Percutaneous Tracheostomy under Bronchoscopic Visualization Does Not Affect Short-Term or Long-Term Complications
| Autor: | Meredith H. Redden, Stanston D. Spence, Mark L. Walker, Philip Ramsay, Amy D. Wyrzykowski, Joshua W Moore, Katherine E Kohler, Vernon J. Henderson, Thomas S Easterday, Timothy Humphries, David V Feliciano |
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| Rok vydání: | 2017 |
| Předmět: |
Long term complications
medicine.medical_specialty medicine.diagnostic_test business.industry Critically ill Trauma center Significant difference 030208 emergency & critical care medicine Trauma registry General Medicine Surgery 03 medical and health sciences 0302 clinical medicine Bronchoscopy Percutaneous tracheostomy Medicine 030212 general & internal medicine business Complication |
| Zdroj: | The American Surgeon. 83:696-698 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313481708300723 |
| Popis: | Percutaneous tracheostomy is a safe and effective bedside procedure. Some advocate the use of bronchoscopy during the procedure to reduce the rate of complications. We evaluated our complication rate in trauma patients undergoing percutaneous tracheostomy with and without bronchoscopic guidance to ascertain if there was a difference in the rate of complications. A retrospective review of all tracheostomies performed in critically ill trauma patients was performed using the trauma registry from an urban, Level I Trauma Center. Bronchoscopy assistance was used based on surgeon preference. Standard statistical methodology was used to determine if there was a difference in complication rates for procedures performed with and without the bronchoscope. From January 2007, to April 2016, 649 patients underwent modified percuteaneous tracheostomy; 289 with the aid of a bronchoscope and 360 without. There were no statistically significant differences in any type of complication regardless of utilization of a bronchoscope. The addition of bronchoscopy provides several theoretical benefits when performing percutaneous tracheostomy. Our findings, however, do not demonstrate a statistically significant difference in complications between procedures performed with and without a bronchoscope. Use of the bronchoscope should, therefore, be left to the discretion of the performing physician. |
| Databáze: | OpenAIRE |
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