دورية أكاديمية
Tracheotomy in the intensive care unit: guidelines from a French expert panel
| العنوان: | Tracheotomy in the intensive care unit: guidelines from a French expert panel |
|---|---|
| المؤلفون: | Trouillet, Jean Louis, Collange, Olivier, Belafia, Fouad, Blot, François, Capellier, Gilles, Cesareo, Eric, Constantin, Jean-Michel, Demoule, Alexandre, Diehl, Jean-Luc, Guinot, Pierre-Grégoire, Jegoux, Franck, L’Her, Erwan, Luyt, Charles-Edouard, Mahjoub, Yazine, Mayaux, Julien, Quintard, Hervé, Ravat, François, Vergez, Sebastien, Amour, Julien, Guillot, Max |
| بيانات النشر: | Springer International Publishing |
| سنة النشر: | 2018 |
| المجموعة: | PubMed Central (PMC) |
| مصطلحات موضوعية: | Review |
| الوصف: | Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of tracheotomy in adult critically ill patients developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method. These guidelines were conducted by a group of experts from the French Intensive Care Society (Société de Réanimation de Langue Française) and the French Society of Anesthesia and Intensive Care Medicine (Société Francaise d’Anesthésie Réanimation) with the participation of the French Emergency Medicine Association (Société Française de Médecine d’Urgence), the French Society of Otorhinolaryngology. Sixteen experts and two coordinators agreed to consider questions concerning tracheotomy and its practical implementation. Five topics were defined: indications and contraindications for tracheotomy in intensive care, tracheotomy techniques in intensive care, modalities of tracheotomy in intensive care, management of patients undergoing tracheotomy in intensive care, and decannulation in intensive care. The summary made by the experts and the application of GRADE methodology led to the drawing up of 8 formal guidelines, 10 recommendations, and 3 treatment protocols. Among the 8 formal guidelines, 2 have a high level of proof (Grade 1+/−) and 6 a low level of proof (Grade 2+/−). For the 10 recommendations, GRADE methodology was not applicable and instead 10 expert opinions were produced. |
| نوع الوثيقة: | text |
| اللغة: | English |
| العلاقة: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854567Test/; http://www.ncbi.nlm.nih.gov/pubmed/29546588Test; http://dx.doi.org/10.1186/s13613-018-0381-yTest |
| DOI: | 10.1186/s13613-018-0381-y |
| الإتاحة: | https://doi.org/10.1186/s13613-018-0381-yTest http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854567Test/ http://www.ncbi.nlm.nih.gov/pubmed/29546588Test |
| حقوق: | © The Author(s) 2018 ; Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0Test/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
| رقم الانضمام: | edsbas.5013AB51 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s13613-018-0381-y |
|---|