Retrospective Comparison of Percutaneous Forceps Dilatation Tracheostomy and Conventional Surgical Tracheostomy

Yıl 2024, Cilt: 13 Sayı: 1, 40 - 44, 20.03.2024

Serkan Uçkun Füsun Demir Fatih Ugün Nazan Kocaoğlu Özlem Sağır Ahmet Köroğlu

https://doi.org/10.53424/balikesirsbd.1284998

Öz

Objective: We aimed to retrospectively evaluate the early complications of conventional surgical and percutaneous forceps dilatation tracheostomies in intensive care patients. Materials and Methods: Electronic records of ICU patients hospitalized in our unit between 2019 and 2022 were retrospectively scanned. Demographic data, the tracheostomy tecnique and early complications related to the procedure were recorded. Results: A total of 64 patients underwent a tracheostomy in our ICU. 34 (53.2%) patients underwent conventional surgical tracheostomy (CST) and 30 (46.8 %) patients underwent percutaneous forceps dilatation tracheostomy (PFDT). The mean age of the patients was 73.30±14.45 y, and 29 (45.31%) patients were male. The mean length of intubation before the procedure was 19.36±7.76 days, it was significantly longer in the CST group (21.74±9.34 days) compared to the PFDT group (16.67±7.31 days) (p=0.02). Early complications occured in 7 patients (20.58%) in the CST, and in 5 patients (16.66%) in the PFDT group. Conclusion: We believe that in the rate of early complications of PFDT is similar to CST.

Anahtar Kelimeler

intensive care, percutaneous tracheostomy, complications

Kaynakça

• Bösel, J. (2014). Tracheostomy in stroke patients. Current Treatment Options in Neurology, 16(1), 274. https://doi.org/10.1007/s11940-013-0274-1. Cabrini, L., Monti, G., Landoni, G., Biondi-Zoccai, G., Boroli, F., Mamo, D., Plumari, V. P., Colombo, S., & Zangrillo, A. (2012). Percutaneous tracheostomy, a systematic review. Acta Anaesthesiologica Scandinavica, 56, 270-81. https://doi.org/10.1111/j.1399-6576.2011.02592.x.
• Cicek, M., Gedik, E., Yücel, A., Köroglu, A., & Ersoy, M.O. (2007). Our conclusions at percutaneous tracheostomy performed with Griggs Technique. Journal of Inonu University Medical Faculty, 14(1), 17-20.
• Crofts, S.L., Alzeer, A., McGuire, G.P.,Wong, D.T., & Charles D. (1995). A comparison of percutaneous and operative tracheostomies in intensive care patients. Canadian Journal of Anaesthesia, 42, 775-79. https://doi.org/10.1007/BF03011175.
• Delaney, A., Bagshaw, S.M., & Nalos, M. (2006). Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta-analysis. Critical Care, 10(2), R55. https://doi.org/10.1186/cc4887.
• Ersoy, A., Ali, A., Ünlü, N., Kara, D,. & Turgut, N. (2012). 53 Percutaneous tracheostomy cases performed with Griggs Method. European Archives Of Medical Research, 28(3), 134-137. https://doi.org/10.5222/otd.2012.134.
• Friedman, Y. (1996). Indications, timing, techniques and complications of tracheostomy in the critically ill patient. Current Opinion in Critical Care, 2(1), 47-53.
• Griggs, W.M., Worthley, L.I.G., Gilligan, J.E., Thomas, P.D., & Myburg, J.A.(1990). A simple percutaneous tracheostomy technique. Surgery, Gynecology and Obstetrics, 170, 543-5.
• Gysin, C. (1999). Percutaneous versus surgical tracheostomy: a double-blind randomized trial. Annals of Surgery, 230, 708-14. https:// doi: 10.1097/00000658-199911000-00014.
• Hashimoto, D.A., Axtell, A.L., & Auchincloss H. G. (2014). Percutaneous tracheostomy. The New England Journal of Medicine, 383, 20. https://doi.org/10.1056/NEJMvcm2014884.
• Higgins, K. M., & Punthake, X. (2007). Meta-analysis comparison of open versus percutaneous tracheostomy. Laryngoscope, 117, 447-54. https://doi.org/10.1097/01.mlg.0000251585.31778.c9.
• Hosokawa, K., Nishimura, M., Egi, M., & Vincent J. L. (2015). Timing of tracheotomy in ICU patients: a systematic re view of randomized controlled trials. Critical Care, 19, 424. https://doi.org/10.1186/s13054-015-1138-8.
• Hutchinson, R.C., & Mitchell, R. D. (1991). Life-threatening complications from percutaneous dilatational tracheostomy. Critical Care Medicine, 19, 118-20. https://doi.org/10.1097/00003246-199101000-00027.
• Marchese, S., Corrado, S., Scala, R., Corrao, S., & Ambrosino, N. (2010). Tracheostomy in patients with long-term mechanical ventilation: A survey. Respiratory Medicine, 104(5), 749-53. https://doi.org/10.1016/j.rmed.2010.01.003.
• Memmedova, F., Akarsu, F.G., Mehdiyev, Z., Aykaç, Ö., Pınarbaşlı, M.Ö., Gürbüz, M.K., & Özdemir, A.Ö.(2022). Evaluation of percutaneous and surgical tracheostomy results in neurocritical care unit. Turkish Journal Neurology, 28, 31-37. https://doi.org/10.4274/tnd.2022.77200.
• Seker, Y. T., Tülübaş, E. K., Hergünsel, O., & Çukurova, Z. (2017). Evaluation of late term complications dilatation tracheostomy of intensive care unit. Medical Journal of Bakırköy, 13(4), 170-74. https://doi.org/10.5350/BTDMJB.20170110061719.
• Singh, R.K., Saran, S., & Baronia, A.K. (2017). The practice of tracheostomy decannulation—a systematic review. Journal of Intensive Care, 5, 38. https://doi.org/10.1186/s40560-017-0234-z.
• Petros, S., & Engelmann, L. (1997). Percutaneous dilational tracheostomy in a medical ICU. Intensive Care Medicine, 23, 630-4. https://doi.org/10.1007/s001340050385.
• VanHeurn, L.W., VanGeffen, G.J., & Brink, P.R. (1996). Clinical experience with percutaneous dilational tracheostomy: Report of 150 cases. The European Journal of Surgery, 162, 531-5.