ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
John C. Wain
Douglas J. Mathisen
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wain, J. C.
Right arrow Articles by Mathisen, D. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wain, J. C.
Right arrow Articles by Mathisen, D. J.

Ann Thorac Surg 1990;49:881-886
© 1990 The Society of Thoracic Surgeons


Articles

Clinical experience with minitracheostomy

John C. Wain, MD*, Donna J. Wilson, RN, RRT, Douglas J. Mathisen, MD

Thoracic Surgery Unit and Department of Respiratory Therapy, Massachusetts General Hospital, Boston, Massachusetts USA

* Address reprint requests to Dr Wain, Thoracic Surgery Unit, Massachusetts General Hospital, Warren Building, Suite 1109, Fruit St, Boston, MA 02114.

Minitracheostomy is a technique to assist in the removal of airway secretions while maintaining glottic function. A flanged, reclosable cannula 4.0 mm in internal diameter is inserted through the cricothyroid membrane into the trachea. Sixty procedures were performed in 56 patients from July 1988 to June 1989. Indications for placement included excessive postoperative secretions (46/60), difficulty with endotracheal suctioning (4/60), preoperative secretions (4/60), postpneumonic secretions (5/60), and acute airway obstruction (1/60). Successful intratracheal placement was possible in all instances, and the device was well tolerated. Major intratracheal bleeding necessitating endotracheal intubation occurred in 2 patients. Minor complications included local hematoma (5 patients), subcutaneous emphysema (2 patients), and hoarseness (1 patient). No deaths occurred. Cannulas remained in place for one day to 35 days. Removal resulted in closure within 48 hours. No adverse laryngeal effects were seen. A successful result, not requiring other invasive methods to remove secretions, was obtained in 43 (72%) of the 60 procedures. Minitracheostomy is a useful adjunct for secretion removal in the hospitalized patient.




This article has been cited by other articles:


Home page
Interact CardioVasc Thorac SurgHome page
M. Abdelaziz, B. Naidu, and P. Agostini
Is prophylactic minitracheostomy beneficial in high-risk patients undergoing thoracotomy and lung resection?
Interact CardioVasc Thorac Surg, April 1, 2011; 12(4): 615 - 618.
[Abstract] [Full Text] [PDF]


Home page
J Intensive Care MedHome page
M. M. Wahidi and A. Ernst
Role of the Interventional Pulmonologist in the Intensive Care Unit
J Intensive Care Med, May 1, 2005; 20(3): 141 - 146.
[Abstract] [PDF]


Home page
Ann. Thorac. Surg.Home page
W. Fang, H. Kato, Y. Tachimori, H. Igaki, H. Sato, and H. Daiko
Analysis of pulmonary complications after three-field lymph node dissection for esophageal cancer
Ann. Thorac. Surg., September 1, 2003; 76(3): 903 - 908.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
L. W. E. van Heurn, G. J. van Geffen, and P. R. G. Brink
Percutaneous subcricoid minitracheostomy: Report of 50 procedures
Ann. Thorac. Surg., March 1, 1995; 59(3): 707 - 709.
[Abstract] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1990 by The Society of Thoracic Surgeons.