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138 results for “Tracheostomy”
Raw Data for the article: Apneic Tracheostomy in COVID-19 Patients on Veno-Venous Extracorporeal Membrane Oxygenation
<p>COVID-19 creates an impressive burden for intensive care units in terms of need for advanced respiratory care, with a huge number of acute respiratory distress syndromes (ARDS) requiring prolonged mechanical ventilation. In some cases, this proves to be insufficient, with a refractory respiratory failure calling for an extracorporeal approach (veno-venous ECMO). In this scenario, most of these patients need an early tracheostomy procedure to be carried out, which creates the risk of distribution of aerosol particles, possibly leading to personnel infection. The use of apneic tracheostomy has been proposed for COVID-19 patients, but in case of ECMO it may produce lung derecruitment, severe hypoxemia, and sudden worsening of respiratory mechanics. We developed an apneic tracheostomy technique and applied it in over 32 patients supported by veno-venous ECMO. We present data showing the safety and feasibility of this technique in terms of patient care and personnel protection. Gas exchange and pH did not show statistically significant changes after the tracheostomy, nor did respiratory mechanics data or the need for inspiratory pressure and FiO<sub>2</sub>. The use of apneic tracheostomy was a safe option for patient care during ECMO and reduced the possibility of virus spreading.</p>
Treatment of Tracheostomy Granulomas
ClinicalTrials.gov study NCT02116608. IPD Sharing: NO. Countries: 1. Publications: 4.
Tracheostomy Robotics and Cutting-edge Health Education for Airway Safety
ClinicalTrials.gov study NCT06236542. IPD Sharing: NO. Countries: 1. Publications: 4.
Aerosol Particle Concentrations Among Different Oxygen Devices for Spontaneous Breathing Patients With Tracheostomy
ClinicalTrials.gov study NCT04654754. IPD Sharing: NO. Countries: 1. Publications: 8.
Does Endurance Improve With the Use of Passy-Muir Valve for Patients With Tracheostomy?
ClinicalTrials.gov study NCT04941456. IPD Sharing: NO. Countries: 1. Publications: 4.
Safe and Effective Above Cuff Tracheostomy Ventilation
ClinicalTrials.gov study NCT04647786. IPD Sharing: NO. Countries: 1. Publications: 3.
Evaluation of a Tracheostomy Tube That Enables Communication
ClinicalTrials.gov study NCT02018562. IPD Sharing: Not stated. Countries: 1. Publications: 11.
Early Speech With One-Way Speaking Valve in Tracheostomy Patients
ClinicalTrials.gov study NCT03008174. IPD Sharing: NO. Countries: 1. Publications: 7.
Safety and Feasibility of Percutaneous Dilatational Tracheostomy in Patients With Severe COVID-19 Supported by ECMO
ClinicalTrials.gov study NCT05045885. IPD Sharing: YES. Countries: 1. Publications: 18.
Data from: Tracheostomy and long-term mortality in ICU patients undergoing prolonged mechanical ventilation
Introduction. In critically ill patients undergoing prolonged mechanical ventilation (MV), the difference in long-term outcomes between patients with or without tracheostomy remains unexplored. Methods. Ancillary study of a prospective international multicentre observational cohort in 21 centres in France and Belgium, including 2087 patients, with a one-year follow-up after admission. We included patients with a MV duration ≥10 days, with or without tracheostomy. We explored the one-year mortality with a classical Cox regression model (adjustment on age, SAPS II, baseline diagnosis and withdrawal of life-sustaining therapies) and a Cox regression model using tracheostomy as a time-dependant variable. Results. 29.5% patients underwent prolonged MV, out of which 25.6% received tracheostomy and 74.4% did not. At one-year, 45.2% patients had died in the tracheostomy group and 51.5% patients had died in the group without tracheostomy (p=0.001). In the Cox-adjusted regression model, tracheostomy was not associated with improved one-year outcome (HR CI95 0.7 [0.5-1.001], p=0.051), as well as in the model using tracheostomy as a time-dependent variable (OR CI 95 1 [0.7-1.4], p=0.9). Conclusions. In our study, there was no statistically significant difference in the one-year mortality of patients undergoing prolonged MV when receiving tracheostomy or not.
The Effects of Listening to Fairy Tales, Listening to Fairy Tales in Their Mothers' Voices, and Watching Cartoons on Pain, Comfort Levels, and Physiological Parameters During Tracheostomy Care in a Pa
ClinicalTrials.gov study NCT07210346. IPD Sharing: NO. Countries: 1. Publications: 1.
Tracheostomy in ICU With a Double Lumen Endotracheal Tube
ClinicalTrials.gov study NCT01691222. IPD Sharing: Not stated. Countries: 1. Publications: 11.
Concomitant Tracheostomy and Lung Resection
ClinicalTrials.gov study NCT01053624. IPD Sharing: Not stated. Countries: 1. Publications: 1.
LipoAerosol© Inhalation After Tracheostomy
ClinicalTrials.gov study NCT02157129. IPD Sharing: Not stated. Countries: 1. Publications: 3.
Assessing Upper Airway Patency in Tracheostomy Patients During One Way Speaking Valve Trial
ClinicalTrials.gov study NCT04685902. IPD Sharing: NO. Countries: 1. Publications: 4.
Routine Use of FIBERoptic Bronchoscopic Guidance in Percutaneous TRACHeostomy
ClinicalTrials.gov study NCT04265625. IPD Sharing: NO. Countries: 1. Publications: 1.
Ultrasound-guided Versus Landmark-guided Percutaneous Dilational Tracheostomy in Pediatric Patients
ClinicalTrials.gov study NCT05834972. IPD Sharing: YES. Countries: 1. Publications: 1.
riSk Factors fOR neCk phlEgmon afteR pErcutaneous tRacheostomy in ICU
ClinicalTrials.gov study NCT06552676. IPD Sharing: UNDECIDED. Countries: 1. Publications: 7.
The Effect of Mobile Application-Based Education Given to Patients With Tracheostomy on Depression, Social Adaptation and Quality of Recovery
ClinicalTrials.gov study NCT07337668. IPD Sharing: NO. Countries: 1. Publications: 4.
Percutaneous Dilatational Tracheostomy and Thyroid Isthmus Penetration
ClinicalTrials.gov study NCT05792098. IPD Sharing: NO. Countries: 1. Publications: 2.
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