ライフサイエンスコーパス: tracheostomy

1 re instead a marker of critical illness (eg, tracheostomy).

2 r bleeding between percutaneous and surgical tracheostomy.

3 ue when compared with that with the surgical tracheostomy.

4 y in the intensive-care unit than late or no tracheostomy.

5 oxygen at discharge, and 31 (1.1%) underwent tracheostomy.

6 ilation courses did not increase the risk of tracheostomy.

7 use of supplemental oxygen at discharge, and tracheostomy.

8 g-term facilities when analyzing outcomes of tracheostomy.

9 LOS), mortality, incidence of pneumonia, and tracheostomy.

10 al infections and the need for postoperative tracheostomy.

11 tomy, 44.9% (95% CI, 40.4%-49.5%) received a tracheostomy.

12 tracheostomy, and 1 patient did not undergo tracheostomy.

13 l injury or stroke) may benefit from earlier tracheostomy.

14 eduled procedures, especially extubation and tracheostomy.

15 asions, were not extubated, and proceeded to tracheostomy.

16 0 days, 100% of patients were maintained via tracheostomy.

17 nstitutional characteristics associated with tracheostomy.

18 ng inclusion criteria: 4,146 (24%) underwent tracheostomy.

19 educe the incidence of extubation failure or tracheostomy.

20 flame burn and smoke inhalation injury after tracheostomy.

21 2 d]) stay durations when compared with late tracheostomy.

22 ith COVID-19 and the surgeons performing the tracheostomy.

23 care utilization in the first year following tracheostomy.

24 ications following percutaneous dilatational tracheostomy.

25 e extremely high in the first year following tracheostomy.

26 s died in the hospital with 4.4% receiving a tracheostomy.

27 , 7-16]) underwent percutaneous dilatational tracheostomy.

28 59.7%) had feeding tubes and 215 (30.0%) had tracheostomies.

29 or bleeding and wound infection for surgical tracheostomies.

30 d infection, and major bleeding for surgical tracheostomies.

31 9), pneumonia (0.45; 95% CI: 0.30-0.69), and tracheostomy (0.25; 95% CI: 0.13-0.47).

32 ifically, 3.5% had new gastrostomy, 3.1% new tracheostomy, 0.6% new vascular access devices, 0.4% new

33 g treatment) were more likely to recommend a tracheostomy (1.38 [1.35-1.41]) and reintubation if the

34 1-51] h; P = 0.001) and a trend toward fewer tracheostomies (17 vs. 28; P = 0.075).

35 25.3%), extubation failure (12.3% vs 6.1%), tracheostomy (21.6% vs 4.5%), development of Clostridium

36 Of the 55 (44.0%) patients undergoing tracheostomy, 25 (45.5%) did so consistent with criteria

37 even scheduled procedures: 1) extubation; 2) tracheostomy; 3) abdominal surgery; 4) nonabdominal surg

38 ined (86.3% vs 76.7%; p = 0.014) and undergo tracheostomy (34.6% vs 15.5%; p < 0.0001).

39 s pneumonia/sepsis patients to receive early tracheostomy (44.5% vs 21.7%; p < 0.001).

40 d a tracheostomy and of 454 assigned to late tracheostomy, 44.9% (95% CI, 40.4%-49.5%) received a tra

41 nator PO2 prior to percutaneous dilatational tracheostomy (45.8 kPa [interquartile range, 36.9-56.5 k

42 143 patients underwent tracheostomy, 58 (41%) via a ST, and 85 (59%) via a PT.

43 Within 1 year of tracheostomy, 60.3% of patients required hospital readmi

44 ence of a central venous catheter (50.9%) or tracheostomy (64.8%).

45 Of the 455 patients assigned to early tracheostomy, 91.9% (95% CI, 89.0%-94.1%) received a tra

46 intraperitonial pentobarbital anesthesia and tracheostomy, a craniotomy exposed the parietal cortex f

47 y in the intensive-care unit than late or no tracheostomy; a finding that might question the present

48 tudy was performed on patients who underwent tracheostomy after acute respiratory failure secondary t

49 o early tracheostomy (within 4 days) or late tracheostomy (after 10 days if still indicated).

