Abstract:
BACKGROUND:To test validity, safety, costs and healing-outcome of surgical minitracheotomy after cannula removing. METHODS: DESIGN:Opened, perspective. Site: Polyvalent ICU. PATIENTS:40 patients underwent surgical minitracheotomy, in a year. Traditional surgical technique was adopted. Minitracheotomy was performed by intravenous general anesthesia with curarization and in mechanical ventilation. Intra-operative monitoring: ECG, non-invasive blood pressure and SaO2 by digital pulse oximetry. If a bleeding appeared, hemorrhage was stopped by vessel binding. RESULTS:Technical difficulty was the same in every tracheotomy carried out. Complications appeared in 7 patients. There were 2 infectious cases for stoma, resolved in 7 and 12 days respectively by local disinfection and antibiotic therapy. There were 5 cases with moderate bleeding; in one patient only a surgical procedure was necessary. CONCLUSIONS:Surgical tracheotomy represents a good and safe method in ICU; complications are few, if safety conditions are observed. Tracheotomy made in ICU reduced the use of medical and paramedical staff and operative rooms; unlike percutaneous procedure, in the surgical technique an always the same set after simple sterilization is used. Healing-outcome of surgical tracheotomy, after cannula removing, is the same with both techniques.
journal_name
Minerva Anestesioljournal_title
Minerva anestesiologicaauthors
Leonelli V,Guasti G,Barbieri Akeywords:
subject
Has Abstractpub_date
2000-04-01 00:00:00pages
207-14; discussion 214-6issue
4eissn
0375-9393issn
1827-1596journal_volume
66pub_type
临床试验,杂志文章abstract::A randomized, multicenter trial conducted in 32 northern European general intensive care units (ICUs) enrolled some patients with septic shock randomly assigned to receive a red blood cell transfusion when the hemoglobin (Hb) level was ≤7 g/dL ("lower threshold"; N.=502) or ≤9 g/dL ("higher threshold"; N.=496) through...
journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
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更新日期:1999-06-01 00:00:00
abstract::Over the past 15 years, there have been dramatic changes in the management of blunt hepatic trauma, specifically in the imaging techniques, and in the non-operative management. Actually, in more than 80% of blunt hepatic trauma, non operative management is used. In the last 20% the surgical option has to be taken with...
journal_title:Minerva anestesiologica
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doi:
更新日期:2002-04-01 00:00:00
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更新日期:2001-09-01 00:00:00
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更新日期:2007-11-01 00:00:00
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journal_title:Minerva anestesiologica
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更新日期:2002-12-01 00:00:00
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更新日期:1998-05-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
更新日期:2014-08-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
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pub_type: 杂志文章,评审
doi:
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
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