ライフサイエンスコーパス: tracheostomy

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

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

3 al infections and the need for postoperative tracheostomy.

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

5 tracheostomy, and 1 patient did not undergo tracheostomy.

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

7 eduled procedures, especially extubation and tracheostomy.

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

9 0 days, 100% of patients were maintained via tracheostomy.

10 nstitutional characteristics associated with tracheostomy.

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

12 educe the incidence of extubation failure or tracheostomy.

13 flame burn and smoke inhalation injury after tracheostomy.

14 contraindication for percutaneous dilational tracheostomy.

15 elated death and may also benefit from early tracheostomy.

16 neous dilational tracheostomy after previous tracheostomy.

17 ally ill patients with a history of previous tracheostomy.

18 Bedside percutaneous dilational tracheostomy.

19 managed with repeat percutaneous dilational tracheostomy.

20 All patients had previously undergone tracheostomy.

21 r bleeding between percutaneous and surgical tracheostomy.

22 ts, and the percentage of patients requiring tracheostomy.

23 ventilation, minute ventilation, or pH after tracheostomy.

24 for intubated patients who require elective tracheostomy.

25 TTI flow rates when breathing with a closed tracheostomy.

26 have full neck extension during percutaneous tracheostomy.

27 ue when compared with that with the surgical tracheostomy.

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

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

30 ilation courses did not increase the risk of tracheostomy.

31 use of supplemental oxygen at discharge, and tracheostomy.

32 g-term facilities when analyzing outcomes of tracheostomy.

33 or bleeding and wound infection for surgical tracheostomies.

34 d infection, and major bleeding for surgical tracheostomies.

35 59.7%) had feeding tubes and 215 (30.0%) had tracheostomies.

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

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

38 1-51] h; P = 0.001) and a trend toward fewer tracheostomies (17 vs. 28; P = 0.075).

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

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

41 Peak inspiratory pressures were lower after tracheostomy (30.4 +/- 1.4 [pre] vs. 27.6 +/- 1.5 cm H2O

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

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

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

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

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

47 /- 4%, 63% with inhalation injury) underwent tracheostomy a mean of 3.9 +/- 0.7 days after admission.

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

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

50 fely perform bedside percutaneous dilational tracheostomy after previous tracheostomy.

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

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

53 .0 vs. 5.0 d; P = 0.01), and underwent fewer tracheostomies and episodes of protracted ventilation.

54 Mice were subjected to tracheostomy and arterial cannulation.

55 Tracheostomy and dependence on a gastric feeding tube we

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

57 d 2) mechanical ventilation for 1 month with tracheostomy and feeding tube placement.

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

59 Both required tracheostomy and mechanical ventilation and afterward de

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

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

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

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

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 Mature rabbits were instrumented with a tracheostomy and vascular catheters.

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

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

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

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

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

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

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 l to tracheostomy insertion, the duration of tracheostomy, and tracheostomy complications.

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

79 After smoke exposure and tracheostomy, animals were divided into three groups.

80 In patients undergoing procedures other than tracheostomy, aspiration pneumonia was independently ass

81 At most, 22% of patients were supported via tracheostomy at any given time.

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

83 The authors recommend that early tracheostomy be considered in patients with a history of

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

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

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

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

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

89 domized to receive a percutaneous dilational tracheostomy by either the single- or multiple-dilator t

90 Percutaneous dilational tracheostomy can be safely performed on patients with ac

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

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

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

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

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

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

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

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

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

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

101 insertion, the duration of tracheostomy, and tracheostomy complications.

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

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

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

105 tubated patients) of ventilatory support met tracheostomy criteria.

106 Subjects' previous tracheostomies dated back between 10 days and 8 yrs.

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

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

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

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

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

112 Percutaneous dilational tracheostomy during high-frequency oscillatory ventilati

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

114 6 hrs) and Diagnosis Related Group code 483 (tracheostomy except for face, neck, and mouth diagnoses)

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

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

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

118 e and effective alternative to open surgical tracheostomy for intubated patients who require elective

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

120 Patients who require tracheostomy for prolonged mechanical ventilation have p

121 The incidence of tracheostomy for prolonged mechanical ventilation increa

122 Between 1993 and 2002, the incidence of tracheostomy for prolonged mechanical ventilation increa

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

124 Delay of tracheostomy for roughly 2 weeks after translaryngeal in

125 Delay of tracheostomy for roughly 2 weeks after translaryngeal in

126 Tracheostomy frequency and timing varied significantly c

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

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

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

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

131 Patients in the initial tracheostomy group did not differ in terms of the variab

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

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

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

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

136 Previous tracheostomy has been considered a relative contraindica

137 suggested that severely burned patients with tracheostomies have a higher incidence of tracheostomy s

138 None of the patients who underwent initial tracheostomy, however, had an airway emergency or died.

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

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

141 The role of tracheostomy in burn patients is controversial.

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

143 assess the safety of percutaneous dilational tracheostomy in critically ill patients with a history o

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

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

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

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

148 Early tracheostomy in severely burned children is safe and eff

149 o determine the safety and efficacy of early tracheostomy in severely burned children.

