Safety management of the patient with tracheostomy from a critical care unit.
Abstract Introduction and objective: A patient with a tracheostomy has a high morbidity and mortality when comes to a general ward from the critical care unit. This situation has led us to develop a quality and safety program, to improve care and reduce the number of incidents that could endanger his life. Method: Adapting to our environment the recommendations of literature, the program is composed of four elements: standardized information, training of the staff involved, patient follow up and general scheme. Results: The elaborate documentation, offers the way of assessing a patient with tracheostomy, and carry out its assistance. Through interactive workshops, this information is transmitted to the staff responsible for these patients. The periodic inspection by an Otolaryngologist (ENT), an ENT nurse and an intensive care physician, allows to register the clinical situation and possible complications, applying specific protocols of decannulation and swallowing. Finally, we add a set of general rules, to decrease variability. Discussion: The multidisciplinary care in the patient with a tracheostomy is a complex intervention where the lack of previous data, the important number of neurocritical ill patients, the multiplicity of general wards that can accommodate these patients and its clinical diversity, make difficult proper monitoring. Conclusions: We are confident that this project can reach its goals, improving the quality and safety of patient carrier of a tracheal cannula.
- Referencias
- Cómo citar
- Del mismo autor
- Métricas
Agency for Clinical Innovation (ACI). Care of adult patients in acute care facilities with a tracheostomy. Clinical practice guideline. 2013 [citado 19 Jul 2017]. pp 101. Disponible en: https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0005/181454/ACI_Tracheostomy_CPG.pdf
Arora A, Hettige R, Ifeacho S, Narula A. Driving standards in tracheostomy care: a preliminary communication of the St Mary's ENT-led multi disciplinary team approach. Clin Otolaryngol. 2008;33(6):596-9. https://doi.org/10.1111/j.1749-4486.2008.01814.x - PMid:19126136
Benito-Orejas JI. Consenso clínico en relación a los cuidados de la traqueotomía (artículo comentado). Rev ORL. 2014 [citado 23 Jul 2017]; 5(Supl.3):S1-8. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/125011/1/revistaorl2014_supl3_traqueotomia.pdf
Bobillo-De Lamo F, Benito-Orejas JI, Martínez-Díez C, De Juana-Morrondo, MS. Cuidados del paciente traqueotomizado. Rev ORL. 2013 [citado 23 Jul 2017]; 4 (Supl.4): S1-18. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/124494/1/revistaorl2013_supl4_cuidadostraqueotomia1.pdf
Carretero-Rodríguez I, Pardal-Refoyo JL. Investigación bibliográfica sobre la decanulación en pacientes traqueotomizados. Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja. 2015 [citado 23 Jul 2017];6(20):160-170. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/125984/1/revistaorl201520_decanulacion.pdf
Casserly P, Lang E, Fenton JE, Walsh M. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. Br J Anaesth. 2007 Sep;99(3):380-3. https://doi.org/10.1093/bja/aem167 - PMid:17609249
Ceriana P, Carlucci A, Navalesi P, Rampulla C, Delmastro M, Piaggi G, et al. Weaning from tracheotomy in long-term mechanically ventilated patients: feasibility of a decisional flowchart and clinical outcome. Intensive Care Med. 2003;29(5):845-8. https://doi.org/10.1007/s00134-003-1689-z - PMid:12634987
Cetto R, Arora A, Hettige R, Nel M, Benjamin L, Gomez CM, et al. Improving tracheostomy care: a prospective study of the multidisciplinary approach. Clin Otolaryngol. 2011;36:482-8.
