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Surgical cricothyroidotomy in trauma patients.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Southern Medical Association Country of Publication: United States NLM ID: 0404522 Publication Model: Print Cited Medium: Print ISSN: 0038-4348 (Print) Linking ISSN: 00384348 NLM ISO Abbreviation: South Med J Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Birmingham, AL : Southern Medical Association
    • الموضوع:
      Intubation, Intratracheal* ; Postoperative Complications*; Cricoid Cartilage/*surgery ; Respiration, Artificial/*adverse effects ; Thyroid Gland/*surgery ; Tracheostomy/*adverse effects ; Wounds and Injuries/*therapy; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Contraindications ; Female ; Glasgow Coma Scale ; Humans ; Injury Severity Score ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Retrospective Studies ; Time Factors
    • نبذة مختصرة :
      Background: Surgical airway intervention is occasionally necessary due to contraindicated or failed endotracheal intubation. In cricothyroidotomy patients, a choice exists between continued long-term ventilation via the cricothyroidotomy portal or conversion to tracheostomy. We examined whether conversion to tracheostomy reduces the risk of acute complications.
      Methods: We retrospectively identified 46 patients with cricothyroidotomies performed at our level I trauma center over a 63-month period. We reviewed the success rate, indications, etiology, and complications.
      Results: An airway was obtained in all cases. The most common indicator for surgical airway intervention was unsuccessful endotracheal intubation. The cause of death among nonsurvivors was not due to airway complications. Of the 15 surviving patients, 8 had conversions to tracheostomy and 7 patients did not have conversions but had decannulations. The converted group had a greater percentage of acute complications than the nonconverted group.
      Conclusion: Rate of acute complications with prolonged ventilation via cricothyroidotomy portal is equal to, if not lower than, via converted tracheostomy. Cricothyroidotomy in trauma patients may be used long term without any increase in acute complications.
    • الموضوع:
      Date Created: 20030813 Date Completed: 20030827 Latest Revision: 20191210
    • الموضوع:
      20231215
    • الرقم المعرف:
      10.1097/01.SMJ.0000054272.54341.60
    • الرقم المعرف:
      12911185