Percutaneous Tracheostomy Tube Obstruction

Trottier, Steven; Ritter, Steven E.; Lakshmanan, Rekha; Sakabu, Stanley A.; Troop, Bryan

doi:10.1378/chest.122.4.1377

Cited by 24 publications

(15 citation statements)

References 21 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These figures correspond to the prevalence of cannula obstruction in the literature (0.3–3.5%) [13-15]. Strict adherence to nursing protocols and a low threshold for cleaning the inner cannula should be the standard of care in the intensive care unit.…”

Section: Discussionsupporting

confidence: 65%

Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study

et al. 2004

View full text Add to dashboard Cite

IntroductionTo evaluate and compare the peri-operative and postoperative complications of the two most frequently used percutaneous tracheostomy techniques, namely guide wire dilating forceps (GWDF) and Ciaglia Blue Rhino (CBR).MethodsA sequential cohort study with comparison of short-term and long-term peri-operative and postoperative complications was performed in the intensive care unit of the University Medical Centre in Nijmegen, The Netherlands. In the period 1997–2000, 171 patients underwent a tracheostomy with the GWDF technique and, in the period 2000–2003, a further 171 patients with the CBR technique. All complications were prospectively registered on a standard form.ResultsThere was no significant difference in major complications, either peri-operative or postoperative. We found a significant difference in minor peri-operative complications (P < 0.01) and minor late complications (P < 0.05).ConclusionDespite a difference in minor complications between GWDF and CBR, both techniques seem equally reliable.

show abstract

Section: Discussionsupporting

confidence: 65%

Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study

et al. 2004

View full text Add to dashboard Cite

show abstract

“…Respiratory secretions and mucus plugs, often occlude the tracheostomy tube cannula (50) in up to 57% of patients (51). Obstruction of the tracheal cannula by hematoma and swollen posterior tracheal wall is also possible (52).…”

Section: Complications Of Tracheostomymentioning

confidence: 99%

Percutaneous tracheostomy: a comprehensive review

Rashid

Islam

2017

J. Thorac. Dis.

View full text Add to dashboard Cite

Tracheostomy is a common procedure. It can be done surgically or percutaneously by dilating the stoma using Seldinger technique. Percutaneous tracheostomy (PT) is now routinely performed by surgeons and non-surgeons such as intensivists and anesthesiologists in the intensive care units (ICU) all over the world.Although obesity, emergent tracheostomy, coagulopathy, inability to extend the neck and high ventilator demand (HVD) were initially thought to be a relative contraindication, recent data suggest safety of PT in these patient population. Ultrasound can be helpful in limited cases to identify the neck structure especially in patients with a difficult anatomy. Bronchoscopy during PT can shorten the duration and avoid complications.PT has favorable complication rate, lower infection rate, shorter procedural duration and is cost-effective.Experience with the technique and careful planning is needed to minimize any avoidable potential complication.

show abstract

“…The incidence of tube obstruction in the present study was 13%, while Trottier et al observed tube obstruction of >25% of the tube in 57% of their patients. 17 None of the cases of tube obstruction in the present study were children, probably due to more attention to humidification and periodic suctioning of the tracheostomy tube in them.…”

Section: Discussionmentioning

confidence: 57%

Early complications of tracheostomy: a study on 100 patients at a single tertiary care centre

Pal

Singla

2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Tracheostomy is a life saving procedure, which when performed correctly greatly impacts the final outcome of the patient. Although uncommon, fatal complications have been known to occur. The present study was conducted to observe the incidence of early complications of tracheostomy in a tertiary care centre.Methods: 100 consecutive patients subjected to tracheostomy were enrolled, and data pertaining to the indication, and intraoperative and early postoperative complications was collected. Results: The overall incidence of complications was 77%, with 53% cases of intraoperative bleeding and 13% tube obstruction. A higher incidence of complications was noted in emergency procedures and pediatric tracheostomies. No mortality was seen in the present series.Conclusions: Serious complications may be associated with tracheostomies, many of which can be avoided by meticulous surgical technique and postoperative care.

show abstract

Percutaneous Tracheostomy Tube Obstruction

Cited by 24 publications

References 21 publications

Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study

Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study

Percutaneous tracheostomy: a comprehensive review

Early complications of tracheostomy: a study on 100 patients at a single tertiary care centre

Contact Info

Product

Resources

About