Early and long-term results of percutaneous dilatation tracheostomy (PDT Ciaglia) in 195 intensive care patients

Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
B Heuer, A Deller

Abstract

Tracheostomy is frequently required in the treatment of critically ill patients to prevent the complications associated with prolonged translaryngeal intubation. Tracheostomy may facilitate airway suctioning and improve patient comfort in the process of weaning. The purpose of the study was to assess our experience with PDT and to evaluate the complications in comparison with open surgical tracheostomy which is associated with complication rates ranging up to 50%. PDT was performed using the serial dilational technique described by Ciaglia (percutaneous tracheostomy introducer set, Cook Critical Care) by careful fibreoptic monitoring of the tracheal puncture and the tracheostomy tube insertion. Complications related to the procedure and late effects were recorded. 195 PDT were performed in adult intensive-care patients on prolonged mechanical ventilation. In 182 cases (93.4%) placement of the tube was successful without complications. Intraoperative complications occurred in 13 patients (6.6%) including bleeding (5), superficial lesion of the tracheal mucosa (3), pneumothorax (1) and others (4). After decannulation in 132 patients the tracheostoma closed spontaneously and the cosmetic and functional results were good. In 131 ca...Continue Reading

Citations

Mar 4, 2008·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Horst AdamBernhard Frerich
Mar 25, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Praveen KumarDeeksha S Tomar
Dec 11, 2020·Respiration; International Review of Thoracic Diseases·Bernd SchönhoferWolfram Windisch

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