Tracheostomy in the intensive care unit: A safe alternative to the operating room

Michael L. Hawkins, Edward P. Burrus, Richard C. Treat, Arlie R. Mansberger

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Severely injured patients frequently require endotracheal intubation, either by the nasotracheal (NT) or orotracheal (OT) route, for airway control and/or ventilatory support. If intubation is required for more than two to four weeks, an elective tracheostomy is usually indicated. Transferring these patients to the operating room is difficult, and it impairs their continued monitoring and care. Over a period of 48 months at our institution, 74 patients had tracheostomy done in the intensive care unit (ICU) by a surgical resident (PG2 level) assisted by a chief resident or attending faculty member. Local anesthesia was supplemented with intravenous sedatives, and operating room technique was used, with complete surgical instrument pack and adequate lighting. There were no deaths from the procedure. There were no complications specifically attributed to the performance of tracheostomy in the ICU, though one patient each suffered tracheitis, tracheostomy tube dislodgement, and tracheomalacia. Tracheostomy in the ICU avoids the risks of moving these patients with all their monitoring and infusion lines, and saves operating room time and charges. Trained surgical personnel using adequate instruments and lighting can safely perform a tracheostomy in the intensive care unit.

Original languageEnglish (US)
Pages (from-to)1096-1098
Number of pages3
JournalSouthern Medical Journal
Volume82
Issue number9
DOIs
StatePublished - Jan 1 1989

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Tracheostomy
Operating Rooms
Intensive Care Units
Lighting
Tracheitis
Tracheomalacia
Moving and Lifting Patients
Airway Management
Intratracheal Intubation
Local Anesthesia
Hypnotics and Sedatives
Surgical Instruments
Intubation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Tracheostomy in the intensive care unit : A safe alternative to the operating room. / Hawkins, Michael L.; Burrus, Edward P.; Treat, Richard C.; Mansberger, Arlie R.

In: Southern Medical Journal, Vol. 82, No. 9, 01.01.1989, p. 1096-1098.

Research output: Contribution to journalArticle

Hawkins, Michael L. ; Burrus, Edward P. ; Treat, Richard C. ; Mansberger, Arlie R. / Tracheostomy in the intensive care unit : A safe alternative to the operating room. In: Southern Medical Journal. 1989 ; Vol. 82, No. 9. pp. 1096-1098.
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