Purpose.This paper reviews analyses for tracheostomy within our patient population over the last ... more Purpose.This paper reviews analyses for tracheostomy within our patient population over the last 6 years.Methods.We conducted a retrospective chart review of consecutive patients undergoing tracheostomy at the tertiary Dicle University Medical hospital, Turkey, from January 2006 to December 2012. Patient age, sex, emergency, planned tracheostomy, indications, complications, and decannulation time were all assessed.Results.Fifty-six (34 male, 22 female) adult Pediatric patients undergoing tracheostomy between 2006 and 2013 were investigated. The most common indication for tracheostomy was upper airway obstruction (66.7%), followed by prolonged intubation (33.3%). Mean decannulation times after tracheostomy ranged between 1 and 131 days, the difference being statistically significant (P=0.040). There was no significant difference in terms of mean age (9.8±6.0;P=0.26). There was also no statistical difference between emergency and planned tracheotomies (P=0.606).Conclusion.In our patie...
Introduction: Ecthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa s... more Introduction: Ecthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa sepsis and is usually seen in immunocompromised patients. Case presentation: A previously healthy 63-year-old man was admitted with sloughy necrotic ulcerations of the skin over his sternum. He was afebrile and in good condition. A skin biopsy revealed ecthyma gangrenosum. Blood cultures remained sterile, but a culture of biopsy material grew Pseudomonas aeruginosa. Conclusion: Ecthyma gangrenosum may develop even in the absence of bacteremia and even in immunocompetent patients. It should be considered as a possible diagnosis even when a previously healthy patient has negative blood cultures. The patient had no history of immunosuppressive disease or treatment. On admission he was afebrile (temperature of 37,2°C), and hemodynamically stable. Physical examination revealed two sloughy necrotic ulcerations of the skin over
Purpose.This paper reviews analyses for tracheostomy within our patient population over the last ... more Purpose.This paper reviews analyses for tracheostomy within our patient population over the last 6 years.Methods.We conducted a retrospective chart review of consecutive patients undergoing tracheostomy at the tertiary Dicle University Medical hospital, Turkey, from January 2006 to December 2012. Patient age, sex, emergency, planned tracheostomy, indications, complications, and decannulation time were all assessed.Results.Fifty-six (34 male, 22 female) adult Pediatric patients undergoing tracheostomy between 2006 and 2013 were investigated. The most common indication for tracheostomy was upper airway obstruction (66.7%), followed by prolonged intubation (33.3%). Mean decannulation times after tracheostomy ranged between 1 and 131 days, the difference being statistically significant (P=0.040). There was no significant difference in terms of mean age (9.8±6.0;P=0.26). There was also no statistical difference between emergency and planned tracheotomies (P=0.606).Conclusion.In our patie...
Introduction: Ecthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa s... more Introduction: Ecthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa sepsis and is usually seen in immunocompromised patients. Case presentation: A previously healthy 63-year-old man was admitted with sloughy necrotic ulcerations of the skin over his sternum. He was afebrile and in good condition. A skin biopsy revealed ecthyma gangrenosum. Blood cultures remained sterile, but a culture of biopsy material grew Pseudomonas aeruginosa. Conclusion: Ecthyma gangrenosum may develop even in the absence of bacteremia and even in immunocompetent patients. It should be considered as a possible diagnosis even when a previously healthy patient has negative blood cultures. The patient had no history of immunosuppressive disease or treatment. On admission he was afebrile (temperature of 37,2°C), and hemodynamically stable. Physical examination revealed two sloughy necrotic ulcerations of the skin over
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