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Tracheostomy in Spinal Cord Injured Patients

Patients with cervical spinal cord injury frequently need prolonged mechanical ventilation as a result of worsening pulmonary vital capacity due to paralysis of respiratory muscles, severe impairment of tracheobronchial secretions clearance and high incidence of respiratory complications like pneumo...

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Detalles Bibliográficos
Autores principales: Ganuza, Javier-Romero, Oliviero, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Università di Salerno 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728845/
https://www.ncbi.nlm.nih.gov/pubmed/23905031
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author Ganuza, Javier-Romero
Oliviero, Antonio
author_facet Ganuza, Javier-Romero
Oliviero, Antonio
author_sort Ganuza, Javier-Romero
collection PubMed
description Patients with cervical spinal cord injury frequently need prolonged mechanical ventilation as a result of worsening pulmonary vital capacity due to paralysis of respiratory muscles, severe impairment of tracheobronchial secretions clearance and high incidence of respiratory complications like pneumonia or atelectasis. Patients with thoracic spinal cord injury may need mechanical ventilation due to associate injuries. For these reasons, tracheostomy is frequently performed in these patients, more frequently when the spinal cord injury is at cervical level. Percutaneous technique, performed in the ICU, should be considered the preferred procedure for performing elective tracheostomies in spinal cord injured patients. Tracheostomy should be implemented as soon as possible in SCI patients they require prolonged mechanical ventilation. Tracheostomy can be performed just after anterolateral cervical spine fixation surgery. Tracheostomy can be removed when no longer needed without major complications.
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spelling pubmed-37288452013-07-31 Tracheostomy in Spinal Cord Injured Patients Ganuza, Javier-Romero Oliviero, Antonio Transl Med UniSa Articles Patients with cervical spinal cord injury frequently need prolonged mechanical ventilation as a result of worsening pulmonary vital capacity due to paralysis of respiratory muscles, severe impairment of tracheobronchial secretions clearance and high incidence of respiratory complications like pneumonia or atelectasis. Patients with thoracic spinal cord injury may need mechanical ventilation due to associate injuries. For these reasons, tracheostomy is frequently performed in these patients, more frequently when the spinal cord injury is at cervical level. Percutaneous technique, performed in the ICU, should be considered the preferred procedure for performing elective tracheostomies in spinal cord injured patients. Tracheostomy should be implemented as soon as possible in SCI patients they require prolonged mechanical ventilation. Tracheostomy can be performed just after anterolateral cervical spine fixation surgery. Tracheostomy can be removed when no longer needed without major complications. Università di Salerno 2011-10-17 /pmc/articles/PMC3728845/ /pubmed/23905031 Text en http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Articles
Ganuza, Javier-Romero
Oliviero, Antonio
Tracheostomy in Spinal Cord Injured Patients
title Tracheostomy in Spinal Cord Injured Patients
title_full Tracheostomy in Spinal Cord Injured Patients
title_fullStr Tracheostomy in Spinal Cord Injured Patients
title_full_unstemmed Tracheostomy in Spinal Cord Injured Patients
title_short Tracheostomy in Spinal Cord Injured Patients
title_sort tracheostomy in spinal cord injured patients
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728845/
https://www.ncbi.nlm.nih.gov/pubmed/23905031
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