Proceso de decanulación electiva en pacientes con traqueotomía: búsqueda de criterio

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Juan Antonio Lugo-Machado
Martha Jiménez-Rodríguez

Resumen

Los progresos en la ciencia y la tecnología en el ámbito de la salud y, en concreto, en la unidad de cuidados intensivos (UCI) hospitalarios han incrementado la supervivencia en la población que demanda atención médica; no obstante, también han generado una población que requiere cuidados y manejos específicos, en su mayoría de manera multidisciplinaria, entre ellos, los pacientes que requieren de atención a traqueotomía. La necesidad de estandarizar el proceso de decanulación es una carencia no cubierta. En esta revisión narrativa exponemos algunos criterios, protocolos o guías vertidas por los autores consultados, sin que hasta el momento exista una guía estandarizada.

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Lugo-Machado JA, Jiménez-Rodríguez M. Proceso de decanulación electiva en pacientes con traqueotomía: búsqueda de criterio. Acta otorrinolaringol cir cabeza cuello [Internet]. 31 de enero de 2022 [citado 5 de febrero de 2023];49(4):310 - 314. Disponible en: https://revista.acorl.org.co/index.php/acorl/article/view/502
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Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000;342(20):1471-7. doi: 10.1056/NEJM200005183422002

Esteban A, Anzueto A, Alía I, Gordo F, Apezteguía C, Pálizas F, et al. How is mechanical ventilation employed in the intensive care unit? An international utilization review. Am J Respir Crit Care Med. 2000;161(5):1450-8. doi: 10.1164/ajrccm.161.5.9902018

Cheung NH, Napolitano LM. Tracheostomy: Epidemiology, indications, timing, technique, and outcomes. Respiratory Care. 2014;59(6):895-19. doi: 10.4187/respcare.02971

Wunsch H, Linde-Zwirble WT, Angus DC, Hartman ME, Milbrandt EB, Kahn JM. The epidemiology of mechanical ventilation use in the United States. Crit Care Med. 2010;38(10):1947-53. doi: 10.1097/CCM.0b013e3181ef4460

Needham DM, Bronskill SE, Sibbald WJ, Pronovost PJ, Laupacis A. Mechanical ventilation in Ontario, 1992-2000: incidence, survival, and hospital bed utilization of noncardiac surgery adult patients. Crit Care Med. 2004;32(7):1504-9. doi: 10.1097/01.ccm.0000129972.31533.37

Needham DM, Bronskill SE, Calinawan JR, Sibbald WJ, Pronovost PJ, Laupacis A. Projected incidence of mechanical ventilation in Ontario to 2026: Preparing for the aging baby boomers. Crit Care Med. 2005;33(3):574-9. doi: 10.1097/01.ccm.0000155992.21174.31

Carson SS, Cox CE, Holmes GM, Howard A, Carey TS. The changing epidemiology of mechanical ventilation: a population-based study. J Intensive Care Med. 2006;21(3):173-82. doi: 10.1177/0885066605282784

Quality of Life After Mechanized Ventilation in the Elderly Study Investigators. 2-month mortality and functional status of critically ill adult patients receiving prolonged mechanical ventilation. Chest. 2002;121(2):549-58. doi: 10.1378/chest.121.2.549

Owings MF, Kozak LJ. Ambulatory and inpatient procedures in the United States, 1996. Vital Health Stat 13. 1998;(139):1-119.

Everitt E. Managing the weaning of a temporary tracheostomy. Nurs Times. 2016;112(20):17-9.

Pryor L, Ward E, Cornwell P, O'Connor S, Chapman M. Patterns of return to oral intake and decannulation post-tracheostomy across clinical populations in an acute inpatient setting. Int J Lang Commun Disord. 2016;51(5):556-67. doi: 10.1111/1460-6984.12231

Zanata IL, Santos RS, Marques JM, Hirata GC, Santos DA. Speech-language pathology assessment for tracheal decannulation in patients suffering from traumatic brain injury. Codas. 2016;28(6):710-16. Portuguese, English. doi: 10.1590/2317-1782/20162014086

Barros APB, Portas JG, Queija D dos S. Implicações da traqueostomia na comunicação e na deglutição: [revisão] / Tracheotomy implication upon communication and swallowing: [review]. Rev. bras. cir. cabeça pescoço. 2009;38(3):202-7.

O'Connor HH, Kirby KJ, Terrin N, Hill NS, White AC. Decannulation following tracheostomy for prolonged mechanical ventilation. J Intensive Care Med. 2009;24(3):187-94. doi: 10.1177/0885066609332701

Garuti G, Reverberi C, Briganti A, Massobrio M, Lombardi F, Lusuardi M. Swallowing disorders in tracheostomised patients: a multidisciplinary/multiprofessional approach in decannulation protocols. Multidiscip Respir Med. 2014;9(1):36. doi: 10.1186/2049-6958-9-36

Bach JR, Saporito LR. Criteria for extubation and tracheostomy tube removal for patients with ventilatory failure. A different approach to weaning. Chest. 1996;110(6):1566-71. doi: 10.1378/chest.110.6.1566

Schmidt U, Hess D, Bittner E. To decannulate or not to decannulate: a combination of readiness for the floor and floor readiness? Crit Care Med. 2011;39(10):2360-1. doi: 10.1097/CCM.0b013e318226618a

Martinez GH, Fernandez R, Casado MS, Cuena R, Lopez-Reina P, Zamora S, et al. Tracheostomy tube in place at intensive care unit discharge is associated with increased ward mortality. Respir Care. 2009;54(12):1644-52.

