Early Mortality Rate of Morbidly Obese Patients after Tracheotomy

“…This is only relevant where appropriate equipment and expertise is immediately available and the patient is clinically stable [34,66,94,95]. This should not delay the removal of a blocked or displaced tube when faced with a deteriorating patient.…”

Section: Removal Of the Tracheostomy Tubementioning

confidence: 99%

“…Continued attempts at 'rescue' ventilation will not be effective as the airway is obstructed and the tracheostomy tube should be removed. Although there may be concerns about the consequences of removing a tracheostomy tube at this stage (especially from a patient with a difficult or obstructed upper airway, or one whose tracheostomy is known to be difficult) [94,95], when faced with a deteriorating patient with an obstructed airway, a non-functioning tracheostomy offers no benefit, with considerable potential for harm [36,89,[96][97][98]. Following tracheostomy tube removal, reassessment at both airways (mouth and trachea) is required, ensuring oxygen is reapplied to face and stoma [36,98,99].…”

Section: Removal Of the Tracheostomy Tubementioning

confidence: 99%

Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies

et al. 2012

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SummaryAdult tracheostomy and laryngectomy airway emergencies are uncommon, but do lead to significant morbidity and mortality. The National Tracheostomy Safety Project incorporates key stakeholder groups with multi‐disciplinary expertise in airway management. , the Intensive Care Society, the Royal College of Anaesthetists, ENT UK, the British Association of Oral and Maxillofacial Surgeons, the College of Emergency Medicine, the Resuscitation Council (UK) the Royal College of Nursing, the Royal College of Speech and Language Therapists, the Association of Chartered Physiotherapists in Respiratory Care and the National Patient Safety Agency. Resources and emergency algorithms were developed by consensus, taking into account existing guidelines, evidence and experiences. The stakeholder groups reviewed draft emergency algorithms and feedback was also received from open peer review. The final algorithms describe a universal approach to managing such emergencies and are designed to be followed by first responders. The project aims to improve the management of tracheostomy and laryngectomy critical incidents.

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“…Numerous studies demonstrate a greater mortality rate and complications in emergency situations. [2][3][4][5][6][7][8] Complications may be categorized according to the timing of onset (intraoperative or postoperative), and by their magnitude, which may range from relatively insignificant to life threatening. While their incidence may be reduced, their elimination is not possible.…”

mentioning

confidence: 99%