Late Complications of Percutaneous Dilatational Tracheotomy
To assess the late complications of percutaneous dilatational tracheotomy, particularly the incidence of tracheal stenosis and voice changes. Prospective descriptive clinical study. Teaching hospital, the Netherlands. Eighty consecutive patients who were successfully decannulated after percutaneous...
Gespeichert in:
Veröffentlicht in: | Chest 1996-12, Vol.110 (6), p.1572-1576 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1576 |
---|---|
container_issue | 6 |
container_start_page | 1572 |
container_title | Chest |
container_volume | 110 |
creator | Van Heurn, L.W. Ernest Goei, Reginald De Ploeg, Iwan Ramsay, Graham Brink, Peter R.G. |
description | To assess the late complications of percutaneous dilatational tracheotomy, particularly the incidence of tracheal stenosis and voice changes.
Prospective descriptive clinical study.
Teaching hospital, the Netherlands.
Eighty consecutive patients who were successfully decannulated after percutaneous tracheotomy.
Fourteen patients died after decannulation, of tracheotomy-unrelated causes. Sixty-six patients were followed up 3 to 39 months after decannulation (mean, 16 months). Fifty-four patients underwent tomography of the trachea. In 14 patients (26%), there was tracheal narrowing of more than 10%. Data analysis showed that these stenoses were operator dependent (p=0.03). Voice changes, found in 13 (21%) of 61 patients, were major in 1 and minor in 12. Scars were generally cosmetically acceptable. Retraction of the scar, seen in 13 (19%) of 66 patients, was related to the duration of cannulation (p=0.002). A persistent tracheocutaneous fistula was present in two patients.
The incidence of tracheal stenosis after percutaneous dilatational tracheotomy is low compared with conventional tracheotomy. Experience with the technique is important to avoid late complications. |
doi_str_mv | 10.1378/chest.110.6.1572 |
format | Article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_78648157</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A18999180</galeid><els_id>S001236921546605X</els_id><sourcerecordid>A18999180</sourcerecordid><originalsourceid>FETCH-LOGICAL-c583t-3d61f7b940fc731589dd56574394dfbef0189c4e1e34b2b74a260448c4a739683</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhi0EKkvhzgVphVBPZLFjO7bLqVo-pZXgUM6W44x3XTnxYieg_vu6TVQEKvLBGs8zM-_4ReglwRtChXxnD5DHDSlhsyFc1I_QiihKKsoZfYxWGJO6oo2qn6JnOV_hEhPVnKATqaTCQq3Q-50ZYb2N_TF4a0Yfh7yObv0dkp1GM0Cc8vqDD2a8y5mwvkymDI1j7K-foyfOhAwvlvsU_fj08XL7pdp9-_x1e7GrLJd0rGjXECdaxbCzghIuVdfxhgtGFetcCw4TqSwDApS1dSuYqRvMmLTMCKoaSU_R2dz3mOLPqSyse58thDDr00I2TJbtC_j6H_AqTqmozrrGmAnJZV2gtzO0NwG0H1wcy0p7GCCZEAdwvjxfFElKEYkLXj2Al9NB7-1DPJ55m2LOCZw-Jt-bdK0J1ree6TvPdPFMN_rWs1LyapE9tT109wWLSSX_ZsmbbE1wyQzW53us5jXhjP-ZfPD7w2-fQOfehFCa0nnm8hl_TT6fS6DY98tD0tl6GCx0pdyOuov-_7JvACRuwr8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>200478582</pqid></control><display><type>article</type><title>Late Complications of Percutaneous Dilatational Tracheotomy</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Van Heurn, L.W. Ernest ; Goei, Reginald ; De Ploeg, Iwan ; Ramsay, Graham ; Brink, Peter R.G.</creator><creatorcontrib>Van Heurn, L.W. Ernest ; Goei, Reginald ; De Ploeg, Iwan ; Ramsay, Graham ; Brink, Peter R.G.</creatorcontrib><description>To assess the late complications of percutaneous dilatational tracheotomy, particularly the incidence of tracheal stenosis and voice changes.
Prospective descriptive clinical study.
Teaching hospital, the Netherlands.
Eighty consecutive patients who were successfully decannulated after percutaneous tracheotomy.
Fourteen patients died after decannulation, of tracheotomy-unrelated causes. Sixty-six patients were followed up 3 to 39 months after decannulation (mean, 16 months). Fifty-four patients underwent tomography of the trachea. In 14 patients (26%), there was tracheal narrowing of more than 10%. Data analysis showed that these stenoses were operator dependent (p=0.03). Voice changes, found in 13 (21%) of 61 patients, were major in 1 and minor in 12. Scars were generally cosmetically acceptable. Retraction of the scar, seen in 13 (19%) of 66 patients, was related to the duration of cannulation (p=0.002). A persistent tracheocutaneous fistula was present in two patients.
