Analysis of predisposing factors for complications of percutaneous tracheostomy

被引:0
作者
Domenech, Ivan [1 ]
Cruz Toro, Paula [1 ]
Tornero, Jordi [1 ]
Giordano, Ana [1 ]
Callejo, Angela [1 ]
机构
[1] Hosp Univ Quiron Dexeus, Dept Otorhinolaryngol Agrupacio Med & Quirurg, Barcelona, Spain
关键词
INTENSIVE-CARE-UNIT; CIAGLIA BLUE RHINO; DILATIONAL TRACHEOTOMY; EXPERIENCE; FORCEPS; TRIAL;
D O I
暂无
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Since the turn of the century, percutaneous tracheostomy (PT) has become an alternative to the classic open technique and is an elective procedure in intensive care units at most centers. We conducted a prospective study to identify and quantify the complication rate with PT and to analyze this procedure's association with potential risk factors. Our study population was made up of 114 patients-83 men (72.8%) and 31 women (27.2%), aged 18 to 81 years (mean: 57 +/- 15)-who underwent PT at our center over an 18-month period. We sought to determine if there were any associations between PT complications and sex, previous fibroscopy, cervical length, cervical risk factors, and general risk factors. Generally minor complications were noted in 15 patients (13.2%); 13 patients experienced hemorrhage, I exhibited subcutaneous emphysema, and I had a vagal reaction that resolved with medical treatment. Only 3 of these cases (2.6%) were considered to be clinically relevant: 1 hemorrhage (which was treated with ligation), the emphysema (which resolved spontaneously), and the vagal reaction (which resolved with medical treatment). Statistically, we found that PT complications were significantly correlated with two factors: coagulopathy (p = 0.015) and hemodynamic instability (p = 0.017). Even so, these complications were not clinically significant, and they resolved with conservative treatment measures. Given the low incidence and mild degree of these complications, we consider PT to be a safe procedure, even in patients with a high risk of hemorrhage or cervical anatomic difficulties.
引用
收藏
页码:312 / 318
页数:7
相关论文
共 50 条
  • [31] Percutaneous dilatational tracheostomy (PDT) in trauma patients: a safe procedure
    Decker, S.
    Gottlieb, J.
    Cruz, D. L.
    Mueller, C. W.
    Wilhelmi, M.
    Krettek, C.
    Wilhelmi, M.
    EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY, 2016, 42 (05) : 605 - 610
  • [32] Post-Tracheostomy Steroid Nebulization: A Retrospective Analysis on Postoperative Complications
    Kumar, Sanjay
    Biradar, Kashiroygoud
    Patra, Arun
    INDIAN JOURNAL OF OTOLARYNGOLOGY AND HEAD & NECK SURGERY, 2023, 76 (2) : 1526 - 1530
  • [33] Percutaneous tracheostomy through dilatation with the Ciaglia Blue Dolphin® method
    Araujo, J. B.
    Anon, J. M.
    Garcia-Fernandez, A. M.
    Parias, M. N.
    Corrales, A.
    Castro, M. O.
    Gonzalez-Higueras, E.
    Perez-Liorens, J. C.
    Garijo, M. A.
    Garcia de Lorenzo, A.
    MEDICINA INTENSIVA, 2015, 39 (02) : 76 - 83
  • [34] Percutaneous tracheostomy in an intensive care unit
    Perez B, Enrique
    Yanez M, Ricardo
    Aviles C, Elizabeth
    Alarcon S, Carlos
    Weisse A, Osvaldo
    Curi T, Maximiliano
    Villalobos Z, Jorge
    Palma M, Alejandro
    Villarroel M, Leopoldo
    REVISTA CHILENA DE CIRUGIA, 2011, 63 (04): : 356 - 360
  • [35] Safety of percutaneous tracheostomy in patients with stroke
    A Gritsan
    N Dovbish
    G Gritsan
    A Gazenkampf
    Intensive Care Medicine Experimental, 3 (Suppl 1)
  • [36] Dedicated endotracheal tube for percutaneous tracheostomy
    Tordiglione, Paolo
    Magni, Giuseppina
    Imperiale, Carmela
    Baisi, Floriana
    De Blasiis, Nicola
    Manganozzi, Valentina
    Rosa, Giovanni
    EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2009, 26 (11) : 936 - 939
  • [37] Use of Bronchoscopy in Percutaneous Dilational Tracheostomy
    Gadkaree, Shekhar K.
    Schwartz, Diane
    Gerold, Kevin
    Kim, Young
    JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2016, 142 (02) : 143 - 149
  • [38] From Open to Bedside Percutaneous Tracheostomy
    Kidane, Biniam
    Pierre, Andrew F.
    THORACIC SURGERY CLINICS, 2018, 28 (03) : 263 - +
  • [39] SAFETY AND EFFICACY OF PERCUTANEOUS TRACHEOSTOMY TECHNIQUES IN CRITICALLY ILL PATIENTS: A COMPARATIVE META-ANALYSIS OF RANDOMIZED TRIALS
    Cabrini, L.
    Monti, G.
    Landoni, G.
    Mamo, D.
    Plumari, V. P.
    Boroli, F.
    Colombo, S.
    Zangrillo, A.
    INTENSIVE CARE MEDICINE, 2010, 36 : S224 - S224
  • [40] Complications of tracheostomy in children: a systematic review
    Lubianca Neto, Jose Faibes
    Castagno, Octavia Carvalhal
    Schuster, Artur Koerig
    BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY, 2022, 88 (06) : 882 - 890