[Fiberoptic bronchoscopy assisted percutaneous tracheostomy: report of 100 patients].

Autor:	Romero P C; Sección Enfermedades Respiratorias, Departamento de Medicina, Hospital Clínico Universidad de Chile, Santiago, Chile. caromero@redclinicauchile.cl, Cornejo R R, Ruiz C M, Gálvez A R, Llanos V O, Tobar A E, Larrondo G J, Castro O J
Jazyk:	Spanish; Castilian
Zdroj:	Revista medica de Chile [Rev Med Chil] 2008 Sep; Vol. 136 (9), pp. 1113-20. Date of Electronic Publication: 2008 Nov 12.
DOI:	/S0034-98872008000900004
Abstrakt:	Background: Development of percutaneous techniques for tracheostomy have facilitated its implementation in the intensive care unit (ICU). Aim: To evaluate the safety of performing percutaneous tracheostomy (PT) using the Ciaglia Blue Rhino technique with fiberoptic bronchoscopy assistance in patients with prolonged mechanical ventilation. Patients and Methods: Prospective evaluation of 100 consecutive patients aged 62+/-16 years (38 women) subjected to percutaneous tracheostomy. All the procedures were performed in the ICU. Demographic variables, APACHE II, days of mechanical ventilation before PT, operative and post-operative complications were recorded. Results: Mean APACHE II score was 20+/-3. Patients required on average 16+/-7 days of mechanical ventilation before PT. Eight patients (8%) had operative complications. One had an episode of transitory desaturation, one had a transitory hypotension related to sedation and six had mild bleeding not requiring transfusion. No patient required conversion to surgical tracheostomy. Four patients (4%) presented post-operative complications. Two had a mild and transitory bleeding of the ostomy and two had a displacement of the cannula. No other complications were observed. Conclusions: PT using the Ciaglia Blue Rhino technique with fiberoptic bronchoscopy assistance is a safe procedure that can be performed in the ICU by trained intensivists.
Databáze:	MEDLINE
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