- Surgery
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The Effect of Systematic Approach to Tracheostomy Care in Patients Transferred from the Surgical Intensive Care Unit to General Ward
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Yooun-joong Jung, Younghwan Kim, Kyuhyouck Kyoung, Minae Keum, Taehyun Kim, Dae seong Ma, Suk-Kyung Hong
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Acute Crit Care. 2019;34(1):99-99. Published online February 28, 2019
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DOI: https://doi.org/10.4266/acc.2018.00248.e02
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Corrects: Acute Crit Care 2018;33(4):252
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- Nursing
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The Effect of Systematic Approach to Tracheostomy Care in Patients Transferred from the Surgical Intensive Care Unit to General Ward
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Yooun-joong Jung, Younghwan Kim, Kyuhyouck Kyoung, Minae Keum, Taehyun Kim, Dae seong Ma, Suk-Kyung Hong
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Acute Crit Care. 2018;33(4):252-259. Published online November 30, 2018
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DOI: https://doi.org/10.4266/acc.2018.00248
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Correction in: Acute Crit Care 2019;34(1):99
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7,101
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Abstract
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- Background
The aim of this study was to investigate the effects of using a systematic approach to tracheostomy care by a clinical nurse specialist and surgical intensivists for patients with a tracheostomy who were transferred from the surgical intensive care unit (SICU) to the general ward.
Methods In this retrospective study, subjects were limited to SICU patients with a tracheostomy who were transferred to the general ward. The study period was divided into a preintervention period (January 1, 2007 to December 31, 2010) and a postintervention period (January 1, 2011 to December 31, 2014), and electronic medical records were used to analyze and compare patient characteristics, clinical outcomes, and readmission to the SICU.
Results The analysis included 44 patients in the preintervention group and 96 patients in the postintervention group. Decannulation time (26.7±25.1 vs. 12.1±16.0 days, P=0.003),
length of stay in the general ward (70.6±89.1 vs. 40.5±42.2 days, P=0.008), length of total hospital stay (107.5±95.6 vs. 74.7±51.2 days, P=0.009), and readmission rate of SICU decreased due to T-cannula occlusion (58.8% vs. 5.9%, P=0.010).
Conclusions Using a systematic approach to tracheostomy care in the general ward led to reduction in decannulation time through professional management, which resulted in a
shorter hospital stay. It also lowered SICU readmission by solving problems related to direct Tcannula.
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Citations
Citations to this article as recorded by
- Quality tracheotomy care can be maintained for non‐COVID patients during the COVID‐19 pandemic
Jacqueline Tucker, Nicole Ruszkay, Neerav Goyal, John P. Gniady, David Goldenberg Laryngoscope Investigative Otolaryngology.2022; 7(5): 1337. CrossRef - Global Tracheostomy Collaborative: data-driven improvements in patient safety through multidisciplinary teamwork, standardisation, education, and patient partnership
Michael J. Brenner, Vinciya Pandian, Carly E. Milliren, Dionne A. Graham, Charissa Zaga, Linda L. Morris, Joshua R. Bedwell, Preety Das, Hannah Zhu, John Lee Y. Allen, Alon Peltz, Kimberly Chin, Bradley A. Schiff, Diane M. Randall, Chloe Swords, Darrin Fr British Journal of Anaesthesia.2020; 125(1): e104. CrossRef
- Gastroenterology
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Nasogastric Tube Syndrome: Why Is It Important in the Intensive Care Unit?
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Taehyun Kim, Seong Min Kim, Sung Birm Sohn, Yeon Ho Lee, Sang Youn Lim, Jae Kyeom Sim
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Korean J Crit Care Med. 2015;30(3):231-233. Published online August 31, 2015
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DOI: https://doi.org/10.4266/kjccm.2015.30.3.231
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16,241
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- Although the nasogastric tube (NGT) is widely used in critically ill patients, most intensivists do not give much thought to it or its possible complications. NGT syndrome is a rare but fatal complication characterized by throat pain and vocal cord paralysis in the presence of NGT. Recently, we experienced a case of NGT syndrome developed in an 86-year-old female twelve days after NGT insertion. We immediately removed the NGT and secured the airway by tracheostomy. She was treated successfully with an intravenous antibiotic, steroid and proton pump inhibitor and the syndrome did not recur after reinsertion of the NGT.
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Citations
Citations to this article as recorded by
- Nasogastric tube syndrome: A Meta-summary of case reports
Deven Juneja, Prashant Nasa, Gunjan Chanchalani, Ravi Jain World Journal of Clinical Cases.2024; 12(1): 119. CrossRef
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