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Procedure: Tracheostomy

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Total 264 results found since Jan 2013.

Tracheostomy, Extubation, Reintubation: Airway Management Decisions in Intubated Stroke Patients
Conclusion: Airway management decisions in intubated stroke patients represent a clinical challenge. Classical weaning criteria and parameters reflecting the patient's state of consciousness are not reliably predictive of extubation success. Criteria more closely related to airway safety and secretion handling may provide the most relevant information and should therefore be assessed by specific clinical scoring systems.Cerebrovasc Dis 2017;44:1-9
Source: Cerebrovascular Diseases - April 11, 2017 Category: Neurology Source Type: research

Parameters Influencing Tracheostomy Decannulation in Patients Undergoing Rehabilitation after severe Acquired Brain Injury (sABI)
Conclusions Parameters that could be used as positive predictors of weaning are: mean expiratory pressure, presence of spontaneous cough, and cough strength. Provoked cough and GCS were not predictive of weaning success. [...] Thieme-Revinter Publicações Ltda Rio de Janeiro, BrazilArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: International Archives of Otorhinolaryngology - April 3, 2017 Category: ENT & OMF Authors: Perin, Cecilia Meroni, Roberto Rega, Vincenzo Braghetto, Giacomo Cerri, Cesare Giuseppe Tags: Original Research Source Type: research

Occlusion of Tracheostomy Tubes Does Not Alter Pharyngeal Phase Kinematics But Reduces Penetration by Enhancing Pharyngeal Clearance: A Prospective Study in Patients With Neurogenic Dysphagia
Conclusions: Airflow and tracheostomy tube status did not influence the physiology of pharyngoesophageal swallowing in patients with neurogenic dysphagia. However, occluded TTs permitted the voluntary clearance of laryngeal residue and resulted in improved PA scores. We recommend performing dysphagia therapy in tracheotomized patients as soon as possible with uncuffed and occluded tubes.
Source: American Journal of Physical Medicine and Rehabilitation - March 17, 2017 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Timing of Decompressive Hemicraniectomy for Stroke Clinical Sciences
Conclusions—In this nationwide analysis, early decompressive craniectomy was associated with superior outcomes. However, performing decompression before herniation may be the most important temporal consideration.
Source: Stroke - February 26, 2017 Category: Neurology Authors: Hormuzdiyar H. Dasenbrock, Faith C. Robertson, Henrikas Vaitkevicius, M. Ali Aziz-Sultan, Donovan Guttieres, Ian F. Dunn, Rose Du, William B. Gormley Tags: Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Discussing Life-sustaining Therapy With Surrogate Decision Makers
This article presents a case, discusses definitions of medical futility, and summarizes recommended steps for mediating conflict regarding potentially inappropriate treatment.
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Ethical and Medicolegal Issues Source Type: research

Timing of Percutaneous Endoscopic Gastrostomy for Acute Ischemic Stroke Clinical Sciences
Background and Purpose—Stroke guidelines recommend time-limited trials of nasogastric feeding prior to percutaneous endoscopic gastrostomy (PEG) tube placement. We sought to describe timing of PEG placement and identify factors associated with early PEG for acute ischemic stroke.Methods—We designed a retrospective observational study to examine time to PEG for ischemic stroke admissions in the Nationwide Inpatient Sample, 2001 to 2011. We defined early PEG placement as 1 to 7 days from admission. Using multivariable regression analysis, we identified the effects of patient and hospital characteristics on PEG timing.Res...
Source: Stroke - January 22, 2017 Category: Neurology Authors: Benjamin P. George, Adam G. Kelly, George P. Albert, David Y. Hwang, Robert G. Holloway Tags: Health Services, Ischemic Stroke Original Contributions Source Type: research

Swallowing Function and Kinematics in Stroke Patients with Tracheostomies
This study demonstrated that stroke patients with tracheostomies had inferior swallowing function and kinematics than those without tracheostomies. A prospective longitudinal study is needed to elucidate the effect of a tracheostomy on swallowing recovery in stroke patients.
Source: Dysphagia - December 23, 2016 Category: Speech Therapy Source Type: research

Arterial ligation versus embolization in epistaxis management: Counterintuitive national trends
ConclusionCompared to embolization, ligation is associated with significantly decreased hospital charges and shorter hospital stay, without an increase in complication rates. Counterintuitively, ligation appears to be trending downward nationally in its use relative to embolization. Level of Evidence2C. Laryngoscope, 2016
Source: The Laryngoscope - December 22, 2016 Category: ENT & OMF Authors: Michael J. Sylvester, Sei Y. Chung, Luis A. Guinand, Aparna Govindan, Soly Baredes, Jean Anderson Eloy Tags: Allergy/Rhinology Source Type: research

