Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu

Öz

Amaç: Bu çalışmada, yoğun bakım ünitemizde Griggs tekniği ile açılan perkütan trakeostomilerin işlemlerinin erken komplikasyonları sunmayı amaçladık.

Gereç ve Yöntemler: Çalışmamızda, 2010-2016 yılları arasında Griggs tekniği ile perkütan trakeostomi açılan, 37 erkek 66 kadın olgu incelendi. Boyun yapısı normal olan ve hemostatik bozukluğu olmayan hastalar çalışmaya dahil edildi.

Bulgular: Hastaların hepsinde perkütan trakeostomi başarılı bir şekilde açıldı. Komplikasyon olarak 6 hastada minör kanama, 15 hastada hipotansiyon,  1 hastada yara yeri enfeksiyonu görüldü. Hastalarda pnömotoraks, ciddi hipoksi ve mortalite görülmedi.

Sonuç: Griggs tekniği ile perkütan trakeostomi açılmasının yatak başında kısa sürede uygulanan, düşük komplikasyon oranına sahip bir yöntem olduğu kanaatine varıldı.

Anahtar Kelimeler

• Perkütan trakeostomi,yoğun bakım,komplikasyon

Our tracheostomy experiences in intensive care; 103 cases

Öz

Objective: In this study we aimed to present the early complications of the percutaneous tracheotomies with Griggs technique in our intensive care unit.

Materials and Methods: In this study , we investigated 103 patients. Percutaneous tracheostomy with Griggs method were performed to all patients. This study performed between 2010-2016. 37 male, 66 female patients were investigated. Normal tracheal and neck structurel patients were selected for technique. There were also no hemostatic problem. Peroperative and postoperative complications were recorded.

Results: Percutaneous tracheostomies were performed succesfully in all patients.  Minör bleeding were seen on 6 patients,  hypotension on 15 patients, wound infection on 1 patient. Pneumothorax, serious hypoxia and mortality were not seen during percutaneous tracheostomy.

Conclusion: We conclude that percutaneous tracheostomy with Griggs technique is performed in a short time at the bedside and has a low complication ratio.

Anahtar Kelimeler

• Percutaneous tracheostomy,intensive care unit,complication

Kaynakça

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