostomy, 187–205. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-67867-2_11.

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Silva, Dorio Jose Coelho, Ricardo Mai Rocha, Terence Pires de Farias, and Rafael Vianna Locio. "Transtumoral Tracheostomy." In Tracheostomy, 207–24. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67867-2_12.

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Viégas, Célia Maria Pais, Diego Chaves Rezende Morais, and Carlos Manoel Mendonça de Araujo. "Tracheostomy and Radiotherapy." In Tracheostomy, 225–39. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67867-2_13.

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da Cruz, Ricardo Lopes, Fernando Cesar A. Lima, and Antônio Albuquerque de Brito. "Tracheostomy in Orthognathic Surgery and Facial Trauma Surgery: Is There a Place?" In Tracheostomy, 241–62. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-67867-2_14.

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Moreira, Adriana Eliza Brasil, Rodrigo Gonçalves, João Lisboa de Sousa Filho, José Francisco de Sales Chagas, Maria Beatriz Nogueira Pascoal, and Ricardo Alexander Marinho da Silva. "Cricothyroidostomy." In Tracheostomy, 263–79. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67867-2_15.

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Freitas, Carlos Eduardo Ferraz, Gustavo Trindade Henriques-Filho, Marcos Antonio Cavalcanti Gallindo, Maria Eduarda Gurgel da Trindade Meira Henriques, Maria Alice Gurgel da Trindade Meira Henriques, and Maria Eduarda Lima de Moura. "Indications for Performing Tracheostomy in the Intensive Care Unit: When and Why?" In Tracheostomy, 281–91. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67867-2_16.

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da Paixão, Jose Gabriel Miranda, Jorge Pinho Filho, Fernando Luiz Dias, Adilis Stepple da Fonte Neto, Juliana Fernandes de Oliveira, and Terence Pires de Farias. "Considering the best place to do a Tracheostomy: At the Bedside or in the Operating Room?" In Tracheostomy, 293–306. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67867-2_17.

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Manfro, Gabriel, Fernando Luiz Dias, and Terence Pires de Farias. "Tracheostomy Complications." In Tracheostomy, 307–19. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67867-2_18.

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Conference papers on the topic "Tracheostomy"

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Villafranco, N. M., T. Raynor, M. Pesek, and K. Kaplan. "Tracheostomy Decannulation Protocol." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3331.

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Acharya, V. "New Tracheostomy Map." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a5741.

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Muscedere, J., T. Sinuff, D. Cook, P. Dodek, S. Keenan, G. Wood, R. Tan, et al. "Variation in Tracheostomy Practice." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a3075.

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Calik, Mustafa, Saniye Goknil Calik, Mustafa Cihat Avunduk, and Olgun Kadir Aribas. "Tracheostomy, is it really innocent?" In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa1509.

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Garcia Romero de Tejada, Jose Andres, Rosa Mar Gomez Punter, Emma Vazquez Espinosa, Ian Carbajo, Javier Aspa Marco, and Olga Rajas Naranjo. "Bronchoscopy-Guided Percutaneous Dilatational Tracheostomy." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5922.

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Henningfeld, J., C. Lang, and P. Goday. "Feeding Disorders in Pediatric Tracheostomy." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3583.

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Clausen, Friedrich Jacob, Stephan Christian Betz, Arne Böttcher, and Katharina Stölzel. "Complicative tracheostomy beyond textbook anatomy." In 94th Annual Meeting German Society of Oto-Rhino-Laryngology, Head and Neck Surgery e.V., Bonn. Georg Thieme Verlag, 2023. http://dx.doi.org/10.1055/s-0043-1767022.

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Akbar, S., S. Alonzo, and B. P.Madden. "Rigid Bronchoscopy-guided Percutaneous Tracheostomy." In American Thoracic Society 2023 International Conference, May 19-24, 2023 - Washington, DC. American Thoracic Society, 2023. http://dx.doi.org/10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a5091.

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Dharshan, Ananda C., Thomas Olivera, Nechama Diamond, and George Coritsidis. "Percutaneous Dilatational Tracheostomy: Comparable Outcomes To Surgical Tracheostomy In One Center Not Utilizing Bronchosopy." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5962.

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Kenny, Michaela. "82 Improving ward compliance of tracheostomy safety checks with the four T’s of tracheostomy handover." In GOSH Conference 2021, Above and Beyond. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-gosh.82.

