Early Tracheostomy in Intensive Care Unit: A Retrospective Study of 506 Cases of Video-Guided Ciaglia Blue Rhino Tracheostomies

Zagli, Giovanni; Linden, M. M. J. M. van der; Spina, Rosario; Bonizzoli, Manuela; Cianchi, Giovanni; Anichini, Valentina; Matano, S; Benemei, Silvia; Nicoletti, Paola; Peris, Adriano

doi:10.1097/ta.0b013e3181a601b3

Cited by 49 publications

(25 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This mortality was associated with the underlying disease state since there were no identifiable procedure related mortalities or unforeseen events associated with bleeding, local infection, or lost airway. The lack of complications shows that the procedure can be done in critically ill patients safely at the bedside, which is consistent with other publications [16].…”

Section: Discussionsupporting

confidence: 79%

One Year Mortality Rates of Tracheostomy Cases: Life after the Knife

Baram¹

2015

ETS

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 79%

One Year Mortality Rates of Tracheostomy Cases: Life after the Knife

Baram¹

2015

ETS

View full text Add to dashboard Cite

“…18 Ultimately, 6 retrospective observational studies including 2,037 subjects were pooled together, and the data extracted. [19][20][21][22][23][24] The characteristics of the subjects and therapy information are listed in the Table. We did not observe heterogeneity with regard to mortality or VAP outcomes (P ϭ .76, I…”

Section: Resultsmentioning

confidence: 99%

“…Mortality events were reviewed for 5 trials. 19,20,[22][23][24] The risk of mortality in the early tracheotomy group was significantly lower than in the late tracheotomy group (26.1% vs 29.8%, respectively, relative risk 0.77, 95% CI 0.62-0.96, P ϭ .02, Fig. 1).…”

Section: Clinical End Point Eventsmentioning

confidence: 99%

See 1 more Smart Citation

Benefits of Early Tracheotomy: A Meta-analysis Based on 6 Observational Studies

Shan

Hao

et al. 2013

Respir Care

View full text Add to dashboard Cite

BACKGROUND: Whether early tracheotomy can improve the clinical outcomes of critically ill patients remains controversial. The current study aimed to discuss the potential benefits of early tracheotomy compared to late tracheotomy with meta-analysis of observational studies. METH-ODS: An electronic search (up to February 28, 2013) was conducted by a uniform requirement, and then clinical data satisfying the predefined inclusion criteria were extracted. RESULTS: Data from a total of 2,037 subjects were included from 6 observational retrospective studies. Meta-analysis suggested that early tracheotomy was associated with significant reductions in mortality (odds ratio 0.77, 95% CI 0.62-0.96), duration of mechanical ventilation (mean difference ؊10.04, 95% CI -15.15 to ؊4.92), ICU stay (mean difference ؊8.80 d, 95% CI -9.71 to ؊7.89 d), and hospital stay (mean difference ؊12.18 d, 95% CI -18.25 to ؊6.11 d). However, as compared with late tracheotomy, early tracheotomy did not reduce the incidence of ventilator-associated pneumonia. CON-CLUSIONS: Our meta-analysis of retrospective observational studies suggests that early tracheotomy performed between days 3 and 7 after intubation had some advantages, including decreased mortality and reduced ICU stay, hospital stay, and mechanical ventilation duration in ICU patients.

show abstract

“…However early tracheostomy was associated with more ventilator-free days, early weaning from mechanical ventilation and a shorter Intensive care unit length of stay. 15 Therefore, the timing of tracheostomy is the prerogative of the intensivist, dictated by the patient's clinical status. Two third of our study population had undergone late tracheostomy.…”

Section: Discussionmentioning

confidence: 99%

Fiberoptic bronchoscope guided percutaneous dilatational tracheostomy in intensive care unit: a prospective observational study

Azimee

Singh

2015

J. Soc. Anesth. Nep.

View full text Add to dashboard Cite

Background: The aim of the study was to evaluate the safety of fiberoptic bronchoscope guided percutaneous dilatational tracheostomy performed in the intensive care unit.Methods: This was a prospective clinical study done on 30 critically ill patients in Intensive care unit. A puncture was made with 16G cannula at the second or third tracheal interspace which was confirmed by the fiberoptic bronchoscope. This was followed by insertion of guide wire through the cannula followed by insertion of the guiding catheter over the guide wire. The tract was enlarged with white single stage dilator to allow placement of a standard tracheostomy tube. The procedure was continuously monitored with the fiberoptic bronchoscope. Complications were noted during procedure and till patient’s stay in Intensive care unit.Results: The study included 18 (60%) male and 12 (40%) female patients. The mean age was 64.5±8 years. Percutaneous dilatational tracheostomy was done early (<10 days) in 10 (33.3%) patients and late (>10 days) in 20 (66.7%) patients. Fentanyl was used for the procedure in all the patients and among them 8 (26.6%) patients required injection rocuronium. Average procedure duration, from incision to suture for 30 patients was 12.6± 2 minutes. Indication for tracheostomy was weaning failure in 22 (73.3%) patients and airway maintenance in 8 (26.6%) patients. The mean duration patient remained on mechanical ventilation was 12.6 days and mean length of stay in critical care unit before shifting to ward was 7.6 days after tracheostomy. Acute postprocedure complications were transient bleed in four patients (13.3%), two (6.7%) had stomal bleeding, one (3%) had tracheal mucosa laceration and another (3%) had subcutaneous emphysema. No cases of stomal infection, pneumothorax, tracheal laceration, paratracheal insertion, pneumothorax and pneumomediastinum. There was no procedure-related mortality. Conclusion: Fiberoptic bronchoscope guided percutaneous dilatational tracheostomy is safe and the method of choice for elective tracheostomy in the majority of intensive care patientsJournal of Society of Anesthesiologists of Nepal 2015; 2(2): 52-55

show abstract

Early Tracheostomy in Intensive Care Unit: A Retrospective Study of 506 Cases of Video-Guided Ciaglia Blue Rhino Tracheostomies

Cited by 49 publications

References 19 publications

One Year Mortality Rates of Tracheostomy Cases: Life after the Knife

One Year Mortality Rates of Tracheostomy Cases: Life after the Knife

Benefits of Early Tracheotomy: A Meta-analysis Based on 6 Observational Studies

Fiberoptic bronchoscope guided percutaneous dilatational tracheostomy in intensive care unit: a prospective observational study

Contact Info

Product

Resources

About