Retrospective Analysis of Percutaneous Tracheostomi Cases in Intensive Care Unit

Karasu, Derya; Yılmaz, Canan; Baytar, Çağdaş; Korfalı, Gülşen

doi:10.4274/tybd.73644

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…[11] PDT is preferred for its advantages such as low complication rates and short opening time. [1,3,[12][13][14][15] Similar to our study, there are studies in the literature reporting that early and late complications related to PDT are less common, [16,17] as well as studies that found the opposite. [18,19] Karasu et al [14] evaluated 132 patients who underwent PDT and reported that 37.5% of them were hospitalized for neurological disorders.…”

Section: Discussionsupporting

confidence: 78%

“…[1,3,[12][13][14][15] Similar to our study, there are studies in the literature reporting that early and late complications related to PDT are less common, [16,17] as well as studies that found the opposite. [18,19] Karasu et al [14] evaluated 132 patients who underwent PDT and reported that 37.5% of them were hospitalized for neurological disorders. Other studies have stated that the most common diagnosis of ICU admission was neurological disorders, followed by respiratory failure.…”

Section: Discussionsupporting

confidence: 77%

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Percutaneous Dilatational Tracheostomy Applications In Our Intensive Care Units: A 10-Year Retrospective Study

Batçık¹

2022

GKDA Derg

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Section: Discussionsupporting

confidence: 78%

Section: Discussionsupporting

confidence: 77%

Percutaneous Dilatational Tracheostomy Applications In Our Intensive Care Units: A 10-Year Retrospective Study

Batçık¹

2022

GKDA Derg

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“…The mean age of the patients was 66 years. In our study, 53.6% of the patients were male, 46.4% were female, and the mean age was 73 years (8,9). Compared to similar studies, we had an older patient group.…”

Section: Discussioncontrasting

confidence: 43%

Percutaneous Dilatational Tracheostomy with Bronchoscopic Guidance in Intensive Care Unit

Koç¹

2022

JARSS

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Objective: Tracheostomy is one of the most common invasive procedures in emergency rooms, intensive care units, and the bedside. In the intensive care unit, tracheostomies are most often used for prolonged mechanical ventilation, to preserve the airway and to permit pulmonary drainage. Percutaneous dilatational tracheostomy (PDT) was performed using the Seldinger method. To minimize tracheal posterior wall damage, bronchoscopy guidance was used to determine the proper spot for tracheal puncture, guide real-time needle entry into the trachea, and confirm cannula position. This study introduces bronchoscopyguided modified mini-surgical PDT and aims to evaluate early complications with 388 case analyses. Methods: Demographic data from patients, intensive care indications, APACHE-2 scores, duration of stay on the ventilator before tracheostomy, total duration of stay, and early complications during tracheostomy were recorded by analyzing patient files. All data from PDT patients between 2018 and 2022 were retrospectively reviewed. Results: Of 492 tracheostomies, 388 (78.8%) were opened percutaneously. The mean and median duration of stay on the ventilator before tracheostomy were 12.95 and 12 days, respectively. The mean and median duration lengths of stay were 29.43 and 14.355 days, respectively. The most common indication for tracheostomy was chronic obstructive pulmonary disease in 70 (18%), patients. Complications related to tracheostomy were observed in 19 patients, representing a complication rate of 4.9%. Of these, 2 (0.5%) bleeds stopped with cautery, and 2 (0.5%) bronchospasms occurred during the procedure. Conclusion: Percutaneous dilatational tracheostomy is a simple and safe tracheostomy method. Its use with bronchoscopy can facilitate the procedure and minimize the complications that may occur.

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“…In a study of 132 patients, the complication rate of PT was 12.9%. Hypoxemia and bleeding were the most common complications during the procedure, whereas subcutaneous emphysema and minor bleeding were the most common complications after the procedure [19]. In another study, postoperative complications were less frequent with PT than with ST [20].…”

Section: Discussionmentioning

confidence: 88%

Percutaneous and Surgical Tracheostomy in Elderly

Kepekçi

2020

GJO

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Although PT has become increasingly popular in the recent years, it is essential to appropriately select patients to undergo this procedure. While ST can be applied to every patient, PT cannot be applied to every patient. Anatomical variations, previous surgical procedures applied to the neck area, or presence of coagulopathy may not allow PT administration [2]. PT may need to be converted to ST because of complications such as bleeding, misplacement, hypotension, air embolism, apnoea, cardiac arrest, thyroid and cricoid cartilage damage, recurrent laryngeal nerve damage and posterior tracheal wall damage. The most common postoperative complications associated with tracheostomy are bleeding, subcutaneous emphysema, infection, pneumothorax, tracheal stenosis, and tracheoesophageal fistula [3][4][5][6][7][8].

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Retrospective Analysis of Percutaneous Tracheostomi Cases in Intensive Care Unit

Cited by 6 publications

References 9 publications

Percutaneous Dilatational Tracheostomy Applications In Our Intensive Care Units: A 10-Year Retrospective Study

Percutaneous Dilatational Tracheostomy Applications In Our Intensive Care Units: A 10-Year Retrospective Study

Percutaneous Dilatational Tracheostomy with Bronchoscopic Guidance in Intensive Care Unit

Percutaneous and Surgical Tracheostomy in Elderly

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