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- W2005809872 abstract "<h3>Objective:</h3> To prove that tracheostomy performed at the bedside in the intensive care unit is a safe, cost-effective procedure. <h3>Design:</h3> Retrospective chart review of all adult patients undergoing elective bedside tracheostomy in the intensive care unit between January 1983 and December 1988. Two hundred four patients were identified. <h3>Setting:</h3> A private 1200-bed tertiary care center with a 120-bed critical care facility. <h3>Main Outcome Measures:</h3> Major and minor perioperative complications, cost savings, and comparison of risk between bedside tracheostomy and that performed in the operating room. <h3>Results:</h3> There were six major complications (2.9%): one death due to tube obstruction, two bleeding episodes requiring reoperation, one tube entrapment requiring operative removal, one nonfatal respiratory arrest, and one bilateral pneumothorax; and seven minor complications (3.4%): five episodes of minor bleeding, one tube dislodgement in a tracheostomy with a well-developed tract, and one episode of mucus plugging. One late complication (tracheal stenosis) was identified. <h3>Conclusions:</h3> Bedside tracheostomy in the intensive care unit can be performed with morbidity and mortality rates comparable to operative tracheostomy. In addition, it provides a significant cost savings for the patient. (Arch Surg. 1996;131:552-555)" @default.
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- W2005809872 date "1996-05-01" @default.
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- W2005809872 title "Bedside Tracheostomy in the Intensive Care Unit" @default.
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- W2005809872 doi "https://doi.org/10.1001/archsurg.1996.01430170098018" @default.
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