Abstract
References
- Kumar M, Trikha A, Chandralekha. Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator- A prospective randomized study. Indian J Crit Care Med 2012; 16: 87-92.
- Griggs WM, Myburgh JA, Worthley LIG. A prospective comparison of a percutaneous tracheostomy technique with standard surgical tracheostomy. Intensive Care Med 1991; 17: 261-3.
- Angel LF, Simpson CB. Comparison of surgical and percutaneous dilatational tracheostomy. Clin Chest Med 2003; 24: 423-9.
- Duger C, Isbir AC, Uysal IO, Kol IO, Kaygusuz K, Gürsoy S. Evaluation of surgical and percutaneous tracheostomies performed in ıntensive care unit in terms of complications. Turk J Anaesth Reanim 2013; 41: 84-7.
- Pappas S, Maragoudakis P, Vlastarakos P, et al. Surgical versus percutaneous tracheostomy: an evidence-based approach. Eur Arch Otorhinolaryngol 2011; 268: 323-30.
- Sagıroglu AE, Agkoc E, Dogan Y, Gömeçlioğlu V, Orhon Z, Yavaş C. Comparison of percutaneous and surgical tracheostomy in the intensive care unit. Goztepe Medical J 2010; 25: 67-70.
- Griggs WM, Worthley LI, Gilligan J, Thomas PD, Myburg JA. A simple percutaneous tracheostomy technique. Surg Gynecol Obstet 1990; 170: 543-5.
- Yeniaras E, Teomete GC, Karabakh G, Topuz C, Toprak N, Ozyuvacı E. Our Percutaneous Dilatational Tracheostomy Experience. Istanbul Medical J 2007: 4; 49-527-12.
- Hinerman R, Alvarez F, Keller CA. Outcome of bedside percutaneous tracheostomy with bronchoscopic guidance. Intensive Care Med 2000; 26: 1850-6.
- Reilly PM, Sing RF, Giberson FA. Hypercarbia during tracheostomy: A comparison of ercutaneous, endoscopic, percutaneous Doppler, and standard surgical tracheostomy. Intensive Care Med 1997; 23: 859-64.
- Gucyetmez B, Atalan HK, Çakar N. Turkish Tracheotomy Survey Group. elective tracheotomy practices in Turkey. PLoS One 2016; 11: e0166097.
- Wright CD. Minitracheostomy. Clin Chest Med 2003; 24: 431-5.
- Abdelaziz M, Naidu B, Agostini P. Is prophylactic minitracheostomy beneficial in high-risk patients undergoing thoracotomy and lung resection? Interact Cardiovasc Thorac Surg 2011; 12: 615-8.
- Van Heurn, LW Ernest, van Geffen GJ, Brink PRG. Percutaneous subcricoid minitracheostomy: report of 50 procedures. Ann Thorac Surg 1995, 59.3: 707-9.
- Raimondi N, Vidal Macarena R, Calleja J, et al. Evidence-based guidelines for the use of tracheostomy in critically Ill patients. J Crit Care 2017; 38: 304-18.
- Massick DD, Powell DM, Price PD, et al. Quantification of the learning curve for percutaneous dilatational tracheotomy. Laryngoscope 2000; 110: 222-8.
- Hazard P, Jones C, Benitone J. Comparative clinical trial of standard operative tracheostomy with percutaneous tracheostomy. Crit Care Med 1991; 19: 1018-24.
- Kluge S, Baumann HJ, Maier C, et al. Tracheostomy in the intensive care unit: A nationwide survey. Anesth Analg 2008; 107: 1639-43.
Can mini-tracheostomy needle be safer for residency training in percutaneous dilatation tracheostomy applications in intensive care unit?
Abstract
Aim
The aim of study to evaluate the bedside percutaneous dilatation tracheostomy, performed with Fiberoptic bronchoscopy guided Griggs technique using a mini-tracheostomy needle, by residents in intensive care unit retrospectively.
Materials and Methods
Percutaneous dilatation tracheostomys performed in 20 intensive care unit patients using a mini-tracheostomy needle. All percutaneous dilatation tracheostomy procedures were performed by a resident who was currently undergoing intensive care unit residency training. Griggs technique was used in all procedures. All complications, the time from needle insertion to the insertion of the tracheostomy cannula was also noted.
