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Updated: Jun 16, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

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Bedside conventional tracheostomy

Giancarlo Artese Araujo1, Antonio Augusto Tupinambá Bertelli1, Helvécio de Resende Urbano Neto1

  • 1Santa Casa de São Paulo, Faculdade de Ciências Médicas, São Paulo, SP, Brazil.

Brazilian Journal of Otorhinolaryngology
|May 30, 2025
PubMed

Insights

Bedside open tracheostomy is a safe procedure in head and neck surgery. A review of 598 patients found a low complication rate of 1.50%, demonstrating its feasibility.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Procedures

Background:

  • Bedside tracheostomy is an alternative to traditional operating room procedures.
  • Evaluating the safety and efficacy of open tracheostomy performed at the patient's bedside is crucial.

Purpose of the Study:

  • To document the experience of the Head and Neck Surgery division at Santa Casa in São Paulo with bedside open tracheostomy.
  • To assess the complication rates and outcomes of this surgical approach.

Main Methods:

  • Retrospective analysis of a tracheostomy database from 2013 to 2016.
  • Inclusion of 598 patients undergoing open tracheostomy.
  • Analysis of patient demographics and primary complications.

Main Results:

  • A total of 598 patients were analyzed, with 9 complications (1.50%).
  • Hemorrhage occurred in 6 cases (1.0%).
  • Other complications included 1 postoperative death (0.16%), 1 accidental decannulation (0.16%), and 1 tracheal wall lesion (0.16%).

Conclusions:

  • Open tracheostomy can be safely performed at the bedside.
  • The procedure demonstrates a low complication rate, supporting its clinical utility.
  • Bedside open tracheostomy is a viable option for selected patients.
Abstract

Keywords:
ElectiveIntensive careIntraoperative complicationsSurgical proceduresSurgicentersTracheostomy

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