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Reports on the topic "Tracheostomy"

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Tolley, Neil, and Benjamin Miller. Tracheostomy. Touch Surgery Publications, March 2019. http://dx.doi.org/10.18556/touchsurgery/2016.s0163.

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Tolley, Neil, and Benjamin Miller. Tracheostomy. Touch Surgery Simulations, April 2019. http://dx.doi.org/10.18556/touchsurgery/2019.s0163.

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ANDRADE, RAUL RIBEIRO, Edla Vitória Santos Pereira, Igor Hudson Albuquerque e. Aguiar, Olavo Barbosa de Oliveira Neto, FABIANO TIMBÓ BARBOSA, OÃO GUSTAVO ROCHA PEIXOTO SANTOS, and CÉLIO FERNANDO SOUSA. Effectiveness of Early Tracheostomy compared with Late Tracheostomy Or Prolonged Orotracheal Intubation in Traumatic Brain Injury: Protocol of Umbrella Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2022. http://dx.doi.org/10.37766/inplasy2022.8.0096.

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Review question / Objective: What is the effectiveness of Early Tracheostomy compared with Late Tracheostomy Or Prolonged Orotracheal Intubation in Traumatic Brain Injury? Eligibility criteria: The inclusion criteria are (P) studies with patients above 18 years old, male or female, who had a severe traumatic brain injury and who need advanced airway support; (I) patient undergoing early tracheostomy (less than 10 days of orotraqueal intubation); (C) patient undergoing late tracheostomy (after 10 days of orotraqueal intubation) or undergoing prolonged intubation; (O) With data about mortality, time on ICU stay, on Hospital stay and time free of mechanical ventilation, complications related a health care services (pneumonia, septicemia, candidemia, Pressure ulcers, thromboembolic events and time using antibiotics), Quality of life (scores about neurological functions); e (S) Systematic reviews. No language restrictions. The exclusion criteria are data about mortality without data about time and follow up (In Hospital or after discharge?). We will contact the authors of studies without data enough to make a decision or without full text available, If we do not have answers we will exclude the study.
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DE ANDRADE, RAUL RIBEIRO, OLAVO BARBOSA DE OLIVEIRA NETO, JOÃO GUSTAVO ROCHA PEIXOTO DOS SANTOS, CÉLIO FERNANDO DE SOUSA RODRIGUES, and FABIANO TIMBÓ BARBOSA. Effectiveness of Early Tracheostomy compared with Late Tracheostomy Or Prolonged Orotracheal Intubation in Traumatic Brain Injury: Protocol of Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2022. http://dx.doi.org/10.37766/inplasy2022.1.0051.

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Review question / Objective: What is the effectiveness of Early Tracheostomy compared with Late Tracheostomy Or Prolonged Orotracheal Intubation in Traumatic Brain Injury? Condition being studied: Traumatic Brain Injury (TBI) is every traumatic anatomical ou functional injury that affects brain, skull and/or vessels related to them. TBI is a public health problem that involves over 50 million people per year in Worldwide. Information sources: PUBLISHED DATABASES (Medline by PUBMED, Lilacs, Central-Cochrane, Scopus by Elsevier, Web Of Science e Embase by Elsevier) NON-PUBLISHED (Open Grey by Sigle; Clinical Trial Register at the International Clinical Trials Registry Platform) (Referencies of the selected studies).
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Qiu, Youjia, Ziqian Yin, Zilan Wang, Minjia Xie, Zhouqing Chen, Jiang Wu, Zhong Wang, and Gang Chen. Early versus late tracheostomy in severe stroke-related patients: a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2022. http://dx.doi.org/10.37766/inplasy2022.8.0086.

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Ji, Yun, Yumin Fang, and Libin Li. Effect of early versus late tracheostomy in ventilated COVID-19 patients: a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2021. http://dx.doi.org/10.37766/inplasy2021.8.0088.

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Seder, David, Julian Bosel, Wolf-Dirk Niesen, Farid Salih, Nicholas Morris, Jeremy Ragland, Bryan Gough, et al. Comparison of Early versus Standard Timing of Tracheostomy in Patients with Severe Stroke and Breathing Failure – The SETPOINT 2 Study. Patient-Centered Outcomes Research Institute (PCORI), October 2023. http://dx.doi.org/10.25302/10.2023.cer.160234137.

