Tracheostomy: Epidemiology, Indications | 合法醫療器材資訊網

由NHCheung著作·2014·被引用271次—Atracheotomyreferstoanyprocedurethatinvolvesopeningthetrachea(temporaryopening).Atracheostomyisaprocedurethatexteriorizesthe ...

Acute respiratory failure requiring mechanical ventilation is common in critical illness, and progressive advancements in the understanding of and technologies for the care of the critically ill have resulted in an increase in the number of patients who remain dependent on mechanical ventilation for prolonged periods of time. Prolonged translaryngeal endotracheal intubation increases the risk of ventilator-associated pneumonia (VAP) by bypassing and disabling the laryngeal mechanisms, promoting oropharyngeal contamination of the bronchial tree and lung.1 In addition, prolonged translaryngeal endotracheal intubation is associated with the development of sinusitis2 and may cause severe laryngeal and tracheal damage.3

Placement of a tracheostomy has become a viable alternative to prolonged endotracheal intubation, with the benefits of improving patient comfort, redu...