Luo et al.(2424 Luo C, Yang H, Chen Y, Zhang Z, Gong Z. Respiratory nursing interventions following tracheostomy in acute traumatic cervical spinal cord injury. Cell Biochem Biophys. 2014;70(1):455-9. http://dx.doi.org/10.1007/s12013-014-9940-5. PMid:24728962. http://dx.doi.org/10.1007/s12013-014-994...
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Dificuldade de expectoração/aumento de secreção; infecção pulmonar; ventilação mecânica prolongada; realização tardia da traqueostomia. |
Berney et al.(2525 Berney L, Wasserfallen JB, Grant K, Levivier M, Simon C, Faouzi M, et al. Acute neurorehabilitation: does a neurosensory and coordinated interdisciplinary programme reduce tracheostomy weaning time and weaning failure? Neuro Rehabilitation. 2014;34(4):809-17. PMid:24784495.)
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Infecção pulmonar e trauma facial. |
Pandian et al.(2020 Pandian V, Miller CR, Schiavi AJ, Yarmus L, Contractor A, Haut ER, et al. Utilization of a standardized tracheostomy capping and decannulation protocol to improve patient safety. Laryngoscope. 2014;124(8):1794-800. http://dx.doi.org/10.1002/lary.24625. PMid:24473939. http://dx.doi.org/10.1002/lary.24625...
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Dificuldade de expectoração/aumento de secreção; ventilação mecânica prolongada; mais tempo de uso da traqueostomia. |
Warnecke et al.(2626 Warnecke T, Suntrup S, Teismann IK, Hamacher C, Oelenberg S, Dziewas R. Standardized endoscopic swallowing evaluation for tracheostomy decannulation in critically ill neurologic patients. Crit Care Med. 2013;41(7):1728-32. http://dx.doi.org/10.1097/CCM.0b013e31828a4626. PMid:23774336. http://dx.doi.org/10.1097/CCM.0b013e3182...
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Aspiração silente de saliva; disfagia; tosse. |
Hernández et al.(2727 Hernández G, Ortiz R, Pedrosa A, Cuena R, Vaquero Collado C, Gonzalez Arenas P, et al. The indication of tracheotomy conditions the predictors of time to decannulation in critical patients. Med Intensiva. 2012;36(8):531-9. PMid:22398327.)
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Dificuldade de expectoração/aumento de secreção; ventilação mecânica prolongada; disfagia; idosos. |
Pryor et al.(1515 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. http://dx.doi.org/10.1111/1460-6984.12231. PMid:26892893. http://dx.doi.org/10.1111/1460-6984.1223...
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Queimados. |
Cohen et al.(2222 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. http://dx.doi.org/10.1002/lary.25800. PMid:26607056. http://dx.doi.org/10.1002/lary.25800...
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Estenose. |
Mah et al.(1919 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. http://dx.doi.org/10.4187/respcare.04878. PMid:28108683. http://dx.doi.org/10.4187/respcare.04878...
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Zanata et al.(99 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):710-6. http://dx.doi.org/10.1590/2317-1782/20162014086. PMid:28001270. http://dx.doi.org/10.1590/2317-1782/2016...
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Mathur et al.(2828 Mathur NN, Sohliya LM. Pre-decannulation peristomal findings in tracheostomized cases and their effect on the success of decannulation. Indian J Otolaryngol Head Neck Surg. 2015;67(Suppl 1):91-7. http://dx.doi.org/10.1007/s12070-014-0785-4. PMid:25621261. http://dx.doi.org/10.1007/s12070-014-078...
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Mais tempo de uso da traqueostomia e estenose. |
Kim et al.(2929 Kim DH, Kang SW, Choi WA, Oh HJ. Successful tracheostomy decannulation after complete or sensory incomplete cervical spinal cord injury. Spinal Cord. 2017;55(6):601-5. http://dx.doi.org/10.1038/sc.2016.194. PMid:28117330. http://dx.doi.org/10.1038/sc.2016.194...
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Mitton et al.(3030 Mitton K, Walton K, Sivan M. Tracheostomy weaning outcomes in relation to the site of acquired brain injury: a retrospective case series. Brain Inj. 2017;31(2):267-71. http://dx.doi.org/10.1080/02699052.2016.1250951. PMid:28102699. http://dx.doi.org/10.1080/02699052.2016....
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Dificuldade de expectoração/aumento de secreção e disfagia. |
Welton et al.(1616 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. PMid:26909008.)