50 atios was associated with increased risk for tracheostomy among mechanically ventilated trauma patien

51 .0 vs. 5.0 d; P = 0.01), and underwent fewer tracheostomies and episodes of protracted ventilation.

52 as hospital death with secondary outcomes of tracheostomy and 30-day readmission.

53 Mice were subjected to tracheostomy and arterial cannulation.

54 Tracheostomy and dependence on a gastric feeding tube we

55 Tracheostomy and dysphagia often coexist during critical

56 in treatment modalities (tracheostomy vs no tracheostomy and early vs late tracheostomy demarcated b

57 o hospice, or survival with placement of new tracheostomy and gastrostomy tubes.

58 ve analyses were performed between the early tracheostomy and late tracheostomy groups.

59 Mean time for early tracheostomy and late tracheostomy procedures was 5.59 d

60 Both required tracheostomy and mechanical ventilation and afterward de

61 odeled using demographics, prior procedures (tracheostomy and mechanical ventilation), and prior diag

62 tomy, 91.9% (95% CI, 89.0%-94.1%) received a tracheostomy and of 454 assigned to late tracheostomy, 4

63 , the structured program reduced the time to tracheostomy and overall procedural time.

64 first week of mechanical ventilation) or no tracheostomy and reporting on mortality or incidence of

65 nowledge regarding the benefits and risks of tracheostomy and to highlight potential strategies to st

66 trial to better define patient selection for tracheostomy and to test the hypothesis that timing of t

67 knockout mice was assessed by using invasive tracheostomy and unrestrained plethysmography.

68 ber of organ dysfunctions, more dialysis and tracheostomies, and higher mortality compared with patie

69 omy on ECLS, 1 patient already had undergone tracheostomy, and 1 patient did not undergo tracheostomy

70 imated that <or=25% of such patients undergo tracheostomy, and 58.8% felt an acceptable benchmark for

71 was awake, alert, ventilator-dependent via a tracheostomy, and able to mouth words.

72 day, length of stay, discharge disposition, tracheostomy, and need for extracorporeal membrane oxyge

73 Among patients with an endotracheal tube, tracheostomy, and noninvasive ventilation, 8%, 39%, and

74 action; interventions such as spinal fusion, tracheostomy, and noninvasive ventilation; and death.

75 ed, insufflated with cooled cotton smoke via tracheostomy, and P. aeruginosa were instilled into thei

76 the intensive care unit, a greater need for tracheostomy, and significantly increased medical care c

77 odynamic monitoring, feeding tube placement, tracheostomy, and vena cava filters) among nursing home

78 Long-term outcomes following tracheostomy are extremely poor with high mortality, mor

79 verall survival and the probability of death/tracheostomy at 18 months (logistic regression model) we

80 ts with ALS were alive and had not undergone tracheostomy at the prevalence day (December 31, 2014),

81 Eighteen patients (32.7%) underwent tracheostomy before the time interval of data collection

82 ications following percutaneous dilatational tracheostomy (beta = -0.09; odds ratio, 0.9; 95% CI, 0.8

83 e in dependence on gastric feeding tubes and tracheostomies between treatment groups.

84 potentially differential benefits for early tracheostomy between disease subgroups and to investigat

85 ld question the present practice of delaying tracheostomy beyond the first week after translaryngeal

86 ht question the present practice of delaying tracheostomy beyond the first week after translaryngeal

87 easonable chance of recovery and fit defined tracheostomy candidate criteria.

88 8) with no significant effect on duration of tracheostomy cannulation (hazard ratio = 1.40; 95% CI, 0

89 weaning with pressure support (n = 155) or a tracheostomy collar (n = 161).

90 Use of the tracheostomy collar achieved faster weaning than did pre

91 Of 160 patients in the tracheostomy collar group, 85 (53.1%) were weaned; 16 (1

92 y was equivalent in the pressure-support and tracheostomy collar groups at 6 months (55.92% vs 51.25%

93 Median weaning time was shorter with tracheostomy collar use (15 days; interquartile range [I

94 for successful weaning rate was higher with tracheostomy collar use than with pressure support (HR,

95 ion of mechanical ventilation was greater in tracheostomy compared with nontracheostomy patients (15.

