Yoğun Bakım Ünitemizde Perkütan Yöntemle Açılan Trakeostomi Deneyimlerimiz; Retrospektif Analiz

Abstract

Background: To retrospectively evaluate 58 patients who underwent percutaneous tracheostomy in our intensive care unit. Materials and Methods: The study included 58 patients that underwent percutaneous tracheostomy in the ICU at our Anesthesiology and Reanimation department between January 2017 and December 2020. Results: The percutaneous tracheostomy group comprised 33 (56.9%) men and 25 (43.1%) women with a mean age of 65±18.2 (range, 19-90) years. Most common primary diagnosis of hospitalization was neurological disorders (51.7%). Mean APACHE II score was 23.2±3.6, mean time to percutaneous tracheostomy was 18.3±5.1 (range, 7-30) days, mean procedural time was 11.1±2.4 min, mean duration of mechanical ventilation was 62.1±37.8 (range, 15-167) days, mean intensive care unit stay was 67.2±43.5 (range, 15-247) days, and mean hospitalization time was 77.5±50.4 (range, 15-277) days. Hypoxia and hypotension were the most common intraoperative complications and minor bleeding was the most common postoperative complication. Conclusions: Performing early tracheostomy in intensive care unit patients requiring prolonged mechanical ventilation increases patient comfort, facilitates discontinuation of mechanical ventilation, reduces the dead space, facilitates the clearing of airway secretions, and shortens the duration of intensive care unit and hospital stay. Additionally, percutaneous tracheostomy was revealed as a safe procedure for intensive care unit patients due to its lower complication rates.

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

“…[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.…”

“…Other studies have stated that the most common diagnosis of ICU admission was neurological disorders, followed by respiratory failure. [15,20,21] In our study, the most common hospitalization diagnoses of our patients who underwent PDT were ischemic/hemorrhagic cerebral injury and acute/chronic pulmonary pathologies.…”

First management of percutaneous dilatational tracheostomy in severe acute respiratory syndrome coronavirus 2 akin to the vital head and neck region and thyroid gland bed: trust, but be careful whom (you trust)?

“…PDT is preferred for its advantages, including low complication rates and short opening time 20 . In this study, the most common complications of PDT were pneumothorax, bleeding, and subcutaneous emphysema 21 , while in a study by Battaglani et al 18 , the most common complications were bleeding, stoma infection, and pneumothorax. In a study by Mahmood et al 19 , the most common complications in wCVD 19 receiving tracheostomy included bleeding, dislodgement of tracheostomy, and pneumothorax.…”

Percutaneous Dilatational Tracheostomy with Bronchoscopic Guidance in Intensive Care Unit

“…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.…”