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dc.contributor.authorAlsunaid, Sammar
dc.contributor.authorHolden, Van K.
dc.contributor.authorKohli, Akshay
dc.contributor.authorDiaz, Jose
dc.contributor.authorO'Meara, Lindsay B.
dc.date.accessioned2021-09-14T14:22:47Z
dc.date.available2021-09-14T14:22:47Z
dc.date.issued2021-08-01
dc.identifier.urihttp://hdl.handle.net/10713/16635
dc.description.abstractPercutaneous dilatational tracheostomy (PDT) and percutaneous endoscopic gastrostomy (PEG) tube placements are routine procedures performed in the intensive care units (ICUs). They are performed to facilitate care and promote healing. They also help prevent complications from prolonged endotracheal intubation and malnutrition. In most cases, both are performed simultaneously. Physicians performing them require knowledge of local anatomy, tissue and vascular relationships, along with advance bronchoscopy and endoscopy skills. Although PDTs and PEGs are considered relatively low-risk procedures, operators need to have the knowledge and skill to recognize and prevent adverse outcomes. Current published literature on post-procedural care and stoma wound management was reviewed. Available recommendations for the routine care of tracheostomy and PEG tubes are included in this review. Signs and symptoms of early PDT-and PEG-related complications and their management are discussed in detail. These include hemorrhage, infection, accidental decannulation, tube obstruction, clogging, and dislodgement. Rare, life-threatening complications are also discussed. Multidisciplinary teams are needed for improved patient care, and members should be aware of all pertinent care aspects and potential complications related to PDT and PEG placement. Each institute is strongly encouraged to have detailed protocols to standardize care. This review provides a state-of-the-art guidance on the care of patients with tracheostomies and gastrostomies specifically in the ICU setting. © Journal of Thoracic Disease. All rights reserved.en_US
dc.description.urihttps://doi.org/10.21037/jtd-2019-ipicu-13en_US
dc.language.isoenen_US
dc.publisherAME Publishing Companyen_US
dc.relation.ispartofJournal of Thoracic Diseaseen_US
dc.subjectCritical careen_US
dc.subjectGastrostomyen_US
dc.subjectNursing careen_US
dc.subjectTracheostomyen_US
dc.subjectWoundsen_US
dc.titleWound care management: Tracheostomy and gastrostomyen_US
dc.typeArticleen_US
dc.identifier.doi10.21037/jtd-2019-ipicu-13
dc.source.volume13
dc.source.issue8
dc.source.beginpage5297
dc.source.endpage5313


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