96 ely to be readmitted in the first year after tracheostomy compared with younger adults (66.1% vs 55.2

97 are facility, unassisted breathing through a tracheostomy, compared with pressure support, resulted i

98 ective manner by decreasing the incidence of tracheostomy complications and improving both the time t

99 Specifically, tracheostomy complications, inpatient mortality, disposi

100 Implementation of a specialized tracheostomy consultation form did not impact tracheosto

101 ne survey, and implementation of specialized tracheostomy consultation form.

102 ore and during PDT percutaneous dilatational tracheostomy could render the procedure easier and safer

103 tubated patients) of ventilatory support met tracheostomy criteria.

104 eostomy vs no tracheostomy and early vs late tracheostomy demarcated by 10 d of intubation).

105 tatus (odds ratio, 2.90; 95% CI, 1.57-5.33), tracheostomy dependence (odds ratio, 2.78; 95% CI, 1.40-

106 antibiotics, intensive care unit placement, tracheostomy dependence, and immunocompromised status (9

107 eness of empiric antibiotics, ICU placement, tracheostomy-dependence and immunocompromised status (90

108 The manner of tracheostomy does not change outcomes significantly if i

109 randomised controlled trials comparing early tracheostomy (done within 1 week after translaryngeal in

110 complications and improving both the time to tracheostomy, duration of procedure, and postprocedural

111 We identified 8,343 tracheostomies during the study period.

112 post-tracheostomy management and to quantify tracheostomy effects on patient-centric outcomes.

113 In 41.5% (+/-0.6%) of patients undergoing tracheostomy, extubation had not occurred despite succes

114 d to a ventilator weaning unit, or who had a tracheostomy for acute respiratory failure.

115 a ventilator weaning unit, or 3) received a tracheostomy for acute respiratory failure.

116 dy was to evaluate the safety and results of tracheostomy for both patients with COVID-19 and the sur

117 National trends in tracheostomy for mechanical ventilation (MV) patients ar

118 Patients who require tracheostomy for prolonged mechanical ventilation have p

119 The incidence of tracheostomy for prolonged mechanical ventilation increa

120 trends in the annual incidence and timing of tracheostomy for prolonged mechanical ventilation, as we

121 Delay of tracheostomy for roughly 2 weeks after translaryngeal in

122 Tracheostomy frequency and timing varied significantly c

123 We identified 1,352,432 adults who received tracheostomy from 1993 to 2012 (9.1% of MV patients).

124 nsity (mechanical ventilation, hemodialysis, tracheostomy, gastrostomy, artificial nutrition, or card

125 assigned to the early versus the late or no tracheostomy group (691 cases; OR 0.60, 95% CI 0.41-0.90

126 assigned to the early versus the late or no tracheostomy group (OR 0.72, 95% CI 0.53-0.98; p=0.04).

127 assigned to the early versus the late or no tracheostomy group (OR 0.80, 95% CI 0.59-1.09; p=0.16).

128 d earlier (42 vs 54 d; p=0.039) in the early tracheostomy group.

129 In early versus late tracheostomy groups, no significant differences were obs

130 rmed between the early tracheostomy and late tracheostomy groups.

131 Pneumonia/sepsis patients with early tracheostomy had fewer feeding tube procedures and highe

132 ilation and excluded patients who received a tracheostomy, had a do-not-resuscitate order placed, or

133 luation and performance of a large volume of tracheostomies in a resource-limited setting.

134 Six (7%) of 92 patients had tracheostomies in the TPF group, versus eight (11%) of 7

135 ostomy was performed in 39 patients and late tracheostomy in 109 patients.

136 Bedside tracheostomy in COVID-19 does not cause additional harm

137 Following these steps, tracheostomy in COVID-19 intubated patients seems safe f

138 mortality benefit of early versus late or no tracheostomy in critically ill patients who need mechani

139 The timing of percutaneous tracheostomy in critically ill patients, and the use of

140 ficant unexplained variation in the rates of tracheostomy in critically injured patients with acute r

141 The value of optimal timing of tracheostomy in patients with subarachnoid hemorrhage is

142 ently no guidelines on the optimal timing of tracheostomy in pediatric patients undergoing prolonged

143 For the patient with a tracheostomy in place, an independent bronchial blocker

144 s from this meta-analysis suggest that early tracheostomy in severe traumatic brain injury patients c

145 re the literature surrounding swallowing and tracheostomy in the acute care setting.

