Awake Tracheostomy: Indications, Complications and Outcome.


BACKGROUND:Awake tracheostomy (AT) is aimed at securing the airway of patients with upper airway obstruction when other means are not feasible or have failed. Reports on AT in the literature are scarce. The goal of this study was to review our experience with the indications, complications and outcome of AT. METHODS:A retrospective chart review was conducted on all ATs performed between 2010 and 2016 in two university-affiliated, tertiary medical centers. Data on demographics, indications, techniques, urgency and postoperative complications were retrieved from the medical charts. RESULTS:The 37 of the 1023 recorded tracheostomies (3.62%) that were ATs comprised the study group (mean age of the patients 60.3 years, 32 [86.5%] males). The most common indication was head and neck (HN) malignancy (oncologic group, 70.3%), with the larynx (53.8%) being the most commonly involved site. Patients in the non-oncologic group (n = 11) were significantly younger (P = 0.048) and had a significantly higher prevalence of urgent surgery compared to the oncologic group (P = 0.0009). Major postoperative complications included tube dislodgement (n = 2) and pneumothorax (n = 1) that were managed successfully. One of the two patients with severe hypoxia and arrhythmia that necessitated cardiopulmonary resuscitation died. CONCLUSION:Whether the etiology of the AT was related to HN oncological disease or not was the most important clinical factor in our cohort. The non-oncologic group was significantly younger, suffered from more urgent events and tended to have more complications (nonsignificant). ATs had a 97.3% rate of immediate survival, a 5.4% risk of major irreversible complications and a 2.7% risk of mortality.


World J Surg


World journal of surgery


Sagiv D,Nachalon Y,Mansour J,Glikson E,Alon EE,Yakirevitch A,Bachar G,Wolf M,Primov-Fever A




Has Abstract


2018-09-01 00:00:00














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    abstract::We have evaluated survival and tumor-related symptoms in the presence of mesenteric lymph node and liver metastases in relation to surgical procedures in 314 patients (148 women, mean age at diagnosis 61 years; 249 with liver metastases) treated for midgut carcinoid tumors. Of the operated patients, 46% presented with...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Hellman P,Lundström T,Ohrvall U,Eriksson B,Skogseid B,Oberg K,Tiensuu Janson E,Akerström G

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Brauckhoff K,Vik R,Sandvik L,Heimdal JH,Aas T,Biermann M,Brauckhoff M

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  • Long-term results of side-to-side pancreaticojejunostomy.

    abstract::Chronic alcoholism is the etiologic factor initiating most instances of chronic pancreatitis and its complications in the United States of America. The goal of operative intervention is to relieve incapacitating abdominal and back pain, while preserving as much endocrine and exocrine function as possible. Ultrasound a...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


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    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Oh SY,Kim DY,Kim YB,Suh KW

    更新日期:2013-10-01 00:00:00

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    abstract::Surgical treatment of adenomas may become necessary when the base of the polyp is too wide for snaring, increasing the risk of incomplete removal or perforation of the bowel wall. Suspicion of malignancy may also indicate surgery. Multiple adenomas not controlled by snare polypectomy can be treated by colectomy. The d...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Nicholls RJ

    更新日期:1991-01-01 00:00:00

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    journal_title:World journal of surgery

    pub_type: 杂志文章


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    journal_title:World journal of surgery

    pub_type: 杂志文章


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    journal_title:World journal of surgery

    pub_type: 杂志文章


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    journal_title:World journal of surgery

    pub_type: 杂志文章


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    journal_title:World journal of surgery

    pub_type: 杂志文章


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    abstract::Patients with early-stage non-small-cell lung cancer (NSCLC) should be treated with complete surgical resection whenever possible. Incomplete resections do not cure, and the optimal pulmonary resection is anatomic lobectomy. Limited resections (wedge resection and segmentectomy) are associated with a threefold increas...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


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    pub_type: 杂志文章,评审


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    pub_type: 杂志文章


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    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


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    pub_type: 杂志文章


    authors: Chao YK,Hsieh MJ,Liu YH,Liu HP

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    pub_type: 杂志文章,评审


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    pub_type: 杂志文章


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    journal_title:World journal of surgery

    pub_type: 杂志文章


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    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


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    journal_title:World journal of surgery

    pub_type: 杂志文章,meta分析,评审


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    更新日期:2014-12-01 00:00:00

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Allaix ME,Giraudo G,Ferrarese A,Arezzo A,Rebecchi F,Morino M

    更新日期:2016-12-01 00:00:00

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    journal_title:World journal of surgery

    pub_type: 历史文章,杂志文章


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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Christein JD,Kim AW,Golshan MA,Maxhimer J,Deziel DJ,Prinz RA

    更新日期:2003-05-01 00:00:00

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Bach O,Rudloff U,Post S

    更新日期:2003-12-01 00:00:00

  • Preservation of the celiac branch of the vagus nerve during laparoscopy-assisted distal gastrectomy: impact on postprandial changes in ghrelin secretion.

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Takiguchi S,Hiura Y,Takahashi T,Kurokawa Y,Yamasaki M,Nakajima K,Miyata H,Mori M,Doki Y

    更新日期:2013-09-01 00:00:00