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Tracheal stenosis after percutaneous dilational tracheostomy.

机译:经皮扩张气管切开术后气管狭窄。

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摘要

Koitschev and colleagues' conclusion that 'dilational tracheostomy is associated with an increased risk of severe suprastomal tracheal stenosis compared to the surgical technique' has significant implications for intensivists. Percutaneous dilational tracheostomy {PDT) has been widely introduced in a relatively uncontrolled fashion, carried out by practitioners without formal surgical skills, many in training, using an extensive range of commercial"'kits and tracheostomy tubes with few objective comparative studies, and with little audit, particularly of longer-term outcomes. The UK Intensive Care Society (ICS) recognises the inherent risks in such a process and in liaison with the National Patient Safety Agency is currently generating a standards document on all aspects, including the reasoned choice between PDT and open surgical technique.
机译:Koitschev及其同事得出的结论“扩张性气管切开术与外科手术技术相比会增加严重的气管上狭窄的风险,这对强化医生具有重要意义”。经皮扩张性气管切开术(PDT)已经以相对不受控制的方式广泛引入,由没有正式外科技能的从业者进行,许多人接受了培训,使用了种类繁多的商业化试剂盒和气管切开术管,几乎没有客观的比较研究,而且几乎没有英国重症监护协会(ICS)意识到这种过程中存在的固有风险,并且正在与美国国家患者安全局(National Patient Safety Agency)联系,目前正在就所有方面制定标准文件,包括在PDT之间合理选择和开放的手术技术。

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