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Procedure: Tracheostomy

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Total 264 results found since Jan 2013.

Predictive value of serum creatinine/cystatin C in neurocritically ill patients
ConclusionsSerum Cr/CysC ratio at admission could be used as a predictor of long ‐term poor prognosis in neurocritically ill patients.
Source: Brain and Behavior - November 7, 2019 Category: Neurology Authors: Shengnan Wang, Ling Xie, Jiawei Xu, Yanhong Hu, Yongming Wu, Zhenzhou Lin, Suyue Pan Tags: ORIGINAL RESEARCH Source Type: research

Outcomes of Repair of Kommerell’s Diverticulum
ConclusionsOpen and endovascular approaches have a high success rate and low mortality risk. Selection of the specific type of intervention should be based on patient’s anatomy, additional needed procedures, and comorbid conditions.
Source: The Annals of Thoracic Surgery - June 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contemporary trends and outcomes of mitral valve surgery for infective endocarditis
ConclusionMitral valve repair in IE patients is associated with lower in ‐hospital mortality, resource utilization, and cost compared with MV replacement.
Source: Journal of Cardiac Surgery - June 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mohamad Alkhouli, Fahad Alqahtani, Chalak Berzingi, Chris C. Cook Tags: SURGICAL TECHNIQUE Source Type: research

Patient characteristics and outcomes of a home mechanical ventilation program in a developing country
Conclusions: HMV is feasible for patients with neurological diseases and COPD in a developing country. The relatively high rate of complications indicates the need for more comprehensive clinical services for chronic ventilator-dependent patients in this setting.
Source: Lung India - April 23, 2019 Category: Respiratory Medicine Authors: Narongkorn Saiphoklang Apichart Kanitsap Pitchayapa Ruchiwit Pattarin Pirompanich Thiti Sricharoenchai Christopher B Cooper Source Type: research

Tracheostomy After Thoracoabdominal Aortic Aneurysm Repair: Risk Factors and Outcomes
ConclusionsPatients who undergo tracheostomy after TAAA repair have a high risk of early and late mortality, as well as prolonged hospitalization. Strategies for improving survival outcomes in tracheostomy patients warrant investigation.
Source: The Annals of Thoracic Surgery - March 29, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Brachytherapy of tongue carcinoma in a patient with difficult airway: anesthetic considerations.
We report a 74-year-old chronic smoker, chronic alcoholic with history of stroke, who had undergone brachytherapy for tongue carcinoma. Apart from a huge tongue tumor, he had an epiglottic mass but refused elective tracheostomy. This had led to a few critical states throughout the process of treatment, including a metabolic crisis due to thiamine deficiency and difficult airway crisis. To our best knowledge, there have been no reported case on a patient with vocal cord mass undergoing tongue brachytherapy. We hope sharing of this experience may aid the management of similar patients in future. PMID: 30662482 [PubMed]
Source: Journal of Contemporary Brachytherapy - January 23, 2019 Category: Cancer & Oncology Tags: J Contemp Brachytherapy Source Type: research

Earlier tracheostomy and percutaneous endoscopic gastrostomy in patients with hemorrhagic stroke: associated factors and effects on hospitalization.
CONCLUSIONSThis study identified patient risk factors associated with increased likelihood of tracheostomy and PEG in patients with hemorrhagic stroke who were critically ill. Additionally, we found that the timing of tracheostomy was associated with length of ICU stay and overall hospital stay, and that the timing of PEG was associated with overall length of hospitalization. Complication rates related to tracheostomy and PEG in this population were minimal. This retrospective data set supports some benefit to earlier tracheostomy and PEG placement in this population and justifies the need for further prospective study. ...
Source: Journal of Neurosurgery - January 4, 2019 Category: Neurosurgery Authors: McCann MR, Hatton KW, Vsevolozhskaya OA, Fraser JF Tags: J Neurosurg Source Type: research

CAR 2. Results of Carotid Artery Stenting in a Belgian “Real-World” Practice
Carotid artery stenting (CAS) is a valuable solution for the treatment of carotid artery stenosis in a population of patients at high risk for carotid endarterectomy (CEA). This high-risk population includes patients with recurrent stenosis after CEA, high/low lesion, contralateral laryngeal nerve palsy, previous radical neck surgery, cervical radiation therapy, and tracheostomy. In the European Society for Vascular Surgery guidelines, however, the authors were concerned about the death and stroke rates of CAS in “real-world” practice.
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Laura Kerselaers, Sarah Gallala, Dimitri Aerden, Karl Von Kemp, Erik Debing Source Type: research

