medigraphic.com
SPANISH

Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello

ISSN 2539-0859 (Electronic)
ISSN 0120-8411 (Print)
Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2021, Number 4

<< Back Next >>

Acta de Otorrinolaringología CCC 2021; 49 (4)

Elective decannulation process in tracheostomy patients: criterion search

Lugo-Machado JA, Jiménez-Rodríguez MJ
Full text How to cite this article

Language: Spanish
References: 35
Page: 310-314
PDF size: 133.41 Kb.


Key words:

Cannula, Tracheotomy, Selection, Patient, retirement.

ABSTRACT

Progress in science and technology in the health field, and specifically in the hospital intensive care unit, has increased survival in the population that requires medical care; however, it has also generated a population that requires specific care and management, mostly in a multidisciplinary way, including patients who require attention to a tracheostomy. The need to standardize the decannulation process is an unmet deficiency. In this narrative review, we expose some criteria, protocols or guidelines issued by the authors consulted, so far there is no standardized guide.good surgical and clinical results in the vast majority of cases.


REFERENCES

  1. Kress JP, Pohlman AS, O’Connor MF, Hall JB. Daily interruptionof sedative infusions in critically ill patients undergoingmechanical ventilation. N Engl J Med. 2000;342(20):1471-7.doi: 10.1056/NEJM200005183422002

  2. Esteban A, Anzueto A, Alía I, Gordo F, Apezteguía C, PálizasF, et al. How is mechanical ventilation employed in theintensive care unit? An international utilization review. AmJ Respir Crit Care Med. 2000;161(5):1450-8. doi: 10.1164/ajrccm.161.5.9902018

  3. Cheung NH, Napolitano LM. Tracheostomy: Epidemiology,indications, timing, technique, and outcomes. Respiratory Care.2014;59(6):895-19. doi: 10.4187/respcare.02971

  4. Wunsch H, Linde-Zwirble WT, Angus DC, Hartman ME,Milbrandt EB, Kahn JM. The epidemiology of mechanicalventilation use in the United States. Crit Care Med.2010;38(10):1947-53. doi: 10.1097/CCM.0b013e3181ef4460

  5. Needham DM, Bronskill SE, Sibbald WJ, Pronovost PJ,Laupacis A. Mechanical ventilation in Ontario, 1992-2000:incidence, survival, and hospital bed utilization of noncardiacsurgery adult patients. Crit Care Med. 2004;32(7):1504-9. doi:10.1097/01.ccm.0000129972.31533.37

  6. Needham DM, Bronskill SE, Calinawan JR, Sibbald WJ,Pronovost PJ, Laupacis A. Projected incidence of mechanicalventilation in Ontario to 2026: Preparing for the aging babyboomers. Crit Care Med. 2005;33(3):574-9. doi: 10.1097/01.ccm.0000155992.21174.31

  7. Carson SS, Cox CE, Holmes GM, Howard A, Carey TS.The changing epidemiology of mechanical ventilation: apopulation-based study. J Intensive Care Med. 2006;21(3):173-

  8. doi: 10.1177/08850666052827848. Quality of Life After Mechanized Ventilation in the ElderlyStudy Investigators. 2-month mortality and functional statusof critically ill adult patients receiving prolonged mechanicalventilation. Chest. 2002;121(2):549-58. doi: 10.1378/chest.121.2.549

  9. Owings MF, Kozak LJ. Ambulatory and inpatient procedures inthe United States, 1996. Vital Health Stat 13. 1998;(139):1-119.

  10. Everitt E. Managing the weaning of a temporary tracheostomy.Nurs Times. 2016;112(20):17-9.

  11. Pryor L, Ward E, Cornwell P, O’Connor S, Chapman M. Patternsof return to oral intake and decannulation post-tracheostomyacross clinical populations in an acute inpatient setting. Int JLang Commun Disord. 2016;51(5):556-67. doi: 10.1111/1460-6984.12231

  12. Zanata IL, Santos RS, Marques JM, Hirata GC, SantosDA. Speech-language pathology assessment for trachealdecannulation in patients suffering from traumatic braininjury. Codas. 2016;28(6):710-16. Portuguese, English. doi:10.1590/2317-1782/20162014086

  13. Barros APB, Portas JG, Queija D dos S. Implicações datraqueostomia na comunicação e na deglutição: [revisão] /Tracheotomy implication upon communication and swallowing:[review]. Rev. bras. cir. cabeça pescoço. 2009;38(3):202-7.

  14. O’Connor HH, Kirby KJ, Terrin N, Hill NS, White AC.Decannulation following tracheostomy for prolongedmechanical ventilation. J Intensive Care Med. 2009;24(3):187-94. doi: 10.1177/0885066609332701

  15. Garuti G, Reverberi C, Briganti A, Massobrio M, LombardiF, Lusuardi M. Swallowing disorders in tracheostomisedpatients: a multidisciplinary/multiprofessional approach indecannulation protocols. Multidiscip Respir Med. 2014;9(1):36.doi: 10.1186/2049-6958-9-36

  16. Bach JR, Saporito LR. Criteria for extubation and tracheostomytube removal for patients with ventilatory failure. A differentapproach to weaning. Chest. 1996;110(6):1566-71. doi:10.1378/chest.110.6.1566

  17. Schmidt U, Hess D, Bittner E. To decannulate or not todecannulate: a combination of readiness for the floor and floorreadiness? Crit Care Med. 2011;39(10):2360-1. doi: 10.1097/CCM.0b013e318226618a

  18. Martinez GH, Fernandez R, Casado MS, Cuena R, Lopez-ReinaP, Zamora S, et al. Tracheostomy tube in place at intensive careunit discharge is associated with increased ward mortality.Respir Care. 2009;54(12):1644-52.

