ABSTRACT
No disponible
Subject(s)
Adult , Humans , Male , Larynx/injuries , Pneumopericardium/diagnosis , Mediastinal Emphysema/diagnosis , Radiography, ThoracicSubject(s)
Basketball/injuries , Larynx/injuries , Mediastinal Emphysema/etiology , Pneumopericardium/etiology , Wounds, Nonpenetrating/complications , Adult , Compression Bandages , Cough/etiology , Dyspnea/etiology , Humans , Larynx/diagnostic imaging , Male , Mediastinal Emphysema/diagnostic imaging , Pneumopericardium/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Leishmaniasis, Mucocutaneous/diagnosis , Leishmania/pathogenicity , Leukoplakia, Oral/diagnosis , Laryngeal Diseases/diagnosis , Diagnosis, DifferentialABSTRACT
OBJECTIVE: To inspect and describe the results of tracheotomies carried out at our ENT Department and to assess changes in indications over the last few decades. MATERIAL AND METHODS: Retrospective study of 13 patients, aged 3 months to 14 years, admitted by the ENT Department to the Paediatric ICU at Puerta del Mar University Hospital for elective tracheotomy over a 92-month period. RESULTS: The main indication is shared by obstructive respiratory insufficiency, post-surgery extubation failure and as a means of assisting ventilation in children requiring prolonged intubation. CONCLUSIONS: In the last 30 years the indications for paediatric tracheotomy have changed and the number of children needing intubation for more than 20-30 days has increased. It is no longer an emergency procedure to overcome a blockage in the upper airways but has instead become a technique for maintaining assisted ventilation for the medium to long term.
Subject(s)
Respiratory Insufficiency/surgery , Tracheotomy , Adolescent , Child , Child, Preschool , Female , Humans , Infant , Male , Respiration, Artificial , Respiratory Insufficiency/epidemiology , Retrospective Studies , Tracheotomy/methods , Tracheotomy/standards , Tracheotomy/statistics & numerical dataABSTRACT
Objetivo: Revisar y describir los resultados de traqueotomías de nuestra unidad de otorrinolaringología y evaluar cambios producidos en las indicaciones en las últimas décadas. Material y métodos: Estudio retrospectivo de 13 pacientes con traqueotomía electiva en la Unidad Clínica de ORL del Hospital Universitario Puerta del Mar, admitidos en UCI pediátrica, de 3 meses a 14 años, durante 92 meses. Resultados: Las principales indicaciones son la insuficiencia respiratoria obstructiva, la imposibilidad de extubación posquirúrgica y el soporte para ventilación asistida en niños con afecciones que precisaban intubación prolongada. Conclusiones: En los últimos 30 años se han producido cambios en las indicaciones de traqueotomía infantil, y el número de niños que precisan intubación prolongada más de 20-30 días ha aumentado. La traqueotomía infantil ha dejado de ser un procedimiento de emergencia que salva una obstrucción de la vía aérea superior para convertirse en una forma de acceso a la vía respiratoria para mantener la ventilación asistida a medio-largo plazo
Objective: To inspect and describe the results of tracheotomies carried out at our ENT Department and to assess changes in indications over the last few decades. Material and methods: Retrospective study of 13 patients, aged 3 months to 14 years, admitted by the ENT Department to the Paediatric ICU at Puerta del Mar University Hospital for elective tracheotomy over a 92-month period. Results: The main indication is shared by obstructive respiratory insufficiency, post-surgery extubation failure and as a means of assisting ventilation in children requiring prolonged intubation. Conclusions: In the last 30 years the indications for paediatric tracheotomy have changed and the number of children needing intubation for more than 20-30 days has increased. It is no longer an emergency procedure to overcome a blockage in the upper airways but has instead become a technique for maintaining assisted ventilation for the medium to long term
