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- Title
Perkütan Dilatasyonal Trakeostomi Uygulamalarında Fiberoptik Bronkoskop ile Işıklı Stilenin Karşılaştırılması.
- Authors
Öksüz, Hafize; Şenoğlu, Nimet; Yıldız, Hüseyin; Doğan, Zafer
- Abstract
Aim: In recent years, percutaneous tracheostomy (PT) has become a routine practice for ICU patients requiring prolonged mechanical ventilation. Complications of PT include bleeding, loss of airway control, inadvertent injury to surrounding structures and equipment damage, and all of them can be attributed to poor visualization and inaccurate orientation. In this study we aimed to compare the effectiveness of lightwand or fiberoptic bronchoscope (FB)-guided techniques in percutaneous dilational tracheostomy (PDT). Material and Methods: In a randomised design, between June 2007 and February 2009, 30 consecutive PDT procedures were performed with FB-guided technique in group 1 and with lightwand-guided technique in group 2 on adult ICU patients. The Griggs technique and Portex set were used during procedures. All procedures were performed by the same anesthesiologist experienced with the PDT technique. Demographic data, APACHE II scores, duration of mechanical ventilation, and procedure, arterial blood gas analysis, bleeding, and complication rates were recorded. Results: We haven't observed any mortality due to PDT in our cases and there were no differences in complication rates and other data except duration of PDT. Bleeding was observed at a rate of 10 % only in FB-guided tracheostomy group. Conclusion: The lightwand- guided PDT is a simple, effective and a safe procedure. This technique can avoid the risk of puncturing the endotracheal tube and/or cuff, allowing adequate ventilation and oxygenation during PDT. Furthermore, this technique is inexpensive and minimizes the risk of damaging equipment like FB-guided technique. However, larger patient series is necessary to decide exactly which technique will be safer.
- Subjects
TRACHEOTOMY; INTENSIVE care units; BRONCHOSCOPES; ARTIFICIAL respiration; ANESTHESIOLOGISTS; SAFETY
- Publication
Journal of the Turkish Anaesthesiology & Intensive Care Society - JTAICS / Türk Anestezi ve Reanimasyon Dergisi, 2010, Vol 38, Issue 2, p117
- ISSN
1304-0871
- Publication type
Article