Acute Posterior Cranial Fossa Hemorrhage —Is Surgical Decompression Better than Expectant Medical Management?
ConclusionsSDC following PCFH was associated with a reduction in mortality compared to expectant MT with or without EVD insertion. A high-quality multicenter randomized control trial is required to evaluate the superiority of SDC for PCFH.
Source: Neurocritical Care - November 30, 2016 Category: Neurology Source Type: research

E-048 Factors Associated with Early Tracheostomy and Percutaneous Gastrostomy and Their Effects on Hospitalization in Hemorrhagic Stroke Patients
ConclusionsHemorrhagic stroke is a devastating neurovascular event that requires prompt intervention and vigilant management. Our study identified patient risk factors that may suggest candidacy for tracheotomy and PEG. Additionally, we found that timing of PEG may shape a patient’s hospital course. Complication rates related to tracheostomy and PEG in this population were minimal. In conclusion, this retrospective data set supports some benefit to early PEG placement in this population, and justifies the need for further prospective study.DisclosuresM. McCann: None. J. Fraser: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: McCann, M., Fraser, J. Tags: Electronic poster abstracts Source Type: research

Patient Age and the Outcomes after Decompressive Hemicraniectomy for Stroke: A Nationwide Inpatient Sample Analysis
Conclusion In this nationwide analysis, DHC was associated with reduced mortality regardless of patient age, including among those aged greater than 70 years. However, patients aged greater than 60 years treated surgically experienced higher odds of mortality (32.4 %), discharge to institutional care (47.1 %), and a poor outcome (77.0 %) compared with younger patients.
Source: Neurocritical Care - July 11, 2016 Category: Neurology Source Type: research

A Day in the Life of an Acute Care SLP
Editor’s Note: This is an excerpt from a guest blog post that originally appeared on Tactus Therapy. In the post, speech-language pathologist Brenda Arend shares highlights of a typical day working in acute care at Providence St. Peter Hospital in Olympia, Washington. 8:30 a.m.: Assigning patients The first part of my day is spent opening up patient charts in our EPIC electronic medical record and assigning three SLPs to see patients in our 380-bed hospital. Two or three SLPs cover a caseload that ranges from 15 to 30 patients, although recently we see as many as 42. In addition, we also provide outpatient video fluo...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - June 9, 2016 Category: Speech Therapy Authors: Brenda Arend Tags: Speech-Language Pathology acute care Aphasia Cognitive Rehabilitation Dysphagia Health Care Swallowing Disorders Source Type: blogs

Acute Posterior Cranial Fossa Hemorrhage—Is Surgical Decompression Better than Expectant Medical Management?
Conclusions SDC following PCFH was associated with a reduction in mortality compared to expectant MT with or without EVD insertion. A high-quality multicenter randomized control trial is required to evaluate the superiority of SDC for PCFH.
Source: Neurocritical Care - April 11, 2016 Category: Neurology Source Type: research

Stroke Thrombolysis in a Tertiary Care Teaching Hospital in Saudi Arabia - A Single Center Experience (P2.282)
Conclusions: In our newly established stroke unit, the overall mortality and discharge disposition were comparable to standards. Women had significantly more stroke related complications. Patients older than 60 years had more thrombolysis related complications and were discharged with higher NIHSS.Disclosure: Dr. Khatri has nothing to disclose. Dr. Alkhathaami has nothing to disclose. Dr. Abulaban has nothing to disclose. Dr. Alhamouieh has nothing to disclose. Dr. Scriven has nothing to disclose. Dr. Tarawneh has nothing to disclose. Dr. Alrasheed has nothing to disclose. Dr. Kojan has received personal compensation for a...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khatri, I., Alkhathaami, A., Abulaban, A., Alhamouieh, O., Scriven, S., Tarawneh, M., Alrasheed, D., Kojan, S., Alotaibi, N., Al-Khalaf, A., Alshehri, A. M., El-Metwally, A. Tags: Acute Therapy: Thrombolysis and Adjuvant Therapy Source Type: research

Symptomatic Cerebral Ischemia Associated with Intensive Blood Pressure Lowering Following Acute Intracerebral Hemorrhage (I6.012)
Conclusions: Intensive BP lowering in ICH can be associated with catastrophic symptomatic cerebral ischemia. Disclosure: Dr. Organek has nothing to disclose. Dr. Donohue has nothing to disclose. Dr. Gotterer has nothing to disclose. Dr. Uchino has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Organek, N., Donohue, M., Gotterer, L., Uchino, K. Tags: Future Directions and Challenges in Stroke Team Action Therapy (STAT) Poster Presentations Source Type: research