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Role of cricothyrotomy and percutaneous tracheostomy in airway management

Since Ciaglia et al described the percutaneous dilational tracheostomy in 1985, PDT has gained popularity over surgical tracheostomy in the intensive care setting. Percutaneous tracheostomy (PCT) requires less time to perform, it is less expensive and its typically performed sooner. In a meta-analys...

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Main Author: Mat Nor, Mohd Basri
Format: Conference or Workshop Item
Language:English
English
Published: 2012
Subjects:
R Medicine (General)
Online Access:http://irep.iium.edu.my/34822/1/programme_book_airway_2012.pdf
http://irep.iium.edu.my/34822/2/IIUM_airway_lecture_2012.pdf
http://irep.iium.edu.my/34822/
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spelling my.iium.irep.348222020-07-15T03:07:25Z http://irep.iium.edu.my/34822/ Role of cricothyrotomy and percutaneous tracheostomy in airway management Mat Nor, Mohd Basri R Medicine (General) Since Ciaglia et al described the percutaneous dilational tracheostomy in 1985, PDT has gained popularity over surgical tracheostomy in the intensive care setting. Percutaneous tracheostomy (PCT) requires less time to perform, it is less expensive and its typically performed sooner. In a meta-analysis of 17 randomized control trials, PDT offers several advantages such as decreased wound infections, decreased bleeding and mortality compared to surgical technique. Indications for PCT are the same as those for standard open tracheostomy. Established contraindications against PCT are unstable fractures of cervical spine, severe local infection of anterior neck and uncontrolled coagulopathy. Relative contraindications are high PEEP or oxygen requirements, difficult anatomy, proximity to extensive burns or surgical wounds, elevated ICP, hemodynamic instability and previous radiotherapy to the neck. In experienced hands, PDT seems to be a safe procedure. The number of relative contraindications to PDT declines with increasing operator experience. Overweight patients have a five times higher risk of perioperative complications with PDT than normal weight patients. 2012-11-01 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/34822/1/programme_book_airway_2012.pdf application/pdf en http://irep.iium.edu.my/34822/2/IIUM_airway_lecture_2012.pdf Mat Nor, Mohd Basri (2012) Role of cricothyrotomy and percutaneous tracheostomy in airway management. In: 2nd IIUM Airway Management Scientific Meeting 2012, 1st-2nd Nov. 2012, Kuantan, Pahang.
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic R Medicine (General)
spellingShingle R Medicine (General)
Mat Nor, Mohd Basri
Role of cricothyrotomy and percutaneous tracheostomy in airway management
description Since Ciaglia et al described the percutaneous dilational tracheostomy in 1985, PDT has gained popularity over surgical tracheostomy in the intensive care setting. Percutaneous tracheostomy (PCT) requires less time to perform, it is less expensive and its typically performed sooner. In a meta-analysis of 17 randomized control trials, PDT offers several advantages such as decreased wound infections, decreased bleeding and mortality compared to surgical technique. Indications for PCT are the same as those for standard open tracheostomy. Established contraindications against PCT are unstable fractures of cervical spine, severe local infection of anterior neck and uncontrolled coagulopathy. Relative contraindications are high PEEP or oxygen requirements, difficult anatomy, proximity to extensive burns or surgical wounds, elevated ICP, hemodynamic instability and previous radiotherapy to the neck. In experienced hands, PDT seems to be a safe procedure. The number of relative contraindications to PDT declines with increasing operator experience. Overweight patients have a five times higher risk of perioperative complications with PDT than normal weight patients.
format Conference or Workshop Item
author Mat Nor, Mohd Basri
author_facet Mat Nor, Mohd Basri
author_sort Mat Nor, Mohd Basri
title Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_short Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_full Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_fullStr Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_full_unstemmed Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_sort role of cricothyrotomy and percutaneous tracheostomy in airway management
publishDate 2012
url http://irep.iium.edu.my/34822/1/programme_book_airway_2012.pdf
http://irep.iium.edu.my/34822/2/IIUM_airway_lecture_2012.pdf
http://irep.iium.edu.my/34822/
_version_ 1672610096405807104
score 13.211869

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