  19. Fernandez R, Bacelar N, Hernandez G, Tubau I, Baigorri F,Gili G, et al. Ward mortality in patients discharged from theICU with tracheostomy may depend on patient’s vulnerability.Intensive Care Med. 2008;34(10):1878-82. doi: 10.1007/s00134-008-1169-6

  20. Ceriana P, Carlucci A, Navalesi P, Rampulla C, DelmastroM, Piaggi G, et al. Weaning from tracheotomy in long-termmechanically ventilated patients: feasibility of a decisionalflowchart and clinical outcome. Intensive Care Med.2003;29(5):845-8. doi: 10.1007/s00134-003-1689-z

  21. Shrestha KK, Mohindra S, Mohindra S. How to decannulatetracheostomised severe head trauma patients: a comparison ofgradual vs abrupt technique. Nepal Med Coll J. 2012;14(3):207-11.

  22. Singh RK, Saran S, Baronia AK. The practice of tracheostomydecannulation-a systematic review. J Intensive Care. 2017;5:38.doi: 10.1186/s40560-017-0234-z

  23. McDonald H, Thomas AJ. Outcome of physiotherapy leddecannulation from tracheostomy practice in a large Londonteaching hospital. Physiotherapy. 2015;101(1):e1510-e1511.doi: 10.1016/j.physio.2015.03.1493

  24. Cohen O, Tzelnick S, Lahav Y, Stavi D, Shoffel-HavakukH, Hain M, et al. Feasibility of a single-stage tracheostomydecannulation protocol with endoscopy in adult patients.Laryngoscope. 2016;126(9):2057-62. doi: 10.1002/lary.25800

  25. Rumbak MJ, Graves AE, Scott MP, Sporn GK, Walsh FW,Anderson WM, et al. Tracheostomy tube occlusion protocolpredicts significant tracheal obstruction to air flow in patientsrequiring prolonged mechanical ventilation. Crit Care Med.1997;25(3):413-7. doi: 10.1097/00003246-199703000-00007

  26. Chan LY, Jones AY, Chung RC, Hung KN. Peak flow rateduring induced cough: a predictor of successful decannulationof a tracheotomy tube in neurosurgical patients. Am J Crit Care.2010;19(3):278-84. doi: 10.4037/ajcc2009575

  27. Guerlain J, Guerrero JA, Baujat B, St Guily JL, Périé S. Peakinspiratory flow is a simple means of predicting decannulationsuccess following head and neck cancer surgery: a prospectivestudy of fifty-six patients. Laryngoscope. 2015;125(2):365-70.doi: 10.1002/lary.24904

  28. Choate K, Barbetti J, Currey J. Tracheostomy decannulationfailure rate following critical illness: a prospective descriptivestudy. Aust Crit Care. 2009;22(1):8-15. doi: 10.1016/j.aucc.2008.10.002

  29. Tobin AE, Santamaria JD. An intensivist-led tracheostomyreview team is associated with shorter decannulation timeand length of stay: a prospective cohort study. Crit Care.2008;12(2):R48. doi: 10.1186/cc6864

  30. Lanini B, Binazzi B, Romagnoli I, Chellini E, Pianigiani L,Tofani A, et al. Tracheostomy decannulation in severe acquiredbrain injury patients: The role of flexible bronchoscopy.Pulmonology. 2021:S2531-0437(21)00115-X. doi: 10.1016/j.pulmoe.2021.05.006

  31. Kutsukutsa J, Kuupiel D, Monori-Kiss A, Del Rey-PuechP, Mashamba-Thompson TP. Tracheostomy decannulationmethods and procedures for assessing readiness fordecannulation in adults: a systematic scoping review. IntJ Evid Based Healthc. 2019;17(2):74-91. doi: 10.1097/XEB.0000000000000166

  32. Mendes TAB, Cavalheiro LV, Arevalo RT, Sonegth R.Preliminary study on a proposal of an interdisciplinary flowchartof tracheostomy decannulation. Einstein. 2008;6(1):1-6.

  33. Medeiros GC de, Sassi FC, Lirani-Silva C, Andrade CRFde. Critérios para decanulação da traqueostomia: revisão deliteratura. CoDAS. 2019;31(6):e20180228. doi: 10.1590/2317-1782/20192018228

  34. Welton C, Morrison M, Catalig M, Chris J, Pataki J. Can aninterprofessional tracheostomy team improve weaning todecannulation times? A quality improvement evaluation. Can JRespir Ther. 2016;52(1):7-11.

  35. Mah JW, Staff II, Fisher SR, Butler KL. ImprovingDecannulation and Swallowing Function: A Comprehensive,Multidisciplinary Approach to Post-Tracheostomy Care. RespirCare. 2017;62(2):137-43. doi: 10.4187/respcare.04878




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta de Otorrinolaringología CCC. 2021;49