Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu

Yıl 2018, Cilt: 8 Sayı: 3, 197 - 200, 30.09.2018

Fatma Koçyiğit , Serpil Bayındır

https://doi.org/10.16899/gopctd.403178

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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