150 cedure of choice for electively establishing tracheostomy in the appropriately selected patient who r

151 nd more rapidly performed method for bedside tracheostomy in the intensive care unit.

152 acheostomy offers an alternative to surgical tracheostomy in this particular patient population and s

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

154 le NH(4)(+) was collected from subjects with tracheostomies, indicating oral formation.

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

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

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

158 variables recorded included the interval to tracheostomy insertion, the duration of tracheostomy, an

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

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

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

162 Tracheostomy is a widely used intervention in adult crit

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

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

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

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

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

168 Percutaneous tracheostomy is now established in intensive care practi

169 Early tracheostomy is potentially overused among mechanically

170 Risk factors for death included tracheostomy, long-term mechanical ventilation, and cyto

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

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

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

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

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

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

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

178 Percutaneous dilational tracheostomy offers an alternative to surgical tracheost

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

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

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

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

183 utable to either the percutaneous dilational tracheostomy or high-frequency oscillatory ventilation.

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

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

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

187 tubations (p <.001), hemodialysis (p <.001), tracheostomy (p <.001), central venous catheters (p <.00

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

189 Although a minority, tracheostomy patients accounted for 26.2%, 21.0%, and 13

190 Tracheostomy patients had a higher survival rate than no

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

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

193 were no differences in days intubated before tracheostomy (PDT, 12.7 +/- 1.1 days; ST, 15.6 +/- 1.9,

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

195 25%), median mechanical ventilation days to tracheostomy placement (from 12 to 10 days), and median

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

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

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

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

200 Tracheostomy practice in 200 patients was analyzed in re

201 Tracheostomy practice in the setting of critical illness

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

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

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

205 As a result, tracheostomy practice varies considerably.

206 surveyed to better understand perceptions of tracheostomy practice.

207 uence of clinical and nonclinical factors on tracheostomy practice.

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

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

210 multidisciplinary Johns Hopkins Percutaneous Tracheostomy Program.

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

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

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

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

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

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

217 Tracheostomy-related complications were reported for 6.3

218 There were no tracheostomy site infections, tracheostomy-related deaths, or tracheal stenoses in sur

219 Tracheostomy-related variables recorded included the int

220 Tracheostomy remains one of the most commonly performed

221 olonged mechanical ventilation patients with tracheostomies represented only 7% of all who required m

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

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

224 Percutaneous dilational tracheostomy should be considered the preferred techniqu

225 The decision regarding tracheostomy should be made on day 8 of mechanical venti

226 th tracheostomies have a higher incidence of tracheostomy site infections, mortality, and pneumonia.

227 There were no tracheostomy site infections, tracheostomy-related death

228 requirements (total parenteral nutrition and tracheostomy), specific diagnoses including acquired car

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

230 For scheduled tracheostomy, surgical critical care departments reporte

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

232 The single-dilator percutaneous tracheostomy technique is a safe, cost-effective, and mo

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

234 After tracheostomy, the lambs were mechanically ventilated and

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 The utility of tracheostomy to expedite weaning and prevent complicatio

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

244 ged after placement of central catheters and tracheostomy to lower respiratory system compliance and

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

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

247 catheter, a pulmonary artery catheter, and a tracheostomy tube and studied awake.

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

249 All animals had a tracheostomy tube designed for total liquid ventilation

250 A cuffed tracheostomy tube facilitates prolonged mechanical venti

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

252 Decisions regarding tracheostomy tube removal after mechanical ventilation o

253 lace, was placed 5 cm through the top of the tracheostomy tube ventilator adapter in five consecutive

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

255 s received an 8-mm and three received a 7-mm tracheostomy tube.

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

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

258 echnologies (ventilators, gastrostomy tubes, tracheostomy tubes, and parenteral nutrition; 30.3% vs.

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 racheostomy consultation form did not impact tracheostomy utilization.

271 tubation time before percutaneous dilational tracheostomy varied between 4 and 30 days.

272 mode of ventilation, presence or absence of tracheostomy, ventilation variables of peak and mean air

273 Tracheostomy, volume-controlled mechanical ventilation,

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

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

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

277 Tracheostomy was more common in surgical patients, men,

278 Early tracheostomy was not associated with an improvement in m

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

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

281 Early tracheostomy was performed in 39 patients and late trach

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

283 Bedside percutaneous dilational tracheostomy was performed successfully in all 14 patien

284 Percutaneous dilational tracheostomy was performed using the single-dilator tech

285 After tracheostomy was performed, sheep were connected to a vo

286 Percutaneous dilational tracheostomy was safely performed on all five patients.

287 PDT percutaneous dilatational tracheostomy was subsequently performed with US guidance

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

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

290 Tracheostomies were created in 29% of patients.

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

292 A total of 17 tracheostomies were performed.

293 All patients who underwent tracheostomy were included for analysis.

294 position (no extension) during percutaneous tracheostomy, whereas one patient with low suspicion of

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

296 The smoke was insufflated into a tracheostomy with a modified bee smoker at airway temper

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