Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Purpose: Pulmonary function testing (PFT) in patients with tracheostomies has been perceived as difficult to perform and clinically unreliable. We studied the feasibility, quality, repeatability and clinical significance of PFT.
Methods: Patients with tracheostomies that underwent PFT from January 1, 2010 to February 29, 2012 were identified. Clinical history and PFT data were reviewed retrospectively.
Results: Fifty patients (88% men) were identified. Forty-seven (94%) patients were able to perform PFT. Acceptable repeatability was obtained for FVC in 39 (83%) and for FEV1 in 41 (87%). Patients with tracheostomies showed difficulty in meeting ATS end-of-test criteria; only 9 (19%) met plateau criteria and 25 (53%) had exhalation times of greater than 6 s. Obstructive pattern was observed in 30 (64%) and restrictive pattern in 9 (19%). DLCO measurements were attempted in 43 patients and satisfactorily obtained in 34 (79%).
Conclusions: PFT can be performed with reliability in patients with tracheostomies, and they are useful for detecting and classifying types of lung dysfunction.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275556 | PMC |
| http://dx.doi.org/10.1007/s00408-021-00441-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Outcomes in Awake Laser Laryngeal Stenosis Surgery (ALLSS): A 5-Year Retrospective Review.
Laryngoscope
September 2025
UCSF Voice & Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.
Objectives: In patients with significant upper airway stenosis, airway compromise can occur associated with general anesthesia (GA). A previous study demonstrated the feasibility of awake laser laryngeal stenosis surgery (ALLSS) in the operating room (OR) in five patients. This study sought to determine patient outcomes of ALLSS.
View Article and Find Full Text PDFComparative Outcomes of Flap Maturation Versus Conventional Pediatric Tracheotomy Techniques.
Laryngoscope
September 2025
Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Objective: To compare postoperative outcomes of flap maturation (FMT) and conventional tracheotomy techniques in pediatric patients.
Methods: A retrospective cohort study was performed using data from the American College of Surgeons National Surgical Quality Improvement Program Pediatric database (2020-2021). Pediatric patients ≤ 18 years who underwent FMT (CPT 31610) or conventional tracheotomy (CPT 31600, 31,601) were included.
Imminent Respiratory Collapse in Advanced Head and Neck Cancer: A Case Report and Discussion.
Palliat Med Rep
August 2025
Division of Palliative Medicine, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Airway obstruction is a distressing and potentially life-threatening complication in patients with advanced head and neck cancers, particularly squamous cell carcinoma (SCC) of the pharynx. This case highlights the clinical, ethical, and interdisciplinary complexities involved in managing airway compromise in the context of progressive disease and limited treatment options. A 75-year-old man with recurrent SCC of the soft palate, nasopharynx, oropharynx, and hypopharynx, recently initiated on pembrolizumab and radiation therapy, presented with dysphagia, stridor, and intermittent tumor bleeding.
View Article and Find Full Text PDFSurvival after aberrant left subclavian artery-esophageal fistula hemorrhage: A case report and technique review.
J Vasc Surg Cases Innov Tech
December 2025
Department of Vascular Surgery, Baptish Health, Birmingham, AL.
Subclavian artery-esophageal fistula is a rare but potentially fatal vascular anomaly. Inherent to Downs syndrome, trisomy 21 presents with a variety of rare cardiac and vascular anomalies. Subclavian-esophageal fistulae are rare and often fatal complications of a right-sided aortic arch.
View Article and Find Full Text PDFLaryngopyocele: A Rare Cause of Upper Airway Compromise.
Cureus
August 2025
Radiodiagnosis, All India Institute of Medical Sciences, Deoghar, Deoghar, IND.
Laryngocele is defined as the abnormal dilatation of the laryngeal saccule by air, and when it becomes infected, it is termed a laryngopyocele. Laryngopyoceles can present acutely with airway compromise and swallowing difficulties, along with other symptoms such as hoarseness and neck pain. A 78-year-old male with a history of chronic obstructive pulmonary disease presented with a progressively enlarging left-sided neck swelling over 30 years, recently associated with hoarseness, dysphagia, and respiratory distress.
View Article and Find Full Text PDF