TY  - CHAP
M1  - Book, Section
TI  - Tracheostomy & Cricothyrotomy
A1  - Lustig, Lawrence R.
A1  - Schindler, Joshua S.
A2  - Papadakis, Maxine A.
A2  - McPhee, Stephen J.
A2  - Rabow, Michael W.
A2  - McQuaid, Kenneth R.
PY  - 2022
T2  - Current Medical Diagnosis & Treatment 2022
AB  - There  are  two  primary  indications  for  tracheotomy:  airway  obstruction  at  or  above  the  level  of  the  larynx  and  respiratory  failure  requiring  prolonged  mechanical  ventilation.  In  an  acute  emergency,  cricothyrotomy  secures  an  airway  more  rapidly  than  tracheotomy,  with  fewer  potential  immediate  complications,  such  as  pneumothorax  and  hemorrhage.  Percutaneous  dilatational  tracheotomy  as  an  elective  bedside  (or  intensive  care  unit)  procedure  has  undergone  scrutiny  in  recent  years  as  an  alternative  to  tracheotomy.  In  experienced  hands,  the  various  methods  of  percutaneous  tracheotomy  have  been  documented  to  be  safe  for  carefully  selected  patients.  Simultaneous  videobronchoscopy  can  reduce  the  incidence  of  major  complications.  The  major  cost  reduction  comes  from  avoiding  the  operating  room.  Bedside  tracheotomy  (in  the  intensive  care  unit)  achieves  similar  cost  reduction  and  is  advocated  by  some  experts  as  slightly  less  costly  than  the  percutaneous  procedures.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1184157384
ER  -