Document Detail


A program for transtracheal oxygen delivery. Assessment of safety and efficacy.
MedLine Citation:
PMID:  3688673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Over a 2-year period, the safety and efficacy of a program specifically designed for transtracheal oxygen therapy were evaluated in 100 patients with chronic hypoxemia. The four clinically defined phases of the program included patient orientation, evaluation, and selection (phase I); a new needle-wire guide-dilator transtracheal procedure and stent week (phase II); transtracheal oxygen delivery with an immature tract (phase III); and transtracheal oxygen delivery with a mature tract (phase IV). Sequelae and complications were minor, and patient acceptance was high. As compared with the nasal cannula, the transtracheal catheter was associated with a significant reduction in oxygen flow requirement during both rest and exercise. Adequate oxygenation was maintained over time, and erythrocythemia was alleviated with transtracheal delivery. We conclude that transtracheal oxygenation by this method has a low, acceptable morbidity; it is more efficient than nasal cannula delivery and may be more effective in some patients.
Authors:
K L Christopher; B T Spofford; M D Petrun; D C McCarty; J R Goodman; T L Petty
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of internal medicine     Volume:  107     ISSN:  0003-4819     ISO Abbreviation:  Ann. Intern. Med.     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-01-07     Completed Date:  1988-01-07     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0372351     Medline TA:  Ann Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  802-8     Citation Subset:  AIM; IM    
Affiliation:
Institute for Transtracheal Oxygen Therapy, AMI-Presbyterian Denver Hospital, Colorado.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anoxia / therapy
Evaluation Studies as Topic
Female
Follow-Up Studies
Humans
Intubation, Intratracheal / adverse effects,  methods*
Male
Middle Aged
Oxygen Inhalation Therapy / methods*
Physical Exertion
Rest

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


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