https://doi.org/10.1111/j.1749-4486.2011.02379.x - PMid:21838807
Choate K, Barbetti J, Sandford M. Tracheostomy: clinical practice and the formation of policy and guidelines. Aust Nurs J. 2003;10(8):17-9. -
PMid:18564587
Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr. 2008;27(6):806-15. https://doi.org/10.1016/j.clnu.2008.06.011 - PMid:18789561
Clavé P, Terré R, de Kraa M, Serra M. Actitud a seguir ante una disfagia orofaríngea. Rev Esp Enferm Dig. 2004;96(2):119-131. - PMid:15255021
Clavel-Cerón R, Calvo-Torres MD, Luque-Martínez MJ, Subiela-García JA. Atención integral al paciente portador de cánula. Servicio Murciano de Salud. Murcia. 1ª Ed. 2016. [citado 19 Jul 2017]. pp 642. Disponible en: http://www.murciasalud.es/recursos/ficheros/367664-LIBRO_ENFERMERIA_W.pdf
Clec'h C, Alberti C, Vincent F, Garrouste-Orgeas M, de Lassence A, Toledano D, et al. Tracheostomy does not improve the outcome of patients requiring prolonged mechanical ventilation: a propensity analysis. Crit Care Med. 2007;35(1):132-8. https://doi.org/10.1097/01.CCM.0000251134.96055.A6 - PMid:17133180
Dawson D. Essential principles: tracheostomy care in the adult patient. Nurs Crit Care. 2014;19(2):63-72.
https://doi.org/10.1111/nicc.12076 - PMid:24529106
de Mestral C, Iqbal S, Fong N, LeBlanc J, Fata P, Razek T, et al. Impact of a specialized multidisciplinary tracheostomy team on tracheostomy care in critically ill patients. Can J Surg. 2011;54(3):167-72.
https://doi.org/10.1503/cjs.043209 - PMid:21443833 - PMCid:PMC3104317
Dorton LH, Lintzenich CR, Evans AK. Simulation model for tracheotomy education for primary health-care providers. Ann Otol Rhinol Laryngol. 2014;123(1):11-8.
https://doi.org/10.1177/0003489414521144 - PMid:24574418
Farida JP, Lawrence LA, Svider PF, Shkoukani MA, Zuliani GF, Folbe AJ, et al. Protecting the airway and the physician: Aspects of litigation arising from tracheotomy. Head Neck. 2016;38(5):751-4. https://doi.org/10.1002/hed.23950 - PMid:25524374
Gandía-Martínez F, Martínez-Gil I, Andaluz-Ojeda D, Bobillo de Lamo F, Parra-Morais L, Díez-Gutiérrez F. Análisis de la traqueotomía precoz y su impacto sobre la incidencia de neumonía, consumo de recursos y mortalidad en pacientes neurocríticos. Neurocirugia (Astur). 2010 Jun;21(3):211-21.
https://doi.org/10.4321/S1130-14732010000300002 - https://doi.org/10.1016/S1130-1473(10)70078-6
García-Botrán B, Granell-Navarro J, Gutiérrez-Fonseca R, Barba-Martín R. Cribado clínico de la disfagia orofaríngea en un hospital general. Primeros resultados. Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja. 2014 [citado 23 Jul 2017];5(14):112-123. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/124545/1/revistaorl201414_cribadodisfagia.pdf
Garrubba M, Turner T, Grieveson C. Multidisciplinary care for tracheostomy patients: a systematic review. Crit Care. 2009;13(6):R177.
https://doi.org/10.1186/cc8159 - PMid:19895690 - PMCid:PMC2811928
Gordo F, Nú-ez A, Calvo E, Algora A. Mortalidad intrahospitalaria tras el alta de una unidad de cuidados intensivos en pacientes que han precisado ventilación mecánica. Med Clin (Barc). 2003; 121(7): 241-4. https://doi.org/10.1016/S0025-7753(03)75187-2
Hettige R, Arora A, Ifeacho S, Narula A. Improving tracheostomy management through design, implementation and prospective audit of a care bundle: how we do it. Clin Otolaryngol. 2008;33, 488–91. https://doi.org/10.1111/j.1749-4486.2008.01725.x - PMid:18983388
Intensive Care Society Council. Standards for the care of adult patients with a temporary Tracheostomy; STANDARDS AND GUIDELINES. 2014 [citado 19 Jul 2017]. pp 56. Disponible en: http://www.theawsomecourse.co.uk/ICS/ICS%20Tracheostomy%20standards%20(2014).pdf
Martinez GH, Fernandez R, Casado MS, Cuena R, Lopez-Reina P, Zamora S, et al. Tracheostomy tube in place at intensive care unit discharge is associated with increased ward mortality. Respir Care. 2009;54(12):1644-52. PMid:19961629
McGrath BA, Thomas AN. Patient safety incidents associated with tracheostomies occurring in hospital wards: a review of reports to the UK National Patient Safety Agency. Postgrad Med J. 2010;86(1019):522-5. https://doi.org/10.1136/pgmj.2009.094706 - PMid:20709764
McGrath BA: Comprehensive tracheostomy care. The national tracheostomy safety project manual. Wiley Blackwell. 1ª Ed. 2014. pp 144.
