Evaluation of tracheatomies performed by percutaneous dilatation method in adult intensive care unit

Yıl 2021, Cilt: 3 Sayı: 1, 7 - 9, 15.04.2021

Mine Altınkaya Çavuş Şerife Gökbulut Bektaş

Öz

ABSTRACT
Aim: Percutaneous dilatation tracheotomy in our clinic; It is opened using the advantages and methods of Griggs (GWDR) and Ciaglia Blue Rhino (CBR). We wanted to share our one-year experience with you.
Method: In the study that we retrospectively examined tracheotomies performed in adult intensive care in 2019-2020; Demographic data of patients, SOFA scores, intensive care, tracheotomy, intubation days, complications, mortality and morbidity were recorded.
Results: A total of 50 patients, 33 females, 17 males, were included in the study. The mean age is 65,54 ± 15,95. BMI was 26,94 ± 2,75. Ciaglia was used in 22 patients and Griggs method was used in 28 patients. Tracheotomy opening day is 10,45 ± 1,27. Griggs method; It was found to be significantly higher in terms of complications (6 minor bleeding, 1 emphysema, 1 lack of ventilation) (p = 0,001). Mortality (independent of tracheotomy method and complications) was significantly higher in the Griggs method (p = 0,005).
Conclusion: Except for minor differences, no significant difference was found between both GDWR method and CBR method in the study.

Anahtar Kelimeler

Griggs, Ciaglia Blue Rhino®, percutaneous dilatational tracheotomy, complications

Kaynakça

• 1. Whited RE. A prospective study of laryngotracheal sequelae in long term intubation. Laryngoscope 1984; 94(3): 367-77.
• 2. Friedman Y. Percutaneous versus surgical tracheostomy: The continuing saga. Crit Care Med 2006; 34(8): 2250-1.
• 3. Sheldon CH, Pudenz RH, Freshwater D B. A new method for tracheostomy. Journal of Neurosurgery1955; 12: 428-431.
• 4. Toye FJ, Weinstein JD. A percutaneus tracheostomy device. Surgery 1969; 65: 384-389.
• 5. Ciaglia P, Firsching R, Syniec C. Elective percutaneous dilatational tracheostomy. A new simple bedsideprocedure; preliminary report. Chest 1985; 87: 715-719.
• 6. Byhahn C, Wilke HJ, Halbig S, Lischke V, Westpal K. Percutaneous tracheostomy: Ciaglia Blue Rhio versus the basic Ciaglia technique percutaneous tracheostomy. Anesth Analg 2000; 91: 882-886.
• 7. Frova G, Quintel M. A new simple method for percutaneous tracheostomy: Controlled rotating dilatation a preliminary reportIntensive Care Med 2002; 28: 299-303.
• 8. Griggs WM, Wortley LIG, Gilligan JE, et al. A simple percutaneous tracheostomy technique. Surg Gynecol Obstet 1990; 170: 543-545.
• 9. Fantoni A, Ripamonti D. A non-derivative,nonsurgical tracheostomy: The Translarnygeal method. Intensive Care Med 1997; 23: 386-392.
• 10. Erden V, Şanlı Hamzaoğlu N, Başaranoğlu G, Delatioğlu H, Erkalp K. Percu Twist Yöntemi ile Perkütan Trakeostomi. Yoğun Bakım Dergisi 2004; 4: 57-60.
• 11. Çiçek M, Gedik E, Yücel A. ve ark. Griggs tekniği ile açılan perkütan trakeostomi sonuçlarımız. İnönü Üniversitesi Tıp Fakültesi Dergisi 2007; 14: 17-20.
• 12. Kırca H, Çakın Ö, Cengiz M, Yılmaz M, Ramazanoğlu A. Yoğun Bakımda Trakeotomi: Endikasyonlar, Komplikasyonlar ve Prognoz. J Turk Soc Intens Care 2018; 16: 17-25.
• 13. Scales DC, Thiruchelvam D, Kiss A, Redelmeier DA. The effect of tracheostomy timing during critical illness on longterm survival. Crit Care Med 2008; 36: 2547-57.
• 14. Gücyetmez B, Atalan HK, Cakar N. Elective Tracheotomy Practices in Turkey. 2016;15.