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非重症监护病房患者床边经皮气管切开术与开放性外科气管切开术的比较

Bedside Percutaneous Tracheostomy versus Open Surgical Tracheostomy in Non-ICU Patients.

作者信息

Brotfain Evgeni, Koyfman Leonid, Frenkel Amit, Semyonov Michael, Peiser Jochanan G, Hayun-Maman Hagit, Boyko Matthew, Gruenbaum Shaun E, Zlotnik Alexander, Klein Moti

机构信息

Department of Anesthesiology and Critical Care, Soroka Medical Center, Sderot Rager, Beer Sheva 84100, Israel.

Department of Medical Management, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel.

出版信息

Crit Care Res Pract. 2014;2014:156814. doi: 10.1155/2014/156814. Epub 2014 Jan 12.

DOI:10.1155/2014/156814
PMID:24523960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3913483/
Abstract

Percutaneous bedside tracheostomy (PBT) is a one of the common and safe procedures in intensive care units through the world. In the present paper we published our clinical experience with a performance of PBTs in the regular ward by intensive care physicians' team. We found it safe and similar outcome in comparison to open surgical tracheostomy method in operation room by ENT team. The performance of PBT in the regular ward showed potential economic advantages in saving medical staff and operating room resources.

摘要

经皮床边气管切开术(PBT)是全球重症监护病房中常见且安全的手术之一。在本文中,我们发表了重症医学医师团队在普通病房进行PBT的临床经验。我们发现,与耳鼻喉科团队在手术室进行的开放性手术气管切开术相比,PBT安全且效果相似。在普通病房进行PBT在节省医护人员和手术室资源方面显示出潜在的经济优势。

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本文引用的文献

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Does space make waste? The influence of ICU bed capacity on admission decisions.空间会导致浪费吗?重症监护病房床位容量对收治决策的影响。
Crit Care. 2013 May 8;17(3):315. doi: 10.1186/cc12688.
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Can intensive care physicians safely perform percutaneous dilational tracheostomy? An analysis of 207 cases.重症监护医师能否安全地实施经皮扩张气管切开术?207例病例分析。
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Mechanical ventilation of patients hospitalized in medical wards vs the intensive care unit--an observational, comparative study.内科病房与重症监护病房住院患者的机械通气——一项观察性比较研究。
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Percutaneous dilatational tracheostomy.经皮扩张气管切开术
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Crit Care. 2006;10(2):R55. doi: 10.1186/cc4887.
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Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation.对接受人工通气的成年患者气管切开术时机研究的系统评价和荟萃分析。
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