The Experts below are selected from a list of 21798 Experts worldwide ranked by ideXlab platform
David M. Goldenberg - One of the best experts on this subject based on the ideXlab platform.
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The Tracheotomy punch for urgent Tracheotomy: Tracheotomy Punch for Urgent Tracheotomy
The Laryngoscope, 2010Co-Authors: Ryan M. Mitchell, David W. Eisele, Ron Mitzner, David M. GoldenbergAbstract:Tracheotomy is a commonly performed surgical technique used for long-term mechanical ventilation, upper airway obstruction, need for pulmonary toilet, and as an adjunct to surgery where ventilation is anticipated. Urgent Tracheotomy may be performed when difficulty is encountered during an elective Tracheotomy, or when cricothyroidotomy is impossible or contraindicated due to distorted anatomy or laryngeal obstruction. Various methods of creating a tracheal opening have been described and each of these methods has technical advantages and disadvantages. In the urgent setting, a rapid and technically simple approach is needed for optimal results. We have used the Eisele Tracheotomy punch (Pilling, Teleflex Medical, Research Triangle Park, NC) for all tracheotomies, both elective and urgent. In this report we describe five illustrative cases in which the Tracheotomy punch was used successfully in the urgent setting to ensure rapid airway access.
Sylvain Nichols - One of the best experts on this subject based on the ideXlab platform.
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Tracheotomy and tracheostomy tube placement in cattle.
The Veterinary clinics of North America. Food animal practice, 2008Co-Authors: Sylvain NicholsAbstract:Either as an emergency treatment or as part of therapy, being able to perform a Tracheotomy and place a tracheostomy tube can be very useful for the bovine practitioner. This article presents different situations in which performing a Tracheotomy and placing a tracheostomy tube might be indicated. Then the procedure itself is described, with an emphasis on some key points that help facilitate the surgery. Different tubes are presented, and the management of the surgery site is discussed. Finally, complications associated with the procedure and their management are explored.
Ryan M. Mitchell - One of the best experts on this subject based on the ideXlab platform.
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The Tracheotomy punch for urgent Tracheotomy: Tracheotomy Punch for Urgent Tracheotomy
The Laryngoscope, 2010Co-Authors: Ryan M. Mitchell, David W. Eisele, Ron Mitzner, David M. GoldenbergAbstract:Tracheotomy is a commonly performed surgical technique used for long-term mechanical ventilation, upper airway obstruction, need for pulmonary toilet, and as an adjunct to surgery where ventilation is anticipated. Urgent Tracheotomy may be performed when difficulty is encountered during an elective Tracheotomy, or when cricothyroidotomy is impossible or contraindicated due to distorted anatomy or laryngeal obstruction. Various methods of creating a tracheal opening have been described and each of these methods has technical advantages and disadvantages. In the urgent setting, a rapid and technically simple approach is needed for optimal results. We have used the Eisele Tracheotomy punch (Pilling, Teleflex Medical, Research Triangle Park, NC) for all tracheotomies, both elective and urgent. In this report we describe five illustrative cases in which the Tracheotomy punch was used successfully in the urgent setting to ensure rapid airway access.
Stacey L. Halum - One of the best experts on this subject based on the ideXlab platform.
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A multi-institutional analysis of Tracheotomy complications.
The Laryngoscope, 2011Co-Authors: Stacey L. Halum, Gregory N. Postma, Jonathan Y. Ting, Emily K. Plowman, Peter C. Belafsky, Claude F. Harbarger, Michael J. Pitman, Donna Lamonica, Augustine Moscatello, Sid KhoslaAbstract:Objectives/Hypothesis: To define the prevalence of Tracheotomy tube complications and evaluate risk factors (RFs) associated with their occurrence. Study Design: Multi-institution historical cohort. Methods: Data regarding Tracheotomy tube complications from consecutive surgeries performed across eight participating institutions between January 1, 2008 and December 31, 2009 were retrospectively collected. Patient demographics, comorbidities, physician specialty, and surgical technique were recorded and statistically analyzed to identify the incidence of surgical complications following Tracheotomy and associated RFs. Results: The charts of 1,175 Tracheotomy procedures were reviewed from eight academic institutions. Otolaryngologists performed 66.2% of the tracheotomies. Intraoperative, early ( 7.5) and obesity were associated with the development of airway stenosis (P < .05).Twenty-two percent of patients undergoing Tracheotomy died during hospitalization. Conclusions: Perioperative Tracheotomy complications are rare; however, the rate of death for all causes is high (22%) in this population. Obesity and the use of endotracheal tubes over 7.5 in size are major risk factors for the development of airway stenosis. Although percutaneous Tracheotomy resulted in a significantly higher rate of postoperative bleeding (6.6%) than the open method (1.9%) (P < .05), the use of outer flange tracheostomy tube sutures may reduce this complication.Laryngoscope, 122:38–45, 2012
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Reducing Complications from Tracheotomy
Otolaryngology–Head and Neck Surgery, 2011Co-Authors: Albert L. Merati, Stacey L. Halum, Gregory N. Postma, Asit AroraAbstract:Program Description: While tracheotomies are regularly performed by otolaryngologists nationwide and abroad, technique and perioperative management vary widely between surgeons. Recently, the Academy Airway and Swallowing Committee performed a multi-institutional study reviewing the technique, management, and outcomes from a large series of consecutive tracheotomies. We have used our study, as well as national and international databases to construct Tracheotomy evidence-based guidelines for the otolaryngologist. We will discuss incorporation of tracheostomy care teams for the merging of quality care, medical economics, and patient safety. Guidelines will be presented in an interactive format (surveying the audience on their current practices) with the goal of optimizing intraoperative patient safety and minimizing early and late postoperative complications.Educational Objectives: 1) Understand the management factors associated with Tracheotomy complications. 2) Understand how tracheostomy care teams can ...
Kiyofumi Mitsui - One of the best experts on this subject based on the ideXlab platform.
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transtracheal endoluminal resection of a pleomorphic adenoma occluding subglottis
European Journal of Cardio-Thoracic Surgery, 2008Co-Authors: Shigemi Ishikawa, Yukinori Inadome, Masaki Kimura, Kiyofumi MitsuiAbstract:: A 71-year-old male was treated for suspected bronchial asthma because of dyspnea and stridor for 3 months before presenting at our hospital. Chest computed tomogram and a laryngotracheoscopy revealed a mass occupying the subglottic cavity. Instead of a laryngotracheal resection, the tumor was extirpated from the posterior wall of the subglottis and the first two tracheal rings successfully through a vertical Tracheotomy just above the life-saving trachestomy tube, and was diagnosed as pleomorphic adenoma. The patient is alive and well with no recurrent tumor 12 years after surgery, without any effect on the function of the voice or swallowing.
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case report transtracheal endoluminal resection of a pleomorphic adenoma occluding subglottis
2008Co-Authors: Shigemi Ishikawa, Yukinori Inadome, Masaki Kimura, Kiyofumi MitsuiAbstract:A 71-year-old male was treated for suspected bronchial asthma because of dyspnea and stridor for 3 months before presenting at our hospital. Chest computed tomogram and a laryngotracheoscopy revealed a mass occupying the subglottic cavity. Instead of a laryngotracheal resection, the tumor was extirpated from the posterior wall of the subglottis and thefirst two tracheal rings successfully through a vertical Tracheotomy just above the life-saving trachestomy tube, and was diagnosed as pleomorphic adenoma. The patient is alive and well with no recurrent tumor 12 years after surgery, without any effect on the function of the voice or swallowing. # 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