Mirski MA, Pandian V, Bhatti N, Haut E, Feller-Kopman D, Morad A, et al. Safety, efficiency, and cost-effectiveness of a multidisciplinary percutaneous tracheostomy program. Crit Care Med. 2012;40(6):1827-34. https://doi.org/10.1097/CCM.0b013e31824e16af - PMid:22610187
Mitchell RB, Hussey HM, Setzen G, Jacobs IN, Nussenbaum B, Dawson C, et al. Clinical consensus statement: tracheostomy care. Otolaryngol Head Neck Surg. 2013;148(1):6-20. https://doi.org/10.1177/0194599812460376 - PMid:22990518
Mondrup F, Skjelsager K, Madsen KR. Inadequate follow-up after tracheostomy and intensive care. Dan Med J. 2012;59(8):A4481.
PMid:22849980
National Tracheostomy Safety Project. Information resource for the management of patients with tracheostomies and laryngectomies. 2010 [citado 19 Jul 2017]. pp 112. Disponible en: https://www.choiceforum.org/docs/natt.pdf
NHS Quality Improvement Scotland (NHS QIS). Caring for the patient with a tracheostomy. 2007 [citado 19 Jul 2017]. pp 47. Disponible en: file:///C:/Users/OEM%20USER/Downloads/TRACHEOREV_BPS_MAR07.pdf
Norwood MG, Spiers P, Bailiss J, Sayers RD. Evaluation of the role of a specialist tracheostomy service: from critical care to outreach and beyond. Postgrad Med J. 2004;80(946):478-80.
https://doi.org/10.1136/pgmj.2003.016956 - PMid:15299159 PMCid:PMC1743081
O'Connor HH, Kirby KJ, Terrin N, Hill NS, White AC. Decannulation following tracheostomy for prolonged mechanical ventilation. J Intensive Care Med. 2009;24(3):187-94. https://doi.org/10.1177/0885066609332701 - PMid:19282297
Pandian V, Miller CR, Mirski MA, Schiavi AJ, Morad AH, Vaswani RS, et al. Multidisciplinary team approach in the management of tracheostomy patients. Otolaryngol Head Neck Surg. 2012;147(4):684-91. https://doi.org/10.1177/0194599812449995 - PMid:22675004
Pardal-Refoyo J. Guía de cuidados en Otorrinolaringología y Patología Cérvicofacial. Revista ORL. 2016 [citado 19 Jul 2017]; 8(1): 1-139. Disponible en: http://revistas.usal.es/cinco/index.php/2444-7986/article/view/13553
Pasqua F, Nardi I, Provenzano A, Mari A; Lazio Regional Section, Italian Association of Hospital Pulmonologists (AIPO). Weaning from tracheostomy in subjects undergoing pulmonary rehabilitation. Multidiscip Respir Med. 2015;27(10):35. https://doi.org/10.1186/s40248-015-0032-1 -
- PMid:26629342 PMCid:PMC4666070
Paul F. Tracheostomy care and management in general wards and community settings: literatura review. Nurs Crit Care. 2010;15(2):76-85.
