Document Detail


Prophylactic minitracheotomy in lung resections. A randomized controlled study.
MedLine Citation:
PMID:  2023447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty consecutive patients undergoing lung resections were randomized into two groups: Group A (n = 15) received minitracheotomy postoperatively and group B (n = 15) were control patients. Postoperative respiratory course was monitored by serial clinical assessments, chest x-ray examination, arterial blood gases, sputa bacterial cultures, and the patient's requirement and response to chest physiotherpy. The two groups were similarly matched in age (mean 58.5 years), smoking habits, pulmonary functions, and surgical procedures. Postoperative pulmonary complications of collapse/consolidation developed in 11 patients (two in group A and nine in group B) (p less than 0.03). Four patients (all in group B) required nimitracheotomy in addition to antibiotics and chest physiotherapy to treat their pneumonia. Chest physiotherapy requirement was less in group A than in group B, with a mean number of sessions of seven in group A and eight in group B and a mean total time of 92 minutes in group A and 112 minutes in group B. The mean duration of minitracheotomy was 4.13 days. Minor temporary symptoms resulted from the minitracheotomy in eight patients (42%) and included discomfort, voice changes, subcutaneous emphysema, and stridor. There was one case of long-term morbidity (5%)-skin scarring from wound infection at the site of the minitracheotomy. No postoperative deaths resulted. We conclude that the prophylactic use of minitracheotomy is safe and effective in decreasing postoperative respiratory complications in patients undergoing lung resections.
Authors:
M M Issa; D M Healy; H A Maghur; D A Luke
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  101     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1991 May 
Date Detail:
Created Date:  1991-05-31     Completed Date:  1991-05-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  895-900     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Royal City of Dublin Hospital, Trinity College, School of Medicine, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Humans
Lung Diseases, Obstructive / surgery*
Lung Neoplasms / surgery*
Male
Middle Aged
Pneumonectomy*
Postoperative Complications / prevention & control*
Tracheotomy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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