The incidence of tracheal stenosis after percutaneous dilatational tracheotomy is low compared with conventional tracheotomy. Experience with the technique is important to avoid late complications.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.110.6.1572</identifier><identifier>PMID: 8989079</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cicatrix - etiology ; Dilatation - adverse effects ; Female ; Humans ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; PDT=percutaneous dilatational tracheotomy ; percutaneous tracheostomy ; percutaneous tracheotomy ; Prospective Studies ; Punctures ; Risk Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the respiratory system ; tracheal stenosis ; Tracheal Stenosis - etiology ; tracheocutaneous fistula ; tracheostomy ; Tracheotomy ; Tracheotomy - adverse effects ; voice changes ; Voice Quality</subject><ispartof>Chest, 1996-12, Vol.110 (6), p.1572-1576</ispartof><rights>1996 The American College of Chest Physicians</rights><rights>1997 INIST-CNRS</rights><rights>COPYRIGHT 1996 Elsevier B.V.</rights><rights>Copyright American College of Chest Physicians Dec 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c583t-3d61f7b940fc731589dd56574394dfbef0189c4e1e34b2b74a260448c4a739683</citedby><cites>FETCH-LOGICAL-c583t-3d61f7b940fc731589dd56574394dfbef0189c4e1e34b2b74a260448c4a739683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2521545$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8989079$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Heurn, L.W. Ernest</creatorcontrib><creatorcontrib>Goei, Reginald</creatorcontrib><creatorcontrib>De Ploeg, Iwan</creatorcontrib><creatorcontrib>Ramsay, Graham</creatorcontrib><creatorcontrib>Brink, Peter R.G.</creatorcontrib><title>Late Complications of Percutaneous Dilatational Tracheotomy</title><title>Chest</title><addtitle>Chest</addtitle><description>To assess the late complications of percutaneous dilatational tracheotomy, particularly the incidence of tracheal stenosis and voice changes.
Prospective descriptive clinical study.
Teaching hospital, the Netherlands.
Eighty consecutive patients who were successfully decannulated after percutaneous tracheotomy.
Fourteen patients died after decannulation, of tracheotomy-unrelated causes. Sixty-six patients were followed up 3 to 39 months after decannulation (mean, 16 months). Fifty-four patients underwent tomography of the trachea. In 14 patients (26%), there was tracheal narrowing of more than 10%. Data analysis showed that these stenoses were operator dependent (p=0.03). Voice changes, found in 13 (21%) of 61 patients, were major in 1 and minor in 12. Scars were generally cosmetically acceptable. Retraction of the scar, seen in 13 (19%) of 66 patients, was related to the duration of cannulation (p=0.002). A persistent tracheocutaneous fistula was present in two patients.
The incidence of tracheal stenosis after percutaneous dilatational tracheotomy is low compared with conventional tracheotomy. Experience with the technique is important to avoid late complications.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cicatrix - etiology</subject><subject>Dilatation - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>PDT=percutaneous dilatational tracheotomy</subject><subject>percutaneous tracheostomy</subject><subject>percutaneous tracheotomy</subject><subject>Prospective Studies</subject><subject>Punctures</subject><subject>Risk Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the respiratory system</subject><subject>tracheal stenosis</subject><subject>Tracheal Stenosis - etiology</subject><subject>tracheocutaneous fistula</subject><subject>tracheostomy</subject><subject>Tracheotomy</subject><subject>Tracheotomy - adverse effects</subject><subject>voice changes</subject><subject>Voice Quality</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi0EKkvhzgVphVBPZLFjO7bLqVo-pZXgUM6W44x3XTnxYieg_vu6TVQEKvLBGs8zM-_4ReglwRtChXxnD5DHDSlhsyFc1I_QiihKKsoZfYxWGJO6oo2qn6JnOV_hEhPVnKATqaTCQq3Q-50ZYb2N_TF4a0Yfh7yObv0dkp1GM0Cc8vqDD2a8y5mwvkymDI1j7K-foyfOhAwvlvsU_fj08XL7pdp9-_x1e7GrLJd0rGjXECdaxbCzghIuVdfxhgtGFetcCw4TqSwDApS1dSuYqRvMmLTMCKoaSU_R2dz3mOLPqSyse58thDDr00I2TJbtC_j6H_AqTqmozrrGmAnJZV2gtzO0NwG0H1wcy0p7GCCZEAdwvjxfFElKEYkLXj2Al9NB7-1DPJ55m2LOCZw-Jt-bdK0J1ree6TvPdPFMN_rWs1LyapE9tT109wWLSSX_ZsmbbE1wyQzW53us5jXhjP-ZfPD7w2-fQOfehFCa0nnm8hl_TT6fS6DY98tD0tl6GCx0pdyOuov-_7JvACRuwr8</recordid><startdate>19961201</startdate><enddate>19961201</enddate><creator>Van Heurn, L.W. Ernest</creator><creator>Goei, Reginald</creator><creator>De Ploeg, Iwan</creator><creator>Ramsay, Graham</creator><creator>Brink, Peter R.G.