Safety of a no-fast protocol for tracheotomy in critical care

Safety of a no-fast protocol for tracheotomy in critical care

Summary With modern anesthesia, aspiration is an exceedingly rare complication, and we have learned that a prolonged fast can result in serious adverse effects in critically ill patients. We discuss the no-fast protocol implemented at Vancouver General Hospital in 2007 for intubated, tube-fed adult...

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Veröffentlicht in:Canadian Journal of Surgery 2015-02, Vol.58 (1), p.69-70
Hauptverfasser: Hartl, Trevor, MD, Anderson, Donald, MD, Levi, Jasna, MD, MSc
Format: Artikel
Sprache:eng
Schlagworte:
Anesthesia
Care and treatment
Critical care
Critically ill persons
Evaluation
Fasting
Food and nutrition
Health aspects
Medical protocols
Patient outcomes
Physiological aspects
Surgery
Tracheotomy
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Beschreibung
Zusammenfassung:Summary With modern anesthesia, aspiration is an exceedingly rare complication, and we have learned that a prolonged fast can result in serious adverse effects in critically ill patients. We discuss the no-fast protocol implemented at Vancouver General Hospital in 2007 for intubated, tube-fed adult patients who underwent elective open tracheotomy.
ISSN:0008-428X
1488-2310
DOI:10.1503/cjs.027213