Tracheostomy: Its Management and Alternatives

McClelland, R. M. A.

doi:10.1177/003591577206500442

Cited by 18 publications

(15 citation statements)

References 63 publications

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“…Around 400 BC, Alexander the Great reputedly performed a tracheostomy with his sword on a soldier who had a bone lodged in his throat. According to Frost [1] and McClelland [2], Aretaeus and Galen reported that Asclepiades of Bithynia, at about 100 Be, was the first surgeon to perform tracheostomies routinely as an elective procedure. Antyllus of Rome, working around 340 AD, was also noted for his skill at this procedure [1].…”

Section: Historical Developmentmentioning

confidence: 99%

“…Antyllus of Rome, working around 340 AD, was also noted for his skill at this procedure [1]. Little reference is made to tracheostomy throughout the Dark Ages, but in 1546 Brasavola reintroduced this operation to the medical community, [2]. Initially, physicians were terrified of this procedure.…”

Section: Historical Developmentmentioning

confidence: 99%

“…Initially, physicians were terrified of this procedure. Consequently, between 1546 and the early 1800s, there were only scattered reports in the medical literature of the use of tracheostomy for airway obstruction caused by abscesses, foreign bodies, or diphtheria With Trousseau's 1833 report of a series of about 200 tracheostomies performed for diphtheria, surgeons appreciated the potentially dramatic life-saving value of tracheostomy for upper airway obstruction and began to perform this procedure much more often [1,2].…”

Section: Historical Developmentmentioning

confidence: 99%

“…Tracheostomy, with its attendant problems, could be deferred entirely if respiratory failure resolved quickly. These attributes made TLI very appealing for the management of patients with nonoperative ventilatory failure [2].…”

Section: Historical Developmentmentioning

confidence: 99%

“…In 1951 TLI was usually limited to periods of 8 to 12 hours before tracheostomy [39]. By the late 1960s tracheostomy was deferred for three to five days [2,34,40], but in 1976 one group suggested allowing TLI for at least 11 days before tracheostomy [41]. In 1981 Stauffer and colleagues [42] recommended TLI for up to 3 weeks before tracheostomy [42].…”

Section: Historical Developmentmentioning

confidence: 99%

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Prolonged Intubation Versus Tracheostomy in the Adult

Colice

1987

J Intensive Care Med

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The development of mechanical ventilators that can en sure adequate respiration for long periods of time has led to the problem of determining how to best integrate patients into the machine's airflow circuits. Tracheal tubes with inflatable cuffs efficiently connect the patient to the machine, but the tubes may be placed in one of two ways. Each option has relative advantages and disad vantages. Translaryngeal intubation (TLI) can be per formed safety and quickly and is the preferred first step in airway management. However, when TLI is needed for prolonged periods, it may damage the larynx. Tra cheostomy, on the otherhand, has potential operative and tracheal complications, but presents little risk to the larynx and may be better tolerated by the patient requir ing long-term intubation. This review provides a histor ical background of these two methods and analyzes their respective advantages and complications. Guide lines for the optimal use of TLI and tracheostomy, par ticularly in adult patients requiring long-term intuba tion, are developed by comparing the risks and benefits of these two methods.

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Section: Historical Developmentmentioning

confidence: 99%

Section: Historical Developmentmentioning

confidence: 99%

Section: Historical Developmentmentioning

confidence: 99%

Section: Historical Developmentmentioning

confidence: 99%

Section: Historical Developmentmentioning

confidence: 99%

See 3 more Smart Citations

Prolonged Intubation Versus Tracheostomy in the Adult

Colice

1987

J Intensive Care Med

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Adverse Events Associated With Tracheostomy: A MAUDE Database Analysis

Narwani,

Dacey,

Lerner

2023

Otolaryngol.--head neck surg.

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ObjectiveTracheotomy is one of the most common procedures. Although tracheostomy complications have been extensively studied, literature related to device complications is scarce. The objective of this study is to describe complications associated with tracheostomies utilizing the Manufacturer and User Facility Device Experience (MAUDE) database.Study DesignRetrospective cross‐sectional study.SettingThe US Food and Drug Administration's (FDA) MAUDE database (2015‐2020).MethodsThe FDA's MAUDE database was queried for all reports on adverse events related to tracheostomy from January 1, 2015 to December 31, 2020.ResultsA total of 3086 adverse events related to open tracheostomy and 52 related to percutaneous tracheostomy were identified. For open tracheostomy, 2872 (93%), were related to device malfunction, and 214 (7%) consisted of patient‐related factors. The most frequently reported device‐related adverse event was cuff malfunction, with 1834 (59%) reported events, which includes cuff deflation, pilot balloon malfunction, and cuff inflation line malfunction. The most frequently reported patient‐related adverse events were tracheostomy tube obstruction with 67 events (2%). For percutaneous tracheostomy, 38 (73%) events were related to device malfunction, and 14 (27%) were related to patient injury. The most frequently reported adverse events were cuff malfunction (29%), safety ridge malfunction (17%), and bleeding (10%).ConclusionThe MAUDE database is a useful tool that can be utilized to complement existing literature in identifying common and rare adverse events associated with tracheostomy device‐related failures, which are mostly reliant on isolated, published case reports.

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Die Geschichte der Tracheotomie

Moser

2018

Tracheotomie Und Tracheostomaversorgung

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Tracheostomy: Its Management and Alternatives

Cited by 18 publications

References 63 publications

Prolonged Intubation Versus Tracheostomy in the Adult

Prolonged Intubation Versus Tracheostomy in the Adult

Adverse Events Associated With Tracheostomy: A MAUDE Database Analysis

Die Geschichte der Tracheotomie

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