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[Tracheostomy: indications, techniques, and complications]
L Sbordoni1, L Neri Serneri, A Primerano
1III Divisione di Chirurgia, Ospedale Policlinico Umberto I, Roma.
Abstract:
The authors report their experience relative to 46 tracheostomies performed over a 10-year period. In 6 cases the indication for a tracheostomy was a post-traumatic respiratory failure; in 20 cases a chronic respiratory insufficiency, in 6 cases a malignant neoplasm of the larynx; in 10 cases a postoperative respiratory insufficiency; in 4 cases for tongue and/or neck wounds. The authors stress the importance of a correct indication, the use of large volume-low pressure cuffs and an appropriate surgical technique to prevent complication of tracheostomy.