Results
The average age of the patients was 69.8 ± 16.14 years. The mean Acute Physiology and Chronic Health Assessment (APACHE) II score of the patients was 23.05 ± 6.16, Glasgow Coma Scale (GCS) score was 10 ± 3.43, and Sepsis-Related Organ Failure Assessment (SOFA) score was 7.2 ± 2.11. The mean procedure time was 13 ± 1.68 minutes, and the day of tracheostomy application was 6.35 ± 4.59. Twelve (60%) patients were switched to home-type ventilators. Ten (50%) of the patients were transferred to the palliative ward with home-type ventilator. Mortality rate was 20% (4 patients) at 90 days. When patients were evaluated in terms of complications; none of the patients had pneumothorax, subcutaneous emphysema, posterior tracheal wall damage, or tracheoesophageal fistula. Minimal bleeding that required no intervention was observed in only one patient.
Conclusion
Using Mini-trach® needle in percutaneous dilatation tracheostomys performed via fiberoptic broncoscopy by less experienced residents may be safer to prevent complications.
References
- Kumar M, Trikha A, Chandralekha. Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator- A prospective randomized study. Indian J Crit Care Med 2012; 16: 87-92.
- Griggs WM, Myburgh JA, Worthley LIG. A prospective comparison of a percutaneous tracheostomy technique with standard surgical tracheostomy. Intensive Care Med 1991; 17: 261-3.
- Angel LF, Simpson CB. Comparison of surgical and percutaneous dilatational tracheostomy. Clin Chest Med 2003; 24: 423-9.
- Duger C, Isbir AC, Uysal IO, Kol IO, Kaygusuz K, Gürsoy S. Evaluation of surgical and percutaneous tracheostomies performed in ıntensive care unit in terms of complications. Turk J Anaesth Reanim 2013; 41: 84-7.
- Pappas S, Maragoudakis P, Vlastarakos P, et al. Surgical versus percutaneous tracheostomy: an evidence-based approach. Eur Arch Otorhinolaryngol 2011; 268: 323-30.
- Sagıroglu AE, Agkoc E, Dogan Y, Gömeçlioğlu V, Orhon Z, Yavaş C. Comparison of percutaneous and surgical tracheostomy in the intensive care unit. Goztepe Medical J 2010; 25: 67-70.
- Griggs WM, Worthley LI, Gilligan J, Thomas PD, Myburg JA. A simple percutaneous tracheostomy technique. Surg Gynecol Obstet 1990; 170: 543-5.
- Yeniaras E, Teomete GC, Karabakh G, Topuz C, Toprak N, Ozyuvacı E. Our Percutaneous Dilatational Tracheostomy Experience. Istanbul Medical J 2007: 4; 49-527-12.
- Hinerman R, Alvarez F, Keller CA. Outcome of bedside percutaneous tracheostomy with bronchoscopic guidance. Intensive Care Med 2000; 26: 1850-6.
- Reilly PM, Sing RF, Giberson FA. Hypercarbia during tracheostomy: A comparison of ercutaneous, endoscopic, percutaneous Doppler, and standard surgical tracheostomy. Intensive Care Med 1997; 23: 859-64.
- Gucyetmez B, Atalan HK, Çakar N. Turkish Tracheotomy Survey Group. elective tracheotomy practices in Turkey. PLoS One 2016; 11: e0166097.
- Wright CD. Minitracheostomy. Clin Chest Med 2003; 24: 431-5.
- Abdelaziz M, Naidu B, Agostini P. Is prophylactic minitracheostomy beneficial in high-risk patients undergoing thoracotomy and lung resection? Interact Cardiovasc Thorac Surg 2011; 12: 615-8.
- Van Heurn, LW Ernest, van Geffen GJ, Brink PRG. Percutaneous subcricoid minitracheostomy: report of 50 procedures. Ann Thorac Surg 1995, 59.3: 707-9.
- Raimondi N, Vidal Macarena R, Calleja J, et al. Evidence-based guidelines for the use of tracheostomy in critically Ill patients. J Crit Care 2017; 38: 304-18.
- Massick DD, Powell DM, Price PD, et al. Quantification of the learning curve for percutaneous dilatational tracheotomy. Laryngoscope 2000; 110: 222-8.
- Hazard P, Jones C, Benitone J. Comparative clinical trial of standard operative tracheostomy with percutaneous tracheostomy. Crit Care Med 1991; 19: 1018-24.
- Kluge S, Baumann HJ, Maier C, et al. Tracheostomy in the intensive care unit: A nationwide survey. Anesth Analg 2008; 107: 1639-43.
Details
| Primary Language | English |
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| Subjects | Health Care Administration |
| Journal Section | Original Article |
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| Publication Date | March 28, 2021 |
| Published in Issue | Year 2021 Volume: 4 Issue: 2 |
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