Добавил:
kiopkiopkiop18@yandex.ru t.me/Prokururor I Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_4510_Библиотеки_им_академика_М_И_Перельмана.pdf
Скачиваний:
0
Добавлен:
31.08.2026
Размер:
32 Мб
Скачать
Terence Pires de Farias
Editor
Tracheostomy
A Surgical Guide
123
Tracheostomy
Terence Pires de Farias
Tracheostomy
A Surgical Guide
Editor
Terence Pires de Farias, M.D., Ph.D., M.Sc., Researcher National Cancer Institute INCA, Rio de Janeiro, Brazil
ISBN 978-3-319-67866-5 ISBN 978-3-319-67867-2 (eBook)
https://doi.org/10.1007/978-3-319-67867-2
Library of Congress Control Number: 2017964088
© Springer International Publishing AG 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
Printed on acid-free paper
This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
I dedicate this book to all patients suffering from head and neck cancer or any serious illness that causes an ICU hospitalization and requires a temporary or permanent tracheostomy. I especially dedicate it to my wife Izaura and our beloved Valentina, the most important part of our lives; to my parents, who have always boosted me in my career; and nally, to my preceptors, who taught me the art of head and neck surgery, allowing me to disseminate this informa­tion to the younger generations.
Terence Pires de Farias
v

Foreword

Surgical procedures range from safe and simple to extremely complex, technically demanding, and potentially life-threatening. In this realm, tracheostomy is often thought of as a mundane topic for discussion because it is a relatively safe, simple, and often lifesaving procedure. However, if embarked upon without foresight, proper planning, and an assessment of the clinical scenario (including the patient, problem, anatomy, and pathology), without adequate support, or in a suboptimal environment, tracheostomy can be a very hazardous and potentially life-threatening procedure. Dr. Terence Farias and his coauthors are to be commended for assem­bling this comprehensive and exhaustive treatise on the topic of tracheostomy. Their knowledge, wisdom, judgment, and experience are reected in each chapter.
The book begins with an interesting chapter on history, in which the authors delve into the detailed anatomy of the trachea. Photographs of cadaver dissection are accompanied by beautiful artwork to illustrate the anatomy. An exhaustive list­ing of tracheostomy tubes and their specic indications follows. A series of chapters on surgical technique follows, describing conventional and percutaneous proce­dures in great detail. The advantages, disadvantages, pearls, and pitfalls of both approaches are discussed.
The next chapters address the specic scenarios and indications for tracheos­tomy, with detailed discussions on the specic issues pertaining to each condition. Throughout these chapters, photographs of case examples and artwork are included to illustrate the issues. The remaining chapters in the techniques section focus on tracheostomy and cricothyrotomy in trauma and orthognathic surgery, including the appropriate place to perform the procedure—either bedside, in the intensive care unit, or in the operating room. Furthermore, an important chapter on difcult endo­tracheal intubation addresses management of the difcult airway. The nal chapters deal with complications, postoperative care, rehabilitation, and decannulation.
This comprehensive text on tracheostomy covers the depth and breadth of the topic. The book is a “must read” for the surgical trainee, while also being a superb reference for surgeons and anesthesiologists who are faced with a difcult airway or
vii
viii
Foreword
a challenging tracheostomy. Thus, this book should have a denite place in the libraries of medical schools, hospitals, departments of surgery and anesthesia, and even in the operating room, intensive care unit, and emergency rooms. The text is an invaluable resource on this common but occasionally difcult operation.
Jatin Shah, M.D., Ph.D. (Hon), D.Sc. (Hon)
Head and Neck Oncology
Memorial Sloan Kettering Cancer Center
New York, NY, USA

