SCCM Resource Library-Percutaneous Tracheostomy: State-of-the-Art Update

Video Transcription

Video Summary

The session on percutaneous tracheostomy focused on three main areas: patient selection and timing, management of complications, and the importance of a multidisciplinary tracheostomy care team. Dr. Chris Radchenko discussed the historical landmarks and evolution of surgical and percutaneous tracheostomy. He also talked about the timing considerations for placing percutaneous tracheostomy, highlighting that there is no optimal time and the decision needs to be individualized based on the clinical presentation and patient preference. Dr. Wes Shepard then discussed major complications and their management. He emphasized the importance of bronchoscopic guidance during the procedure to reduce the risk of bleeding and other complications. He also discussed the need for a comprehensive tracheostomy care bundle, which includes supplies at the bedside and specific care practices for daily care. Dr. Linda Morris spoke about the importance of a multidisciplinary tracheostomy care team. She highlighted the benefits of a team approach, including decreased length of stay, decreased complications, and increased use of speaking valves. She discussed the use of a tracheostomy bundle as a quality improvement strategy and emphasized the need for a comprehensive teaching program for staff, patients, and caregivers. Overall, the session provided valuable insights on patient selection, management of complications, and the importance of a multidisciplinary approach to tracheostomy care.

Asset Subtitle

Procedures, Pulmonary, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Describe the indications and techniques for performing percutaneous tracheostomy
Recognize relative contraindications and review the literature supporting extended indications for percutaneous tracheostomy
Identify complications specific to percutaneous tracheostomy and discuss their management

History, Timing, and Patient Selection

Christopher C. Radchenko

Complications and Management

Ray W. Shepherd

The Necessity of a Multidisciplinary Tracheostomy Management Team

Linda L. Morris

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Pulmonary

Knowledge Level Advanced

Learning Pathway Cardiothoracic Critical Care

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Tracheostomy

Tag Cardiothoracic Critical Care

Year 2020

Keywords

percutaneous tracheostomy

patient selection

timing

complications management

multidisciplinary tracheostomy care team

historical landmarks

evolution

surgical tracheostomy

bronchoscopic guidance

comprehensive tracheostomy care bundle

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