Interestingly accidental decannulation
was higher in the group who had a surgical time of less than 30 minutes.
Cipriano et al in their review describe these complications as to be procedure, related associated with the surgical procedure; maintenance related, that is during care of tracheostomy, and lastly; after decannulation
In all patients who underwent OST, after the incision and dissection of the strap muscles, a tracheal flap having an inferior base was prepared between the 2nd and 3rd tracheal ring and favorably sutured to the skin to enable an emergent recannulation in case of accidental decannulation
. The PDT was performed by a percutaneous tracheotomy kit (GRIGGS, Portex, Smiths Medical, Ashford, United Kingdom) as described by Griggs et al.
They have been rarely reported to occur after decannulation
The PRISM 2 score [median 11.4 (7.6-22) vs 13.6 (10-30); p=0.133], decannulation
rate (n=3, 37.5% vs.
Prolonged TT weaning, unsuccessful decannulation
, and complications associated with ongoing TT placement cause hospital stays to be longer and more expensive.
10 patients died during the ICU stay due to the primary underlying disease and one patient died after a successful decannulation
. 36 patients had uneventful decannulation
Despite this, results in the published literature show a significant percentage of revision surgery and definitely not negligible unsuccessful rate in terms of decannulation
. Nakache et al.
(3) However, 4 of their patients had tracheostomy, either preoperatively or postoperatively, with successful decannulation
after the surgery.
, she developed hypertension and ultimately required initiation of four anti-hypertensive medications prior to hospital discharge.
After aortotomy closure, an ultrasonographic verification of the biological valve function was performed followed by a decannulation
and sternotomy closure in a standard manner, respectively.
Patients in the simvastatin group took simvastatin 20 mg orally daily during two perioperative periods: from the 7th to the 5th preoperative day and from the 2nd day after decannulation
until the 7th postoperative day.