Contents

The History ofTracheostomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Sissi Monteiro, Terence Pires de Farias, Marcelo de CamargoMillen, and Rafael Vianna Locio
Anatomy oftheTrachea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Juliana Fernandes de Oliveira, Terence Pires de Farias, Juliana Maria de AlmeidaVital, Maria Eduarda Gurgel da TrindadeMeiraHenriques, Maria Alice Gurgel da TrindadeMeiraHenriques, and Maria Eduarda Lima de Moura
Tracheostomy Tube Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Juliana Maria de AlmeidaVital, Fernando Luiz Dias, Maria Eduarda Gurgel da TrindadeMeiraHenriques, Maria Alice Gurgel da TrindadeMeiraHenriques, Maria Eduarda Lima de Moura, and Terence Pires de Farias
Tracheostomy: Conventional Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Adilis Stepple da Fonte Neto, Terence Pires de Farias, Juliana Maria de AlmeidaVital, Jose Gabriel Miranda da Paixão, Juliana Fernandes de Oliveira, and Paulo Jose de CavalcantiSiebra
Percutaneous Tracheostomy Indications andSurgical Technique . . . . . . . 77
Lucio Pereira and Catherine Lumley
Percutaneous Tracheostomy: Pearls andPitfalls, andHow toCreate
a“Hand-On” Training Program Course . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Marianne Yumi Nakai, Marcelo Benedito Menezes, Norberto Kodi Kavabata, Alexandre Baba Suehara, Antonio Augusto T. Bertelli, William Kikuchi, and Antonio José Gonçalves
Conventional or Percutaneous Tracheostomy? . . . . . . . . . . . . . . . . . . . . . . 119
Lúcio Noleto, Thiago Pereira Diniz, and Terence Pires de Farias
Pediatric Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Pedro Collares Maia Filho, Marcelle Morgana Vieira de Assis, and Terence Pires de Farias
ix
x
Contents
Tracheostomy andObesity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
André Leonardo de CastroCosta, Marcus Antônio de MelloBorba, Daniela Silva Santos, and Terence Pires de Farias
Oncological Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Carlos Eduardo Santa Ritta Barreira, Marina Azzi Quintanilha, Terence Pires de Farias, Jose Gabriel Miranda da Paixão, Juliana Fernandes de Oliveira, Fernando Luiz Dias, and Paulo Jose de CavalcantiSiebra
Mediastinal Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Paulo José de CavalcantiSiebra, Ruiter Diego de MoraesBotinelly, Terence Pires de Farias, Alexandre Ferreira Oliveira, and Fernando Luiz Dias
Transtumoral Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
Dorio Jose Coelho Silva, Ricardo Mai Rocha, Terence Pires de Farias, and Rafael ViannaLocio
Tracheostomy andRadiotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Célia Maria Pais Viégas, Diego Chaves Rezende Morais, and Carlos Manoel Mendonça de Araujo
Tracheostomy inOrthognathic Surgery andFacial Trauma Surgery:
Is There aPlace? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Ricardo Lopes da Cruz, Fernando Cesar A. Lima, and Antônio Albuquerque de Brito
Cricothyroidostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Adriana Eliza Brasil Moreira, Rodrigo Gonçalves, João Lisboa de SousaFilho, José Francisco de SalesChagas, Maria Beatriz Nogueira Pascoal, and Ricardo Alexander Marinho da Silva
Indications forPerforming Tracheostomy intheIntensive Care Unit:
When andWhy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Carlos Eduardo Ferraz Freitas, Gustavo Trindade Henriques-Filho, Marcos Antonio Cavalcanti Gallindo, Maria Eduarda Gurgel da TrindadeMeiraHenriques, Maria Alice Gurgel da TrindadeMeiraHenriques, and Maria Eduarda Lima de Moura
Considering the best place to do a Tracheostomy: At theBedside
orintheOperating Room? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293
Jose Gabriel Miranda da Paixão, Jorge Pinho Filho, Fernando Luiz Dias, Adilis Stepple da Fonte Neto, Juliana Fernandes de Oliveira, and Terence Pires de Farias
Tracheostomy Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307
Gabriel Manfro, Fernando Luiz Dias, and Terence Pires de Farias
Contents
Predicting Factors forTracheal Stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
Paulo Soltoski, Paola Andrea Galbiatti Pedruzzi, and Monique Pierosan Cardoso
Difficult Intubation: How toAvoid aTracheostomy . . . . . . . . . . . . . . . . . . 335
Ronald Lima, Leonardo Vianna Salomão, and Pedro Rotava
Bronchoscopy Before andAfter Tracheostomy . . . . . . . . . . . . . . . . . . . . . . 363
Marcus Antônio de MelloBorba, André Leonardo de CastroCosta, Daniela Silva Santos, and Terence Pires de Farias
What Is theBest Way toTake Care ofaPatient
withaTracheostomy Tube? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 377
Lica Arakawa-Sugueno
When andHow toRemove aTracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . 391
Priscila Rodrigues Prado Prado Zagari and Roberta Melo Calvoso Paulon
Rehabilitation After Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401
Priscila Rodrigues Prado Prado Zagari, Roberta Melo Calvoso Paulon, and Luciana Paiva Farias
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 433
xi