Biomaterial Database

Safety and efficiency of elective tracheostomy performed in the intensive care unit. 1995

M D Pogue, and B C Pecaro

Department of Oral and Maxillofacial Surgery, Northwestern University Medical Center, Chicago, IL, USA.

OBJECTIVE Because transportation of a critically ill patient to the operating room can be hazardous and costly, a study was undertaken to determine the safety and efficiency of performing a tracheostomy at bedside in the intensive care unit. METHODS A 2-year retrospective study (1988 to 1990) was done of all tracheostomies performed (102) at bedside in the intensive care unit at Northwestern University Medical Center. Anesthetic, intensive care, and operative reports were evaluated for intraoperative and immediate (48 hours) postoperative anesthetic and surgical complications. RESULTS The investigation revealed an average anesthetic time of 41 minutes (range, 20-75 minutes), and an average operative time of 29 minutes (range, 15 to 60 minutes). A perioperative morbidity rate of 5.5% included three anesthetic and three surgical complications, without mortality. CONCLUSIONS This study confirms that tracheostomy performed in the intensive care unit can be a safe, economical, and time-efficient procedure.

UI	MeSH Term	Description	Entries
D007362	Intensive Care Units	Hospital units providing continuous surveillance and care to acutely ill patients.	ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D003362	Cost-Benefit Analysis	A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. In contrast a cost effectiveness in general compares cost with qualitative outcomes.	Cost and Benefit,Cost-Benefit Data,Benefits and Costs,Cost Benefit,Cost Benefit Analysis,Cost-Utility Analysis,Costs and Benefits,Economic Evaluation,Marginal Analysis,Analyses, Cost Benefit,Analysis, Cost Benefit,Analysis, Cost-Benefit,Analysis, Cost-Utility,Analysis, Marginal,Benefit and Cost,Cost Benefit Analyses,Cost Benefit Data,Cost Utility Analysis,Cost-Benefit Analyses,Cost-Utility Analyses,Data, Cost-Benefit,Economic Evaluations,Evaluation, Economic,Marginal Analyses
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189	Retrospective Studies	Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.	Retrospective Study,Studies, Retrospective,Study, Retrospective
D012449	Safety	Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property.	Safeties
D013997	Time Factors	Elements of limited time intervals, contributing to particular results or situations.	Time Series,Factor, Time,Time Factor
D014139	Tracheostomy	Surgical formation of an opening into the trachea through the neck, or the opening so created.	Tracheostomies
D014187	Transportation of Patients	Conveying ill or injured individuals from one place to another.	Access to Transportation,Accessible Transportation,Transport of Wounded and Sick,Transportation Access,Transportation Accessibility,Transport, Wounded and Sick,Access to Transportations,Access, Transportation,Accessibility, Transportation,Accessible Transportations,Patients Transportation,Patients Transportations,Transportation Accessibilities,Transportation, Accessible
D016343	Monitoring, Intraoperative	The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).	Intraoperative Monitoring
D016638	Critical Illness	A disease or state in which death is possible or imminent.	Critically Ill,Critical Illnesses,Illness, Critical,Illnesses, Critical