Is open tracheotomy performed by residents in otorhinolaryngology a safe procedure? A retrospective cohort study

European Archives of Oto-Rhino-Laryngology

Volumn 272, Issue 6, 2015, Pages 1483-1489

  Fiorini, Francesca Romana ^a   Santoro, Roberto ^a   Deganello, Alberto ^a   Mannelli, Giuditta ^a   Meccariello, Giuseppe ^a   Gallo, Oreste ^a  

^a UNIVERSITY OF FLORENCE   (Italy)

Author keywords

Complication; Quality of care; Supervised resident; Surgeon; Surgical training; Tracheotomy

Indexed keywords

AGED; AIRWAY OBSTRUCTION; ARTICLE; BLEEDING; COHORT ANALYSIS; COMORBIDITY; COMPARATIVE STUDY; FEMALE; HEAD AND NECK CANCER; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MORTALITY; OTORHINOLARYNGOLOGY; PNEUMONIA; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RESIDENCY EDUCATION; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; SUBCUTANEOUS EMPHYSEMA; SURGEON; TRACHEA; TRACHEA STENOSIS; TRACHEITIS; TRACHEOSTOMY TUBE; TRACHEOTOMY; WEANING; WOUND DEHISCENCE; ADVERSE EFFECTS; CLASSIFICATION; CLINICAL COMPETENCE; EDUCATION; EPIDEMIOLOGY; HEALTH CARE QUALITY; INJURIES; ITALY; MEDICAL EDUCATION; OUTCOME ASSESSMENT; PHYSICIAN; POSTOPERATIVE COMPLICATIONS; PROCEDURES; STANDARDS; STATISTICS AND NUMERICAL DATA;

AGED; CLINICAL COMPETENCE; COHORT STUDIES; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; ITALY; MALE; OTOLARYNGOLOGY; OUTCOME ASSESSMENT (HEALTH CARE); PHYSICIANS; POSTOPERATIVE COMPLICATIONS; QUALITY ASSURANCE, HEALTH CARE; RETROSPECTIVE STUDIES; RISK FACTORS; SUBCUTANEOUS EMPHYSEMA; TRACHEA; TRACHEOTOMY;

EID: 84939418176     PISSN: 09374477     EISSN: 14344726     Source Type: Journal    
DOI: 10.1007/s00405-014-3074-7     Document Type: Article

References (28)

1. Jackson C (1923) High tracheotomy and other errors: the chief causes of chronic laryngeal stenosis. Surg Gynecol Obstet. 32:392
2. Jackson C, Jackson CL (1937) The larynx and Its Diseases. WB Saunders, Philadelphia
3. Deganello A, Sofra MC, Facciolo F, Spriano G (2007) Tracheotomy-related posterior tracheal wall rupture, trans-tracheal repair. Acta Otorhinolaryngol Ital 27:258–262
4. Goldenberg D, Golz A, Netzer A, Joachims HZ (2002) Tracheotomy: changing indications and a review of 1,130 cases. J Otolaryngol 31:211–215
5. Fattahi T, Vega L, Fernandes R, Goldman N, Steinberg B, Schare H (2012) Our experience with 171 open tracheostomies. J Oral Maxillofac Surg 70:1699–1702
6. Cetto R, Arora A, Hettige R et al (2011) Improving tracheostomy care: a prospective study of the multidisciplinary approach. Clin Otolaryngol 36:482–488
7. Graat LJ, Bosma E, Roukema JA, Heisterkamp J (2012) Appendectomy by residents is safe and not associated with a higher incidence of complications: a retrospective cohort study. Ann Surg 255:715–719
8. Kramp B, Dommerich S. Tracheostomy cannulas and voice prosthesis. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2009;8:Doc05
9. Eibling DE, Roberson DW (2012) Managing tracheotomy risk: time to look beyond hospital discharge. Laryngoscope. 122(1):23–24
10. Meacham R, Vieira F (2012) Is obesity truly a risk factor for mortality after tracheotomy? Ann Otol Rhinol Laryngol. 121:733–737
11. Oreadi D, Carlson ER (2012) Morbidity and mortality associated with tracheotomy procedure in a university medical centre. Int J Oral Maxillofac Surg 41:974–977
12. Mehall JR, Shroff S, Fassler SA, Harper SG, Nejman JH, Zebley DM (2005) Comparing results of residents and attending surgeons to determine whether laparoscopic colectomy is safe. Am J Surg 189:738–741
13. Rispoli F, Iannuzzi M, De Robertis E, Piazza O, Tufano R (2011) An unusual air way device obstruction. Minerva Anestesiol 77:96
14. Rosenberg TL, Franzese CB (2012) Extremes in otolaryngology resident surgical case numbers. Otolaryngol Head Neck Surg 147:261–270
15. American Society of Anesthesiologists Relative Value Guide (2012) A Guide for Anesthesia Values 2012. American Society of Anesthesiologists, Park Ridge
16. Goslings JC, Gouma DJ (2008) What is a surgical complication? World J Surg 32:952
17. Acun Z, Cihan A, Ulukent SC et al (2004) A randomized prospective study of complications between general surgery residents and attending surgeons in near-total thyroidectomies. Surg Today 34:997–1001
18. Emre AU, Cakmak GK, Tascilar O et al (2008) Complications of total thyroidectomy performed by surgical residents versus specialist surgeons. Surg Today 38(10):879–885
19. Wong K, Duncan T, Pearson A (2007) Unsupervised laparoscopic appendicectomy by surgical trainees is safe and time-effective. Asian J Surg 30:161–166
20. Botha AJ, Elton C, Moore EE, Sauven P (1995) Laparoscopic appendicectomy: a trainee’s perspective. Ann R Coll Surg Engl 77:259–262
21. Lin YY, Shabbir A, So JB (2010) Laparoscopic appendectomy by residents: evaluating outcomes and learning curve. Surg Endosc 24:125–130
22. Itani KM, DePalma RG, Schifftner T et al (2005) Surgical resident supervision in the operating room and outcomes of care in Veterans Affairs hospitals. Am J Surg 190:725–731
23. Muratori E, Meccariello G, Deganello A, Mannelli G, Gallo O (2013) Tonsillectomy and residents: a safe match? Clin Otolaryngol 38:279–280
24. Zhu H, Das P, Brereton J, Roberson D, Shah RK (2012) Surveillance and management practices in tracheotomy patients. Laryngoscope. 122:46–50
25. Halum SL, Ting JY, Plowman EK et al (2012) A multi-institutional analysis of tracheotomy complications. Laryngoscope. 122:38–45
26. Ochiai KT, Nishimura RD, Sheh EC, Pedroche D (2000) Fabrication of a custom silicone tracheostomal prosthesis. J Prosthet Dent 83:578–581
27. Chew JY, Cantrell RW (1972) Tracheostomy. Complications and their management. Arch Otolaryngol. 96:538–545
28. Glas WW, King OJ Jr, Lui A (1962) Complications of tracheostomy. Arch Surg 85:56–63