Quel rôle joue l'âge dans le besoin de trachéostomie ?
Les personnes âgées ont un risque accru de complications respiratoires nécessitant une trachéostomie.
ÂgeComplications respiratoires
#5
Comment les allergies affectent-elles la trachéostomie ?
Les allergies peuvent provoquer des inflammations des voies respiratoires, augmentant le besoin d'une trachéostomie.
AllergiesInflammation des voies respiratoires
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"text": "Un besoin de trachéostomie est diagnostiqué par l'évaluation des voies respiratoires et des difficultés respiratoires."
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"name": "Quels symptômes indiquent une trachéostomie ?",
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"@type": "Question",
"name": "Quels signes de complications post-trachéostomie ?",
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"name": "Quels symptômes d'infection après trachéostomie ?",
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"text": "Les symptômes d'infection comprennent rougeur, écoulement purulent et douleur au site de la trachéostomie."
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"@type": "Question",
"name": "Quels signes d'irritation des voies respiratoires ?",
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"text": "Les signes incluent une toux sèche, des douleurs thoraciques et une sensation de brûlure."
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"name": "Comment se déroule une trachéostomie ?",
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"name": "Quels soins post-opératoires pour trachéostomie ?",
"position": 12,
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"name": "Quand retirer le tube de trachéostomie ?",
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"@type": "Question",
"name": "Quelles sont les complications possibles d'une trachéostomie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'infection, le saignement, et la déviation du tube."
}
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"@type": "Question",
"name": "Comment prévenir les infections après trachéostomie ?",
"position": 17,
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"@type": "Question",
"name": "Quels risques de saignement après trachéostomie ?",
"position": 18,
"acceptedAnswer": {
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"text": "Le saignement peut survenir en raison de lésions des vaisseaux sanguins lors de l'intervention."
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"@type": "Question",
"name": "Comment gérer une obstruction du tube de trachéostomie ?",
"position": 19,
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"name": "Quels signes d'une déviation du tube ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une respiration difficile, un bruit anormal et une cyanose."
}
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"@type": "Question",
"name": "Quels facteurs augmentent le besoin de trachéostomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des maladies respiratoires chroniques, des traumatismes ou des cancers de la tête et du cou."
}
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"@type": "Question",
"name": "Comment le tabagisme influence-t-il la trachéostomie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme augmente le risque de maladies respiratoires, rendant la trachéostomie plus probable."
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"@type": "Question",
"name": "Quels antécédents médicaux sont des facteurs de risque ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de maladies respiratoires, d'accidents vasculaires cérébraux ou de cancers sont des facteurs de risque."
}
},
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"@type": "Question",
"name": "Quel rôle joue l'âge dans le besoin de trachéostomie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées ont un risque accru de complications respiratoires nécessitant une trachéostomie."
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"@type": "Question",
"name": "Comment les allergies affectent-elles la trachéostomie ?",
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"text": "Les allergies peuvent provoquer des inflammations des voies respiratoires, augmentant le besoin d'une trachéostomie."
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Department of Research of IPSPAC, Instituto Paulista de Saúde para Alta Complexidade, 199 Padre Anchieta Avenue - Room 2, Jardim, Santo Andre, SP, 09090-710, Brazil. Electronic address: pesquisacientifica@ipspac.org.br.
Department of Research of IPSPAC, Instituto Paulista de Saúde para Alta Complexidade, 199 Padre Anchieta Avenue - Room 2, Jardim, Santo Andre, SP, 09090-710, Brazil; Institute of Neurology, University of São Paulo, 255 Dr. Enéas de Carvalho Aguiar avenue, Cerqueira César, São Paulo, SP, 05403-900, Brazil. Electronic address: wagner.tavares@hc.fm.usp.br.
Department of Research of IPSPAC, Instituto Paulista de Saúde para Alta Complexidade, 199 Padre Anchieta Avenue - Room 2, Jardim, Santo Andre, SP, 09090-710, Brazil; Division of Functional Neurosurgery, Institute of Neurology, University of São Paulo, 255 Dr. Enéas de Carvalho Aguiar Avenue, Cerqueira César, São Paulo, SP, 05403-900, Brazil. Electronic address: angelasmacedo@gmail.com.
Institute of Neurology, University of São Paulo, 255 Dr. Enéas de Carvalho Aguiar avenue, Cerqueira César, São Paulo, SP, 05403-900, Brazil. Electronic address: wellingsonpaiva@yahoo.com.br.
Institute of Neurology, University of São Paulo, 255 Dr. Enéas de Carvalho Aguiar avenue, Cerqueira César, São Paulo, SP, 05403-900, Brazil. Electronic address: manoeljacobsen@gmail.com.
Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, the Netherlands. Electronic address: b.pullens@erasmusmc.nl.
BACKGROUND Tracheostomy is a surgical procedure that is done by creating an ostomy in the anterior wall of the trachea to facilitate airway access and ventilation. It is indicated for acute respirator...
The purpose of this study was to characterize the relationship between predictors and the time of tracheostomy after traumatic cervical spinal cord injury (TCSCI)....
Five hundred twenty-six patients with TCSCI treated between January,2012 and December, 2021 were retrospectively reviewed. Patients were subdivided into two groups: early tracheostomy (≤7 days from in...
Among 526 eligible patients, 63(12.0%) had a tracheostomy performed. Compared with late tracheostomy group, patients in early tracheostomy group had higher ISS, more severe neurological status while f...
