tailieunhanh - Báo cáo khoa học: "Clinical review: Percutaneous dilatational tracheostomy"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Percutaneous dilatational tracheostomy. | Available online http content 10 1 202 Review Clinical review Percutaneous dilatational tracheostomy Mariam A Al-Ansari1 and Mohammed H Hijazi2 1 Consultant Intensivist Salmaniya Medical Complex Ministry of Health Manama Kingdom of Bahrain 2Assistant Professor of Medicine Consultant Intensivist Section of Critical Care Medicine Department of Medicine King Faisal Specialist Hospital and Research Centre Riyadh Kingdon of Saudi Arabia Corresponding author Mariam A Al-Ansari dr_mariam5@ Published 26 October 2005 This article is online at http content 10 1 202 2005 BioMed Central Ltd Critical Care 2006 10 202 doi cc3900X Abstract As the number of critically ill patients requiring tracheotomy for prolonged ventilation has increased the demand for a procedural alternative to the surgical tracheostomy ST has also emerged. Since its introduction percutaneous dilatational tracheostomies PDT have gained increasing popularity. The most commonly cited advantages are the ease of the familiar technique and the ability to perform the procedure at the bedside. It is now considered a viable alternative to ST in the intensive care unit. Evaluation of PDT procedural modifications will require evaluation in randomized clinical trials. Regardless of the PDT technique meticulous preoperative and postoperative management are necessary to maintain the excellent safety record of PDT. Introduction Tracheostomy is one of the oldest surgical procedures described in ancient books of medicine 1 . The standard operative tracheostomy technique presented by Jackson 2 remains little changed more than 100 years on. Several tracheostomy techniques have been described as percutaneous 3 4 . A technique of performing percutaneous dilatational tracheostomy PDT over a guidewire was first described by Ciaglia in 1985. It is increasingly being performed in intensive care units ICUs at the bedside. The Ciaglia technique including its modifications has become the most