</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><general>Elsevier B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19961201</creationdate><title>Late Complications of Percutaneous Dilatational Tracheotomy</title><author>Van Heurn, L.W. Ernest ; Goei, Reginald ; De Ploeg, Iwan ; Ramsay, Graham ; Brink, Peter R.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c583t-3d61f7b940fc731589dd56574394dfbef0189c4e1e34b2b74a260448c4a739683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cicatrix - etiology</topic><topic>Dilatation - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>PDT=percutaneous dilatational tracheotomy</topic><topic>percutaneous tracheostomy</topic><topic>percutaneous tracheotomy</topic><topic>Prospective Studies</topic><topic>Punctures</topic><topic>Risk Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the respiratory system</topic><topic>tracheal stenosis</topic><topic>Tracheal Stenosis - etiology</topic><topic>tracheocutaneous fistula</topic><topic>tracheostomy</topic><topic>Tracheotomy</topic><topic>Tracheotomy - adverse effects</topic><topic>voice changes</topic><topic>Voice Quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Heurn, L.W. Ernest</creatorcontrib><creatorcontrib>Goei, Reginald</creatorcontrib><creatorcontrib>De Ploeg, Iwan</creatorcontrib><creatorcontrib>Ramsay, Graham</creatorcontrib><creatorcontrib>Brink, Peter R.G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Heurn, L.W. Ernest</au><au>Goei, Reginald</au><au>De Ploeg, Iwan</au><au>Ramsay, Graham</au><au>Brink, Peter R.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late Complications of Percutaneous Dilatational Tracheotomy</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1996-12-01</date><risdate>1996</risdate><volume>110</volume><issue>6</issue><spage>1572</spage><epage>1576</epage><pages>1572-1576</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>To assess the late complications of percutaneous dilatational tracheotomy, particularly the incidence of tracheal stenosis and voice changes.
Prospective descriptive clinical study.
Teaching hospital, the Netherlands.
Eighty consecutive patients who were successfully decannulated after percutaneous tracheotomy.
Fourteen patients died after decannulation, of tracheotomy-unrelated causes. Sixty-six patients were followed up 3 to 39 months after decannulation (mean, 16 months). Fifty-four patients underwent tomography of the trachea. In 14 patients (26%), there was tracheal narrowing of more than 10%. Data analysis showed that these stenoses were operator dependent (p=0.03). Voice changes, found in 13 (21%) of 61 patients, were major in 1 and minor in 12. Scars were generally cosmetically acceptable. Retraction of the scar, seen in 13 (19%) of 66 patients, was related to the duration of cannulation (p=0.002). A persistent tracheocutaneous fistula was present in two patients.
The incidence of tracheal stenosis after percutaneous dilatational tracheotomy is low compared with conventional tracheotomy. Experience with the technique is important to avoid late complications.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>8989079</pmid><doi>10.1378/chest.110.6.1572</doi><tpages>5</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0012-3692 |
ispartof | Chest, 1996-12, Vol.110 (6), p.1572-1576 |
issn | 0012-3692 1931-3543 |
language | eng |
recordid | cdi_proquest_miscellaneous_78648157 |
source | MEDLINE; Alma/SFX Local Collection |
subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Cicatrix - etiology Dilatation - adverse effects Female Humans Logistic Models Male Medical sciences Middle Aged PDT=percutaneous dilatational tracheotomy percutaneous tracheostomy percutaneous tracheotomy Prospective Studies Punctures Risk Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system tracheal stenosis Tracheal Stenosis - etiology tracheocutaneous fistula tracheostomy Tracheotomy Tracheotomy - adverse effects voice changes Voice Quality |
title | Late Complications of Percutaneous Dilatational Tracheotomy |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T00%3A03%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Late%20Complications%20of%20Percutaneous%20Dilatational%20Tracheotomy&rft.jtitle=Chest&rft.au=Van%20Heurn,%20L.W.%20Ernest&rft.date=1996-12-01&rft.volume=110&rft.issue=6&rft.spage=1572&rft.epage=1576&rft.pages=1572-1576&rft.issn=0012-3692&rft.eissn=1931-3543&rft.coden=CHETBF&rft_id=info:doi/10.1378/chest.110.6.1572&rft_dat=%3Cgale_proqu%3EA18999180%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=200478582&rft_id=info:pmid/8989079&rft_galeid=A18999180&rft_els_id=S001236921546605X&rfr_iscdi=true |