Bedside conventional tracheostomy

Araujo, Giancarlo Artese; Bertelli, Antônio Augusto Tupinambá; Neto, Helvécio de Resende Urbano; Nakai, Marianne Yumi; Namur, Caroline Schmiele; Menezes, Marcelo Benedito; Gonçalves, Antônio José

doi:10.4322/ahns.2018.0873

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2020

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“…There are no predictors of difficulty in PDT and the contraindications for it vary between different authors 3,8,11,12 . Tracheostomy is a routine procedure in intensive care units and its performance has been increasing over the last decades in parallel with the increased use of mechanical ventilation and the longer survival of critically ill patients 2,11,13 .…”

Section: Resultsmentioning

confidence: 99%

Predictors of difficulty in bedside percutaneous dilatational tracheostomy: pilot study

Tenório¹,

Nakai²,

Moraes

et al. 2020

Rev. Col. Bras. Cir.

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Introduction: percutaneous dilatational tracheostomy is currently one of the main procedures performed in an intensive care unit (ICU). However, there are no well-defined indicators of technical difficulty in performing the procedure. Objectives: to define predictors of difficulty in performing bedside percutaneous dilatational tracheostomy. Methodology: prospective cohort study encompassing 21 patients who underwent bedside percutaneous dilatational tracheostomy in the ICU at a single center. Results: Sternohyoid (SH) distance shorter than 7 cm is associated with a 50% increase in the risk of technical difficulty (OR 0.44 and p <0.03). Conclusion: the reduction in (SH) distance is related to an increased risk of difficulty in performing percutaneous dilatational tracheostomy in the ICU bed.

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