CHEST 2023 On Demand Pass-Tracheostomy in the ICU: From Beginning to End

Video Transcription

Video Summary

The video transcript discusses the topic of tracheostomy in the ICU. It starts with an introduction from Van Holden, an associate professor of medicine at the University of Maryland, who discusses patient selection and timing for tracheostomy. He explains that tracheostomy is a commonly performed procedure with several benefits, such as improving patient comfort, facilitating communication, and reducing the need for sedation. He also explains that there are two main methods for performing tracheostomy: percutaneous and surgical, and highlights the benefits of percutaneous tracheostomy, such as decreased rates of wound infection and lower costs.<br /><br />Dr. Christian Gattis, an assistant professor of medicine at the Ohio State University, then talks about challenging tracheostomy cases, specifically focusing on patients with obesity and coagulopathy. He discusses the increased risk of complications in these patients and suggests strategies to mitigate these risks, such as using bronchoscopic guidance and pre-screening the neck with ultrasound.<br /><br />Dr. Vivek Murthy, an assistant professor of medicine from NYU, discusses the complications of tracheostomy insertion in the ICU. He highlights the most common complications, such as bleeding and airway complications, and explains the differences in outcomes between percutaneous and open tracheostomy. He also discusses management strategies, including early interventions to reduce complications.<br /><br />Finally, Dr. Eric Fulch, the chief of the Complex Chest Diseases Center at MGH, talks about what happens after tracheostomy, specifically focusing on the journey towards decannulation. He discusses the importance of adding value to patient care by providing continued follow-up and support after the procedure. He also emphasizes the benefits of incorporating a trache clinic to provide longitudinal care for trache patients.<br /><br />Overall, the video transcript provides an overview of the different aspects of tracheostomy in the ICU, including patient selection, timing, complications, and post-procedure care. It highlights the importance of individualized patient care and the need for ongoing follow-up and support for trache patients.

Meta Tag

Category Critical Care

Session ID 1071

Speaker Erik Folch

Speaker Christian Ghattas

Speaker Van Holden

Speaker Vivek Murthy

Track Procedures

Keywords

tracheostomy

ICU

patient selection

timing

percutaneous tracheostomy

surgical tracheostomy

complications

obesity

coagulopathy