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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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SALAD Demonstration w the SSCOR DuCanto Catheter

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jueves, 22 de octubre de 2015

Traqueostomía: complicaciones

Everyday E(B)M
Everyday E(B)M - October 21, 2015 - By Chan P.
"Review: Although (hopefully) not something we see in the emergency department every day, this is absolutely something we need to be comfortable stabilizing, if not definitively managing, on our own. In order to have a better understanding of tracheostomy complications, it’s important to understand some terminology and anatomy first...
  • Tracheostomy tube obstruction 
  • Accidental decannulation 
  • Bleeding from the tracheostomy 
  • Cardiac arrest
Take Home Points 
Tracheostomy complications can quickly become life-threatening, and knowing some basic concepts about tracheostomies can allow us to better respond to and take care of patients with these complications. As with any patient, getting an adequate history should be the first step, and in particular, knowing if the patient has had a laryngectomy can prevent the “never event” of an orotracheal intubation attempt. Before performing any interventions on a patient where there is time to set up (i.e. on a relatively stable patient), one should gather appropriate equipment such as personal protective gear, extra tubes, and suction. Finally, consider the potential for a tracheo-innominate fistula in a bleeding tracheostomy patient given the extremely high associated mortality."
http://wueverydayebm.blogspot.com.es/