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State of the art: percutaneous tracheostomy in the ...
State of the art: percutaneous tracheostomy in the intensive care unit
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Pdf Summary
Percutaneous tracheostomy (PDT) in the ICU has benefits such as shorter stay and improved comfort. There's no consensus on timing. Ultrasound and bronchoscopy aid in optimizing the procedure. The Ciaglia Blue Rhino® technique is commonly used. Tracheostomy tube selection depends on patient characteristics. Special considerations are needed for neurocritical care patients. This review provides an overview of PDT in ICU, including pre-procedural preparation and post-tracheostomy care. Monitoring coagulation factors is important in obese patients. Ultrasound and bronchoscopy guidance improve safety. Multidisciplinary teams and standardized protocols enhance outcomes. More research is needed on PDT in ICU patients.
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Curriculum Category
Pulmonary Disease in Critical Care
Keywords
Percutaneous tracheostomy
ICU
benefits
ultrasound
bronchoscopy
timing
Ciaglia Blue Rhino® technique
neurocritical care
pre-procedural preparation
post-tracheostomy care
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