Abstract
The charts of 52 adult patients who underwent tracheotomy (49 after intubation) were reviewed to identify early complications of both endotracheal intubation and tracheotomy. The complication rate of endotracheal intubation was 57%, and of tracheotomy, 14%. None of the complications of tracheotomy was serious. Sixty critical-care nurses were surveyed about their attitudes regarding prolonged endotracheal intubation and tracheotomy. A large majority preferred tracheotomy for patients who require airway support, for several reasons. First, they felt that tracheotomy patients were more comfortable and, therefore, required less sedation and restraint. Second, the patients could communicate more effectively. Third, airway care was simplified. Ninety-two percent of nurses stated that they would prefer a tracheotomy for themselves or a loved one if more than 10 days of ventilatory support were required. We conclude that tracheotomy can be performed safely in this group of patients, and that it offers significant practical and psychological benefits compared to prolonged endotracheal intubation.
| Original language | English |
|---|---|
| Pages (from-to) | 1165-1169 |
| Number of pages | 5 |
| Journal | Laryngoscope |
| Volume | 98 |
| Issue number | 11 |
| State | Published - Jan 1 1988 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Prolonged intubation vs. tracheotomy : Complications, practical and psychological considerations. / Astrachan, D. I.; Kirchner, J. C.; Goodwin, W. Jarrard.
In: Laryngoscope, Vol. 98, No. 11, 01.01.1988, p. 1165-1169.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prolonged intubation vs. tracheotomy
T2 - Complications, practical and psychological considerations
AU - Astrachan, D. I.
AU - Kirchner, J. C.
AU - Goodwin, W. Jarrard
PY - 1988/1/1
Y1 - 1988/1/1
N2 - The charts of 52 adult patients who underwent tracheotomy (49 after intubation) were reviewed to identify early complications of both endotracheal intubation and tracheotomy. The complication rate of endotracheal intubation was 57%, and of tracheotomy, 14%. None of the complications of tracheotomy was serious. Sixty critical-care nurses were surveyed about their attitudes regarding prolonged endotracheal intubation and tracheotomy. A large majority preferred tracheotomy for patients who require airway support, for several reasons. First, they felt that tracheotomy patients were more comfortable and, therefore, required less sedation and restraint. Second, the patients could communicate more effectively. Third, airway care was simplified. Ninety-two percent of nurses stated that they would prefer a tracheotomy for themselves or a loved one if more than 10 days of ventilatory support were required. We conclude that tracheotomy can be performed safely in this group of patients, and that it offers significant practical and psychological benefits compared to prolonged endotracheal intubation.
AB - The charts of 52 adult patients who underwent tracheotomy (49 after intubation) were reviewed to identify early complications of both endotracheal intubation and tracheotomy. The complication rate of endotracheal intubation was 57%, and of tracheotomy, 14%. None of the complications of tracheotomy was serious. Sixty critical-care nurses were surveyed about their attitudes regarding prolonged endotracheal intubation and tracheotomy. A large majority preferred tracheotomy for patients who require airway support, for several reasons. First, they felt that tracheotomy patients were more comfortable and, therefore, required less sedation and restraint. Second, the patients could communicate more effectively. Third, airway care was simplified. Ninety-two percent of nurses stated that they would prefer a tracheotomy for themselves or a loved one if more than 10 days of ventilatory support were required. We conclude that tracheotomy can be performed safely in this group of patients, and that it offers significant practical and psychological benefits compared to prolonged endotracheal intubation.
UR - http://www.scopus.com/inward/record.url?scp=0023756039&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023756039&partnerID=8YFLogxK
M3 - Article
C2 - 3185069
AN - SCOPUS:0023756039
VL - 98
SP - 1165
EP - 1169
JO - Laryngoscope
JF - Laryngoscope
SN - 0023-852X
IS - 11
ER -