Percutaneous dilation tracheostomy: Report of 70 cases
DOI:
https://doi.org/10.51481/amc.v48i2.245Keywords:
percutaneous tracheostomy, branchoscopy, intensive careAbstract
Tracheostomy is the most common surgical procedure performed in critical care patients. In the last few years, a tech-nique known as percutaneous dilational tracheostomy guid-ed by bronchoscopy was introduced. We present our expe-rience with this procedure at the Hospital R.A. CalderónGuardia, San José Costa Rica. Materials and method:Apercutaneous tracheostomywas perform in 70 patients between august 2002 and octo-ber 2004 at the Critical Care Unit of the Hospital Dr. RafaelAngel Calderón Guardia. The procedure was performedfollowing a modification of the Ciaglia technique.Epidemiological data and complications were collected.
Results:Eighty percent were men and 20 % women. Themain complications were transient low oxygen saturation(7.14 %), tracheal ring fracture (4.2 %), bronchoscopepuncture (4.2 %), unplanned extubation (2.85%) and mildbleeding (2.85%). Average surgical time was 8.14 minutes.There was no mortality associated with the procedure.
Conclusion:This technique is safe and can be performedby medical intensivists. There should be a multidisciplinaryteam to support the performance of this procedure.Percutaneous tracheostomy should be the first choice technique for tracheostomy in the critical care unit.
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