Safety of bronchoscopic guided percutaneous dilatational tracheostomy in ICU patients in Tabriz City
Abstract: Tracheostomy is one
of the most frequently performed procedures in intensive care units. The widespread
attraction of percutaneous dilatational tracheostomy (PDT) is increasing in
modern intensive care units (ICU). Bronchoscopic guidance seems to secure the
safety of the technique. Multiple studies done to explain characterize
differences in complications and cost-effectiveness of open and percutaneous
tracheotomy. The objective of this study was to evaluate the benefits of
percutaneous dilatational tracheostomy (PDT) using the Ciaglia technique with
bronchoscopic guidance.
METHODS
A total of 100 elective percutaneous dilatational tracheostomies using
the Ciaglia technique with a little modification were performed under flexible
fiber optic bronchoscopic guide. The demographic variables were recorded, the
underlying cause for patient’s referred to the center for PDT, and
intraoperative as well as early postoperative complications. Patients followed
for several days after tracheostomy for early complications.
RESULTS
No severe complications related to percutaneous dilatational tracheostomy
were noticed during and after the procedure. Three patients had bleeding during
incision and two led to subcutaneus hematoma. There were no other complications
such as infection, emphysema and puncture of
posterior wall.
CONCLUSIONS
We recommended the use of endoscopic guidance bedside percutaneous
tracheostomy using the Ciaglia technique with a little modification because it
is safe and simple to do without significant complications. PDT with
bronchoscopic guidance is a safe and easy procedure that can be done at the
bedside setting.
Keywords: Percutaneous
dilatational tracheostomy; bronchoscopy; complication
Author: Mohammad Esmaeil
Hejazi, Mohammadamin Rezazadehsaatlou, Leila Namvar, Armin Sadeghi, Veghar
Hejazi, Yasin Hejazi, Katrin Buyuk Aghazadeh
Journal Code: jpkedokterangg170057