https://doi.org/10.1111/j.1478-5153.2010.00386.x - PMid:20236434
Peláez-Palacios MS, Fermoso-Palmero MJ. Investigación bibliográfica sobre cuidados de enfermería y seguridad en el paciente con traqueotomía. Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja. 2012 [citado 23 Jul 2017];5:55-65. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/124536/1/revistaorl201407_revisiontraqueotomia.pdf
Pérez-Boillos M, Alcalde-Martín M, García-Palomar I, González-Pastrana J, Montero-Alonso M, García-Espinosa P. Sistema de notificación de incidentes sin da-o en el sistema de salud de Castilla y León. Revista ORL.2017 [citado 24 Jul 2017];8(1):17-21. Disponible en: http://revistas.usal.es/cinco/index.php/2444-7986/article/view/15423
Rofes L, Arreola V, Clavé P. The volume-viscosity swallow test for clinical screening of dysphagia and aspiration. Nestle Nutr Inst Workshop Ser. 2012;72:33-42.
https://doi.org/10.1159/000339979 - PMid:23051998
Schmidt U, Hess D, Bittner E. To decannulate or not to decannulate: a combination of readiness for the floor and floor readiness?. Crit Care Med. 2011;39(10):2360-1.
https://doi.org/10.1097/CCM.0b013e318226618a - PMid:21926492
Smith-Miller C. Graduate nurses' comfort and knowledge level regarding tracheostomy care. J Nurses Staff Dev. 2006;22(5):222-9; quiz 230-1.
https://doi.org/10.1097/00124645-200609000-00003 - PMid:17019276
Sodhi K, Shrivastava A, Singla MK. Implications of dedicated tracheostomy care nurse program on outcomes. J Anesth. 2014;28(3):374-80.
https://doi.org/10.1007/s00540-013-1718-1 - PMid:24097169
Stelfox HT, Crimi C, Berra L, Noto A, Schmidt U, Bigatello LM, et al. Determinants of tracheostomy decannulation: an international survey. Crit Care. 2008;12(1):R26.
https://doi.org/10.1186/cc6802 - PMid:18302759 PMCid:PMC2374629
Tobin AE, Santamaria JD. An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study. Crit Care. 2008;12(2):R48. https://doi.org/10.1186/cc6864 - PMid:18402705 PMCid:PMC2447599
Warnecke T, Suntrup S, Teismann IK, Hamacher C, Oelenberg S, Dziewas R. Standardized endoscopic swallowing evaluation for tracheostomy decannulation in critically ill neurologic patients. Crit Care Med. 2013;41(7):1728-32. https://doi.org/10.1097/CCM.0b013e31828a4626 -
- PMid:23774336
Wilcox SR, Schmidt UH. Are tracheostomized patients safe on regular hospital wards? Respir Care. 2009;54(12):1632-4. PMid:19961626
Yelverton JC, Nguyen JH, Wan W, Kenerson MC, Schuman TA. Effectiveness of a standardized education process for tracheostomy care. Laryngoscope. 2015;125(2):342-7. https://doi.org/10.1002/lary.24821 - PMid:25041983
Arora A, Hettige R, Ifeacho S, Narula A. Driving standards in tracheostomy care: a preliminary communication of the St Mary's ENT-led multi disciplinary team approach. Clin Otolaryngol. 2008;33(6):596-9. https://doi.org/10.1111/j.1749-4486.2008.01814.x - PMid:19126136
Benito-Orejas JI. Consenso clínico en relación a los cuidados de la traqueotomía (artículo comentado). Rev ORL. 2014 [citado 23 Jul 2017]; 5(Supl.3):S1-8. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/125011/1/revistaorl2014_supl3_traqueotomia.pdf
Bobillo-De Lamo F, Benito-Orejas JI, Martínez-Díez C, De Juana-Morrondo, MS. Cuidados del paciente traqueotomizado. Rev ORL. 2013 [citado 23 Jul 2017]; 4 (Supl.4): S1-18. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/124494/1/revistaorl2013_supl4_cuidadostraqueotomia1.pdf
Carretero-Rodríguez I, Pardal-Refoyo JL. Investigación bibliográfica sobre la decanulación en pacientes traqueotomizados. Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja. 2015 [citado 23 Jul 2017];6(20):160-170. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/125984/1/revistaorl201520_decanulacion.pdf
Casserly P, Lang E, Fenton JE, Walsh M. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. Br J Anaesth. 2007 Sep;99(3):380-3. https://doi.org/10.1093/bja/aem167 - PMid:17609249
Ceriana P, Carlucci A, Navalesi P, Rampulla C, Delmastro M, Piaggi G, et al. Weaning from tracheotomy in long-term mechanically ventilated patients: feasibility of a decisional flowchart and clinical outcome. Intensive Care Med. 2003;29(5):845-8. https://doi.org/10.1007/s00134-003-1689-z - PMid:12634987
Cetto R, Arora A, Hettige R, Nel M, Benjamin L, Gomez CM, et al. Improving tracheostomy care: a prospective study of the multidisciplinary approach. Clin Otolaryngol. 2011;36:482-8.
