Safety of a no-fast protocol for tracheotomy in critical care
Author(s) -
Trevor Hartl,
Donald W. Anderson,
Jasna Levi
Publication year - 2015
Publication title -
canadian journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.609
H-Index - 64
eISSN - 1488-2310
pISSN - 0008-428X
DOI - 10.1503/cjs.027213
Subject(s) - medicine , tracheotomy , critically ill , complication , protocol (science) , patient safety , surgery , adverse effect , intensive care medicine , anesthesia , health care , alternative medicine , pathology , economics , economic growth
With modern anesthesia, aspiration is an exceedingly rare complication, and we have learned that a prolonged fast can result in serious adverse effects in critically ill patients. We discuss the no-fast protocol implemented at Vancouver General Hospital in 2007 for intubated, tube-fed adult patients who underwent elective open tracheotomy.
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