We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Safety and Feasibility of Percutaneous Dilatational Tracheostomy Performed by Intensive Care Trainee.
- Authors
Daesang Lee; Chi Ryang Chung; Sung Bum Park; Jeong-Am Ryu; Joongbum Cho; Jeong Hoon Yang; Chi-Min Park; Gee Young Suh; Kyeongman Jeon
- Abstract
Background: Percutaneous dilatational tracheostomy (PDT) performed by an intensivist in critically ill patients is currently popular. Many studies support the safety and feasibility of PDT. However, there is limited data on the safety and feasibility of PDT performed by intensive care trainees. Methods: To evaluate the safety and feasibility of PDT performed by intensive care trainees and to compare these with those performed by intensivists, we retrospectively analyzed the clinical characteristics and adverse events of all prospectively registered patients who underwent PDT by ICT or intensivists in intensive care units (ICUs) from August 2010 to August 2013. Results: In the study period, 203 patients underwent PDT in ICUs; 139 (68%) by trainees and 64 (32%) by intensivists. There were no statistically significant differences in clinical characteristics including demographics, laboratory findings, and parameters of mechanical ventilation between the two groups. Procedure times and outcomes of the patients were not different between the two groups. The majority of complications observed in 24 hours after PDT were bleeding; however, there was no significant difference between the two groups (trainee 10.8% vs. intensivist 9.4%, p = 0.758). There was no procedure-related death in the two groups. Conclusions: PDT performed by intensive care trainees was safe and feasible. However, further well designed studies should be conducted to confirm our results.
- Subjects
TRACHEOTOMY; INTENSIVE care nursing; CRITICALLY ill; INTENSIVE care units; HEALTH outcome assessment; COMPARATIVE studies
- Publication
Korean Journal of Critical Care Medicine, 2014, Vol 29, Issue 2, p64
- ISSN
1229-4802
- Publication type
Article
- DOI
10.4266/kjccm.2014.29.2.64