https://doi.org/10.1111/j.1749-4486.2011.02379.x - PMid:21838807
Choate K, Barbetti J, Sandford M. Tracheostomy: clinical practice and the formation of policy and guidelines. Aust Nurs J. 2003;10(8):17-9. -
PMid:18564587
Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr. 2008;27(6):806-15. https://doi.org/10.1016/j.clnu.2008.06.011 - PMid:18789561
Clavé P, Terré R, de Kraa M, Serra M. Actitud a seguir ante una disfagia orofaríngea. Rev Esp Enferm Dig. 2004;96(2):119-131. - PMid:15255021
Clavel-Cerón R, Calvo-Torres MD, Luque-Martínez MJ, Subiela-García JA. Atención integral al paciente portador de cánula. Servicio Murciano de Salud. Murcia. 1ª Ed. 2016. [citado 19 Jul 2017]. pp 642. Disponible en: http://www.murciasalud.es/recursos/ficheros/367664-LIBRO_ENFERMERIA_W.pdf
Clec'h C, Alberti C, Vincent F, Garrouste-Orgeas M, de Lassence A, Toledano D, et al. Tracheostomy does not improve the outcome of patients requiring prolonged mechanical ventilation: a propensity analysis. Crit Care Med. 2007;35(1):132-8. https://doi.org/10.1097/01.CCM.0000251134.96055.A6 - PMid:17133180
Dawson D. Essential principles: tracheostomy care in the adult patient. Nurs Crit Care. 2014;19(2):63-72.
https://doi.org/10.1111/nicc.12076 - PMid:24529106
de Mestral C, Iqbal S, Fong N, LeBlanc J, Fata P, Razek T, et al. Impact of a specialized multidisciplinary tracheostomy team on tracheostomy care in critically ill patients. Can J Surg. 2011;54(3):167-72.
https://doi.org/10.1503/cjs.043209 - PMid:21443833 - PMCid:PMC3104317
Dorton LH, Lintzenich CR, Evans AK. Simulation model for tracheotomy education for primary health-care providers. Ann Otol Rhinol Laryngol. 2014;123(1):11-8.
https://doi.org/10.1177/0003489414521144 - PMid:24574418
Farida JP, Lawrence LA, Svider PF, Shkoukani MA, Zuliani GF, Folbe AJ, et al. Protecting the airway and the physician: Aspects of litigation arising from tracheotomy. Head Neck. 2016;38(5):751-4. https://doi.org/10.1002/hed.23950 - PMid:25524374
Gandía-Martínez F, Martínez-Gil I, Andaluz-Ojeda D, Bobillo de Lamo F, Parra-Morais L, Díez-Gutiérrez F. Análisis de la traqueotomía precoz y su impacto sobre la incidencia de neumonía, consumo de recursos y mortalidad en pacientes neurocríticos. Neurocirugia (Astur). 2010 Jun;21(3):211-21.
https://doi.org/10.4321/S1130-14732010000300002 - https://doi.org/10.1016/S1130-1473(10)70078-6
García-Botrán B, Granell-Navarro J, Gutiérrez-Fonseca R, Barba-Martín R. Cribado clínico de la disfagia orofaríngea en un hospital general. Primeros resultados. Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja. 2014 [citado 23 Jul 2017];5(14):112-123. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/124545/1/revistaorl201414_cribadodisfagia.pdf
Garrubba M, Turner T, Grieveson C. Multidisciplinary care for tracheostomy patients: a systematic review. Crit Care. 2009;13(6):R177.