Factors related to the decision of tracheostomy were ASIA impairment scale, neurological level of injury, injury severity score and age. The grades of combining predictors could support indication for...
Placement of a tracheostomy for patients requiring prolonged mechanical ventilation (PMV) improves patients' comfort, decreases dead space ventilation, allows superior airway hygiene, and reduces the ...
Seventy-nine patients receiving tracheostomy in a 12-month period: 38 BFT vs. 41 ST. Data included demographics, indications for PMV, ventilator days before tracheostomy, time to and a number of patie...
Indications in both groups were PMV from trauma (18/38 vs 15/41), pneumonia (13/38 vs 13/41), and ARDS (7/38 vs 11/4), respectively (p > 0.05). Patients in both groups did not differ with regard to ag...
We conclude that BFT may be associated with an overall shorter time to restoration of normal swallowing when compared to ST....
Stomaplasties were widely used to prevent or revise stomal stenosis, however, a previous tracheostomy can limit the choice of some techniques. This study aims to deal with this condition through a nov...
This study involved 43 patients submitted for laryngectomy between 2017 and 2020. A tracheostomy 6-31 days prior to laryngectomy was performed in all cases. The collar stomaplasty, shaping the previou...
One out of the collar stomaplasty group demonstrated perioperative stomal infection and avascular necrosis (5.9%). Another developed stomal stenosis (5.9%). In the X-shaped stomaplasty group, necrosis...
The collar stomaplasty technique creates a laryngectomy tracheostoma by remodeling a previous tracheostomy. A wide and stable stoma, which facilitates stomal care, can be accomplished by this simple t...
Pediatric decannulation failure can be associated with large morbidity and mortality, yet there are no published evidence-based guidelines for pediatric tracheostomy decannulation. Tracheostomy is fre...
Published studies regarding pediatric decannulation are limited to reviews and case series from single institutions, with varying populations, indications for tracheostomy, and institutional resources...
Pediatric decannulation should occur in a stepwise process. The ideal decannulation protocol should be safe and expedient, without utilizing excessive healthcare resources. There may be variability in...
Patients with acute respiratory failure who are anticipated to have a significant recovery and require prolonged mechanical ventilation, defined as ventilation lasting 7 days or longer, should be eval...
The optimal timing of tracheostomy in nonneurologically injured mechanically ventilated critically ill adult patients is uncertain. We conducted a systematic review of randomized controlled trials to ...
We searched MEDLINE, Embase, CENTRAL, CINAHL, and Web of science databases for randomized controlled trials comparing early tracheostomy (<10 d of intubation) with late tracheostomy or prolonged intub...
We selected trials comparing early tracheostomy (defined as being performed less than 10 d after intubation) with late tracheostomy (performed on or after the 10th day of intubation) or prolonged intu...
Two reviewers screened citations, extracted data, assessed the risk of bias, and classification of Grading of Recommendations, Assessment, Development, and Evaluation independently....
Our search strategy yielded 8,275 citations, from which nine trials (n = 2,457) were included. We did not observe an effect on the overall mortality of early tracheostomy compared with late tracheosto...
In our systematic review, we observed that early tracheostomy, as compared with late tracheostomy or prolonged intubation, was not associated with a reduction in overall mortality. However, we cannot ...
We aim to ascertain whether the benefit of early tracheostomy can be found in patients with severe traumatic brain injury (TBI) and stroke and if the benefit will remain considering distinct pathologi...
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, a search through Lilacs, PubMed, and Cochrane databases was conducted....
Included studies were those written in English, French, Spanish, or Portuguese, with a formulated question, which compared outcomes between early and late trach (minimum of two outcomes), such as inte...
The early and late tracheostomy cohorts were composed of 6211 and 8140 patients, respectively. The meta-analysis demonstrated that the early tracheostomy cohort had a lower risk for VAP (RR: 0.73 [95%...
Early tracheostomy could optimise patient outcomes by patients' risk for VAP and decreasing MV durationand ICU and hospital LOS....
Tracheostomies in children are associated with significant morbidity, poor quality of life, excess healthcare costs and excess mortality. The underlying mechanisms facilitating adverse respiratory out...
Tracheal aspirates, tracheal cytology brushings and nasal swabs were prospectively collected from children with a tracheostomy and controls. Transcriptomic, proteomic and metabolomic methods were appl...
Children followed up serially from the time of tracheostomy up to 3 months postprocedure (n=9) were studied. A further cohort of children with a long-term tracheostomy were also enrolled (n=24). Contr...
Long-term childhood tracheostomy is associated with a inflammatory tracheal phenotype characterised by neutrophilic inflammation and the ongoing presence of potential respiratory pathogens. These find...
Tracheostomy-associated granulation tissue is a common, recurrent problem occurring secondary to chronic mucosal irritation. Although granulation tissue is composed of predominantly innate immune cell...
Granulation tissue biopsies were obtained from 8 patients with tracheostomy secondary to laryngotracheal stenosis. Cell type analysis was performed by flow cytometry and gene expression was measured b...
Flow cytometry demonstrated macrophages (CD45+CD11b+) and monocytes (CD45+FSC...
M2 macrophages are the dominant macrophage phenotype in tracheostomy-associated granulation tissue. The role of this cell type in promoting ongoing inflammation warrants future investigation to identi...
3 Laryngoscope, 133:2346-2356, 2023....