Comparison of intubation and tracheotomy in adult patients with acute epiglottitis or supraglottitis

AbstractPurposeIn acute epiglottitis (AE) or acute supraglottitis (AS), the management of the airway is crucial. We hypothesized that tracheotomized patients recover faster than intubated patients do.MethodsWe retrospectively reviewed all adult AE and AS patients, who underwent intubation or tracheotomy between 2007 and 2018 in a tertiary care center. Patient demographics, treatment, and complications were analyzed.ResultsThe cohort comprised 42 patients. The airway was secured with intubation in 50% and with tracheotomy in 50%. All intubated patients (n = 21) and three tracheotomized patients were treated in the intensive care unit (p 
Source: European Archives of Oto-Rhino-Laryngology - Category: ENT & OMF Source Type: research

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Source: Intensive Care Medicine - Category: Intensive Care Source Type: research
Authors: Wannberg M, Miao X, Li N, Wikman A, Wahlgren CM Abstract Introduction Platelets are critical for hemostasis, and a low platelet count predicts mortality in trauma. The role of platelet dysfunction in severe traumatic hemorrhage and coagulopathy needs to be further defined. The aim of this study was to evaluate the platelet function in a new model of experimental traumatic hemorrhage. Material and methods New Zealand white rabbits (n = 10) were subjected to tracheostomy and trauma laparotomy, and then bilateral femur fractures with 40% hemorrhage of their estimated blood volume. Arterial blood gases, standa...
Source: Platelets - Category: Hematology Tags: Platelets Source Type: research
ConclusionsOur technique is simple and safe, not needing specific skills and/or cumbersome devices. The replacement of tracheostomy cannula with T ‐tube seems to improve quality of voice without adding major complications.
Source: The Clinical Respiratory Journal - Category: Respiratory Medicine Authors: Tags: ORIGINAL ARTICLE Source Type: research
PMID: 31624883 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research
Tracheal cuff hyperinflation can have serious complications resulting from decreased tracheal mucosal blood flow and range in severity from tracheal ulceration and necrosis, formation of tracheoesophageal or tracheoinnominate fistulae, recurrent laryngeal nerve injury, to fatal tracheal rupture (1).
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research
Abstract BACKGROUND: Early mobilization is part of the rehabilitation process for critically ill patients and is currently considered a means of preventing ICU-acquired muscle deterioration and worsening of physical function. We sought to determine whether the use of speaking valves in tracheostomized patients would improve their mobility. We evaluated the changes in mobility performance with the use of speaking valves in tracheostomized subjects. METHODS: We performed a cohort study of a series of subjects who were tracheostomized and were being weaned from mechanical ventilation between April 2016 and May 2...
Source: Respiratory Care - Category: Respiratory Medicine Authors: Tags: Respir Care Source Type: research
Tracheo-innominate fistula(TIF) is a life-threatening condition in patients with an existing tracheostomy and carries a high mortality rate. Mild bleeding from the tracheostomy site arises more often from mucosal trauma, but a ‘herald’ bleed from a TIF may be easily missed and so is the window to intervene in a controlled situation. In the setting of a major bleed from an old tracheostomy site, a majority of our readers may believe the standard of care for these patients is an emergent trip to the operating room and a STAT page to the on call cardiac surgeon.
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ADULT – Editorial Commentary Source Type: research
Objectives: Tracheostomy utilization has dramatically increased recently. Large gaps exist between expected and actual outcomes resulting in significant decisional conflict and regret. We determined 1-year patient outcomes and healthcare utilization following tracheostomy to aid in decision-making and resource allocation. Design: Retrospective cohort study. Setting: All California hospital discharges from 2012 to 2013 with follow-up through 2014. Patients: Nonsurgical patients who received a tracheostomy for acute respiratory failure. Interventions: None. Measurements and Main Results: Our primary outcome ...
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Clinical Investigations Source Type: research
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Source: Critical Care Medicine - Category: Emergency Medicine Tags: Clinical Investigations Source Type: research
Carter Roberts’ motorized wheelchair didn’t arrive until the day he died. It had been a long time coming and his parents had fought hard to get it. The chair cost more than $32,000 and the insurance companies wouldn’t cover it, so the family went to court. One insurer eventually agreed to pay for some components of the chair but not the whole thing. And then none of it mattered anyway. On Sept. 22, 2018, the Roberts’ doorbell rang and the chair was delivered. Also on Sept. 22, 2018, Carter died, just three months shy of his sixth birthday. He had been largely paralyzed for the final two years of his...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Infectious Disease viruses Source Type: news
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