https://doi.org/10.1186/cc8159 - PMid:19895690 - PMCid:PMC2811928
Gordo F, Nú-ez A, Calvo E, Algora A. Mortalidad intrahospitalaria tras el alta de una unidad de cuidados intensivos en pacientes que han precisado ventilación mecánica. Med Clin (Barc). 2003; 121(7): 241-4. https://doi.org/10.1016/S0025-7753(03)75187-2
Hettige R, Arora A, Ifeacho S, Narula A. Improving tracheostomy management through design, implementation and prospective audit of a care bundle: how we do it. Clin Otolaryngol. 2008;33, 488–91. https://doi.org/10.1111/j.1749-4486.2008.01725.x - PMid:18983388
Intensive Care Society Council. Standards for the care of adult patients with a temporary Tracheostomy; STANDARDS AND GUIDELINES. 2014 [citado 19 Jul 2017]. pp 56. Disponible en: http://www.theawsomecourse.co.uk/ICS/ICS%20Tracheostomy%20standards%20(2014).pdf
Martinez GH, Fernandez R, Casado MS, Cuena R, Lopez-Reina P, Zamora S, et al. Tracheostomy tube in place at intensive care unit discharge is associated with increased ward mortality. Respir Care. 2009;54(12):1644-52. PMid:19961629
McGrath BA, Thomas AN. Patient safety incidents associated with tracheostomies occurring in hospital wards: a review of reports to the UK National Patient Safety Agency. Postgrad Med J. 2010;86(1019):522-5. https://doi.org/10.1136/pgmj.2009.094706 - PMid:20709764
McGrath BA: Comprehensive tracheostomy care. The national tracheostomy safety project manual. Wiley Blackwell. 1ª Ed. 2014. pp 144.
Mirski MA, Pandian V, Bhatti N, Haut E, Feller-Kopman D, Morad A, et al. Safety, efficiency, and cost-effectiveness of a multidisciplinary percutaneous tracheostomy program. Crit Care Med. 2012;40(6):1827-34. https://doi.org/10.1097/CCM.0b013e31824e16af - PMid:22610187
Mitchell RB, Hussey HM, Setzen G, Jacobs IN, Nussenbaum B, Dawson C, et al. Clinical consensus statement: tracheostomy care. Otolaryngol Head Neck Surg. 2013;148(1):6-20. https://doi.org/10.1177/0194599812460376 - PMid:22990518
Mondrup F, Skjelsager K, Madsen KR. Inadequate follow-up after tracheostomy and intensive care. Dan Med J. 2012;59(8):A4481.
PMid:22849980
National Tracheostomy Safety Project. Information resource for the management of patients with tracheostomies and laryngectomies. 2010 [citado 19 Jul 2017]. pp 112. Disponible en: https://www.choiceforum.org/docs/natt.pdf
NHS Quality Improvement Scotland (NHS QIS). Caring for the patient with a tracheostomy. 2007 [citado 19 Jul 2017]. pp 47. Disponible en: file:///C:/Users/OEM%20USER/Downloads/TRACHEOREV_BPS_MAR07.pdf
Norwood MG, Spiers P, Bailiss J, Sayers RD. Evaluation of the role of a specialist tracheostomy service: from critical care to outreach and beyond. Postgrad Med J. 2004;80(946):478-80.
