Tracheostomy management in the chronically ventilated patient

被引:106
作者
Heffner, JE
Hess, D
机构
[1] Med Univ S Carolina, Dept Med, Charleston, SC 29425 USA
[2] Harvard Univ, Sch Med, Boston, MA 02115 USA
[3] Massachusetts Gen Hosp, Boston, MA 02114 USA
关键词
D O I
10.1016/S0272-5231(05)70025-3
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Successful management of patients who require long-term ventilatory support requires a skilled approach to airway care. Tracheostomy provides multiple benefits to patient care in addition to provision of airway access for mechanical ventilation. Realization of these benefits, however, depends on knowledge of approaches for promoting speech and nutrition in the intubated patient, providing expert respiratory care, and initiating effective weaning and airway decannulation efforts.
引用
收藏
页码:55 / +
页数:16
相关论文
共 145 条
  • [61] HEFFNER JE, 1988, CLIN CHEST MED, V9, P23
  • [62] HEFFNER JE, 1988, PROBL ANESTH, V2, P269
  • [63] HEFFNER JE, 1994, PRINCIPLES PRACTICE, P749
  • [64] WEEKLY VENTILATOR CIRCUIT CHANGES - A STRATEGY TO REDUCE COSTS WITHOUT AFFECTING PNEUMONIA RATES
    HESS, D
    BURNS, E
    ROMAGNOLI, D
    KACMAREK, RM
    [J]. ANESTHESIOLOGY, 1995, 82 (04) : 903 - 911
  • [65] HESS D, 1994, PRINCIPLES PRACTICE
  • [66] Hess DR, 1999, RESP CARE EQUIPMENT, P157
  • [67] THE INFLUENCE OF A HEAT AND MOISTURE EXCHANGER (HME) ON THE RESPIRATORY SYMPTOMS AFTER TOTAL LARYNGECTOMY
    HILGERS, FJM
    AARONSON, NK
    ACKERSTAFF, AH
    SCHOUWENBURG, PF
    VANZANDWIJK, N
    [J]. CLINICAL OTOLARYNGOLOGY, 1991, 16 (02): : 152 - 156
  • [68] HO AM, 1990, J TRAUMA, V40, P486
  • [69] SPEECH PRODUCTION DURING MECHANICAL VENTILATION IN TRACHEOSTOMIZED INDIVIDUALS
    HOIT, JD
    SHEA, SA
    BANZETT, RB
    [J]. JOURNAL OF SPEECH AND HEARING RESEARCH, 1994, 37 (01): : 53 - 63
  • [70] COMPLICATIONS AND LATE SEQUELAE FOLLOWING NASOTRACHEAL INTUBATION
    HOLDGAARD, HO
    PEDERSEN, J
    SCHURIZEK, BA
    MELSEN, NC
    JUHL, B
    [J]. ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1993, 37 (05) : 475 - 480