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Procedure: Tracheostomy

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Total 264 results found since Jan 2013.

Early vs Standard Approach to Tracheostomy and Functional Outcome After Severe Stroke
This study followed a pilot trial that found that early tracheostomy was associated with lower use of sedatives and decreased 6-month mor tality.
Source: JAMA - September 13, 2022 Category: General Medicine Source Type: research

Early vs Standard Approach to Tracheostomy and Functional Outcome After Severe Stroke —Reply
In Reply In response to the Letters about SETPOINT2, we agree with Mr Li and Dr Zhou that the location and extent of the brain lesion(s) may be more related to tracheostomy need and timing than the exact vascular pathophysiology. This was in part our rationale for combining the 3 major stroke subtypes in the study population, assuming that by randomization differences in lesion location would be similarly distributed, as was the case between treatment groups. The suggestion to perform a post hoc subgroup analysis according to brain lesion location is appropriate, and that analysis is underway.
Source: JAMA - September 13, 2022 Category: General Medicine Source Type: research

Weaning Outcomes in Patients with Brain Injury
ConclusionsPatients with acute brain injury, compared with patients without brain injury, present higher odds of undergoing unplanned extubated after weaning was started, lower odds of being extubated after the first attempt, and a higher risk of reintubation.
Source: Neurocritical Care - September 1, 2022 Category: Neurology Source Type: research

What is Ondine ’ s Curse?
Discussion Congenital central hypoventilation syndrome (CCHS) is an autosomal dominant with variable inheritance genetic disease caused by mutation in the Paired Like Homeobox B2 (PHOX2B) gene on chromosome 4. There are two other genes which may also cause CCHS. CCHS affects the chemoreceptor afferent ventilation pathways and is a neural crest migration problem of the autonomic nervous system. The incidence is unknown but a prevalence of 1 in 200,000 live births has been reported. Obviously it is a rarer phenomenon because of the general lethality of the syndrome. Patients usually present at birth or soon afterwards, but o...
Source: PediatricEducation.org - August 15, 2022 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Analysis of Resting Energy Consumption and Its Influencing Factors in Stroke Patients with Severe Neurological Diseases: A Retrospective Clinical Study
Conclusion: Metabolic vehicle assay has a certain clinical value in accurately evaluating the metabolic needs and feeding level of patients.Neuroimmunomodulation
Source: Neuroimmunomodulation - May 25, 2022 Category: Allergy & Immunology Source Type: research

Early vs Standard Approach to Tracheostomy and Functional Outcome in Patients With Severe Stroke
This multicenter clinical trial investigated potential benefits of early vs standard tracheostomy in patients with severe stroke receiving mechanical ventilation.
Source: JAMA - May 17, 2022 Category: General Medicine Source Type: research

Early Tracheostomy No Aid for Severe Stroke Outcomes
Findings for six - month functional outcomes among patients with severe stroke receiving mechanical ventilation
Source: Pulmonary Medicine News - Doctors Lounge - May 11, 2022 Category: Respiratory Medicine Tags: Cardiology, Neurology, Pulmonology, Critical Care, Emergency Medicine, Journal, Source Type: news

No Benefit to Early Tracheostomy in Severe Stroke No Benefit to Early Tracheostomy in Severe Stroke
The findings don ' t end debate on whether an early or standard approach to tracheostomy yields better outcomes, but does give clinicians a choice.Medscape Medical News
Source: Medscape Cardiology Headlines - May 9, 2022 Category: Cardiology Tags: Neurology & Neurosurgery News Source Type: news

Arterial Atherosclerosis: Vascular Surgery Interventions
Am Fam Physician. 2022 Jan 1;105(1):65-72.ABSTRACTAtherosclerotic vascular disease is a leading cause of death worldwide. Atherosclerotic stenosis of the internal carotid or intracranial arteries causes up to 15% of strokes. Peripheral artery disease affects up to one in five people in the United States who are 60 years and older and nearly one-half of those who are 85 years and older. Renal artery stenosis may affect up to 5% of people with isolated hypertension and up to 40% of people with other atherosclerotic diseases. All patients with atherosclerotic vascular disease should receive a comprehensive program of guidelin...
Source: Atherosclerosis - January 14, 2022 Category: Cardiology Authors: Jonathon M Firnhaber C S Powell Source Type: research

Predictive Factors for the Need of Tracheostomy in Patients With Large Vessel Occlusion Stroke Being Treated With Mechanical Thrombectomy
Conclusions: Patients with LVOS undergoing MT are at high risk to require TS if extubation after the intervention fails, DH is needed, and severe infectious complications occur in the acute phase after ischemic stroke. These factors are likely to be useful for the indication and timing of TS to reduce overall sedation and shorten ICU length of stay.
Source: Frontiers in Neurology - November 26, 2021 Category: Neurology Source Type: research

Pediatric Medullary Stroke, Severe Dysphagia, and Multimodal Intervention
We present a 7-year-old male with 22q11.2 deletion syndrome (velocardiofacial syndrome) and velopharyngeal insufficiency who underwent pharyngeal flap surgery at an outside hospital whose post-operative course was complicated by adenovirus, viral myocarditis, and dorsal medullary stroke. He required a tracheostomy and gastrostomy tube. He was discharged from that hospital and readmitted to our hospital 4 months later for increased oxygen requirement, requiring a 5 month admission in the intensive care unit s. His initial VFSS revealed absent UES opening with the entire bolus remaining in the pyriform sinuses resulting in...
Source: Dysphagia - October 27, 2021 Category: Speech-Language Pathology Source Type: research