Bedside percutaneous dilatational tracheostomy by griggs technique: A single-center experience
Yükleniyor...
Dosyalar
Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
International Scientific Information, Inc.
Erişim Hakkı
Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Background: The study evaluated reliability and outcomes of percutaneous dilatational tracheostomy (PDT) performed via Griggs’ method in the intensive care unit. Material/Methods: We examined 78 patients who underwent bedside PDT in the intensive care unit (ICU). Demographic characteristics were recorded. In addition, ventilator-related pneumonia, duration of performing PDT, and rates of complications, mortality, and morbidity were assessed. Results: The mean age of patients was 68.7 years, and 56.4% were females (n=44). The most common indication for ICU was pneumonia (44.9%, n=35), followed by trauma (24.8%, n=13). Mean opening of PDT was 21 minutes. Mean duration of intubation prior to PDT was 21±6 days. Mean FiO2 before and after PDT was 58.7% and 49.1%, respectively. PEEP ratios before and after PDT were 5 and 3, respectively. Seventy-one patients (91%) needed no sedation after PDT. Mechanical ventilator-induced pneumonia was observed in 32.1% (n=25) of patients. The overall complication rate after PDT was 37.1%, most of which were minor. The most common and early complication of PDT was bleeding (28.2%, n=22). Other minor complications included hypotension (3.8%, n=3), desaturation (3.8%, n=3), and subcutaneous emphysema (1.3%, n=1). Conclusions: Tracheostomy offers advantages in terms of improving patient comfort, facilitating weaning of patients from the respirator, and providing clearance of pulmonary secretions by reducing pulmonary dead-spaces. PDT is a simple and reliable procedure with lower complication rates. Its advantages include implementation at bedside, with a shortened procedure duration and accelerated wound healing. © Med Sci Monit.
Açıklama
Anahtar Kelimeler
Intensive Care Units, Neck, Obesity, Patient Safety, Point-Of-Care Systems, Tracheostomy
Kaynak
Medical Science Monitor
WoS Q Değeri
N/A
Scopus Q Değeri
Q1
Cilt
23
Sayı
Künye
Şahiner, İ. T., Şahiner, Y. (2017). Bedside percutaneous dilatational tracheostomy by Griggs technique: A single-center experience. Medical Science Monitor, 23, 4684-4688.
