5313 Review Article on Interventional Pulmonology in the Intensive Care Unit Wound care management: tracheostomy and gastrostomy Sammar Alsunaid1, Van K. Holden1, Akshay Kohli2, Jose Diaz3, Lindsay B. O’Meara3 1Division of Pulmonary & Critical Care Medicine, Section of Interventional Pulmonology, University of Maryland School of Medicine, Baltimore, MD, USA; 2Department of Internal Medicine, Medstar Washington Hospital Center, Georgetown University, Washington, DC, USA; 3Division of Acute Care Emergency Surgery, University of Maryland Medical Center, Baltimore, MD, USA Contributions: (I) Conception and design: S Alsunaid, A Kohli; (II) Administrative support: S Alsunaid; (III) Provision of study materials or patients: None; (IV): Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Sammar Alsunaid, MD. Division of Pulmonary & Critical Care Medicine, 110 S. Paca Street, 2nd Floor, Baltimore, MD, USA. Email:
[email protected]. Abstract: Percutaneous dilatational tracheostomy (PDT) and percutaneous endoscopic gastrostomy (PEG) tube placements are routine procedures performed in the intensive care units (ICUs). They are performed to facilitate care and promote healing. They also help prevent complications from prolonged endotracheal intubation and malnutrition. In most cases, both are performed simultaneously. Physicians performing them require knowledge of local anatomy, tissue and vascular relationships, along with advance bronchoscopy and endoscopy skills. Although PDTs and PEGs are considered relatively low-risk procedures, operators need to have the knowledge and skill to recognize and prevent adverse outcomes. Current published literature on post-procedural care and stoma wound management was reviewed. Available recommendations for the routine care of tracheostomy and PEG tubes are included in this review.