Features of puncture-dilated tracheostomy in elderly and senile patients
https://doi.org/10.20340/vmi-rvz.2023.2.COVID
Abstract
Quite a lot of manuals have been published recently, both in paper and electronic form, on the relatively new technique of puncturedilated tracheostomy. However, it is almost impossible to find information about the features of this technique in elderly and old patients. And they are there and attract attention. For the first time in the article, we drew attention to the peculiarity of the anatomical structure of the neck and adjacent structures in elderly and old patients. A comparative table of mortality of patients with various techniques of tracheostomy is presented, which allows us to visually determine the most beneficial in elderly and old patients. The protocol of puncture-dilated tracheostomy in relation to elderly and old patients is presented.
About the Author
A. S. Ignatiev
Samara State Medical University
Russian Federation
Russian Federation
Artem S. Ignat'ev, anesthesiologist-resuscitator, assistant of the Department of Anesthesiology, Resuscitation and Emergency Medicine, Institute of Professional Education,
89 Chapaevskaya, Samara, 443099
References
1. 1 McGrath B.A., Brenner M.J., Worrilow S.J., Pandian V., Arora A., Cameron T.S. et al. Tracheostomy in the era of COVID-19: Global and interdisciplinary leadership. Lancet Respir Med. 2020 July; 8 (7):717–725. https://doi.org/10.1016/S2213-2600(20)30230-7
2. 2 Meister K.D., Pandian V., Hillel A.T., Walsh B.K., Brodsky M.B., Balakrishnan K., et al. Interdisciplinary safety recommendations after Tracheostomies during the COVID-19 pandemic: an overview of the current state. Otolaryngological surgery on the head and neck. May 2021;164(5):984–1000. https://doi.org/10.1177/0194599820961990
3. 3 Kwak PE, Connors Jr., Benedict P.A., Timen Mr., Wang B., Zhang Wu et al. Early results of early tracheostomy in patients with COVID-19. Head and Neck Surgery JAMA Otolaryngol. 2021 Mar 1;147 (3):239-244. https://doi.org/10.1001/jamaoto.2020.4837
4. 4 Markelovа O.A., Vezikovа N.N., Kondrichina S.N., Barysheva O.Y. Clinical features of patients with COVID-19, hospitalized in a multi-somatic hospital. Bulletin of the Medical Institute “REAVIZ”. Rehabilitation, Doctor and Health. 2021;5(53):23-33. (In Russ.) https://doi.org/10.20340/vmi-rvz.2021.5.COVID.2
5. 5 Zhang XH, Long XB, Xu K, Lu X, Liu Z. Nine-month tracheostomy results in COVID-19 patients: a retrospective study. Am J Otolaryngol. 2022 May-June;43(3):103437. https://doi.org/10.1016/j.amjoto.2022.103437
6. 6 Battaglini D., Premraj L., White N., Satt A.L., Robba S., Cho S.M. et al. Tracheostomy results in critically ill patients with COVID-19: systematic review, meta-analysis and meta-regression. Br Jun. 2022, August 3: S0007-0912(22)00426-3. https://doi.org/10.1016/j.bja.2022.07.032
7. 7 Ji Yi, Fang Yi, Cheng B., Li L., Fang H. Tracheostomy timing and clinical results in ventilated patients with COVID-19: a systematic review and meta-analysis. Treatment of Crete. 2022 February 8;26(1):40. https://doi.org/10.1186/s13054-022-03904-6
8. 8 Lyapustin S.B., Sulimova N.A. The use of early puncture-dilated tracheostomy in the transfer to mechanical ventilation of patients with stroke and stroke (COVID-19). Perm Medical Journal. 2021;5. (In Russ.) https://doi.org/10.17816/pmj38549%54
9. 9 Matyushkov N.S., Tyurin I.N., Avdeikin S.N., Boyarkov A.V., Kazakov D.N., Kostin D.M. Respiratory support in patients with COVID-19. The experience of the infectious diseases hospital in Kommunarka: a single-center retrospective study. A.I. Saltanov Bulletin of Intensive Care. 2021;3:47–60. (In Russ.) https://doi.org/10.21320/1818-474X-2021-3-47-60
10. 10 Kruglyakov N.M., Kiselev K.V., Abudeev S.A., Lobanova I.N., Belousova K.A., Bagzhanov G.I., et al. Puncture-dilated tracheostomy in patients with extracorporeal membrane oxygenation. Anesthesiology and resuscitation. 2018;63(2):148–154. (In Russ.) http://dx.doi.org/10.18821/0201-7563-2018-63-2-148-154
11. 11 Izmailov E.P., Trukhanova I.G., Malakhov V.G., Tsybin A.V. Application of the scale for assessing the severity of the condition of patients in the practice of emergency medical care. Moscow medicine. 2019;4(32):62–63. (In Russ.)
Review
For citations:
Ignatiev A.S. Features of puncture-dilated tracheostomy in elderly and senile patients. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2023;13(2):6-10. (In Russ.) https://doi.org/10.20340/vmi-rvz.2023.2.COVID
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