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Five-Years Intensive Care Percutaneous Tracheostomy Results

Year 2023, Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 165 - 9, 19.10.2023
https://doi.org/10.37990/medr.1349191

Abstract

Aim: Tracheostomy is an interventional procedure frequently performed on critically ill patients in the intensive care unit (ICU). The purpose of this study is to report the characteristics of patients undergoing percutaneous tracheostomy in intensive care.
Material and Methods: Cases admitted to intensive care between 2018 and 2022 and subjected to percutaneous tracheostomy were included. Cases involving surgical tracheostomy were excluded. We scanned the patients’ demographic and clinical characteristics, follow-up characteristics in intensive care, tracheostomy complications, and discharge characteristics. Patients were also divided into surviving and non-surviving groups and compared.
Results: One hundred seven patients were included in the study. Men represented 64.5% of the patients, and the mean age of the entire patient group was 61.5 years. Tracheostomies were most frequently performed due to prolonged endotracheal intubation. Neurological diseases were the most common diagnoses, and the most frequent complication was bleeding. The groups differed in terms of age, comorbidity, presence of tracheostomy at time of discharge from intensive care, and anticoagulant use. The mortality rate was 69.2%.
Conclusion: We think that percutaneous tracheostomy can be employed because it can be performed at the point of care in intensive care, and due its ease of application and low complication rate.

Supporting Institution

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References

  • Yesiller FI, Sendur UG. Our experiences of tracheostomy in intensive care unit. Aegean J Med Sci. 2018;2:1-5.
  • Mehta C, Mehta Y. Percutaneous tracheostomy. Ann Card Anaesth. 2017;20:S19-25.
  • Canakci E, Sahin EA, Kilic K. Percutaneous tracheostomy with Grigss dilating forceps technique: Retrospective analysis of 60 intensive care patients. Ege Journal of Medicine. 2016;55:184-9.
  • Whited RE. A prospective study of laryngotracheal sequelae in long-term intubation. Laryngoscope. 1984;94:367-77.
  • Ersoy A, Ali A, Unlu N, et al. 53 percutaneous tracheostomy cases performed with griggs method. Okmeydanı Med J. 2012;28:134-7.
  • Friedman Y. Percutaneous versus surgical tracheostomy: the continuing saga. Crit Care Med. 2006;34:2250-1.
  • Yeniaras E, Cebecik Teomete G, Karabag G et al. Percutan dilational tracheostomy; our experience. İstanbul Med J 2007;8:7-12.
  • Griffiths J, Barber VS, Morgan L et al. Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation. BMJ. 2005;330:1243.
  • Bösel J, Niesen WD, Salih F et al.; SETPOINT2 and the IGNITE Study Groups. Effect of early vs standard approach to tracheostomy on functional outcome at 6 months among patients with severe stroke receiving mechanical ventilation: the SETPOINT2 randomized clinical trial. JAMA. 2022;327:1899-909.
  • Andriolo BN, Andriolo RB, Saconato H, et al. Early versus late tracheostomy for critically ill patients. Cochrane Database Syst Rev. 2015;1:CD007271.
  • Oncul S, Yilmaz M, Gaygusuz EA, et al. Our experience in percutaneous tracheostomy which performed by Griggs method: 38 cases. Kocaeli Med J. 2014;3:1-4.
  • Fernandez-Bussy S, Mahajan B, Folch E et al. Tracheostomy tube placement: early and late complications. J Bronchology Interv Pulmonol. 2015;22:357-64.
  • Cicek M, Gedik E, Yücel A et al. Our conclusions at percutaneous tracheostomy performed with griggs technique. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2007;14:17-20.
Year 2023, Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 165 - 9, 19.10.2023
https://doi.org/10.37990/medr.1349191

Abstract

References

  • Yesiller FI, Sendur UG. Our experiences of tracheostomy in intensive care unit. Aegean J Med Sci. 2018;2:1-5.
  • Mehta C, Mehta Y. Percutaneous tracheostomy. Ann Card Anaesth. 2017;20:S19-25.
  • Canakci E, Sahin EA, Kilic K. Percutaneous tracheostomy with Grigss dilating forceps technique: Retrospective analysis of 60 intensive care patients. Ege Journal of Medicine. 2016;55:184-9.
  • Whited RE. A prospective study of laryngotracheal sequelae in long-term intubation. Laryngoscope. 1984;94:367-77.
  • Ersoy A, Ali A, Unlu N, et al. 53 percutaneous tracheostomy cases performed with griggs method. Okmeydanı Med J. 2012;28:134-7.
  • Friedman Y. Percutaneous versus surgical tracheostomy: the continuing saga. Crit Care Med. 2006;34:2250-1.
  • Yeniaras E, Cebecik Teomete G, Karabag G et al. Percutan dilational tracheostomy; our experience. İstanbul Med J 2007;8:7-12.
  • Griffiths J, Barber VS, Morgan L et al. Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation. BMJ. 2005;330:1243.
  • Bösel J, Niesen WD, Salih F et al.; SETPOINT2 and the IGNITE Study Groups. Effect of early vs standard approach to tracheostomy on functional outcome at 6 months among patients with severe stroke receiving mechanical ventilation: the SETPOINT2 randomized clinical trial. JAMA. 2022;327:1899-909.
  • Andriolo BN, Andriolo RB, Saconato H, et al. Early versus late tracheostomy for critically ill patients. Cochrane Database Syst Rev. 2015;1:CD007271.
  • Oncul S, Yilmaz M, Gaygusuz EA, et al. Our experience in percutaneous tracheostomy which performed by Griggs method: 38 cases. Kocaeli Med J. 2014;3:1-4.
  • Fernandez-Bussy S, Mahajan B, Folch E et al. Tracheostomy tube placement: early and late complications. J Bronchology Interv Pulmonol. 2015;22:357-64.
  • Cicek M, Gedik E, Yücel A et al. Our conclusions at percutaneous tracheostomy performed with griggs technique. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2007;14:17-20.
There are 13 citations in total.

Details

Primary Language English
Subjects Intensive Care
Journal Section Original Articles
Authors

Murat Bıçakcıoğlu 0000-0001-9101-6857

Publication Date October 19, 2023
Acceptance Date September 19, 2023
Published in Issue Year 2023 Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic

Cite

AMA Bıçakcıoğlu M. Five-Years Intensive Care Percutaneous Tracheostomy Results. Med Records. October 2023;5(Supplement (1):165-9. doi:10.37990/medr.1349191

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

E-mail: medrecsjournal@gmail.com

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