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Pasqua et al.(3131 Pasqua F, Nardi I, Provenzano A, Mari A. Lazio Regional Section IAoHP. Weaning from tracheostomy in subjects undergoing pulmonary rehabilitation. Multidiscip Respir Med. 2015;10(1):35. http://dx.doi.org/10.1186/s40248-015-0032-1. PMid:26629342. http://dx.doi.org/10.1186/s40248-015-003...
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Infecção pulmonar e mais tempo de uso da traqueostomia. |
Zanata et al.(2121 Zanata IL, Santos RS, Hirata GC. Tracheal decannulation protocol in patients affected by traumatic brain injury. Int Arch Otorhinolaryngol. 2014;18(2):108-14. http://dx.doi.org/10.1055/s-0033-1363467. PMid:25992074. http://dx.doi.org/10.1055/s-0033-1363467...
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Dificuldade de expectoração/aumento de secreção; aspiração silente de saliva e tosse. |
Thomas et al.(1717 Thomas S, Sauter W, Starrost U, Pohl M, Mehrholz J. Time to decannulation and associated risk factors in the postacute rehabilitation of critically ill patients with intensive care unit-acquired weakness: a cohort study. Eur J Phys Rehabil Med. 2017;53(4):501-7. PMid:27676204.)
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Tawfik et al.(3232 Tawfik KO, Houlton JJ, Compton W, Ying J, Khosla SM. Laryngotracheal reconstruction: a ten-year review of risk factors for decannulation failure. Laryngoscope. 2015;125(3):674-9. http://dx.doi.org/10.1002/lary.24963. PMid:25491233. http://dx.doi.org/10.1002/lary.24963...
)
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Estenose. |
Nakashima et al.(3333 Nakashima H, Yukawa Y, Imagama S, Ito K, Hida T, Machino M, et al. Characterizing the need for tracheostomy placement and decannulation after cervical spinal cord injury. Eur Spine J. 2013;22(7):1526-32. http://dx.doi.org/10.1007/s00586-013-2762-0. PMid:23558580. http://dx.doi.org/10.1007/s00586-013-276...
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Terra et al.(3434 Terra RM, Bibas BJ, Minamoto H, Waisberg DR, Tamagno MF, Tedde ML, et al. Decannulation in tracheal stenosis deemed inoperable is possible after long-term airway stenting. Ann Thorac Surg. 2013;95(2):440-4. http://dx.doi.org/10.1016/j.athoracsur.2012.09.037. PMid:23201102. http://dx.doi.org/10.1016/j.athoracsur.2...
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Estenose. |
Schneider et al.(3535 Schneider H, Hertel F, Kuhn M, Ragaller M, Gottschlich B, Trabitzsch A, et al. Decannulation and Functional Outcome After Tracheostomy in Patients with Severe Stroke (DECAST): a prospective observational study. Neurocrit Care. 2017;27(1):26-34. http://dx.doi.org/10.1007/s12028-017-0390-y. PMid:28324263. http://dx.doi.org/10.1007/s12028-017-039...
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Infecção pulmonar e idosos. |
Bianchi et al.(1111 Bianchi A, Barbara M, Monini S. Selective rehabilitative approach to neurological dysfunctions of the oro-pharyngo-laryngeal trivium. Acta Otolaryngol. 2014;134(11):1172-8. http://dx.doi.org/10.3109/00016489.2014.936626. PMid:25315917. http://dx.doi.org/10.3109/00016489.2014....
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Shrestha et al.(3636 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. PMid:24047017.)
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Tosse. |
Budweiser et al.(3737 Budweiser S, Baur T, Jorres RA, Kollert F, Pfeifer M, Heinemann F. Predictors ofsuccessful decannulation using a tracheostomy retainer in patients with prolonged weaning and persisting respiratory failure. Respiration. 2012;84:469-76.)
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Idosos. |
Gundogdu et al.(1818 Gundogdu I, Ozturk EA, Umay E, Karaahmet OZ, Unlu E, Cakci A. Implementation of a respiratory rehabilitation protocol: weaning from the ventilator and tracheostomy in difficult-to-wean patients with spinal cord injury. Disabil Rehabil. 2017;39(12):1162-70. http://dx.doi.org/10.1080/09638288.2016.1189607. PMid:27339104. http://dx.doi.org/10.1080/09638288.2016....
)
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Estenose. |