Abstract：
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.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Sagiv D,Nachalon Y,Mansour J,Glikson E,Alon EE,Yakirevitch A,Bachar G,Wolf M,Primov-Fever Adoi
10.1007/s00268-018-4578-xsubject
Has Abstractpub_date
2018-09-01 00:00:00pages
2792-2799issue
9eissn
0364-2313issn
1432-2323pii
10.1007/s00268-018-4578-xjournal_volume
42pub_type
杂志文章abstract：BACKGROUND:The present study was designed to evaluate the impact of the tyrosine kinase ligands VEGF-A/C/D, PDGF-A/B on tumor dissemination and survival in gastric cancer. This is the first study analyzing all these parameters in a homogeneous patient population undergoing surgery. METHODS:The expression pattern of VE...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-011-1041-7
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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
doi：10.1007/s00268-014-2497-z
更新日期：2014-08-01 00:00:00
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journal_title：World journal of surgery
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更新日期：2000-03-01 00:00:00
abstract：:The previous finding of an increased risk of premature death in a consecutive series of 896 patients operated on for primary hyperparathyroidism between 1953 and 1982 [1] raised the question of the role that surgery plays in relation to the risk of death. In the present study, undertaken to examine that issue, 3 facto...
journal_title：World journal of surgery
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doi：10.1007/BF01658740
更新日期：1991-05-01 00:00:00
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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
doi：10.1007/s00268-013-2315-z
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2007-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 临床试验,杂志文章
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更新日期：2014-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2019-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2007-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00268-005-0471-5
更新日期：2006-07-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：2016-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：1992-11-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
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更新日期：2007-07-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：2021-01-03 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2002-10-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：2001-09-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/pl00012353
更新日期：1999-06-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：2019-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2000-01-01 00:00:00