146 Age-adjusted incidence of tracheostomy increased by 106%, rising disproportionatel

147 ation of mechanical ventilation in days from tracheostomy insertion (hazard ratio = 1.19; 95% CI, 0.5

148 rched to identify all prospective studies of tracheostomy insertion in the critically ill.

149 The primary outcome measure was time from tracheostomy insertion to phonation.

150 The introduction of percutaneous tracheostomy into an intensive care unit has training im

151 ing tubes (IRR, 1.34; 95% CI, 1.03-1.64) and tracheostomies (IRR, 1.40; 95% CI, 1.17-1.69) were assoc

152 The frequency of bedside percutaneous tracheostomies is increasing in intensive care medicine,

153 Tracheostomy is a very common clinical intervention in c

154 Tracheostomy is a widely used intervention in adult crit

155 Percutaneous dilatational tracheostomy is associated with a considerable complicat

156 his study investigates whether early or late tracheostomy is associated with beneficial outcome or re

157 The synthesised evidence suggests that early tracheostomy is associated with lower mortality in the i

158 ndardized approach in which the decision for tracheostomy is based on objective measures of weaning p

159 practice is presented, whereby decision for tracheostomy is based, in part, on a patient's clinical

160 The synthesised evidence suggests that early tracheostomy is not associated with lower mortality in t

161 Percutaneous tracheostomy is now established in intensive care practi

162 Tracheostomy is often performed for prolonged endotrache

163 Early tracheostomy is potentially overused among mechanically

164 injuries also had a greater requirement for tracheostomy, longer time on the ventilator, and a prolo

165 ions should include efforts to optimize post-tracheostomy management and to quantify tracheostomy eff

166 In children on mechanical ventilation, early tracheostomy may improve important medical outcomes.

167 However, early, compared with late or no, tracheostomy might be associated with a lower incidence

168 0.01) resulting in a more frequent resort to tracheostomy (n = 18, 40.9% vs n = 2, 9% in controls; p

169 the potential complications associated with tracheostomy need careful consideration; thus, further s

170 the potential complications associated with tracheostomy need careful consideration; thus, further s

171 emographics, mean time between admission and tracheostomy, neurologic assessment at admission, confir

172 Decision for, and performance of, tracheostomy occurred (median [interquartile range]) 5.0

173 interval, 1.56-3.55) and higher incidence of tracheostomy (odds ratio, 1.52; 95% confidence interval,

174 as defined as performed on days 1-7 and late tracheostomy on days 8-20 after admission.

175 Six patients underwent tracheostomy on ECLS, 1 patient already had undergone tr

176 ssess the benefit of early versus late or no tracheostomy on mortality and pneumonia in critically il

177 s failed to demonstrate an effect of "early" tracheostomy on mortality, infectious complications, int

178 ), and new respiratory failure necessitating tracheostomy (OR, 23.92; 95% CI, 2.80-204; P < .001) cor

179 the slow vital capacity; the time to death, tracheostomy, or permanent ventilation; and the time to

180 ined as feeding tube dependency, functioning tracheostomy, or soft tissue defect.

181 ubation failure, in-hospital mortality rate, tracheostomy, or unplanned extubation.

182 longer-term outcomes following percutaneous tracheostomy, particularly tracheal stenosis, are unclea

183 Tracheostomy patients had a higher survival rate than no

184 n for the restoration of voice in ventilated tracheostomy patients in the ICU.

185 e observed dramatic increase in discharge of tracheostomy patients to long-term care facilities may h

186 ventilator days (median 4 vs 6 d; p < 0.05), tracheostomies performed (1% vs 7.8%; p < 0.05), and pos

187 tilated trauma patients, with nearly half of tracheostomies performed within the first week of mechan

188 ermanent ventilation; and the time to death, tracheostomy, permanent ventilation, or hospitalization.

189 25%), median mechanical ventilation days to tracheostomy placement (from 12 to 10 days), and median

190 Literature addressing management following tracheostomy placement consists largely of single instit

191 for surgical airway, clinicians should defer tracheostomy placement for at least 2 wks following the

192 Tracheostomy placement occurred in 18.4% of acute respir

193 However, in the context of COVID-19, tracheostomy placement pathways have been altered due to

194 ate of new device acquisition (specifically, tracheostomy placement, gastrostomy tube placement, vasc

195 on growth, mechanical ventilation days until tracheostomy placement, length of stay, and hospital cha

196 ve better outcomes compared with the general tracheostomy population.

