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Tracheostomy for Functional Ventilatory Obstruction

Tracheostomy for Functional Ventilatory Obstruction Abstract PRIOR TO World War II, most tracheostomies were performed for mechanical obstruction of the airway due to tumors, foreign bodies, and infections. Since that time, the value of tracheostomy in patients with excessive tracheobronchial secretions has been recognized. This has accounted for a great increase of tracheostomies being performed today. For the past ten years, tracheostomies done for secretions have outnumbered two to one those done for obstruction. From this experience a classification evolved which divided all tracheostomies into two groups: mechanical ventilatory obstruction and secretional ventilatory obstruction.1 In reevaluating our experience with 187 tracheostomies, we divided the patients into two groups: mechanical and secretional obstruction. It became apparent that most of the patients in the mechanical obstruction group primarily had difficulty in swallowing and coughing and did not have life-endangering impairment of the airway. A typical example was the patient with a tumor of the posterior tongue or References 1. Nelson, T.G.: Tracheostomy: A Clinical and Experimental Study , Amer Surg 23:660-694 ( (July) ) 1957. 2. Carter, B.N., and Guisem, J.: Tracheostomy, a Useful Procedure in Thoracic Surgery, With Particular Reference to Its Employment in Crushing Injuries of the Thorax , J Thorac Surg 21:495-505, 1951. 3. Langfitt, T.W.; Weinstein, J.D.; and Kassell, N.F.: Cerebral Vasomotor Paralysis Produced by Intracranial Hypertension , Neurology 157:622-641 ( (July) ) 1965.Crossref 4. Overholt, R.H., and Segal, M.S.: Long Term Tracheostomy in Extensive Bilateral Bronchiectasis , New Eng J Med 257:1108, 1957.Crossref 5. Greene, N.M.: Fatal Cardiovascular and Respiratory Failure Associated With Tracheostomy , New Eng J Med 261:846-848 ( (Oct 22) ) 1959.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Tracheostomy for Functional Ventilatory Obstruction

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1965.01320180009003
Publisher site
See Article on Publisher Site

Abstract

Abstract PRIOR TO World War II, most tracheostomies were performed for mechanical obstruction of the airway due to tumors, foreign bodies, and infections. Since that time, the value of tracheostomy in patients with excessive tracheobronchial secretions has been recognized. This has accounted for a great increase of tracheostomies being performed today. For the past ten years, tracheostomies done for secretions have outnumbered two to one those done for obstruction. From this experience a classification evolved which divided all tracheostomies into two groups: mechanical ventilatory obstruction and secretional ventilatory obstruction.1 In reevaluating our experience with 187 tracheostomies, we divided the patients into two groups: mechanical and secretional obstruction. It became apparent that most of the patients in the mechanical obstruction group primarily had difficulty in swallowing and coughing and did not have life-endangering impairment of the airway. A typical example was the patient with a tumor of the posterior tongue or References 1. Nelson, T.G.: Tracheostomy: A Clinical and Experimental Study , Amer Surg 23:660-694 ( (July) ) 1957. 2. Carter, B.N., and Guisem, J.: Tracheostomy, a Useful Procedure in Thoracic Surgery, With Particular Reference to Its Employment in Crushing Injuries of the Thorax , J Thorac Surg 21:495-505, 1951. 3. Langfitt, T.W.; Weinstein, J.D.; and Kassell, N.F.: Cerebral Vasomotor Paralysis Produced by Intracranial Hypertension , Neurology 157:622-641 ( (July) ) 1965.Crossref 4. Overholt, R.H., and Segal, M.S.: Long Term Tracheostomy in Extensive Bilateral Bronchiectasis , New Eng J Med 257:1108, 1957.Crossref 5. Greene, N.M.: Fatal Cardiovascular and Respiratory Failure Associated With Tracheostomy , New Eng J Med 261:846-848 ( (Oct 22) ) 1959.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1965

References