https://doi.org/10.1136/pgmj.2003.016956 - PMid:15299159 PMCid:PMC1743081
O'Connor HH, Kirby KJ, Terrin N, Hill NS, White AC. Decannulation following tracheostomy for prolonged mechanical ventilation. J Intensive Care Med. 2009;24(3):187-94. https://doi.org/10.1177/0885066609332701 - PMid:19282297
Pandian V, Miller CR, Mirski MA, Schiavi AJ, Morad AH, Vaswani RS, et al. Multidisciplinary team approach in the management of tracheostomy patients. Otolaryngol Head Neck Surg. 2012;147(4):684-91. https://doi.org/10.1177/0194599812449995 - PMid:22675004
Pardal-Refoyo J. Guía de cuidados en Otorrinolaringología y Patología Cérvicofacial. Revista ORL. 2016 [citado 19 Jul 2017]; 8(1): 1-139. Disponible en: http://revistas.usal.es/cinco/index.php/2444-7986/article/view/13553
Pasqua F, Nardi I, Provenzano A, Mari A; Lazio Regional Section, Italian Association of Hospital Pulmonologists (AIPO). Weaning from tracheostomy in subjects undergoing pulmonary rehabilitation. Multidiscip Respir Med. 2015;27(10):35. https://doi.org/10.1186/s40248-015-0032-1 -
- PMid:26629342 PMCid:PMC4666070
Paul F. Tracheostomy care and management in general wards and community settings: literatura review. Nurs Crit Care. 2010;15(2):76-85.
https://doi.org/10.1111/j.1478-5153.2010.00386.x - PMid:20236434
Peláez-Palacios MS, Fermoso-Palmero MJ. Investigación bibliográfica sobre cuidados de enfermería y seguridad en el paciente con traqueotomía. Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja. 2012 [citado 23 Jul 2017];5:55-65. Disponible en: https://gredos.usal.es/jspui/bitstream/10366/124536/1/revistaorl201407_revisiontraqueotomia.pdf
Pérez-Boillos M, Alcalde-Martín M, García-Palomar I, González-Pastrana J, Montero-Alonso M, García-Espinosa P. Sistema de notificación de incidentes sin da-o en el sistema de salud de Castilla y León. Revista ORL.2017 [citado 24 Jul 2017];8(1):17-21. Disponible en: http://revistas.usal.es/cinco/index.php/2444-7986/article/view/15423
Rofes L, Arreola V, Clavé P. The volume-viscosity swallow test for clinical screening of dysphagia and aspiration. Nestle Nutr Inst Workshop Ser. 2012;72:33-42.
https://doi.org/10.1159/000339979 - PMid:23051998
Schmidt U, Hess D, Bittner E. To decannulate or not to decannulate: a combination of readiness for the floor and floor readiness?. Crit Care Med. 2011;39(10):2360-1.
https://doi.org/10.1097/CCM.0b013e318226618a - PMid:21926492
Smith-Miller C. Graduate nurses' comfort and knowledge level regarding tracheostomy care. J Nurses Staff Dev. 2006;22(5):222-9; quiz 230-1.
https://doi.org/10.1097/00124645-200609000-00003 - PMid:17019276
Sodhi K, Shrivastava A, Singla MK. Implications of dedicated tracheostomy care nurse program on outcomes. J Anesth. 2014;28(3):374-80.
https://doi.org/10.1007/s00540-013-1718-1 - PMid:24097169
Stelfox HT, Crimi C, Berra L, Noto A, Schmidt U, Bigatello LM, et al. Determinants of tracheostomy decannulation: an international survey. Crit Care. 2008;12(1):R26.
