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[气管切开术：适应证与实施]

[Tracheotomy : Indication and implementation].

作者信息

Oppert Michael, Jungehülsing Markus, Nibbe Lutz

机构信息

Zentrum für Intensiv- und Notfallmedizin, Klinikum Ernst von Bergmann gGmbH, Charlottenstraße 71, 14467, Potsdam, Deutschland.

Health and Medical University, Potsdam, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2024 Nov;119(8):694-702. doi: 10.1007/s00063-024-01184-2. Epub 2024 Oct 11.

DOI:10.1007/s00063-024-01184-2
PMID:39392492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11538147/
Abstract

Tracheotomy has long been performed outside of intensive care medicine. In modern medicine, it has a firm place in the management of critically ill and emergency care patients as well as in cancer surgery of the head and neck, the care of long-term ventilated patients, patients with swallowing disorders, and neurological diseases. The indication, technique, and timing of tracheotomy are very different for the various diseases. This article provides an overview of the different indications, surgical techniques, and timing of tracheotomy in modern intensive care medicine.

摘要

长期以来，气管切开术一直在重症监护医学之外进行。在现代医学中，它在危重症和急诊患者的管理中，以及在头颈癌手术、长期通气患者、吞咽障碍患者和神经系统疾病的治疗中都占有一席之地。气管切开术的适应症、技术和时机因疾病的不同而有很大差异。本文概述了现代重症监护医学中气管切开术的不同适应症、手术技术和时机。

相似文献

1
[Tracheotomy : Indication and implementation].[气管切开术：适应证与实施]
Med Klin Intensivmed Notfmed. 2024 Nov;119(8):694-702. doi: 10.1007/s00063-024-01184-2. Epub 2024 Oct 11.
2
[Tracheostomy in intensive care long-term ventilation : indications, techniques and complications].[重症监护长期通气中的气管切开术：适应症、技术及并发症]
Chirurg. 2011 Feb;82(2):107-10, 112-5. doi: 10.1007/s00104-010-1972-9.
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The impact of tracheotomy timing in critically ill patients undergoing mechanical ventilation: A meta-analysis of randomized controlled clinical trials with trial sequential analysis.机械通气危重症患者行气管切开术时机的影响：随机对照临床试验的荟萃分析与试验序贯分析。
Heart Lung. 2019 Jan;48(1):46-54. doi: 10.1016/j.hrtlng.2018.09.005. Epub 2018 Oct 15.
4
[Indications for tracheotomy in long-term ventilated critically ill patients].[长期机械通气重症患者气管切开术的适应证]
Anasth Intensivther Notfallmed. 1984 Feb;19(1):19-23.
5
The timing of tracheotomy in critically ill patients undergoing mechanical ventilation: a systematic review and meta-analysis of randomized controlled trials.机械通气危重症患者行气管切开术的时机：随机对照试验的系统评价和荟萃分析。
Chest. 2011 Dec;140(6):1456-1465. doi: 10.1378/chest.11-2024. Epub 2011 Sep 22.
6
A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients.一项前瞻性随机研究，比较危重症内科患者早期经皮扩张气管切开术与延长经喉插管（延迟气管切开术）的效果。
Crit Care Med. 2004 Aug;32(8):1689-94. doi: 10.1097/01.ccm.0000134835.05161.b6.
7
EARLY VERSUS LATE PERCUTANEOUS TRACHEOTOMY IN CRITICALLY ILL PATIENTS: A RETROSPECTIVE SINGLE CENTER OBSERVATIONAL STUDY.重症患者早期与晚期经皮气管切开术：一项回顾性单中心观察性研究
Acta Clin Croat. 2016 Mar;55 Suppl 1:33-40.
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[Long-term intubation following tracheotomy].气管切开术后的长期插管
Chirurg. 1986 Jul;57(7):452-6.
9
Compare the effect of noninvasive ventilation and tracheotomy in critically ill mechanically ventilated neurosurgical patients: a retrospective observe cohort study.比较无创通气与气管切开术对重症机械通气神经外科患者的影响：一项回顾性观察队列研究。
BMC Neurol. 2019 May 1;19(1):79. doi: 10.1186/s12883-019-1297-3.
10
Tracheotomy: clinical review and guidelines.气管切开术：临床综述与指南
Eur J Cardiothorac Surg. 2007 Sep;32(3):412-21. doi: 10.1016/j.ejcts.2007.05.018. Epub 2007 Jun 27.

本文引用的文献

1
Tracheostomy timing and outcome in critically ill patients with stroke: a meta-analysis and meta-regression.气管切开术时机与重症脑卒中患者预后的关系：一项荟萃分析与荟萃回归研究
Crit Care. 2023 Apr 1;27(1):132. doi: 10.1186/s13054-023-04417-6.
2
Percutaneous tracheostomy in the ICU: a review of the literature and recent updates.重症监护病房中的经皮气管切开术：文献综述与近期进展
Curr Opin Pulm Med. 2023 Jan 1;29(1):47-53. doi: 10.1097/MCP.0000000000000928. Epub 2022 Nov 15.
3
Bayesian analysis of a systematic review of early versus late tracheostomy in ICU patients.贝叶斯分析对 ICU 患者早期与晚期气管切开术的系统评价。
Br J Anaesth. 2022 Nov;129(5):693-702. doi: 10.1016/j.bja.2022.08.012. Epub 2022 Sep 24.
4
Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial.早期与标准气管切开术对机械通气严重脑卒中患者 6 个月时功能结局的影响：SETPOINT2 随机临床试验。
JAMA. 2022 May 17;327(19):1899-1909. doi: 10.1001/jama.2022.4798.
5
Early tracheostomy: on the cutting edge, some benefit more than others.早期气管切开术：处于前沿，一些患者受益更多。
Curr Opin Anaesthesiol. 2022 Apr 1;35(2):236-241. doi: 10.1097/ACO.0000000000001114.
6
Safety of percutaneous dilatational tracheotomy (PDT) with the rigid tracheotomy endoscope (TED): a 6-month follow-up multicenter investigation.经皮扩张气管切开术（PDT）联合硬性气管镜（TED）的安全性：一项为期 6 个月的多中心随访研究。
BMC Anesthesiol. 2021 Feb 15;21(1):51. doi: 10.1186/s12871-021-01264-2.
7
Prolonged Weaning: S2k Guideline Published by the German Respiratory Society.长期撤机：德国呼吸学会发布的S2k指南
Respiration. 2020 Dec 10:1-102. doi: 10.1159/000510085.
8
Mechanical ventilation in patients with acute brain injury: recommendations of the European Society of Intensive Care Medicine consensus.急性脑损伤患者的机械通气：欧洲重症监护医学学会共识推荐。
Intensive Care Med. 2020 Dec;46(12):2397-2410. doi: 10.1007/s00134-020-06283-0. Epub 2020 Nov 11.
9
["Hybrid tracheostomy": a low risk procedure for tracheostomy in COVID-19 patients].["杂交气管切开术"：一种用于新冠病毒肺炎患者气管切开的低风险手术]
Med Klin Intensivmed Notfmed. 2020 Oct;115(7):585-590. doi: 10.1007/s00063-020-00710-2. Epub 2020 Aug 5.
10
Tracheostomy practice and timing in traumatic brain-injured patients: a CENTER-TBI study.创伤性脑损伤患者的气管切开术实践和时机：CENTER-TBI 研究。
Intensive Care Med. 2020 May;46(5):983-994. doi: 10.1007/s00134-020-05935-5. Epub 2020 Feb 5.