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Kim, Beong Ki, Hangseok Choi, and Chi Young Kim. The Timing Dilemma: A Systematic Review and Meta-analysis of Short-Term Mortality in COVID-19 Patients Undergoing Tracheostomy with Varied Definitions of Early, Including 7, 10, and 14 Days. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2023. http://dx.doi.org/10.37766/inplasy2023.12.0030.

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Zerbib, Olivier, Yaniv Hadi, Daniel Kovarsky, Gal Sahaf Levin, Tamar Gottesman, Mor Darkhovsky, and Shaul Lev. Multiple Recurrent Pneumothoraces and Thoracic Drain Insertion in a Mechanically Ventilated Patient Suffering from Methadone Induced Cardiomyopathy. Science Repository, January 2023. http://dx.doi.org/10.31487/j.jcmcr.2022.01.02.

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Objective: To describe the experience of a multimodal therapeutic approach in a patient with methadone-induced dilated cardiomyopathy who developed recurrent bilateral tension pneumothorax. Setting: Department of Intensive Care. Patient: A patient with methadone-induced cardiomyopathy and severe left ventricular dysfunction who after mechanical ventilation underwent bilateral tension pneumothorax and prolonged cardiovascular resuscitation (CPR). Interventions: Cardiac Angiography, Multiple counter–shock (defibrillator dose), Multiple Thoracic Drains. Case Report: A 56-year-old man with past IV drug abuse and severe left ventricular dysfunction was transferred from the intensive cardiac care unit (ICCU) to our intensive care unit (ICU) ward due to suspected aspiration pneumonia. Multiple attempts of weaning off mechanical ventilation were unsuccessful, followed by development of septic shock. Following cardiothoracic consultation, two thoracic drains were placed. Due to repeated events of bilateral tension pneumothorax and CPR attempts, a total of seven thoracic drains were placed, permitting rapid control and improvement in the patient status. The possibility of Extracorporeal Membrane Oxygenation (ECMO) was not considered as supportive care due to methadone use and severe secondary cardiomyopathy. In the following days, control and stabilization of the patient status was obtained. Vasopressor treatment withdrawal, cessation of drainage and removal of five thoracic access points were successfully performed prior to percutaneous tracheostomy. The two remaining drains were removed later on during hospitalization. After 29 days in the ICU, the patient was discharged to a step down ward.
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Pacheco-Ojeda, Luis, Carolina Sáenz-Gómez, Stalin Cañizares-Quisiguiña, Tatiana Borja-Herrera, Juan Carlos Vallejo-Garzón, and Sergio Poveda. Function Sparing Conservative Approach of a Low-Grade Chondrosarcoma of the Larynx: Case Report and Literature Review. Science Repository, March 2024. http://dx.doi.org/10.31487/j.scr.2024.01.04.

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Background: Laryngeal cancer is relatively uncommon in Ecuador. Usually epithelial in origin, the most frequent histological type is squamous cell carcinoma. The most common mesenchymal tumor is chondrosarcoma. Most laryngeal chondrosarcomas are treated with total laryngectomy, but a conservative function sparing resection is recommended in low-grade limited tumors. Case Report: In a 68-year-old female nonsmoker patient, a small tumor was found in the posterior left aspect of the cricoid cartilage in a computed tomography (CT) performed immediately after an unexpected difficulty to pass the endotracheal tube for a thoracoscopic biopsy of 4 cm tumor of the left lung, in another hospital. The patient underwent, then, an initial tracheostomy, a total thyroidectomy for a goiter and a biopsy of the tumor of the cricoid cartilage whose pathological study was inconclusive. One month later, a low-grade neuroendocrine pulmonary tumor was completed resected. Two years later, a CT scan showed the cricoid lesion with the same characteristics. At endoscopic video laryngoscopy, two subglottic masses that narrowed the airway in approximately 60% of the normal caliber, were observed located at the posterior and left walls. An intraluminal resection was performed through a transcricoid anterior approach. The pathological diagnosis was a low-grade chondrosarcoma. Tracheal decannulation was performed one month later. At an endoscopic video laryngoscopy performed six months post-operatively, the tracheal caliber and mucosa were normal. The patient remained with normal voice and breathing. Conclusion: We report the second case of chondrosarcoma of the larynx in our country, treated by a conservative approach.
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