| Who is performing percutaneous tracheotomies? Practice patterns of surgeons in the USA. | |
| | |
MedLine Citation:
|
PMID: 20976463 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Tracheotomy is one of the most common surgical procedures performed in the ICU setting. Traditionally tracheotomy has been performed by otolaryngologists as well as general surgeons. While percutaneous tracheotomy (PT) has been available for some time, it has only recently gained widespread acceptance with the advent of convenient and safe kits. Over the past decade, there has been increased utilization of this technique. However, there is a relative reluctance of certain surgical specialties to perform and train residents in PT; a previous study identified that only 29% of otolaryngology head and neck surgery (OTO-HNS) departments in the USA perform PT. In this study we aim to investigate the trends of PT usage in general surgery training programs and compare them to those previously described in otolaryngology programs. The study design is multi-institution physician survey and the study method was a survey of 250 general surgery program directors. This survey was identical to a published survey of OTO-HNS and a head-to-head comparison of results was performed. The response rate was 53% (133 programs). 89% of general surgery programs performed open tracheotomy on a regular basis. 75% performed percutaneous tracheotomy on a regular basis. 79% use the Ciaglia Blue Rhino method. Simultaneous video bronchoscopy was used by 67%. 83% of general surgery residency programs train their residents in PT. 61% felt that PT was either safer than or equal to open tracheotomy. PT is performed in a majority of general surgery residency programs and taught to their trainees. This is in contrast to otolaryngology residency programs, which have been shown to prefer open tracheotomies in both practice and teaching. This trend may severely impact the skills of the next generation of otolaryngologists. |
| | |
Authors:
|
Elizabeth Newhouse; Michael P Ondik; Michele Carr; David Goldenberg |
Related Documents
:
|
16760803 - Mentoring during residency education: a unique challenge for the surgeon? 15097883 - Virtual vitreoretinal surgical simulator as a training tool. 15332763 - Physical fitness status among the students of a medical college in kathmandu, nepal. |
Publication Detail:
|
Type: Journal Article Date: 2010-10-26 |
Journal Detail:
|
Title: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery Volume: 268 ISSN: 1434-4726 ISO Abbreviation: Eur Arch Otorhinolaryngol Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-02-10 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9002937 Medline TA: Eur Arch Otorhinolaryngol Country: Germany |
Other Details:
|
Languages: eng Pagination: 415-8 Citation Subset: IM |
Affiliation:
|
Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, Penn State Hershey Medical Center, Penn State University School of Medicine, 500 University Drive, MCH091, Hershey, PA, 17033-0850, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Second primary squamous cell carcinoma arising in the skin of a pectoralis major myocutaneous flap 1...
Next Document: Skin reactions following BAHA surgery using the skin flap dermatome technique.