FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2074992938> ?p ?o ?g. }

• W2074992938 endingPage "191" @default.
• W2074992938 startingPage "191" @default.
• W2074992938 abstract "We wish to report a complication that we encountered with the use of a fenestrated tracheostomy tube in one of our patients on ICU. We performed a percutaneous dilational tracheostomy (Ciaglia technique) on a female patient with easily identifiable surface landmarks, and inserted a size 8.0 Portex Blueline Ultra fenestrated tracheostomy tube with an unfenestrated inner cannula (see Fig. 8). The procedure was performed under endoscopic guidance with a fibreoptic bronchoscope and proceeded without any difficulty until immediately after insertion of the tracheostomy tube. After we connected the tracheostomy tube to the ventilator, the operator noticed that the patient developed surgical emphysema around the tracheostomy site. The endoscopist confirmed with the fibreoptic bronchoscope that the tracheostomy tube was correctly placed in the trachea but the surgical emphysema was undoubtedly getting worse over the next 2–3 min. The endoscopist returned to a translaryngeal inspection of the tracheostomy tube and noted that none of the fenestrations in the outer tube was visible along the intratracheal part of the tube. The tube was fully inserted with the flange flush to the patient's skin. The patient was of average built and not notably oedematous. We concluded that the surgical emphysema was caused by airway gas, which must have leaked in between the unfenestrated inner tube and the fenestrated outer tube and escaped through the fenestrations, all of which were positioned in the pretracheal tissues. We decided to replace the tube with the same size and type, but without the fenestrations. We changed the tube without any difficulty and this immediately stopped the progression of the surgical emphysema. The remaining surgical emphysema cleared up over the next 12 h. The rest of the patient's clinical course was uncomplicated. We successfully weaned the patient from mechanical ventilation and she was decannulated after 14 days. Portex Blueline Ultra size 8.0 fenestrated tracheostomy tube. The rationale for the use of a fenestrated tube from the outset is to eliminate the need to change the tube when the patient is weaned from mechanical ventilation as the fenestrations allow the patient to speak with the tracheostomy tube still in place. The new range of Portex Blueline Ultra tracheostomy tubes are designed to be used for up to 30 days. Although surgical emphysema is a well-recognised complication following percutaneous tracheostomy [1, 2], we could not find any reference in the literature to the use of a fenestrated trachesotomy tube as the direct cause of surgical emphysema. We notified SIMS Portex of this incident and the company is now reviewing the design and position of the fenestrations on the Portex Blueline Ultra fenestrated tube (personal correspondence with SIMS Portex). The company updated the instructions for use of the product (IFU) to warn against the use of a fenestrated tube in a newly formed tracheostomy and to include a recommendation that clinicians should check the correct position of the fenestrations at the time of insertion. We want to make clinicians aware of this potential complication of the use of a fenestrated tracheostomy tube and emphasise the importance of a translaryngeal endoscopic examination to confirm the correct position of the fenestrations in the trachea whenever a fenestrated tube is inserted. If the fenestrations are not correctly positioned in the tracheal lumen after insertion, it should be replaced with an unfenestrated tube." @default.
• W2074992938 created "2016-06-24" @default.
• W2074992938 creator A5005907567 @default.
• W2074992938 creator A5012300818 @default.
• W2074992938 date "2001-02-01" @default.
• W2074992938 modified "2023-10-01" @default.
• W2074992938 title "Subcutaneous emphysema caused by a fenestrated tracheostomy tube" @default.
• W2074992938 cites W172750607 @default.
• W2074992938 cites W2060168709 @default.
• W2074992938 doi "https://doi.org/10.1046/j.1365-2044.2001.01870-16.x" @default.
• W2074992938 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/11167497" @default.
• W2074992938 hasPublicationYear "2001" @default.
• W2074992938 type Work @default.
• W2074992938 sameAs 2074992938 @default.
• W2074992938 citedByCount "13" @default.
• W2074992938 countsByYear W20749929382014 @default.
• W2074992938 countsByYear W20749929382016 @default.
• W2074992938 countsByYear W20749929382019 @default.
• W2074992938 countsByYear W20749929382020 @default.
• W2074992938 crossrefType "journal-article" @default.
• W2074992938 hasAuthorship W2074992938A5005907567 @default.
• W2074992938 hasAuthorship W2074992938A5012300818 @default.
• W2074992938 hasBestOaLocation W20749929381 @default.
• W2074992938 hasConcept C105922876 @default.
• W2074992938 hasConcept C127413603 @default.
• W2074992938 hasConcept C141071460 @default.
• W2074992938 hasConcept C2775970820 @default.
• W2074992938 hasConcept C2777063151 @default.
• W2074992938 hasConcept C2777551473 @default.
• W2074992938 hasConcept C2778074680 @default.
• W2074992938 hasConcept C2778112660 @default.
• W2074992938 hasConcept C2778329176 @default.
• W2074992938 hasConcept C2778551211 @default.
• W2074992938 hasConcept C2778716859 @default.
• W2074992938 hasConcept C3020246157 @default.
• W2074992938 hasConcept C71924100 @default.
• W2074992938 hasConcept C78519656 @default.
• W2074992938 hasConcept C81182388 @default.
• W2074992938 hasConceptScore W2074992938C105922876 @default.
• W2074992938 hasConceptScore W2074992938C127413603 @default.
• W2074992938 hasConceptScore W2074992938C141071460 @default.
• W2074992938 hasConceptScore W2074992938C2775970820 @default.
• W2074992938 hasConceptScore W2074992938C2777063151 @default.
• W2074992938 hasConceptScore W2074992938C2777551473 @default.
• W2074992938 hasConceptScore W2074992938C2778074680 @default.
• W2074992938 hasConceptScore W2074992938C2778112660 @default.
• W2074992938 hasConceptScore W2074992938C2778329176 @default.
• W2074992938 hasConceptScore W2074992938C2778551211 @default.
• W2074992938 hasConceptScore W2074992938C2778716859 @default.
• W2074992938 hasConceptScore W2074992938C3020246157 @default.
• W2074992938 hasConceptScore W2074992938C71924100 @default.
• W2074992938 hasConceptScore W2074992938C78519656 @default.
• W2074992938 hasConceptScore W2074992938C81182388 @default.
• W2074992938 hasIssue "2" @default.
• W2074992938 hasLocation W20749929381 @default.
• W2074992938 hasLocation W20749929382 @default.
• W2074992938 hasOpenAccess W2074992938 @default.
• W2074992938 hasPrimaryLocation W20749929381 @default.
• W2074992938 hasRelatedWork W1976542085 @default.
• W2074992938 hasRelatedWork W2020111566 @default.
• W2074992938 hasRelatedWork W2034698781 @default.
• W2074992938 hasRelatedWork W2048155821 @default.
• W2074992938 hasRelatedWork W2074992938 @default.
• W2074992938 hasRelatedWork W2160567120 @default.
• W2074992938 hasRelatedWork W2369065654 @default.
• W2074992938 hasRelatedWork W2415039540 @default.
• W2074992938 hasRelatedWork W2419251143 @default.
• W2074992938 hasRelatedWork W3025025627 @default.
• W2074992938 hasVolume "56" @default.
• W2074992938 isParatext "false" @default.
• W2074992938 isRetracted "false" @default.
• W2074992938 magId "2074992938" @default.
• W2074992938 workType "article" @default.