Fernandez R, Bacelar N, Hernandez G, Tubau I, Baigorri F, Gili G, et al. Ward mortality in patients discharged from the ICU with tracheostomy may depend on patient's vulnerability. Intensive Care Med. 2008;34(10):1878-82. doi: 10.1007/s00134-008-1169-6

Ceriana P, Carlucci A, Navalesi P, Rampulla C, Delmastro M, Piaggi G, et al. Weaning from tracheotomy in long-term mechanically ventilated patients: feasibility of a decisional flowchart and clinical outcome. Intensive Care Med. 2003;29(5):845-8. doi: 10.1007/s00134-003-1689-z

Shrestha KK, Mohindra S, Mohindra S. How to decannulate tracheostomised severe head trauma patients: a comparison of gradual vs abrupt technique. Nepal Med Coll J. 2012;14(3):207-11.

Singh RK, Saran S, Baronia AK. The practice of tracheostomy decannulation-a systematic review. J Intensive Care. 2017;5:38. doi: 10.1186/s40560-017-0234-z

McDonald H, Thomas AJ. Outcome of physiotherapy led decannulation from tracheostomy practice in a large London teaching hospital. Physiotherapy. 2015;101(1):e1510-e1511. doi: 10.1016/j.physio.2015.03.1493

Cohen O, Tzelnick S, Lahav Y, Stavi D, Shoffel-Havakuk H, Hain M, et al. Feasibility of a single-stage tracheostomy decannulation protocol with endoscopy in adult patients. Laryngoscope. 2016;126(9):2057-62. doi: 10.1002/lary.25800

Rumbak MJ, Graves AE, Scott MP, Sporn GK, Walsh FW, Anderson WM, et al. Tracheostomy tube occlusion protocol predicts significant tracheal obstruction to air flow in patients requiring prolonged mechanical ventilation. Crit Care Med. 1997;25(3):413-7. doi: 10.1097/00003246-199703000-00007

Chan LY, Jones AY, Chung RC, Hung KN. Peak flow rate during induced cough: a predictor of successful decannulation of a tracheotomy tube in neurosurgical patients. Am J Crit Care. 2010;19(3):278-84. doi: 10.4037/ajcc2009575

Guerlain J, Guerrero JA, Baujat B, St Guily JL, Périé S. Peak inspiratory flow is a simple means of predicting decannulation success following head and neck cancer surgery: a prospective study of fifty-six patients. Laryngoscope. 2015;125(2):365-70. doi: 10.1002/lary.24904

Choate K, Barbetti J, Currey J. Tracheostomy decannulation failure rate following critical illness: a prospective descriptive study. Aust Crit Care. 2009;22(1):8-15. doi: 10.1016/j.aucc.2008.10.002

Tobin AE, Santamaria JD. An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study. Crit Care. 2008;12(2):R48. doi: 10.1186/cc6864

Lanini B, Binazzi B, Romagnoli I, Chellini E, Pianigiani L, Tofani A, et al. Tracheostomy decannulation in severe acquired brain injury patients: The role of flexible bronchoscopy. Pulmonology. 2021:S2531-0437(21)00115-X. doi: 10.1016/j.pulmoe.2021.05.006

Kutsukutsa J, Kuupiel D, Monori-Kiss A, Del Rey-Puech P, Mashamba-Thompson TP. Tracheostomy decannulation methods and procedures for assessing readiness for decannulation in adults: a systematic scoping review. Int J Evid Based Healthc. 2019;17(2):74-91. doi: 10.1097/XEB.0000000000000166

Mendes TAB, Cavalheiro LV, Arevalo RT, Sonegth R. Preliminary study on a proposal of an interdisciplinary flowchart of tracheostomy decannulation. Einstein. 2008;6(1):1-6.

Medeiros GC de, Sassi FC, Lirani-Silva C, Andrade CRF de. Critérios para decanulação da traqueostomia: revisão de literatura. CoDAS. 2019;31(6):e20180228. doi: 10.1590/2317-1782/20192018228

Welton C, Morrison M, Catalig M, Chris J, Pataki J. Can an interprofessional tracheostomy team improve weaning to decannulation times? A quality improvement evaluation. Can J Respir Ther. 2016;52(1):7-11.

Mah JW, Staff II, Fisher SR, Butler KL. Improving Decannulation and Swallowing Function: A Comprehensive, Multidisciplinary Approach to Post-Tracheostomy Care. Respir Care. 2017;62(2):137-43. doi: 10.4187/respcare.04878

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