197 d variation among clinicians with respect to tracheostomy practice as well as discrepancies between p

198 Tracheostomy practice in 200 patients was analyzed in re

199 the synthesis of current knowledge regarding tracheostomy practice in this context.

200 An approach to standardizing tracheostomy practice is presented, whereby decision for

201 To the extent that variation in tracheostomy practice reflects suboptimal use of this pr

202 As a result, tracheostomy practice varies considerably.

203 surveyed to better understand perceptions of tracheostomy practice.

204 uence of clinical and nonclinical factors on tracheostomy practice.

205 Alterations to tracheostomy practices and processes were successfully i

206 Early tracheostomy presented less risk difference for ventilat

207 ived mechanical ventilation without death or tracheostomy prior to extubation, 9,907 (10.1%) were rei

208 The indications for tracheostomy procedures in pediatric patients with compl

209 Mean time for early tracheostomy and late tracheostomy procedures was 5.59 days (SD, 0.34 d) and 1

210 subsidized, multi-disciplinary percutaneous tracheostomy program can improve the quality of care in

211 multidisciplinary Johns Hopkins Percutaneous Tracheostomy Program.

212 Patients had either a percutaneous tracheostomy (PT) or open surgical tracheostomy (ST) per

213 ted odds ratio, 1.40; 95% CI, 1.17-1.68) and tracheostomy (quartile 4 vs quartile 1 adjusted odds rat

214 Sample sizes (with tracheostomy) ranged from 10 to 3,320, and dysphagia fre

215 Our SICU tracheostomy rate (54.2%) exceeded that of 18 comparable

216 The mean tracheostomy rate across centers was 19.6 per 100 hospit

217 uld be reflected in significant variation in tracheostomy rates across centers.

218 greater between-hospital variation in early tracheostomy rates among trauma patients (21.9-81.9%) co

219 patient and institutional characteristics on tracheostomy rates and variance decomposition to determi

220 tals with higher early tracheostomy-to-total-tracheostomy ratios was associated with increased risk f

221 ding complications (3.5% vs 10.3%, p=0.099), tracheostomy related complications (5.9% vs 8.6%, p=0.52

222 Tracheostomy-related complications were reported for 6.3

223 ts approach $11 billion dollars per year for tracheostomy-related to acute respiratory failure.

224 Tracheostomy remains one of the most commonly performed

225 Among MV patients, tracheostomy rose from 6.9% in 1993 to 9.8% in 2008, and

226 ilator management, and possible dialysis and tracheostomy should be communicated with patients and fa

227 Percutaneous dilational tracheostomy should be considered the preferred techniqu

228 eries, following induction of anesthesia and tracheostomy, Sprague-Dawley rats were randomized to (no

229 cutaneous tracheostomy (PT) or open surgical tracheostomy (ST) performed by one of three surgical ser

230 For scheduled tracheostomy, surgical critical care departments reporte

231 Prioritizing patient safety, a tracheostomy team was created at our institution to prov

232 th open surgical and percutaneous dilational tracheostomy techniques were performed utilizing methods

233 wound infection was greater for the surgical tracheostomy than for the Ciaglia multiple dilator techn

234 Of the 53 patients who underwent tracheostomy, the average time from endotracheal intubat

235 nd injury characteristics were predictive of tracheostomy, there were no identifiable institutional c

236 study to determine the relationship between tracheostomy timing and duration of mechanical ventilati

237 Although practice varies substantially, tracheostomy timing appears significantly associated wit

238 Tracheostomy timing correlated significantly with durati

239 ttern variation and outcomes associated with tracheostomy timing in the United States.

240 mber of studies have examined the effects of tracheostomy timing on clinically important end points.

241 tigate factors driving hospital variation in tracheostomy timing.

