A multi‐institutional analysis of tracheotomy complications

@article{Halum2012AMA,
  title={A multi‐institutional analysis of tracheotomy complications},
  author={Stacey Halum and Jonathan Y Ting and Emily K. Plowman and Peter C Belafsky and Claude F. Harbarger and Gregory N. Postma and Michael J Pitman and D. Lamonica and Augustine L. Moscatello and Sid M. Khosla and Christy E. Cauley and Nicole C. Maronian and Samir A. Melki and Cameron C. Wick and John T. Sinacori and Zrria White and Ahmed I. Younes and Dale C Ekbom and Maya G Sardesai and Albert L. Merati},
  journal={The Laryngoscope},
  year={2012},
  volume={122}
}
To define the prevalence of tracheotomy tube complications and evaluate risk factors (RFs) associated with their occurrence. 
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References

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TLDR
An updated meta‐analysis investigating differences in complication rates, procedure times, and costs between percutaneous dilational tracheotomy, operating room surgical tracheotomies, and bedside surgical trachotomy is performed.
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TLDR
In a review of tracheostomies, 100 of which were performed at the Naval Hospital, San Diego, the overall complication rate is 15.8% and the two most common causes of death are hemorrhage and displaced tube.
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Close postoperative supervision by nursing staff specially trained in the care of trachostomies is of paramount importance in avoiding hypoxic complications secondary to displacement of the tracheostomy tube.
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TLDR
Findings support PDT as the procedure of choice for the establishment of elective tracheostomy in the appropriately selected critically ill patient, including ease of performance, and lower incidence of peristomal bleeding and postoperative infection.
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TLDR
A retrospective study of 1130 consecutive tracheotomies performed during 1 decade found a relatively low overall complication and mortality rate compared with other large series and tracheal stenosis was the most common complication in contrast to other series.
Tracheostomy. Laryngoscope 1909;19:285–290
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