Repair of Thoracic and Thoracoabdominal Mycotic Aneurysms and Infected Aortic Grafts Using Allograft
ConclusionsRadical resection and in situ reconstruction with CPA avoids placing prosthetic material in an infected field and provides good early and midterm outcomes. However, early postoperative imaging is necessary given the risk of pseudoaneurysm formation.
Source: The Annals of Thoracic Surgery - September 21, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pharyngeal Electrical Stimulation Shows Promise in Post-Stroke Dysphagia Pharyngeal Electrical Stimulation Shows Promise in Post-Stroke Dysphagia
Pharyngeal electrical stimulation (PES) allows successful decannulation in patients with stroke and subsequent tracheotomy, according to results from the PHAST-TRAC randomized trial.Reuters Health Information
Source: Medscape Today Headlines - September 18, 2018 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Predictors for Tracheostomy with External Validation of the Stroke-Related Early Tracheostomy Score (SETscore)
ConclusionsSETscore is a simple score with a moderate accuracy and with a fair AUC used to predict the need for TR after MV for IS, ICH, and SAH patients. Our study also demonstrates that early TR was associated with a lower ICU LOS and VD in our cohort. The utility of this score may be improved when including additional variables such as BMI, AA race, ICH, and positive sputum cultures.
Source: Neurocritical Care - August 30, 2018 Category: Neurology Source Type: research

Pharyngeal electrical stimulation for early decannulation in tracheotomised patients with neurogenic dysphagia after stroke (PHAST-TRAC): a prospective, single-blinded, randomised trial
Publication date: Available online 28 August 2018Source: The Lancet NeurologyAuthor(s): Rainer Dziewas, Rebecca Stellato, Ingeborg van der Tweel, Ernst Walther, Cornelius J Werner, Tobias Braun, Giuseppe Citerio, Mitja Jandl, Michael Friedrichs, Katja Nötzel, Milan R Vosko, Satish Mistry, Shaheen Hamdy, Susan McGowan, Tobias Warnecke, Paul Zwittag, Philip M Bath, Tobias Braun, Rainer Dziewas, Michael FriedrichsSummaryBackgroundDysphagia after stroke is common, especially in severely affected patients who have had a tracheotomy. In a pilot trial, pharyngeal electrical stimulation (PES) improved swallowing function in this ...
Source: The Lancet Neurology - August 29, 2018 Category: Neurology Source Type: research

Incidence and Risk Factors for Dysphagia Following Non-traumatic Subarachnoid Hemorrhage: A Retrospective Cohort Study
AbstractThe aim of the study is to investigate dysphagia incidence and establish factors which may reliably predict dysphagia risk in individuals presenting with non-traumatic subarachnoid hemorrhage (SAH). A retrospective chart audit of 250 patients (151 females and 99 males) consecutively admitted with non-traumatic SAH to a major, tertiary neurosurgery referral center in Australia was conducted. Demographics, medical, and surgical information, along with speech –language pathology (SLP) assessment data were collected. Differences between dysphagic and non-dysphagic groups were evaluated usingt tests,χ2, and Fisher ...
Source: Dysphagia - August 7, 2018 Category: Speech-Language Pathology Source Type: research

Urgent Endovascular Treatment for Non-traumatic Descending Thoracic Aortic Rupture
ConclusionEndoluminal repair of non-traumatic rupture of the descending thoracic aorta can be performed percutaneously. It showed a 30-day mortality of 18.1%, and no spinal cord injury or renal complications were observed in surviving patients at follow-up.Level of EvidenceLevel 4, case series.
Source: CardioVascular and Interventional Radiology - July 31, 2018 Category: Radiology Source Type: research

Recognition and Management of Life-Threatening Tracheovascular Fistulae and  How to Prevent Them
Formation of a fistula between trachea and a major artery or vein in the root of the neck threatens life quickly from combination of major external bleeding and hemorrhagic shock, and asphyxiation from flooding of the proximal airways with blood. This complication can occur after cervical tracheostomy open or percutaneous, tracheal resection, cervical exentration and anterior mediastinal tracheostomy, and laryngectomy. The recognition of its occurrence is clinical based on a high index of clinical suspicion. The life-saving operation for this complication carries potential risk for ischemic stroke. Impairment of arterial p...
Source: Thoracic Surgery Clinics - July 25, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Farid M. Shamji, Jean Deslauriers, Bill Nelems Source Type: research