The Experts below are selected from a list of 300 Experts worldwide ranked by ideXlab platform
Fausto Ferraro - One of the best experts on this subject based on the ideXlab platform.
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Dilation of tracheal stenosis below Tracheostomy Tube with Dolphin percutaneous Tracheostomy kit
General Thoracic and Cardiovascular Surgery, 2020Co-Authors: Alfonso Fiorelli, Mary Bove, Antonio Noro, Angela Iuorio, Mario Santini, Fausto FerraroAbstract:We reported a new minimally invasive procedure to treat tracheal stenosis below Tracheostomy Tube using standard Ciaglia Blue Dolphin kit for percutaneous Tracheostomy. Under endoscopic view, the Dolphin kit was inserted through the stoma into the stenosis; the balloon was inflated until a sufficient tracheal diameter was obtained; then, a longer Tracheostomy Tube was inserted through the stenosis and the distal tip placed near the carina. This procedure was succesfully applied in seven patients.
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dilation of tracheal stenosis below Tracheostomy Tube with dolphin percutaneous Tracheostomy kit tracheal stenosis treated with dolphin pdt
The Japanese Journal of Thoracic and Cardiovascular Surgery, 2020Co-Authors: Alfonso Fiorelli, Mary Bove, Antonio Noro, Angela Iuorio, Mario Santini, Fausto FerraroAbstract:: We reported a new minimally invasive procedure to treat tracheal stenosis below Tracheostomy Tube using standard Ciaglia Blue Dolphin kit for percutaneous Tracheostomy. Under endoscopic view, the Dolphin kit was inserted through the stoma into the stenosis; the balloon was inflated until a sufficient tracheal diameter was obtained; then, a longer Tracheostomy Tube was inserted through the stenosis and the distal tip placed near the carina. This procedure was succesfully applied in seven patients.
Alfonso Fiorelli - One of the best experts on this subject based on the ideXlab platform.
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Dilation of tracheal stenosis below Tracheostomy Tube with Dolphin percutaneous Tracheostomy kit
General Thoracic and Cardiovascular Surgery, 2020Co-Authors: Alfonso Fiorelli, Mary Bove, Antonio Noro, Angela Iuorio, Mario Santini, Fausto FerraroAbstract:We reported a new minimally invasive procedure to treat tracheal stenosis below Tracheostomy Tube using standard Ciaglia Blue Dolphin kit for percutaneous Tracheostomy. Under endoscopic view, the Dolphin kit was inserted through the stoma into the stenosis; the balloon was inflated until a sufficient tracheal diameter was obtained; then, a longer Tracheostomy Tube was inserted through the stenosis and the distal tip placed near the carina. This procedure was succesfully applied in seven patients.
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dilation of tracheal stenosis below Tracheostomy Tube with dolphin percutaneous Tracheostomy kit tracheal stenosis treated with dolphin pdt
The Japanese Journal of Thoracic and Cardiovascular Surgery, 2020Co-Authors: Alfonso Fiorelli, Mary Bove, Antonio Noro, Angela Iuorio, Mario Santini, Fausto FerraroAbstract:: We reported a new minimally invasive procedure to treat tracheal stenosis below Tracheostomy Tube using standard Ciaglia Blue Dolphin kit for percutaneous Tracheostomy. Under endoscopic view, the Dolphin kit was inserted through the stoma into the stenosis; the balloon was inflated until a sufficient tracheal diameter was obtained; then, a longer Tracheostomy Tube was inserted through the stenosis and the distal tip placed near the carina. This procedure was succesfully applied in seven patients.
Paul Gurr - One of the best experts on this subject based on the ideXlab platform.
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Balloon dilatation of tracheostomal stenosis with cuffed Tracheostomy Tube. A novel approach to tracheostomal dilatation.
The Laryngoscope, 2011Co-Authors: Samuel Mackeith, Miran Pankhania, Roland Hettige, Paul GurrAbstract:Postlaryngectomy tracheostomal stenosis is a common complication. Stomal narrowing can be severe, requiring urgent management with dilatation of the stoma. There are numerous ways to achieve this, ranging from forcibly inserting a larger Tracheostomy Tube, using a graduated dilator, to surgical intervention in the form of a stomaplasty. We describe an alternative technique using a readily available cuffed Tracheostomy Tube.
Paul Gurr Frcs - One of the best experts on this subject based on the ideXlab platform.
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balloon dilatation of tracheostomal stenosis with cuffed Tracheostomy Tube a novel approach to tracheostomal dilatation
Laryngoscope, 2011Co-Authors: Samuel Mackeith Mb Chb Mrcs A C Dohns, Miran Pankhania Mb Chb, Roland Hettige Mb Bs Bsc Mrcs Dohns And, Paul Gurr FrcsAbstract:Postlaryngectomy tracheostomal stenosis is a common complication. Stomal narrowing can be severe, requiring urgent management with dilatation of the stoma. There are numerous ways to achieve this, ranging from forcibly inserting a larger Tracheostomy Tube, using a graduated dilator, to surgical intervention in the form of a stomaplasty. We describe an alternative technique using a readily available cuffed Tracheostomy Tube. Laryngoscope, 2011
Henry T Stelfox - One of the best experts on this subject based on the ideXlab platform.
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Tracheostomy Tube malposition in patients admitted to a respiratory acute care unit following prolonged ventilation
Chest, 2008Co-Authors: Ulrich Schmidt, Dean R Hess, Jean Kwo, Susan Lagambina, Elise Gettings, Farah Khandwala, Luca M Bigatello, Henry T StelfoxAbstract:Background Tracheostomy Tube malposition is a barrier to weaning from mechanical ventilation. We determined the incidence of Tracheostomy Tube malposition, identified the associated risk factors, and examined the effect of malposition on clinical outcomes. Methods We performed a retrospective study on 403 consecutive patients with a Tracheostomy who had been admitted to an acute care unit specializing in weaning from mechanical ventilation between July 1, 2002, and December 31, 2005. Bronchoscopy reports were reviewed for evidence of Tracheostomy Tube malposition (ie, > 50% occlusion of lumen by tissue). The main outcome parameters were the incidence of Tracheostomy Tube malposition; demographic, clinical, and Tracheostomy-related factors associated with malposition; clinical response to correct the malposition; the duration of mechanical ventilation; the length of hospital stay; and mortality. Results Malpositioned Tracheostomy Tubes were identified in 40 of 403 patients (10%). The subspecialty of the surgical service physicians who performed the Tracheostomy was most strongly associated with malposition. Thoracic and general surgeons were equally likely to have their patients associated with a malpositioned Tracheostomy Tube, while other subspecialty surgeons were more likely (odds ratio, 6.42; 95% confidence interval, 1.82 to 22.68; p=0.004). Malpositioned Tracheostomy Tubes were changed in 80% of cases. Malposition was associated with prolonged mechanical ventilation postTracheostomy (median duration, 25 vs 15 d; p=0.009), but not with increased hospital length of stay or mortality. Conclusion Tracheostomy Tube malposition appears to be a common and important complication in patients who are being weaned from mechanical ventilation. Surgical expertise may be an important factor that impacts this complication.