242 utcomes and healthcare utilization following tracheostomy to aid in decision-making and resource allo

243 The utility of tracheostomy to expedite weaning and prevent complicatio

244 exists regarding perceived benefits of early tracheostomy to facilitate weaning among mechanically ve

245 approach is that it attempts to match use of tracheostomy to patients with a need for continued venti

246 The average time from tracheostomy to ventilator liberation was 11.8 days +/-

247 Admission to hospitals with higher early tracheostomy-to-total-tracheostomy ratios was associated

248 iled in the critical care patients with HVLP tracheostomy tube cuffs, and there were no episodes of a

249 A cuffed tracheostomy tube facilitates prolonged mechanical venti

250 e possible, it is common practice to cap the tracheostomy tube for 24 hours to see whether they can b

251 clinicians the subjective impression that a tracheostomy tube is still necessary although decannulat

252 , need for intubation, length of intubation, tracheostomy tube placement, hospital readmission, or mo

253 When patients with a tracheostomy tube reach a stage in their care at which d

254 Decisions regarding tracheostomy tube removal after mechanical ventilation o

255 Following the protocol, the tracheostomy tube was successfully removed in 54 patient

256 d conscious, critically ill adults who had a tracheostomy tube; patients were eligible after weaning

257 Problems associated with tracheostomy tubes and tube displacement are also discus

258 The LVLP cuffed tracheal and tracheostomy tubes reduced pulmonary aspiration in the b

259 Patients underwent tracheostomy upon expected long-term ventilation.

260 models to determine factors associated with tracheostomy use among MV patients.

261 We calculated estimates of tracheostomy use and outcomes from the National Inpatien

262 Selection criteria for tracheostomy use in trauma remain poorly defined.

263 Contemporary literature concerning tracheostomy use predominately focuses on two aspects: p

264 Over the past two decades, tracheostomy use rose substantially in the United States

265 Increases in tracheostomy use were driven by surgical patients (9.5%

266 physician feedback may assist in optimizing tracheostomy use.

267 ntify factors that might account for liberal tracheostomy use.

268 of this procedure, greater understanding of tracheostomy utility has the potential to enhance the qu

269 termined between-hospital variation in early tracheostomy utilization and the association of early tr

270 Tracheostomy utilization has dramatically increased rece

271 racheostomy consultation form did not impact tracheostomy utilization.

272 Tracheostomy, volume-controlled mechanical ventilation,

273 sponsive to changes in treatment modalities (tracheostomy vs no tracheostomy and early vs late trache

274 average time from endotracheal intubation to tracheostomy was 19.7 days +/- 6.9 days.

275 The most common indication for tracheostomy was acute respiratory distress syndrome, fo

276 tive to continued translaryngeal intubation, tracheostomy was associated with less sedation use and e

277 Meta-analysis revealed that early tracheostomy was associated with shorter mechanical vent

278 Early tracheostomy was associated with significant reductions

279 Early tracheostomy was defined as performed on days 1-7 and la

280 One-year mortality following tracheostomy was high, 46.5%.

281 Tracheostomy was more common in surgical patients, men,

282 Early tracheostomy was not associated with an improvement in m

283 NG, AND SUBJECTS: Rats were anesthetized and tracheostomy was performed at State University of New Yo

284 Tracheostomy was performed in 2,473 (5.6%) of 43,916 pat

285 Early tracheostomy was performed in 39 patients and late trach

286 ronchoscopy-guided percutaneous dilatational tracheostomy was performed in all cases.

287 p B (n = 175), PDT percutaneous dilatational tracheostomy was performed solely on the basis of physic

288 PDT percutaneous dilatational tracheostomy was subsequently performed with US guidance

289 "Early tracheostomy" was performed within the first week of mec

290 device use, including gastrostomy tubes and tracheostomies, was determined.

291 Over time, tracheostomies were performed earlier (median, 11 d in 1

292 ex and readmissions) in the first year after tracheostomy were high (mean, $215,369; SD, $160,874).

293 All patients who underwent tracheostomy were included for analysis.

294 lated children that compared early with late tracheostomy were included.

295 views recent studies of bedside percutaneous tracheostomy, which suggest that the commonly used techn

296 We do not know if tracheostomy will improve their care.

297 omy utilization and the association of early tracheostomy with patient outcomes using hierarchical re

298 t critical care units in the United Kingdom, tracheostomy within 4 days of critical care admission wa

299 Tracheostomy within 7 days of critical care admission is

300 Patients were randomized 1:1 to early tracheostomy (within 4 days) or late tracheostomy (after