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Book Cover

Title Percutaneous tracheostomy in critically ill patients / Giuseppe Servillo, Paolo Pelosi, editors
Published Cham : Springer, [2016]


Description 1 online resource (viii, 159 pages)
Contents Foreword; Contents; Chapter 1: Tracheostomy: From Surgical to Percutaneous Techniques; References; Chapter 2: Anatomical and Sonographic Landmark; 2.1 Rationale; 2.2 Anatomy; 2.2.1 Structure of the Trachea; 2.2.2 Vascularisation; 2.2.3 Transverse Section of the Neck; 2.2.4 Longitudinal Section of the Neck; 2.3 Principles of Ultrasonography; 2.3.1 Introduction; 2.3.2 Hardware; 2.4 Ultrasonographic Anatomy; 2.4.1 Transverse Scan of the Neck; 2.4.2 Longitudinal Scan of the Neck; 2.5 Ultrasound-Assisted Percutaneous Tracheostomy; 2.5.1 Anatomical Study
2.5.2 Location of the Right Level to Perform Tracheostomy2.5.3 Puncture of the Trachea; References; Chapter 3: Indication and Timing; 3.1 Indication for Tracheostomy; 3.2 Benefits of Tracheostomy; 3.2.1 Patient's Comfort; 3.2.2 Weaning from Mechanical Ventilation; 3.2.3 Incidence of Ventilator-Associated Pneumonia; 3.3 Timing of Tracheostomy; 3.3.1 Timing of Tracheostomy in Neurocritical Patients; 3.4 Conclusion; References; Chapter 4: Surgical Tracheostomy; 4.1 Introduction; 4.2 Anatomy; 4.3 Indications; 4.4 Surgical Technique; References
Chapter 5: Percutaneous Tracheostomy: The Ciaglia Techniques5.1 Skin Incision; 5.2 Dilation; 5.3 Which Ciaglia Technique Should I Use?; References; Chapter 6: Balloon Dilation Tracheostomy; 6.1 Introduction; 6.2 Why Pneumatic Dilation; 6.3 Procedure; 6.4 Balloon Dilation Tracheostomy in Literature; 6.5 Conclusion; References; Chapter 7: Percutaneous Tracheostomy: The Guide Wire Dilating Forceps Technique; 7.1 Pros and Cons of the GWDF Technique; 7.2 Late Outcome; References; Chapter 8: Frova's Rotational Technique and Fantoni's Translaryngeal Tracheostomy; 8.1 Translaryngeal Tracheotomy
8.1.1 Procedural Steps8.1.2 Translaryngeal Tracheotomy Advantages; 8.1.3 Translaryngeal Tracheotomy Disadvantages; 8.2 Rotational Technique; 8.2.1 Procedural Steps; 8.2.2 Rotational Technique Advantages; 8.2.3 Rotational Technique Disadvantages; References; Chapter 9: Choice of the Appropriate Tracheostomy Technique; 9.1 Introduction; 9.2 Results from RCTs; 9.3 Comparisons in Non-RCT Studies; 9.4 Current Practice; 9.5 Choosing the Best Technique for High-Risk Subgroups; 9.5.1 Obesity; 9.5.2 Patients at Higher Risk of Bleeding; 9.5.3 Severe Hypoxaemia; 9.5.4 Neurosurgical Patients
9.5.5 Long-Term Outcomes9.5.5.1 Tracheal Stenosis; Hoarseness, Disturbing Symptoms and Vocal Cord Paralysis; Cosmetic Issues; 9.6 Conclusions; References; Chapter 10: Complications of Percutaneous and Surgical Tracheostomy in Critically Ill Patients; References; Chapter 11: Emergency Percutaneous Tracheotomy; 11.1 The Emergency Airway: Definition; 11.2 Invasive Airway Access; 11.2.1 Cricothyroidotomy; 11.2.2 Tracheotomy; 11.2.3 PT to Assess the Airway of Patients with an Expected "No Ventilation, No Intubation" Situation; 11.3 Conclusions; References
Summary This book provides an up-to-date and comprehensive overview on percutaneous tracheostomy (PT) in critically ill patients. The various PT techniques that may be employed in the intensive care unit are fully described, with discussion of the available tracheostomy tubes and selection criteria and with clear evaluation of the risks and benefits of each procedure. A further individual chapter is devoted to the methods of airway management that may be used during PT. Detailed attention is also paid to medical and nursing management inside and outside hospital, to quality of life issues in tracheostomized patients, and to the problem of informed consent. The book concludes by addressing the need for standard guidelines. Percutaneous Tracheostomy in Critically Ill Patients will be an excellent source of information and guidance for novice and more experienced physicians working in intensive care units, operating rooms, and emergency departments as well as for those responsible for patient aftercare
Bibliography Includes bibliographical references
Notes Vendor-supplied metadata
Subject Tracheotomy.
Critically ill -- Surgery.
Surgery, Operative.
Surgical Procedures, Operative
Accident & emergency medicine.
Respiratory medicine.
Intensive care medicine.
MEDICAL -- Surgery -- General.
Critically ill -- Surgery.
Form Electronic book
Author Servillo, Giuseppe, editor
Pelosi, P., editor.
ISBN 9783319223001