https://doi.org/10.1186/cc6802 - PMid:18302759 PMCid:PMC2374629
Tobin AE, Santamaria JD. An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study. Crit Care. 2008;12(2):R48. https://doi.org/10.1186/cc6864 - PMid:18402705 PMCid:PMC2447599
Warnecke T, Suntrup S, Teismann IK, Hamacher C, Oelenberg S, Dziewas R. Standardized endoscopic swallowing evaluation for tracheostomy decannulation in critically ill neurologic patients. Crit Care Med. 2013;41(7):1728-32. https://doi.org/10.1097/CCM.0b013e31828a4626 -
- PMid:23774336
Wilcox SR, Schmidt UH. Are tracheostomized patients safe on regular hospital wards? Respir Care. 2009;54(12):1632-4. PMid:19961626
Yelverton JC, Nguyen JH, Wan W, Kenerson MC, Schuman TA. Effectiveness of a standardized education process for tracheostomy care. Laryngoscope. 2015;125(2):342-7. https://doi.org/10.1002/lary.24821 - PMid:25041983
Casasola-Girón, M., Benito-Orejas, J. I., Bobillo-de Lamo, F., Parra-Morais, L., Cicuéndez-Ávila, R., & Morais-Pérez, D. (2018). Safety management of the patient with tracheostomy from a critical care unit. Revista ORL, 9(1), 5–17. https://doi.org/10.14201/orl.16932
Most read articles by the same author(s)
- Luis Miguel Torres-Morientes, María Antonia Carranza-Calleja, María Álvarez-quiñones-sanz, Darío Morais-Pérez, Cervical hemangiomas. Description of four cases , Revista ORL: Vol. 7 No. 1 (2016)
- Marleny Casasola-Girón, Maria del Carmen Perez Molina-ramírez, Isabel Ibañez- Lagunas, Rosa Sancho-Calvo, Pilar Ortega De La Obra, Dermatofibroma profundo invasivo. Tumor retroauricular , Revista ORL: Segovia 2018
- Jesus Eduardo Ramírez-Salas, José Ignacio Benito-Orejas, María Luisa Bartolomé-Cano, María Elena Pérez-Gutierrez, Victoria Duque-Holguera, Jaime Santos-Pérez, Diagnostic and Therapeutic Protocol of Acute Mastoiditis in Pediatric Patients , Revista ORL: Vol. 13 No. S2 (2022): XXVIII Congreso de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja Valladolid 2, 3 y 4 de junio de 2022
- Ángel Batuecas-Caletrío, José Ignacio Benito-Orejas, José Luis Pardal-Refoyo, Vestibular Rehabilitation Guide , Revista ORL: Vol. 11 No. 1 (2020)
- José Ignacio Benito-Orejas, María Poncela-Blanco, Laura Diez-González, Rafael Álvarez-Otero, Gabriel Aguilera-Aguilera, Jean Franco Intraprendente-Martini, Erwin Racines-Alava, Ramón Martínez, Maria Marco-Carmona, Hortensia Sánchez-Gómez, Raquel Yáñez-González, Rocío González-Aguado, Virginia Franco-Gutiérrez, Gloria Guerra-Jiménez, Angel Mazón-Gutierrez, Silvia Gancedo, Rafael Pérez, Pablo Santos-Gorjón, Carmen Sánchez-Blanco, Francisco José García-Purriños, Cristina Gascón-Rubio, Fernando Salazar, Michael Bauer, José Valda-Rodrigo, Eduardo Mena-Domínguez, Gabriel Trinidad-Ruiz, Angel Batuecas-Caletrío, Practical guideline for Benign paroxismal positional vertigo , Revista ORL: Vol. 8 No. 3 (2017)
- José Ignacio Benito-Orejas, José Valda-Rodrigo, José Alonso-vielba-varea, Review of Positional Nystagmus , Revista ORL: Vol. 9 No. 2 (2018)
- Marleny Casasola-Girón, José Ignacio Benito-Orejas, María Antonia Carranza-Calleja, Ana Sánchez-Martínez, Darío Morais-Pérez, Spontaneous pharyngo-laryngeal hematoma and anticoagulation. A case report , Revista ORL: Vol. 7 No. 1 (2016)
- José Ignacio Benito-Orejas, Beatriz Ramírez-Cano, Marleny Casasola-Girón, Ana Sánchez-Martínez, Viviana Andrea Cifuentes-Navas, Darío Morais-Pérez, Etiology of hearing loss in children. , Revista ORL: Vol. 8 No. 2 (2017)
- Jesús Eduardo Ramírez-Salas, Luis Miguel Torres-Morientes, Viviana Andrea Cifuentes Navas, Ana Fernández-Rodríguez, Ana Sánchez Martínez, Darío Morais-Pérez, Cervical abscesses in the Otorhinolaryngology Service of the Clinical University Hospital of Valladolid during the year 2018. , Revista ORL: SORIA 2019
- José Ignacio Benito-Orejas, Clinical utility of the Vestibular-Evoked-Myogenic-Potentials (VEMPs) , Revista ORL: Vol. 7 No. 4 (2016)
Downloads
Download data is not yet available.
+
−