Early Tracheostomy and Complications in Head and Neck Surgery Early Tracheostomy and Complications in Head and Neck Surgery
Might early elective tracheostomy reduce the incidence of postoperative pneumonia and delirium in patients undergoing head and neck surgery?BMC Anesthesiology
Conclusions: The incidence of POPC was 12.1% following infratentorial tumor surgery. The predictors for the occurrence of POPCs were postoperative blood transfusion, LCN palsy, prolonged ICU stay, and tracheostomy.
This study evaluated the influence of early elective tracheostomy on the incidence of postoperative pneumonia and delirium.
ConclusionThe results of our study lead us to recommend continuing to perform temporary tracheotomies in oral cancer surgery with microvascular flap reconstruction. The overall complication rate is low and postoperative airway management can be performed in a safe and controlled manner. Nevertheless, the time period for the inserted cannula should be kept as short as possible.
astı AÇ Abstract BACKGROUND: Due to a massive increase in capillary permeability during the state of shock caused by burns, albumin and intravascular fluid rapidly move to the extravascular areas. Therefore, hypoalbuminemia is seen as an early and prolonged finding in major burns. Hypoalbuminemia leads to various problems. The aim of this study was to investigate the effect of the preoperative albumin level on perioperative morbidity and mortality in patients with major burns. METHODS: Demographic data, preoperative albumin levels, surgical records, and clinical follow-up records of a total of 61 pati...
Abstract Percutaneous endoscopic gastrostomy (PEG) is widely used to provide nutritional support for patients with dysphagia and/or disturbed consciousness preventing oral ingestion, and PEG tube placement is a relatively safe and convenient non-surgical procedure performed under local anesthesia. However, the prevention of PEG-insertion-related complications is important. A 64-year-old man with recurrent pneumonia underwent tracheostomy and nasogastric tube placement for nutritional support and opted for PEG tube insertion for long-term nutrition. However, during the insertion procedure, needle puncture had to be...
Conclusion: Aerosolized indomethacin has a protective effect against alveloar tissue permeability and inflammatory response induced by BCT. PMID: 30418008 [PubMed - in process]
Publication date: Available online 15 September 2018Source: The American Journal of SurgeryAuthor(s): Monica C. Azmy, Amy P. Bansal, Candice Yip, Evelyne KalyoussefAbstractBackgroundIncreased anesthesia time may lead to respiratory complications in patients receiving tracheostomy, which contributes to patient morbidity.MethodsThe American College of Surgeon’s National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for cases of planned tracheostomy (CPT 31600) from 2005-2012. Patients were stratified into quintiles based on anesthesia duration. Pearson’s chi square, Fischer’s exact t...
This study sought to describe the practice of nasal intubation in the pediatric population undergoing cardiopulmonary bypass surgery and assess the risks/benefits of a nasal route against an oral one. METHODS: Patients
CONCLUSIONS: During MV, the late-onset HAP subgroup was shown to have the highest Pinsp, PEEP and FiO2, the longest MV time, ICU and hospital stay, the highest frequency of tracheostomy, reconnection to MV, pulmonary hygiene bronchoscopy and the highest mortality compared to the early-onset HAP and CAP subgroups. The lowest values were found in the mechanically ventilated patients without pneumonia. The differences were due to the severity of lung damage that is graduated from CAP over early-onset HAP after late-onset HAP. PMID: 29109556 [PubMed - as supplied by publisher]
CONCLUSION: Our study showed superiority of invasive over noninvasive mode of ventilator support. However, NIPPV (bilevel positive airway pressure) was proved to be a safe method. PMID: 28994676 [PubMed - in process]