PDF(Pubmed)
Abstract：
UNASSIGNED: Tracheostomy is a life-saving surgical intervention commonly performed in patients requiring prolonged mechanical ventilation. However, the decannulation process is associated with various complications that can affect patient outcomes. This study aimed to assess complications and their management during decannulation in a cohort of tracheostomy patients at a tertiary care hospital, considering the complexities introduced by prior intubation.
UNASSIGNED: A retrospective cohort study was conducted involving 450 patients who underwent tracheostomy during a stipulated timeframe. Data regarding demographic characteristics, complications, and management strategies during decannulation were analysed. Special attention was given to distinguishing between complications directly related to the tracheostomy procedure and those potentially influenced by previous intubation.
UNASSIGNED: Out of the 450 patients, 250 experienced minor complications such as localized bleeding, oxygen desaturation, and minor infections. Another 40 faced major complications including severe haemorrhage, tracheal damage, and stenosis. Increasing age and tracheostomy duration were identified as significant predictors of complications. Pharmacological treatments, surgical interventions, and respiratory therapy were among the management strategies employed. The differentiation between complications arising from tracheostomy and prior intubation highlighted the need for comprehensive patient evaluation.
UNASSIGNED: Complications associated with decannulation occur frequently with varying severity. Efficient recognition and management of these complications are vital for improving patient outcomes. The study provides important insights into the challenges experienced during the decannulation process and highlights the necessity of considering prior intubation history in the management of tracheostomy decannulation to refine patient care protocols.
UNASSIGNED: A retrospective cohort study was conducted involving 450 patients who underwent tracheostomy during a stipulated timeframe. Data regarding demographic characteristics, complications, and management strategies during decannulation were analysed. Special attention was given to distinguishing between complications directly related to the tracheostomy procedure and those potentially influenced by previous intubation.
UNASSIGNED: Out of the 450 patients, 250 experienced minor complications such as localized bleeding, oxygen desaturation, and minor infections. Another 40 faced major complications including severe haemorrhage, tracheal damage, and stenosis. Increasing age and tracheostomy duration were identified as significant predictors of complications. Pharmacological treatments, surgical interventions, and respiratory therapy were among the management strategies employed. The differentiation between complications arising from tracheostomy and prior intubation highlighted the need for comprehensive patient evaluation.
UNASSIGNED: Complications associated with decannulation occur frequently with varying severity. Efficient recognition and management of these complications are vital for improving patient outcomes. The study provides important insights into the challenges experienced during the decannulation process and highlights the necessity of considering prior intubation history in the management of tracheostomy decannulation to refine patient care protocols.
摘要：
■气管造口术是一种挽救生命的外科手术，通常在需要长时间机械通气的患者中进行。然而,拔管过程与各种可能影响患者预后的并发症有关.本研究旨在评估三级医院气管造口术患者在拔管过程中的并发症及其管理。考虑到先前插管引入的复杂性。
■进行了一项回顾性队列研究，涉及450名在规定时间内接受气管造口术的患者。有关人口特征的数据，并发症,分析了拔管过程中的管理策略。特别注意区分与气管造口术直接相关的并发症和先前插管可能影响的并发症。
■在450名患者中，250经历了轻微的并发症，如局部出血，氧饱和度,和轻微的感染。另有40人面临重大并发症，包括严重出血，气管损伤,和狭窄。年龄增加和气管造口术持续时间被确定为并发症的重要预测因素。药物治疗,手术干预，和呼吸治疗是采用的管理策略之一。气管造口术和先前插管引起的并发症之间的区别突出了对患者进行全面评估的必要性。
■与拔管相关的并发症经常发生，严重程度各不相同。有效识别和管理这些并发症对于改善患者预后至关重要。该研究提供了对拔管过程中遇到的挑战的重要见解，并强调了在气管造口拔管的管理中考虑先前插管史的必要性，以完善患者护理方案。
■进行了一项回顾性队列研究，涉及450名在规定时间内接受气管造口术的患者。有关人口特征的数据，并发症,分析了拔管过程中的管理策略。特别注意区分与气管造口术直接相关的并发症和先前插管可能影响的并发症。
■在450名患者中，250经历了轻微的并发症，如局部出血，氧饱和度,和轻微的感染。另有40人面临重大并发症，包括严重出血，气管损伤,和狭窄。年龄增加和气管造口术持续时间被确定为并发症的重要预测因素。药物治疗,手术干预，和呼吸治疗是采用的管理策略之一。气管造口术和先前插管引起的并发症之间的区别突出了对患者进行全面评估的必要性。
■与拔管相关的并发症经常发生，严重程度各不相同。有效识别和管理这些并发症对于改善患者预后至关重要。该研究提供了对拔管过程中遇到的挑战的重要见解，并强调了在气管造口拔管的管理中考虑先前插管史的必要性，以完善患者护理方案。
